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Folic acid, cyanocobalamin, and pyridoxine: Drug information

Folic acid, cyanocobalamin, and pyridoxine: Drug information
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For additional information see "Folic acid, cyanocobalamin, and pyridoxine: Patient drug information"

For abbreviations, symbols, and age group definitions show table
Brand Names: US
  • Airavite;
  • Biopar delta-Forte [DSC];
  • CenFol;
  • FaBB [DSC];
  • Folbee;
  • Folbic [OTC];
  • Folgard RX;
  • Folplex 2.2;
  • Foltabs 800 [OTC];
  • Niva-Fol [OTC];
  • NuFol;
  • Virt-Gard [DSC];
  • WesTab Max [OTC];
  • WesTab Mini [DSC];
  • WesTab One [OTC]
Pharmacologic Category
  • Vitamin
Dosing: Adult
Dietary supplement

Dietary supplement: Oral: 1 to 2 tablets daily or as directed by health care provider.

Dosing: Kidney Impairment: Adult

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

Dosing: Liver Impairment: Adult

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

Dosing: Older Adult

Refer to adult dosing.

Adverse Reactions

See individual agents.

Contraindications

Hypersensitivity to folic acid, cyanocobalamin, pyridoxine, or any component of the formulation

Warnings/Precautions

See individual agents.

Dosage Forms: US

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product

Capsule, Oral:

Biopar delta-Forte: Folic Acid 1 mg, cyanocobalamin 400 mcg, and pyridoxine hydrochloride 50 mg [DSC] [dairy free, egg free, gluten free, no artificial color(s), sugar free, wheat free; contains gelatin (bovine), phosphatidylserine, pork (porcine) protein]

Generic: Folic Acid 1 mg, cyanocobalamin 400 mcg, and pyridoxine hydrochloride 50 mg

Tablet, Oral:

Airavite: Folic acid 2.5 mg, cyanocobalamin 1 mg, and pyridoxine hydrochloride 25 mg [lactose free, sugar free]

CenFol: Folic acid 2.3 mg, cyanocobalamin 2 mg, and pyridoxine hydrochloride 24.5 mg

FaBB: Folic acid 2.2 mg, cyanocobalamin 1 mg, and pyridoxine hydrochloride 25 mg [DSC]

Folbee: Folic acid 2.5 mg, cyanocobalamin 1 mg, and pyridoxine hydrochloride 25 mg [dye free, lactose free, sugar free]

Folbic: Folic acid 2.5 mg, cyanocobalamin 2 mg, and pyridoxine hydrochloride 25 mg [lactose free, sugar free; contains carmine (cochineal extract)]

Folgard RX: Folic acid 2.2 mg, cyanocobalamin 1 mg, and pyridoxine hydrochloride 25 mg [scored; contains sodium benzoate]

Folplex 2.2: Folic acid 2.2 mg, cyanocobalamin 0.5 mg, and pyridoxine hydrochloride 25 mg [scored; alcohol free, gluten free, lactose free, sugar free; contains fd&c yellow #6(sunset yellow)alumin lake]

Foltabs 800: Folic acid 0.8 mg, cyanocobalamin 0.115 mg, and pyridoxine hydrochloride 10 mg [scored; contains fd&c blue #1 (brill blue) aluminum lake, fd&c yellow #6(sunset yellow)alumin lake, quinoline (d&c yellow #10) aluminum lake]

NuFol: Folic acid 2.5 mg, cyanocobalamin 1 mg, and pyridoxine hydrochloride 25 mg [dye free, lactose free, sugar free]

Virt-Gard: Folic acid 2.2 mg, cyanocobalamin 1 mg, and pyridoxine hydrochloride 25 mg [DSC]

WesTab Max: Folic acid 2.5 mg, cyanocobalamin 2 mg, and pyridoxine hydrochloride 25 mg [lactose free, sugar free; contains fd&c red #40 (allura red ac dye), fd&c red #40(allura red ac)aluminum lake]

