Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Alfolic 5mg Tablet may be taken with or without food.

- Alcohol : CAUTION

Alcohol should be used with caution while taking Alfolic 5mg Tablet. | - Pregnancy : SAFE IF PRESCRIBED

Alfolic 5mg Tablet is safe to use during pregnancy. Most studies have shown low or no risk to the developing baby. | - Breast feeding : SAFE IF PRESCRIBED

Available human data suggest that the drug does not pass into breast milk in clinically significant amounts and is unlikely to harm the infant. | - Driving : CONSULT YOUR DOCTOR

It is not known whether Alfolic 5mg Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react. Please consult your doctor. | - Kidney : CONSULT YOUR DOCTOR

There is limited data available on the use of Alfolic 5mg Tablet in patients with kidney disease. Please consult your doctor. | - Liver : CONSULT YOUR DOCTOR

There is limited data available on the use of Alfolic 5mg Tablet in patients with liver disease.

If you miss a dose of Alfolic 5mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Is it ok to take Alfolic 5mg Tablet when not pregnant?::: Usually, folic acid requirements are met from the diet and therefore additional supplements are not required. In general, Alfolic 5mg Tablet is recommended only when you have a deficiency of folic acid. However, Alfolic 5mg Tablet is advised to women who are pregnant and who want to conceive. The medicine should be taken at least 4 weeks before pregnancy and should continue its use up to 3 months of pregnancy. Consult your doctor if not sure.| Can Alfolic 5mg Tablet cause weight gain?::: Animal studies on Alfolic 5mg Tablet suggest that taking the medicine in excess along with a high-fat diet may lead to weight gain and fat accumulation. But this weight gain was not evident when taken along with a normal or low-fat diet, even with excess Alfolic 5mg Tablet. In humans, similar studies have not been conducted and therefore knowledge regarding weight gain is lacking. Therefore, if you are on Alfolic 5mg Tablet eat a low-fat meal to be on the safer side.| How long does Alfolic 5mg Tablet take to work?::: Alfolic 5mg Tablet usually starts working within a few hours of taking it. If you are taking it for iron deficiency anemia, you may start feeling better after a few weeks of taking it. In case you are taking it during pregnancy, you may not notice any difference but this does not mean that the dose is not working. Continue taking Alfolic 5mg Tablet for the duration recommended by your doctor.| Why should women start taking Alfolic 5mg Tablet before they become pregnant?::: Maintaining the right level of folic acid in the body before getting pregnant reduces the risk of developing neural tube defects in the baby. The neural tube defect, in most cases, is caused if the structure (neural tube) from which the central nervous system develops (brain and spinal cord) in a baby does not form or is only partially closed. full closure of the neural tube occurs during the end of the fourth week of pregnancy. Folic acid helps in the formation of neural tubes. Therefore, to prevent this defect women should start Alfolic 5mg Tablet before four weeks of pregnancy.| Can I breastfeed while taking Alfolic 5mg Tablet?::: Yes, you can breastfeed while taking Alfolic 5mg Tablet as it is not harmful to the baby. Alfolic 5mg Tablet contains folic acid which is naturally found in breast milk. Though its initial levels in breast milk are low, it rises eventually. Since it is actively secreted in breast milk, the mother may take Alfolic 5mg Tablet every day to maintain the required levels. Talk to your doctor if you have any questions related to nutrient supplementation in breastfeeding.| When should I take Alfolic 5mg Tablet, in the morning or at night?::: You can take Alfolic 5mg Tablet any time of the day, but try to take it at the same time each day. This will help you remember to take it. Take it exactly as prescribed by your doctor. The medicine should be swallowed as a whole with a glass of water. Do not chew, cut or crush the medicine.| Can Alfolic 5mg Tablet make you sick?::: Generally, Alfolic 5mg Tablet is well tolerated. However, some people may experience nausea (feeling sick), loss of appetite, bloating, and excessive passing of gas. The medicine may also worsen the symptoms of any coexisting vitamin B12 deficiency. If you experience any of these symptoms, consult your doctor but do not stop taking Alfolic 5mg Tablet.| How long do I need to take Alfolic 5mg Tablet?::: The duration of treatment with Alfolic 5mg Tablet depends on the reason you are taking it for. If you are planning your pregnancy, you may start taking it 4 weeks before pregnancy and continue up to the first 3 months of pregnancy. If you are taking it for folic acid deficiency then you may have to take it for 4 months or longer (if your deficiency does not subside). If you are taking it to reduce the side effects of methotrexate then you may need to take it for as long as you are taking methotrexate. Consult your prescribing physician to know the exact duration of your therapy.

Alfolic 5mg Tablet is a form of vitamin B. It plays a vital role in the formation of red blood cells, which carry oxygen throughout the body. It is also essential in pregnancy due to its role in the development of the unborn baby's brain and spinal cord.

-Capecitabine (Oral Route): Severe

Do not take folic acid supplements without medical supervision. Concurrent use may cause fatal Capecitabine poisoning.

| -Carbamazepine (Oral Route): Moderate

Your doctor may monitor your treatment and adjust the doses as per the observations. Folic Acid may reduce blood levels of Carbamazepine.

| -Phenobarbitone (Oral Route): Moderate

Your doctor may monitor your treatment and adjust the doses as per the observations. Concurrent use may increase the risk of seizures.

| -Phenytoin (Oral Route): Moderate

If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations. Folic Acid may reduce blood levels of Phenytoin.Folic Acid may reduce the efficacy of Phenytoin.

| -Phenytoin (Injection Route): Moderate

If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations. Folic Acid may reduce blood levels of Phenytoin.Folic Acid may reduce the efficacy of Phenytoin.

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