To bookmark a medicine you must sign up and log in. This causes folate deficiency anaemia, which can cause tiredness and other symptoms. For the full list of excipients see section 6.1. It's recommended that all pregnant women, and those trying for a baby, take a folic acid supplement until they're 12 weeks pregnant. Add message | Report | See all. It's safer not to drink any alcohol if you're pregnant or trying for a baby because it can damage your baby's growth. Only 2.5mg without prescription- so you could take double dose to make up 5mg. It's not suitable for … This will help your baby grow normally. If we do not have enough folic acid, the body can make abnormally large red blood cells that do not work properly. Sometimes taking methotrexate leads to folate deficiency because it causes your body to get rid of more folate than normal. 3 years for tablets in strip packs of opaque white or clear PVC film and 20μm aluminium foil. While all efforts have been made to ensure that ingredient listings are accurate, up to date and complete for products on the Superpharmacy website, suppliers may change formulations on short notice. You may have to take it for a long time, possibly for the rest of your life. Drinking alcohol might mean your folic acid may not work as well. To prevent anaemia, the usual dose for adults and children over 12 years old is 5mg, taken every 1 to 7 days. Qualitative and quantitative composition, 4.2 Posology and method of administration, 4.4 Special warnings and precautions for use, 4.5 Interaction with other medicinal products and other forms of interaction, 4.7 Effects on ability to drive and use machines, 6.6 Special precautions for disposal and other handling, 9. Children 12-18 years: 5-10 mg once daily. Tesco, Asda. No cases of acute overdosage appear to have been reported, but even extremely high doses are unlikely to cause harm to patients. Folic acid is generally well tolerated although the following side effects have been reported: Folic acid may worsen the symptoms of co-existing vitamin B12 deficiency and should never be used to treat anaemia without a full investigation of the cause. To reduce the side effects of methotrexate - folic acid is usually taken for as long as you take methotrexate. Some vitamin and mineral supplements may already contain folic acid. Your doctor may advise you to take a higher dose of folic acid if there's a higher risk of neural tube defects during your pregnancy. No adverse effects have been observed in breast-fed infants whose mothers were receiving folic acid. To make sure it's safe for you, tell your doctor before starting folic acid if you: If you or your child have been prescribed folic acid, follow your doctor's instructions about how and when to take it. 4 mg of Folic Acid = 4,000 mcg of Folic Acid Supplements 4 mg of folic acid = 4,000 mcg of folic acid this should be given to you by your doctor as a written prescription that is filled at the pharmacy because you meet or more of the high risk factors for a pregnancy that can be effected by a serious birth defect. Music1. Available forms Available by prescription only Injection: 10-ml vials (folic acid 5 mg/ml contains 1.5% benzyl alcohol and EDTA; Folvite 5 mg/ml contains 1.5% benzyl alcohol) Tablets: 1 mg Tablets: 0.4 mg, 0.8 mg Indications and dosages Megaloblastic or macrocytic anemia secondary to folic acid deficiency, hepatic disease, alcoholism, intestinal obstruction, excessive hemolysis. Patients should be advised to take antacids at least two hours after administration of folic acid. Taking folic acid in early pregnancy reduces this risk to 1 in every 400. Author Topic: 5mg folic acid: NHS or private prescription? Yes, I'm sure she was just being cautious but that's good. Fluorouracil toxicity may occur in patients taking folic acid and this combination should be avoided. If all fails, you could always try and eat food rich in folic acid and wait until you can pick up the prescription. Tell your doctor if you're trying to get pregnant, already pregnant or breastfeeding. Sale Price £0.04 . Member; 5mg folic acid: NHS or private prescription? You could also ask your pharmacist for advice on other ways to help you remember to take your medicine. Do not take your folic acid within 2 hours before or after taking indigestion remedies (antacids containing aluminium or magnesium), as they may stop folic acid being properly absorbed. Folic acid is readily absorbed following oral dosage, and is extensively bound to plasma proteins. If your child is under 12 months old, the doctor will use your child's weight to work out the right dose. Availability: In stock. Usually, folic acid is safe to take during pregnancy. It allows continued monitoring of the benefit/risk balance of the medicinal product. Folic acid is a synthetic form of vitamin B9 that's often added to processed foods and used in supplements. The usual dose for adults and children is 5mg once a week, on a different day of the week to your methotrexate. It's best to avoid drinking alcohol with folic acid as alcohol may stop folic acid being absorbed. But if the cause of your folate deficiency anaemia does not change or go away, you may have to take folic acid for longer, possibly for the rest of your life. Pharmacists should query any prescriptions for the 10mg tablets. If you're pregnant or trying for a baby, it's recommended you take folic acid until you're 12 weeks pregnant. This article discusses folic acid, its benefits, sources, your risk of deficiency, and more. It would be the same medication, regardless of you buying it with or without prescription. Serum levels of anticonvulsant drugs (phenytoin, phenobarbital, primidone) may be reduced by administration of folate and therefore patients should be carefully monitored by the physician and the anticonvulsant drug dose adjusted as necessary. If you're taking folic acid with methotrexate, talk to your doctor before taking any non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin. The customer must fax a copy of their prescription and following that the customer must mail the actual original prescription to PrescriptionPoint.com. The usual dose for most women trying to get pregnant and during the first 12 weeks of pregnancy is 400 micrograms, taken once a day. Women need up to 10 times more folate in pregnancy to help the baby grow. For children less than 12 years old, the doctor will use your