WesTab Mini: Folic acid 2.2 mg, cyanocobalamin 1 mg, and pyridoxine hydrochloride 25 mg [DSC] [contains fd&c red #40 (allura red ac dye), fd&c yellow #6 (sunset yellow)]

WesTab One: Folic acid 2.5 mg, cyanocobalamin 1 mg, and pyridoxine hydrochloride 25 mg [lactose free, sugar free; contains fd&c red #40 (allura red ac dye), fd&c red #40(allura red ac)aluminum lake, fd&c yellow #5 (tartrazine), fd&c yellow #5 (tartrazine)aluminum lake, fd&c yellow #6 (sunset yellow), fd&c yellow #6(sunset yellow)alumin lake]

Generic: Folic acid 2.2 mg, cyanocobalamin 0.5 mg, and pyridoxine hydrochloride 25 mg

Tablet, Oral [preservative free]:

Niva-Fol: Folic acid 2.5 mg, cyanocobalamin 2 mg, and pyridoxine hydrochloride 25 mg [egg free, milk derivatives/products, no artificial color(s), no artificial flavor(s), salt free, shellfish free, sugar free, yeast free; contains carmine (cochineal extract)]

Generic: Folic acid 0.5 mg, cyanocobalamin 0.2 mg, and pyridoxine hydrochloride 5 mg

Generic Equivalent Available: US

Yes

Pricing: US

Tablets (Airavite Oral)

2.5-25-1 mg (per each): $0.52

Tablets (CenFol Oral)

2.3-24.5-2 mg (per each): $1.07

Tablets (Folbic Oral)

2.5-25-2 mg (per each): $0.91

Tablets (Folgard RX Oral)

2.2-25-1 mg (per each): $0.63

Tablets (Foltabs 800 Oral)

800-10-115 mcg-mg-mcg (per each): $0.50

Tablets (Niva-Fol Oral)

2.5-25-2 mg (per each): $0.91

Tablets (NuFol Oral)

2.5-25-1 mg (per each): $0.44

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.

Use: Labeled Indications

Dietary supplement: Nutritional supplement in end-stage renal failure, dialysis, hyperhomocysteinemia, homocystinuria, malabsorption syndromes, dietary deficiencies.

Metabolism/Transport Effects

Refer to individual components.

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 drug interactions program by clicking on the “Launch drug interactions program” link above.

Chloramphenicol (Systemic): May decrease therapeutic effects of Vitamin B12. Risk C: Monitor

Fluorouracil Products: Folic Acid may increase adverse/toxic effects of Fluorouracil Products. Risk C: Monitor

Fosphenytoin-Phenytoin: Folic Acid may decrease serum concentration of Fosphenytoin-Phenytoin. Risk C: Monitor

Fosphenytoin-Phenytoin: Pyridoxine may decrease serum concentration of Fosphenytoin-Phenytoin. Risk C: Monitor

Green Tea: May decrease serum concentration of Folic Acid. Risk C: Monitor

Levodopa-Foslevodopa: Pyridoxine may decrease therapeutic effects of Levodopa-Foslevodopa. Management: The concomitant use of pyridoxine and levodopa (in the absence of a dopa decarboxylase inhibitor (DDI)) should be avoided. Use of a DDI (eg, carbidopa) with levodopa will essentially eliminate the risk of this interaction. Risk D: Consider Therapy Modification

Pafolacianine: Coadministration of Folic Acid and Pafolacianine may alter diagnostic results. Risk X: Avoid

PHENobarbital: Folic Acid may decrease serum concentration of PHENobarbital. Risk C: Monitor

PHENobarbital: Pyridoxine may decrease serum concentration of PHENobarbital. Risk C: Monitor

Primidone: Folic Acid may decrease serum concentration of Primidone. Additionally, folic acid may decrease concentrations of active metabolites of primidone (e.g., phenobarbital). Risk C: Monitor

Primidone: Pyridoxine may decrease active metabolite exposure of Primidone. Specifically, concentrations of phenobarbital may be reduced. Risk C: Monitor

