**Core Concept**
Folic acid metabolism is a crucial process in the synthesis of nucleic acids and the maintenance of cellular homeostasis. Several drugs can interfere with this process, leading to adverse effects or interactions.
**Why the Correct Answer is Right**
Phenytoin is an antiepileptic medication that does not significantly interfere with folic acid metabolism. In contrast, other antifolate drugs like methotrexate, pyrimethamine, and trimethoprim interfere with dihydrofolate reductase (DHFR) or other steps in the folic acid pathway, leading to decreased folate levels and potential toxicity.
**Why Each Wrong Option is Incorrect**
**Option A:** Methotrexate is a well-known antifolate that inhibits DHFR, leading to a decrease in tetrahydrofolate (THF) levels and interference with folic acid metabolism. This makes it a wrong choice.
**Option B:** Pyrimethamine is another antifolate that inhibits dihydropteroate synthase, an enzyme involved in the synthesis of THF. This interference with folic acid metabolism makes pyrimethamine a wrong choice.
**Option C:** Trimethoprim is an antimicrobial agent that inhibits DHFR, leading to a decrease in THF levels and interference with folic acid metabolism. This makes trimethoprim a wrong choice.
**Clinical Pearl / High-Yield Fact**
It's essential to note that some medications, such as methotrexate, can cause folate deficiency and megaloblastic anemia as a side effect, highlighting the importance of monitoring folic acid levels in patients taking these medications.
**Correct Answer: C. Phenytoin**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.