Folic Acid and Phenytoin Interaction

Drug interaction information between Folic Acid and Phenytoin.

Folic Acid and Phenytoin have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Folic Acid and Phenytoin. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Folic Acid

B Vitamin (Folate) Supplement

Drug B

Phenytoin

Anticonvulsant (Hydantoin)

How They Interact

Taking these two together can cause the levels of both drugs in your blood to drop, making them both less effective.

Frequently Asked Questions

What SPL severity band is on file for Folic Acid + Phenytoin?

Compiled FDA labeling labels this pair minor. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Phenytoin has 147 labeled pairs on file vs Folic Acid's 5. In the minor band specifically: Folic Acid has 5 (also Dapsone Topical, Infliximab, Methotrexate, Prenatal Multivitamin); Phenytoin has 120 (also Atorvastatin, Omeprazole, Simvastatin, Methylphenidate).

What mechanism field is on file for Folic Acid and Phenytoin?

Taking these two together can cause the levels of both drugs in your blood to drop, making them both less effective.

Phenytoin carries more major-labeled pairs than Folic Acid

SPL source-record counts only. This page's band is minor · classes on file: Folic Acid (B Vitamin (Folate) Supplement); Phenytoin (Anticonvulsant (Hydantoin)).

Phenytoin has 4 major-labeled pairs vs Folic Acid's 0. This page itself is in the minor band, not the major band.

Folic Acid

0 major · 0 moderate · 5 minor · 5 total

Phenytoin

4 major · 23 moderate · 120 minor · 147 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.