FOLIC ACID

74/100 · Elevated

Manufactured by Amneal Pharmaceuticals LLC

Folic Acid Adverse Events: Mostly Non-Serious but with Serious Concerns

773,571 FDA adverse event reports analyzed

Last updated: 2026-05-12

About FOLIC ACID

FOLIC ACID is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Amneal Pharmaceuticals LLC. Based on analysis of 773,571 FDA adverse event reports, FOLIC ACID has a safety score of 74 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for FOLIC ACID include DRUG INEFFECTIVE, FATIGUE, PAIN, ARTHRALGIA, RHEUMATOID ARTHRITIS. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for FOLIC ACID.

AI Safety Analysis

Folic Acid has a safety concern score of 74 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 773,571 adverse event reports for this medication, which is primarily manufactured by Amneal Pharmaceuticals Llc.

The most commonly reported adverse events include Drug Ineffective, Fatigue, Pain. Of classified reports, 74.1% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The majority of reported reactions are non-serious, but serious adverse events account for a significant portion of reports.

Pain and fatigue are the most commonly reported symptoms, with a high volume of reports. There is a notable presence of serious respiratory and cardiovascular issues, indicating potential risks.

Patients taking Folic Acid should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Folic acid is generally well-tolerated, but caution is advised for off-label use and in cases where the drug is ineffective. Interactions with other medications are rare but should be monitored. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 74/100

Folic Acid received a safety concern score of 74/100 (elevated concern). This is based on a 74.1% serious event ratio across 241,389 classified reports. The score accounts for 773,571 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

DRUG INEFFECTIVE24,761 reports
FATIGUE23,330 reports
PAIN23,054 reports
ARTHRALGIA19,493 reports
RHEUMATOID ARTHRITIS17,527 reports
OFF LABEL USE17,323 reports
NAUSEA15,632 reports
HEADACHE14,210 reports
DIARRHOEA14,142 reports
RASH13,594 reports
DYSPNOEA13,157 reports
ALOPECIA11,667 reports
ABDOMINAL DISCOMFORT11,666 reports
JOINT SWELLING11,529 reports
CONDITION AGGRAVATED11,128 reports
VOMITING10,813 reports
PNEUMONIA10,794 reports
PYREXIA10,613 reports
PAIN IN EXTREMITY10,577 reports
SYSTEMIC LUPUS ERYTHEMATOSUS9,864 reports
MALAISE9,853 reports
DIZZINESS9,796 reports
NASOPHARYNGITIS9,314 reports
ARTHROPATHY9,251 reports
SWELLING9,195 reports
ASTHENIA8,919 reports
PEMPHIGUS8,834 reports
FALL8,816 reports
INFUSION RELATED REACTION8,646 reports
GLOSSODYNIA8,296 reports
WEIGHT INCREASED8,291 reports
MATERNAL EXPOSURE DURING PREGNANCY8,177 reports
PERIPHERAL SWELLING8,086 reports
HYPERSENSITIVITY8,049 reports
DRUG INTOLERANCE8,001 reports
PRURITUS7,992 reports
WEIGHT DECREASED7,891 reports
HYPERTENSION7,708 reports
HAND DEFORMITY7,427 reports
SYNOVITIS7,387 reports
WOUND7,257 reports
CONTRAINDICATED PRODUCT ADMINISTERED7,082 reports
HEPATIC ENZYME INCREASED7,052 reports
MUSCULOSKELETAL STIFFNESS6,995 reports
COUGH6,984 reports
INFECTION6,798 reports
PRODUCT USE ISSUE6,792 reports
SINUSITIS6,717 reports
GENERAL PHYSICAL HEALTH DETERIORATION6,276 reports
DISCOMFORT6,243 reports
ABDOMINAL PAIN6,192 reports
INJECTION SITE PAIN6,083 reports
CONFUSIONAL STATE6,044 reports
DEATH5,998 reports
DECREASED APPETITE5,996 reports
PERICARDITIS5,952 reports
BACK PAIN5,867 reports
DRUG HYPERSENSITIVITY5,604 reports
GAIT DISTURBANCE5,600 reports
ABDOMINAL PAIN UPPER5,593 reports
TREATMENT FAILURE5,541 reports
ANAEMIA5,474 reports
INSOMNIA5,471 reports
PSORIATIC ARTHROPATHY5,430 reports
HYPOAESTHESIA5,414 reports
ANTI CYCLIC CITRULLINATED PEPTIDE ANTIBODY POSITIVE5,379 reports
CHEST PAIN5,338 reports
CONTUSION5,311 reports
URINARY TRACT INFECTION5,178 reports
THERAPEUTIC PRODUCT EFFECT DECREASED5,062 reports
INTENTIONAL PRODUCT USE ISSUE5,018 reports
LOWER RESPIRATORY TRACT INFECTION4,988 reports
BLISTER4,945 reports
STOMATITIS4,875 reports
DEPRESSION4,830 reports
MOBILITY DECREASED4,784 reports
HELICOBACTER INFECTION4,749 reports
DUODENAL ULCER PERFORATION4,732 reports
IMPAIRED HEALING4,664 reports
OSTEOARTHRITIS4,567 reports
BLOOD PRESSURE INCREASED4,429 reports
ANXIETY4,423 reports
ARTHRITIS4,372 reports
GASTROINTESTINAL DISORDER4,259 reports
HAEMOGLOBIN DECREASED4,228 reports
OEDEMA PERIPHERAL4,176 reports
URTICARIA4,141 reports
HYPOTENSION4,119 reports
BLOOD CHOLESTEROL INCREASED3,995 reports
PRODUCT USE IN UNAPPROVED INDICATION3,985 reports
INFLAMMATION3,905 reports
MUSCLE SPASMS3,882 reports
PARAESTHESIA3,848 reports
FIBROMYALGIA3,831 reports
IRRITABLE BOWEL SYNDROME3,808 reports
EXPOSURE DURING PREGNANCY3,803 reports
FOLLICULITIS3,742 reports
TYPE 2 DIABETES MELLITUS3,705 reports
PSORIASIS3,628 reports
RHEUMATOID FACTOR POSITIVE3,614 reports

