Folic acid (folate) and Pyrimethamine interaction

Folic acid (folate) and Pyrimethamine: the Pyrimethamine prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Pyrimethamine (Daraprim) label · effective 2023-12-07

Major

Use of the drug is also contraindicated in patients with documented megaloblastic anemia due to folate deficiency.

Contraindicationsnames Folic acid (folate)View label on DailyMed
Moderate

If signs of folate deficiency develop (see ADVERSE REACTIONS ), reduce the dosage or discontinue the drug according to the response of the patient.

Warningsnames Folic acid (folate)View label on DailyMed
Minor

If signs of folate deficiency develop, pyrimethamine should be discontinued.

Drug interactionsnames Folic acid (folate)View label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.