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Methylfolate: Drug information

Methylfolate: Drug information
(For additional information see "Methylfolate: Patient drug information")

For abbreviations, symbols, and age group definitions used in Lexicomp (show table)
Brand Names: US
  • Denovo [OTC];
  • Deplin 15;
  • Deplin 7.5;
  • Elfolate;
  • L-Methylfolate Forte
Pharmacologic Category
  • Medical Food
Dosing: Adult
Medical food

Medical food: Oral: 7.5 to 15 mg daily.

Dosing: Kidney Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling.

Dosing: Hepatic Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling.

Dosing: Older Adult

Refer to adult dosing.

Adverse Reactions

There are no adverse reactions listed in the manufacturer's labeling.

Contraindications

Hypersensitivity to any component of the formulation

Warnings/Precautions

Disease-related concerns:

• Anemia: Monotherapy: Not appropriate for monotherapy with pernicious or other megaloblastic anemias when anemia is present with vitamin B12 deficiency.

• Pernicious anemia: Doses >0.1 mg/day may obscure pernicious anemia with continuing irreversible nerve damage progression.

Other warnings/precautions:

• Medicinal food: Product is a medicinal food for use only under the supervision of a health care provider.

Dosage Forms: US

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Capsule, Oral:

Denovo: 15 mg [contains fd&c yellow #5 (tartrazine), fd&c yellow #6 (sunset yellow)]

Deplin 7.5: L-methylfolate 7.5 mg and Schizochytrium algae [contains fd&c red #40 (allura red ac dye), fd&c yellow #6 (sunset yellow), fd&c yellow #6(sunset yellow)alumin lake, sodium caseinate, soy protein, soybean lecithin]

Deplin 15: L-methylfolate 15 mg and Schizochytrium algae [contains fd&c red #40 (allura red ac dye), fd&c yellow #6 (sunset yellow), sodium caseinate, soy protein, soybean lecithin]

L-Methylfolate Forte: L-methylfolate 15 mg and Schizochytrium algae [contains carmine, sodium caseinate, soy protein, soybean lecithin]

L-Methylfolate Forte: L-methylfolate 7.5 mg and Schizochytrium algae [contains fd&c red #40 (allura red ac dye), fd&c yellow #6 (sunset yellow), fd&c yellow #6(sunset yellow)alumin lake, sodium caseinate, soy protein, soybean lecithin]

Generic: L-methylfolate 15 mg and Schizochytrium algae

Tablet, Oral:

Elfolate: 7.5 mg, 15 mg

Generic: 7.5 mg, 15 mg

Generic Equivalent Available: US

Yes

Pricing: US

Capsules (Deplin 15 Oral)

15-90.314 mg (per each): $7.54

Capsules (Deplin 7.5 Oral)

7.5-90.314 mg (per each): $7.54

Capsules (L-Methylfolate-Algae Oral)

15-90.314 mg (per each): $4.06

Tablets (Elfolate Oral)

7.5 mg (per each): $4.32

15 mg (per each): $4.32

Tablets (L-Methylfolate Oral)

7.5 mg (per each): $2.89 - $2.96

15 mg (per each): $2.89 - $2.96

Disclaimer: A representative AWP (Average Wholesale Price) price or price range is provided as reference price only. A range is provided when more than one manufacturer's AWP price is available and uses the low and high price reported by the manufacturers to determine the range. The pricing data should be used for benchmarking purposes only, and as such should not be used alone to set or adjudicate any prices for reimbursement or purchasing functions or considered to be an exact price for a single product and/or manufacturer. Medi-Span expressly disclaims all warranties of any kind or nature, whether express or implied, and assumes no liability with respect to accuracy of price or price range data published in its solutions. In no event shall Medi-Span be liable for special, indirect, incidental, or consequential damages arising from use of price or price range data. Pricing data is updated monthly.

Administration: Adult

Oral: May be administered with or without food.

Use: Labeled Indications

Medical food: Medical food for the nutritional requirements of patients with suboptimal L-methylfolate and who have major depressive disorder or schizophrenia.

Note: A medical food is formulated to be administered enterally under the supervision of a physician and is intended for the specific dietary management of a disease or condition for which distinctive nutritional requirements are established by medical evaluation. Medical foods are not drugs and, therefore, are not subject to any FDA regulatory requirements that specifically apply to drugs (eg, requirement for written/oral prescription prior to dispensing, premarket review or approval, proof of safety and efficacy).

Metabolism/Transport Effects

None known.

Drug Interactions

Note: Interacting drugs may not be individually listed below if they are part of a group interaction (eg, individual drugs within “CYP3A4 Inducers [Strong]” are NOT listed). For a complete list of drug interactions by individual drug name and detailed management recommendations, use the Lexicomp drug interactions program by clicking on the “Launch drug interactions program” link above.

Fosphenytoin-Phenytoin: Methylfolate may decrease the serum concentration of Fosphenytoin-Phenytoin. Risk C: Monitor therapy

PHENobarbital: Methylfolate may decrease the serum concentration of PHENobarbital. Risk C: Monitor therapy

Primidone: Methylfolate may decrease the serum concentration of Primidone. Risk C: Monitor therapy

Pyrimethamine: Methylfolate may diminish the therapeutic effect of Pyrimethamine. Risk C: Monitor therapy

Raltitrexed: Methylfolate may diminish the therapeutic effect of Raltitrexed. Risk X: Avoid combination

SulfaSALAzine: May decrease the serum concentration of Methylfolate. Risk C: Monitor therapy

Valproate Products: Methylfolate may decrease the serum concentration of Valproate Products. Risk C: Monitor therapy

Mechanism of Action

Methylfolate, or L-methylfolate, is the active form of folate in the body, which can be transported into peripheral tissues and across the blood-brain barrier. Folate is necessary for formation of numerous coenzymes in many metabolic systems, particularly for purine, pyrimidine, and nucleoprotein synthesis, and maintenance in erythropoiesis; stimulates WBC and platelet production in folate deficiency anemia.

Brand Names: International
International Brand Names by Country
For country code abbreviations (show table)

  • (AE) United Arab Emirates: L mthf | Now methyl folate;
  • (AU) Australia: BioOne met 5 q | Mthf;
  • (DE) Germany: Methyl folate | Methylfolat;
  • (IN) India: Elfolin | Elmefol | L folimed | Lifodep | Lupifolin | Metglow | Methshine | Ninefol | Sysfol l | Ultra L;
  • (NO) Norway: Methyl folate;
  • (NZ) New Zealand: Bioceuticals mthf;
  • (PH) Philippines: Biofolate plus;
  • (PK) Pakistan: Deplin | Folacta | Keplin | Metafol | Myfol | Neurofol | Novafol | Refol;
  • (PL) Poland: Solgar folian;
  • (PR) Puerto Rico: 5 mthf | L methylfolate calcium | Zervalx;
  • (SG) Singapore: Optimized folate;
  • (TR) Turkey: Leda folic | Ocean methyl folat;
  • (ZA) South Africa: Folapro | Solal folate | Stellar activ folate
  1. Deplin (methylfolate) [prescribing information]. Covington, LA: Alfasigma USA, Inc.; February 2017.
Topic 10342 Version 202.0

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