In pregnancy, inadequate folate status not only increases neural tube defect risk but is also associated with maternal megaloblastic anemia, which can worsen fatigue, reduce exercise tolerance, and increase the likelihood of transfusion around delivery. Observational studies have linked low folate and elevated homocysteine with a higher risk of miscarriage, placental complications, and low birth weight, and some data suggest that suboptimal folate status may contribute to certain infertility contexts, particularly when combined with other nutritional or metabolic stressors. The clinical takeaway is that maintaining sufficient folate intake before conception and throughout pregnancy is a key strategy to reduce anemia and support healthier fertility and pregnancy outcomes beyond neural tube defect prevention. This medication is commonly used for Pain Management.
Murto, T. et al. Folic acid supplementation and IVF pregnancy outcome in women with unexplained infertility. Dey M, Dhume P, Sharma SK, Goel S, Chawla S, Shah A, Madhumidha G, Rawal R. Folic acid: The key to a healthy pregnancy - A prospective study on fetomaternal outcome. Tzu Chi Med J. 2023 Oct 31;36(1):98-102. Hariz A, Bhattacharya PT. Megaloblastic Anemia. [Updated 2023 Apr 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan. Lazar VMA, Rahman S, Chowdhury NH, Hasan T, Akter S, Islam MS, Ahmed S, Baqui AH, Khanam R. Folate deficiency in pregnancy and the risk of preterm birth: A nested case-control study. J Glob Health. 2024 Jul 12;14:04120. Zheng J-S, Guan Y, Zhao Y, et al. Pre-conceptional intake of folic acid supplements is inversely associated with risk of preterm birth and small-for-gestational-age birth: a prospective cohort study. British Journal of Nutrition. 2016;115(3):509-516. Reproductive BioMedicine Online, Volume 28, Issue 6, 766 - 772
Some side effects may be linked to nutrient depletion caused by this medication.
Regular use of non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen may decrease your folic acid (folate) levels. This is because NSAIDs can interfere with how your body processes folate. If you take OTC pain relievers regularly, consider folate supplementation to avoid potential deficiencies.
Recent suggests that damage caused by free radicals in tissues plays a role in stomach ulcers (gastric mucosal lesions) caused by nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen. Based on this, it was investigated whether the amino acid taurine could protect the stomach lining from ibuprofen-induced damage. The study also examined the effects of taurine on the stomach's natural antioxidant defenses, including enzymes like superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPX), as well as a molecule called glutathione (GSH). It found that giving taurine orally for three days in a row protected the rats' stomach linings from the ulcers caused by ibuprofen. Additionally, taurine significantly reduced a marker of free radical damage (lipid peroxidation) in the ibuprofen-treated rats.