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What the FDA labels say about taking them together

Folic acid and isoniazid

Folic acid's FDA label (Folic Acid) of February 11, 2026 names isoniazid in its drug interactions section; the isoniazid label PlainMeds reads does not name folic acid. The folic acid label: “Valproate and sulfasalazine primarily reduce intestinal folate absorption or interfere with folate-dependent metabolic pathways, while isoniazid and cycloserine reduce folate utilization through metabolic disruption.”

Check it at the source: the folic acid FDA label on DailyMed (effective July 24, 2026, Rising Pharma Holdings, Inc.); the isoniazid FDA label on DailyMed (effective July 8, 2025, OMNIVIUM PHARMACEUTICALS LLC.).

What does the folic acid label say about isoniazid?

Folic Acid label (Ayurax, LLC, February 11, 2026), drug interactions

Valproate and sulfasalazine primarily reduce intestinal folate absorption or interfere with folate-dependent metabolic pathways, while isoniazid and cycloserine reduce folate utilization through metabolic disruption.

Source: FDA drug label (Folic Acid, NDA216395), Ayurax, LLC, effective February 11, 2026 (SPL set 96618bf8-6c03-4df3-9896-b7ef27ca392a), via openFDA

Source: FDA drug label (Folic Acid), Rising Pharma Holdings, Inc., effective July 24, 2026 (SPL set 0baa10dd-6d1d-4946-8236-566451132da3), via openFDA; the full label on DailyMed

What does the isoniazid label say about folic acid?

Isoniazid's label (effective July 8, 2025) does not name folic acid in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (isoniazid), OMNIVIUM PHARMACEUTICALS LLC., effective July 8, 2025 (SPL set 35400f1d-fd25-4bfa-a382-ac390e21bf2e), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

29Folic acid generic labelers
14Isoniazid generic labelers
Folic acidIsoniazid
Labeled forn/an/a
Boxed warningNoYes
Pharmacy cost (NADAC)$0.0201 per tablet 1 mg tablet$3.40 per tablet 300 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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