Pyrimethamine: Folic Acid may decrease therapeutic effects of Pyrimethamine. Management: Folic acid doses greater than 2.5 mg per day should be avoided due to the potential for sulfadoxine/pyrimethamine treatment failure. Consider limiting folic acid use to no more than 0.4 mg per day for women of child-bearing age. Risk D: Consider Therapy Modification

Raltitrexed: Folic Acid may decrease therapeutic effects of Raltitrexed. Risk X: Avoid

Sulfadoxine: Folic Acid may decrease therapeutic effects of Sulfadoxine. Management: Folic acid doses greater than 2.5 mg per day should be avoided due to the potential for sulfadoxine/pyrimethamine treatment failure. Consider limiting folic acid use to no more than 0.4 mg per day for women of child-bearing age. Risk D: Consider Therapy Modification

SulfaSALAzine: May decrease serum concentration of Folic Acid. Risk C: Monitor

Pregnancy Considerations

See individual agents.

Breastfeeding Considerations

See individual agents.

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

  • (AE) United Arab Emirates: B6+b12 with folic acid;
  • (BD) Bangladesh: Folicard | Vgard | Vicard | Vita heart;
  • (BE) Belgium: Tribvit;
  • (BR) Brazil: Raia metilfolato | Tenavit;
  • (DE) Germany: B12 B6 Folsaeure ohne lactose | Basis-homocystein | FolPlus | Medyn | Medyn forte | Salutomedvasan | Sovita Folsaeure plus | Vitamin B12 B6 Folsaeure Komplex;
  • (DO) Dominican Republic: Coravit;
  • (EC) Ecuador: Acido Folico;
  • (EE) Estonia: Cardiosan;
  • (FI) Finland: Bethover b12 plus b6 plus foolihappo | Triobe;
  • (HU) Hungary: Atherovit;
  • (ID) Indonesia: Folaplus;
  • (IL) Israel: Tricardia;
  • (IN) India: Homocheck;
  • (JO) Jordan: Ceforte;
  • (KR) Korea, Republic of: B-cymo | Folbi | Newgen b cymo | Ruby ball | Vitafolin | Vitaramin | Vitrimo;
  • (LT) Lithuania: Medyn;
  • (LV) Latvia: Cardiosan | FolPlus;
  • (MX) Mexico: Cromagen A.F. | Vasobion;
  • (MY) Malaysia: Hocygard;
  • (NL) Netherlands: Cardox;
  • (NO) Norway: Triobe;
  • (PH) Philippines: Folamin;
  • (PR) Puerto Rico: Airavite | Av vite fb | Cavan X | Cenfol | Combgen | Diatx | Fabb | Folastin | Folbee | Folbic | Foleve | Folgard | Folgard rx | Folnate Plus | Folplex | Foltabs | Foltx | Nufol | Tl Gard RX | Virt gard;
  • (PY) Paraguay: Biovitan folic B6 B12 | Cardio vimin;
  • (RU) Russian Federation: Triovit kardio;
  • (SE) Sweden: Triobe;
  • (TR) Turkey: Sistomin;
  • (UY) Uruguay: Homostat;
  • (VE) Venezuela, Bolivarian Republic of: Carvix
  1. Biopar delta-Forte (folic acid/cyanocobalamin/pyridoxine) [prescribing information]. Sunset, LA: JayMac Pharmaceuticals LLC; December 2021.
  2. FaBB (folic acid/cyanocobalamin/pyridoxine) [prescribing information]. Montgomery, AL: H2 Pharma LLC; June 2022.
  3. Folbic (folic acid/cyanocobalamin/pyridoxine) [prescribing information]. Hauppauge, NY: Contract Pharmacal Corp; February 2021.
  4. Foltabs 800 (folic acid/cyanocobalamin/pyridoxine) [prescribing information]. Montgomery, AL: H2 Pharma; October 2020.
  5. Virt-Gard (folic acid/cyanocobalamin/pyridoxine) [prescribing information]. Nashville, TN: Virtus Pharmaceuticals; June 2018.
Topic 8692 Version 202.0