Folic Acid: When to Take It & How to Track It
Also called: Folate, Vitamin B9, Methylfolate
By MagdaLast updated
What is Folic Acid?
Folate is a B vitamin the body uses to make DNA and divide cells. Folic acid is the form used in supplements and fortified foods. The CDC and NHS both advise that anyone who could become pregnant take folic acid every day, because it lowers the risk of neural tube defects such as spina bifida. Those defects form in the first weeks of pregnancy, often before a person knows they are pregnant, which is why the advice is to start before conception. That makes folic acid a long-running daily habit for many people, often months before any pregnancy test.
When to take Folic Acid: general timing information
The CDC recommends that everyone who could become pregnant get folic acid every day to help prevent neural tube defects. [1]
The NHS advises starting folic acid when you are trying to get pregnant (ideally 3 months before) and continuing for the first 12 weeks. [2]
Some people are advised a higher dose, for example those with diabetes or a family history of neural tube defects. A GP can prescribe it. [2]
Antiseizure medicines such as phenytoin, carbamazepine and valproate can lower folate levels, and folate can lower their levels in turn. Ask your doctor before starting. [3]
Folate supplements could interfere with methotrexate taken for cancer, and sulfasalazine can reduce folate absorption. [3]
How to set a Folic Acid reminder in Pillzy
Tap + in Pillzy and add "Folic acid" with the dose your GP, midwife or label gives.
Choose Once daily and pick a fixed time, such as when you brush your teeth.
Add a note with your start date, so you can tell your midwife how long you have been taking it.
Mark it taken each day. If you switch to a prenatal vitamin, add the new product and stop the old reminder.
Use Statistics to check you have not missed days in the early weeks.
Frequently asked questions
Should I take folic acid if I'm not trying to get pregnant?
The CDC recommends daily folic acid for everyone who could become pregnant, not only those who are planning it, because many pregnancies are unplanned and neural tube defects form in the first weeks. Your doctor can advise on your situation.
What if I found out I'm pregnant and haven't been taking folic acid?
The NHS says to start taking it as soon as you find out you are pregnant and continue until 12 weeks. Do not worry about the weeks you missed; speak to your midwife or GP.
Is folate the same as folic acid?
Folate is the natural form found in foods such as leafy greens and beans. Folic acid is the form added to supplements and fortified foods, and it is the form most pregnancy guidance refers to.