Interaction Guide · Research summary

Can I take Folic Acid with Nitroglycerin?

Research on oral Folic Acid with Nitroglycerin patches, covering nitrate tolerance, small-study limitations, and high-dose precautions.

Prepared by Dr. Edward M.Kim, PharmD · Clinical Director, SupplementSafety editorial team

Research summary published · Prepared · Editorial update

The short answer

In small, short studies of healthy men using continuous nitroglycerin patches, folic acid 10 mg/day helped preserve measured vascular responses, while 1 mg/day did not. These experimental findings do not establish a clinical benefit or justify routine use; high doses can mask vitamin B12 deficiency.

What this answer covers

Evidence concerns continuous transdermal nitroglycerin with oral folic acid for about one week in small healthy-male study groups.

Supplement or preparation
Folic acid
Medication ingredient
nitroglycerin

Evidence and practical considerations

Absorption & effectiveness

Exact human studies disagree by dose, so the correct conclusion is dose-dependent conflicting evidence rather than a universal interaction.

Exact scope
folic acid supplement with nitroglycerin
Medication form and route
continuous transdermal nitroglycerin with oral folic acid in healthy male study populations
Timing or duration
Studied for approximately one week; 10 mg/day showed benefit and 1 mg/day did not.

What remains uncertain

  • The effect changes with dose: 10 mg/day was positive, 1 mg/day negative.
  • High-dose folic acid can mask vitamin B12 deficiency and is not a routine nitroglycerin recommendation.

Factors that may matter: folic acid dose; vitamin B12 status; continuous nitrate exposure; healthy-volunteer population.

Research conclusion: conflicting evidence · Evidence assessment: moderate

Read the supporting source summaries

Source 1: randomized double-blind human study

pmc.ncbi.nlm.nih.gov · Source check Jul 25, 2026

Population: Twenty healthy male nonsmokers.

One milligram per day did not prevent dysfunction or tolerance; the paper contrasts an earlier positive 10 mg/day study.

Small healthy-male study and surrogate outcomes.

Source 2: randomized human clinical study

pubmed.ncbi.nlm.nih.gov · Source check Jul 25, 2026

Population: Eighteen healthy male volunteers.

Ten milligrams per day prevented the studied dysfunction and tolerance.

Small, high-dose, healthy-volunteer, surrogate-outcome study.

Research assessment: · Open full citations ↗

Review and change history

Publication status
Published research summary
Clinical review
Not yet recorded
DateUpdate
Article prepared
Research summary published

Article revision: c0cdb71628b218cd

This guide brings together the evidence records used by our interaction checker. Each finding retains its own preparation limits, research date, and source summaries.

Full citations require verification. Reading this answer and the source summaries does not.

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Information, not medical advice. Do not change prescribed treatment based on this guide.