child's age or weight to work out the right dose. Who can and can't take folic acid. Folate should not be routinely used in patients receiving coronary stents. Trimethoprim or sulfonamides, alone or in combination as co-trimoxazole, may reduce the effect of folic acid and this may be serious in patients with megaloblastic anaemia. Once absorbed, folic acid is rapidly reduced and then methylated to form tetrahydrofolic acid derivatives which are rapidly transported to the tissues. Is a dose reminder required? Continue typing to refine. Strip packs of opaque white or clear PVC film and 20μm aluminium foil. Is there any food or drink I need to avoid? To email a medicine you must sign up and log in. It works by producing purine and pyrimidine, both of which help to manufacture blood and its essential elements. Just double check the dosage on the ingredients, I was told that it was prescription only medication by clinic (but hey I could be wrong!) Tell your doctor if you're taking these medicines before you start taking folic acid: Talk to your pharmacist or doctor before taking any herbal remedies or supplements together with folic acid. For more information about how folic acid can affect you and your baby during pregnancy, read this leaflet on the best use of medicines in pregnancy (BUMPS) website. When higher doses are needed Some women will be advised to take a higher dose of 5 milligrams (5mg) of folic acid each day until they're 12 weeks pregnant if they have a higher chance of having a pregnancy affected by neural tube defects. Some people take 1mg to 5mg once a day, apart from the day when they have their methotrexate. Folic acid does not help you get pregnant, but it's recommended while you're trying for a baby and in the first 12 weeks of pregnancy. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. Abdominal distension, flatulence, anorexia and nausea. Antibiotics may interfere with the microbiological assay for serum and erythrocyte folic acid concentrations and may cause falsely low results. This depends on why you're taking folic acid: In pregnancy - women are recommended to take folic acid while they're trying for a baby and for the first 12 weeks of pregnancy. Low folate levels at this important time can increase the risk of neural tube defects and possibly other problems in the baby. In haemolytic anaemia; metabolic disorders: Child 1-12 years: 2.5 mg-5mg once daily. Ash Road North, Wrexham Industrial Estate, Wrexham, LL13 9UF. If you're worried, speak to your pharmacist or doctor. Page last reviewed: 27 March 2019 Folic acid can stop zinc working as well as it should. 4.5 out of 5 stars 168. any supermarket around 90p a vitamin tub x. Paracetamol is the first choice of painkiller if you're pregnant or breastfeeding. A baby's neural tube starts developing in the first 4 weeks of pregnancy (before the first missed period). But if your baby is premature or has health problems, check with your doctor first. It passes into the milk, but it's not harmful to your baby. Folic acid is the man-made version of the vitamin folate (also known as vitamin B9). If you have bought folic acid from a pharmacy or shop, follow the instructions that come with the packet. Toxicity studies in animals (rats and rabbits) have shown that massive doses (100mg/kg upwards) produce precipitation of folate crystals in renal tubules, particularly proximal tubules and ascending limb of the loop of Henle. Folic acid is safe to take while you're breastfeeding. Therefore a full clinical diagnosis should be made before initiating treatment. Menu Imbalance in folate requiring trophoblast cells may also lead to detachment of the placenta. have had an allergic reaction to folic acid or any other medicine in the past, have cancer (unless you also have folate deficiency anaemia), in pregnancy - the risk of your baby having neural tube defects may increase, for folate deficiency anaemia - your symptoms may get worse or new symptoms may appear, to reduce the side effects of methotrexate - you'll be more likely to get side effects from methotrexate, feeling sick (nausea) - but if you're pregnant, this is more likely to be morning sickness, you get a skin rash that may include itchy, red, swollen, blistered or peeling skin, your mouth, face, lips, tongue or throat start swelling, you have previously had a pregnancy affected by a neural tube defect, you or your partner have a neural tube defect, you or your partner have a family history of neural tube defects, methotrexate, a medicine used to treat rheumatoid arthritis, Crohn's disease, psoriasis and some types of cancer, phenytoin, fosphenytoin, phenobarbital or primidone, medicines used to treat epilepsy, fluorouracil, capecitabine, raltitrexed or tegafur, medicines used to treat some types of cancer, antibiotics, medicines used to treat or prevent bacterial infection, medicines or alternative remedies that contain zinc (including throat lozenges and cold remedies), sulfasalazine, a medicine used to treat the inflammatory bowel conditions ulcerative colitis and Crohn's disease, cholestyramine, a medicine used to reduce cholesterol, spinach, kale, asparagus, brussels sprouts, cabbage and broccoli, peas, lentils and beans (including chickpeas and black eyed beans), yeast and beef extracts (including Marmite and Bovril), fortified foods with added folic acid (including some brands of breakfast cereals). Folic acid is available on prescription and comes as tablets or as a liquid you swallow. You could be having a serious allergic reaction and may need immediate treatment in hospital. Folic acid deficiency during pregnancy may lead to the appearance of foetal malformations. Patients with malignant disease, unless megaloblastic anaemia due to folic acid deficiency. Like all medicines, folic acid can cause side effects in some people. For folate deficiency anaemia - treatment is usually for 4 months. Folic acid is necessary for amino acid and nucleic acid metabolism. Concurrent administration with cholestyramine may interfere with folic acid absorption. Tell your pharmacist or doctor if you take any supplements or remedies that contain zinc. There's no evidence that folic acid reduces fertility in men or women. Most adults and children can take folic acid. Reply (0) Report. Child 12-18 years: 5-10 mg once daily. Prevention of recurrence of neural tube defects. 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