Key Safety Signals

  • Serious adverse events such as pneumonia, dyspnoea, and pericarditis are reported.
  • A high number of reports involve drug ineffectiveness and off-label use.
  • There are multiple reports of infections and gastrointestinal disorders.

Patient Demographics

Adverse event reports by sex: Female: 152,556, Male: 70,375, Unknown: 340. The most frequently reported age groups are age 65 (4,326 reports), age 64 (4,113 reports), age 59 (4,107 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 241,389 classified reports for FOLIC ACID:

  • Serious: 178,839 reports (74.1%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 62,550 reports (25.9%)
Serious 74.1%Non-Serious 25.9%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female152,556 (68.3%)
Male70,375 (31.5%)
Unknown340 (0.2%)

Reports by Age

Age 654,326 reports
Age 644,113 reports
Age 594,107 reports
Age 634,101 reports
Age 664,006 reports
Age 623,900 reports
Age 613,841 reports
Age 433,814 reports
Age 673,765 reports
Age 603,762 reports
Age 443,689 reports
Age 583,679 reports
Age 563,669 reports
Age 683,642 reports
Age 693,521 reports
Age 573,502 reports
Age 703,468 reports
Age 713,221 reports
Age 723,197 reports
Age 553,191 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Folic acid is generally well-tolerated, but caution is advised for off-label use and in cases where the drug is ineffective. Interactions with other medications are rare but should be monitored.

What You Should Know

If you are taking Folic Acid, here are important things to know. The most commonly reported side effects include drug ineffective, fatigue, pain, arthralgia, rheumatoid arthritis. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Follow prescribed dosages and use only as directed by a healthcare provider. Report any serious adverse events to your healthcare provider immediately. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor folic acid safety, particularly for serious adverse events. Healthcare providers should report any serious adverse events to the FDA's MedWatch program.

Frequently Asked Questions

How many adverse event reports has the FDA received for Folic Acid?

The FDA has received approximately 773,571 adverse event reports associated with Folic Acid. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Folic Acid?

The most frequently reported adverse events for Folic Acid include Drug Ineffective, Fatigue, Pain, Arthralgia, Rheumatoid Arthritis. By volume, the top reported reactions are: Drug Ineffective (24,761 reports), Fatigue (23,330 reports), Pain (23,054 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Folic Acid.

What percentage of Folic Acid adverse event reports are serious?

Out of 241,389 classified reports, 178,839 (74.1%) were classified as serious and 62,550 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Folic Acid (by sex)?

Adverse event reports for Folic Acid break down by patient sex as follows: Female: 152,556, Male: 70,375, Unknown: 340. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Folic Acid?

The most frequently reported age groups for Folic Acid adverse events are: age 65: 4,326 reports, age 64: 4,113 reports, age 59: 4,107 reports, age 63: 4,101 reports, age 66: 4,006 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Folic Acid?

The primary manufacturer associated with Folic Acid adverse event reports is Amneal Pharmaceuticals Llc. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Folic Acid?

Beyond the most common reactions, other reported adverse events for Folic Acid include: Off Label Use, Nausea, Headache, Diarrhoea, Rash. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Folic Acid?

You can report adverse events from Folic Acid to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Folic Acid's safety score and what does it mean?

Folic Acid has a safety concern score of 74 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. The majority of reported reactions are non-serious, but serious adverse events account for a significant portion of reports.

What are the key safety signals for Folic Acid?

Key safety signals identified in Folic Acid's adverse event data include: Serious adverse events such as pneumonia, dyspnoea, and pericarditis are reported.. A high number of reports involve drug ineffectiveness and off-label use.. There are multiple reports of infections and gastrointestinal disorders.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Folic Acid interact with other drugs?

Folic acid is generally well-tolerated, but caution is advised for off-label use and in cases where the drug is ineffective. Interactions with other medications are rare but should be monitored. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Folic Acid.

What should patients know before taking Folic Acid?

Follow prescribed dosages and use only as directed by a healthcare provider. Report any serious adverse events to your healthcare provider immediately.

Are Folic Acid side effects well-documented?

Folic Acid has 773,571 adverse event reports on file with the FDA. Pain and fatigue are the most commonly reported symptoms, with a high volume of reports. The volume of reports for Folic Acid reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Folic Acid?

The FDA continues to monitor folic acid safety, particularly for serious adverse events. Healthcare providers should report any serious adverse events to the FDA's MedWatch program. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to FOLIC ACID based on therapeutic use, drug class, or shared indications:

Amneal Pharmaceuticals LLC
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.