Product image of Levofolinato De Cálcio Farmoz (Calcium Levofolinate) supplied by GNH India

Levofolinato De Cálcio Farmoz

Active Ingredient:
Calcium Levofolinate
Origin:
EU

Levofolinato De Cálcio Farmoz (Calcium Levofolinate)

Calcium levofolinate, the active ingredient in Levofolinato De Cálcio Farmoz, is a folate analog presented as an injectable solution for intramuscular and intravenous use. It rescues normal cells from antifolate toxicity and enhances the cytotoxic effect of 5‑fluorouracil in oncology patients.

GNH India supplies Levofolinato De Cálcio Farmoz as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Farmoz - Sociedade Técnico Medicinal, S.A.

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Indications & Clinical Uses

Levofolinato De Cálcio Farmoz is a folate analog used in oncology and metabolic support.

  • Methotrexate toxicity rescue: reduces toxicity in patients receiving high‑dose methotrexate.
  • Enhancement of 5‑fluorouracil chemotherapy: increases cytotoxic efficacy of 5‑FU in solid‑tumour regimens.
  • Folate deficiency: provides reduced folate cofactor to correct severe folate shortage.

How It Works

  • Calcium levofolinate is converted intracellularly to 5‑methyltetrahydrofolate, a reduced folate cofactor that bypasses dihydrofolate reductase inhibition. This restores normal DNA synthesis in healthy cells during methotrexate therapy and stabilises the binding of 5‑fluorouracil metabolites to thymidylate synthase, thereby enhancing its antitumour activity.

Side Effects

Adverse reactions may vary with dose, route and patient factors.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Transient flushing: brief sensation of warmth or redness.
  • Mild rash: localized skin erythema.
  • Low‑grade fever: temporary temperature elevation.

Serious or Rare Side Effects

  • Anaphylaxis: severe allergic reaction requiring immediate medical attention.
  • Acute renal toxicity: sudden decline in kidney function.
  • Hepatic dysfunction: elevated liver enzymes or jaundice.
  • Severe hypotension: marked drop in blood pressure.
  • Pulmonary edema: fluid accumulation in the lungs.
  • Electrolyte disturbances: significant shifts in potassium or calcium levels.

Precautions & Warnings

Use of calcium levofolinate requires careful clinical assessment.

  • Renal function: evaluate creatinine clearance before each dose.
  • Hepatic impairment: monitor liver enzymes and adjust if necessary.
  • Pregnancy: prescribe only when potential benefit outweighs unknown fetal risk.
  • Concurrent antifolate therapy: avoid simultaneous high‑dose methotrexate without rescue.
  • Allergy history: discontinue if hypersensitivity signs appear.
  • Store at 2‑8 °C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Calcium levofolinate may interact with several drug classes.

Major Interactions (Avoid)

  • High‑dose methotrexate: concurrent use without rescue increases toxicity.
  • Nephrotoxic agents (e.g., cisplatin): may exacerbate renal injury.
  • Live vaccines: reduced efficacy due to folate pathway modulation.

Moderate Interactions (Monitor Closely)

  • NSAIDs: can diminish renal clearance of levofolinate.
  • Proton pump inhibitors: may alter folate metabolism.
  • Sulfonamides: compete for renal tubular secretion, affecting plasma levels.

Frequently Asked Questions

Levofolinato De Cálcio Farmoz contains calcium levofolinate, which is used to rescue patients from the toxic effects of high‑dose methotrexate, to enhance the antitumour activity of 5‑fluorouracil, and to treat severe folate deficiency when oral supplementation is insufficient.

Calcium levofolinate is converted inside cells to a reduced folate form that bypasses dihydrofolate reductase inhibition. This restores normal DNA synthesis in healthy tissues during methotrexate therapy and stabilises the binding of 5‑fluorouracil metabolites to thymidylate synthase, increasing chemotherapy effectiveness.

The dose of calcium levofolinate is individualized by the prescribing clinician based on the specific indication, patient weight, renal function and the concurrent chemotherapy regimen. Only a qualified health‑care professional should determine the appropriate dosing schedule.

Safety data for calcium levofolinate in pregnancy and lactation are limited. It should be used only if the potential therapeutic benefit justifies any possible risk to the fetus or infant, and the decision must be made by the treating physician.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed) and necessary import documentation.

Calcium levofolinate is the most widely used folate rescue agent because it provides a stable, reduced folate cofactor that directly bypasses methotrexate inhibition. Compared with oral folic acid, it offers faster intracellular availability and is preferred for high‑dose methotrexate protocols and for synergising with 5‑fluorouracil.

Levofolinato De Cálcio Farmoz must be stored at 2‑8 °C, protected from light, and kept in its original container. Do not freeze or shake the vial. If the product reaches room temperature for a short period, it may be used, but it should be returned to refrigeration promptly.

The injectable solution is given either intravenously or intramuscularly by a qualified health‑care professional. The route, infusion rate and dilution are determined by the prescribing protocol and the patient’s clinical status.

Serious adverse events include anaphylactic reactions, acute renal toxicity, severe hepatic dysfunction, marked hypotension, pulmonary edema and significant electrolyte disturbances. Prompt recognition and medical intervention are essential if any of these occur.

Patients with known hypersensitivity to calcium levofolinate or any component of the formulation should avoid its use. Caution is also advised for individuals with severe renal or hepatic impairment, and it should not be administered concurrently with high‑dose methotrexate without appropriate rescue planning.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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