What may interact with Elfolate?

- 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

What should I tell my health care provider before I take Elfolate?

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 levomefolate, folic acid, other B vitamins, other medicines, foods, dyes, or preservatives
- pregnant or trying to get pregnant
- breast-feeding

What should I watch for while using Elfolate?

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

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.