Product image of Idarubicin Accord (Idarubicin Hydrochloride) supplied by GNH India

Idarubicin Accord

Active Ingredient:
Idarubicin Hydrochloride
Origin:
EU

Idarubicin Accord (Idarubicin Hydrochloride)

Idarubicin, the active ingredient in Idarubicin Accord, is an anthracycline presented as a sterile powder for reconstitution for intravenous use. It is employed in the treatment of acute myeloid leukemia in adult patients, often as part of induction or consolidation therapy.

GNH India supplies Idarubicin Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

  • Idarubicin Accord is an anthracycline chemotherapy used primarily in acute myeloid leukemia management.
  • Acute Myeloid Leukemia (AML): induces remission and supports consolidation therapy in newly diagnosed or relapsed patients.

How It Works

  • Idarubicin intercalates between DNA base pairs, disrupting the double‑helix structure and inhibiting topoisomerase II. This blockade prevents DNA relegation, leading to double‑strand breaks, cell‑cycle arrest, and apoptosis of rapidly dividing malignant cells, particularly leukemic blasts.

Side Effects

Adverse reactions are common with anthracycline chemotherapy and require monitoring.

Common Side Effects

  • Nausea and vomiting: gastrointestinal upset occurring during or after infusion.
  • Myelosuppression: reduced white blood cells, red cells, and platelets.
  • Alopecia: hair loss that may be temporary.
  • Fatigue: generalized tiredness during treatment.

Serious or Rare Side Effects

  • Cardiotoxicity: potential for reduced cardiac function or heart failure.
  • Severe neutropenia with infection risk: profound drop in neutrophils leading to febrile episodes.
  • Secondary acute leukemia: rare emergence of a new leukemic clone after treatment.

Precautions & Warnings

Idarubicin requires careful clinical oversight due to its potency and toxicity profile.

  • Cardiac monitoring: perform baseline and periodic echocardiograms or MUGA scans.
  • Hematologic assessment: check complete blood counts before each cycle.
  • Hypersensitivity vigilance: discontinue infusion if severe allergic reactions occur.
  • Hepatic function: adjust use in patients with significant liver impairment.
  • Pregnancy and lactation: avoid use; safety not established.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Idarubicin may interact with several drug classes, influencing efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): increase plasma levels and toxicity.
  • Other cardiotoxic agents (e.g., doxorubicin, trastuzumab): amplify risk of heart damage.
  • Concurrent myelosuppressive chemotherapy: heighten bone‑marrow suppression.

Moderate Interactions (Monitor Closely)

  • QT‑prolonging drugs (e.g., quinidine, sotalol): may exacerbate cardiac arrhythmias.
  • Anticoagulants (e.g., warfarin): monitor coagulation parameters due to potential bleeding risk.
  • Antacids containing aluminum or magnesium: may affect absorption of ancillary oral supportive meds.

Frequently Asked Questions

Idarubicin Accord is an intravenous anthracycline chemotherapy indicated for the treatment of acute myeloid leukemia (AML). It is used as part of induction or consolidation regimens to achieve remission in adult patients diagnosed with AML.

Idarubicin intercalates into DNA and blocks the enzyme topoisomerase II, preventing the re‑ligation of DNA strands during replication. This causes double‑strand breaks, halting cell division and triggering programmed cell death of rapidly proliferating leukemic cells.

The dosage of Idarubicin Accord is individualized by the prescribing oncologist based on factors such as disease stage, patient weight, renal and hepatic function, and prior therapy. Only a qualified healthcare professional should determine the appropriate regimen.

Idarubicin is classified as contraindicated in pregnancy and breastfeeding because it can cross the placenta and be excreted in breast milk, posing a risk to the fetus or infant. Women of child‑bearing potential should use effective contraception during treatment and for a period thereafter.

To place an order, submit an enquiry on the Idarubicin Accord 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 import documentation.

Idarubicin belongs to the anthracycline class and is often compared with daunorubicin or idarubicin‑based regimens. It generally offers a similar efficacy profile but may have a slightly different toxicity spectrum, such as reduced cardiotoxicity at equivalent doses, making it a preferred option in some protocols.

Idarubicin Accord should be stored refrigerated between 2 °C and 8 °C, protected from light, and never frozen or shaken. The product must be kept in its original packaging until preparation, and reconstituted solutions should be used promptly according to the manufacturer’s instructions.

Idarubicin Accord is given by intravenous infusion, typically over 30–60 minutes, under the supervision of qualified medical staff. The infusion rate and total dose are determined by the treating physician and may be adjusted based on patient tolerance and laboratory monitoring.

The most serious risks include cardiotoxicity leading to heart failure, severe myelosuppression with risk of infection or bleeding, and the rare development of secondary acute leukemia. Continuous cardiac monitoring and regular blood counts are essential to detect these complications early.

Idarubicin should be avoided in patients with known hypersensitivity to anthracyclines, pre‑existing severe cardiac disease, uncontrolled infections, or those who are pregnant or breastfeeding. It is also contraindicated in individuals with inadequate bone‑marrow reserve unless benefits outweigh risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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