Levomefolic acid (INN) is the metabolite of folic acid (Vitamin B9) and it is a predominant active form of folate found in foods and in the blood circulation, accounting for 98% of folates in human plasma [A19276]. It is transported across the membranes including the blood-brain barrier into various tissues where it plays an essential role in the DNA synthesis, cysteine cycle and regulation of homocysteine, where it methylates homocysteine and forms methionine and tetrahydrofolate (THF). Levomefolate is approved as a food additive and is designated a GRAS (generally regarded as safe) compound [L773]. It is available commercially as a crystalline form of the calcium salt (Metafolin(R)), which has the stability required for use as a supplement [A19276]. Supplementation of levomefolic acid is desired over folic acid due to reduced potential for masking vitamin B12 deficiency symptoms.
Levomefolate Calcium, Cyanocobalamin and Pyridoxine Hydrochloride
Davimet with Fluoride
Menatrol
Drospirenone/ethinyl estradiol/levomefolate calcium and levomefolate calcium
TL-Folate
Levomefolate Calcium, Pyridoxal 5-phosphate, Methylcobalamin and Schizochytrium DHA Oil
Prenate Pixie
LorMate
PNV Tabs 20-1
Select OB
Poly-Vi-Flor
Virt-Pn
WellFola
Beyaz
Zatean-Pn Plus
Safyral
Virt-Pn DHA
Sodium polysulthionate, 5-methyltetrahydrofolate
Folixate
L-Methyl-B6-B12
Quflora Pediatric Drops
Multitol-M
Davimet with Iron
WesCap-PN DHA
Biopar delta-FORTE
Quflora FE
L-Methylfolate Calcium
Floriva Plus
Inflamex
Multivitamin with Fluoride
Virt-PN Plus
Sulfzix
Prenatol-M
Rulavite DHA
Tydemy
OBTREX DHA Combo Pack
Tricare Prenatal DHA One With Folate
Davimet-M
Tri-Vi-Flor
Drospirenone/Ethinyl Estradiol/Levomefolate Calcium and Levomefolate Calcium
Enl
L-Methyl-MC
Obstetrix DHA Combo Pack
PreGenna
Zatean-Pn
Virt-PN
Vitafol Nano
Levomefolate Calcium and Schizochytrium DHA
Livita Children
Yaz Plus
Select-OB Plus DHA Prenatal Supplement Plus DHA
Tricare Prenatal Quick Dissolve
ProFola
Prenate Mini
Niferex
EnLyte
Finazol
Puralor
Obtrex One
Levomefolate Calcium and Algal
Indication
For the treatment and prevention of folate deficiency and for use as an antidote against folic acid antagonists. Contained in oral contraceptives to reduce the risk of neural tube defects arising from folic acid deficiency for pregnant women who conceived during use or shortly after the discontinuation of the product. Being studied for use as a treatment for cardiovascular diseases [A19273] and adjunct therapy for patients undergoing antidepressant pharmacotherapy [A19271, A19272].
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison
T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS.
Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682