Generic Name: l-methylfolate

Brand Names: Deplin, Zervalx

What is this medicine?

L-METHYLFOLATE is a medical food. It is used together with medicines to manage depression and schizophrenia.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• anemia
• history of bipolar disorder
• history of tumors in your intestines
• vitamin B12 deficiency
• an unusual or allergic reaction to L-methylfolate, folic acid, other B vitamins, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Take this medical food by mouth with a glass of water. Follow the directions on your prescription label. You can take it with or without food. Take your doses at regular intervals. Do not stop taking your medicine unless your doctor tells you to.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you've taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

• alcohol
• birth control pills
• capecitabine
• certain antibiotics like pentamidine, pyrimethamine, and trimethoprim
• cholestyramine
• colchicine
• colestipol
• isotretinoin
• medicines for seizures like carbamazepine, fosphenytoin, lamotrigine, phenytoin, phenobarbital, primidone, valproic acid, valproate
• methotrexate
• methylprednisone
• nitrofurantoin
• NSAIDS, medicines for pain and inflammation, like ibuprofen or naproxen
• pancreatic enzymes like pancrelipase and pancreatin
• pyrimethamine
• sulfasalazine
• triamterene

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular check ups. Your doctor may order blood tests.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions such as skin rash or itching, hives, swelling of the lips, mouth, tongue, or throat

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Throw away any unused medicine after the expiration date.

NOTE:This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.