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 antibiotic presented as a sterile solution for injection for intravenous use. It is employed in the treatment of acute myeloid leukemia, primarily in adult patients, and is marketed within the European Union.

GNH India supplies Idarubicin Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide, ensuring quality and regulatory conformity across global markets. The product conforms to EU pharmacopeial standards and is manufactured under GMP conditions.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

  • Idarubicin is an anthracycline used in the management of hematologic malignancies.
  • Acute Myeloid Leukemia: induces remission and reduces leukemic blast proliferation.

How It Works

  • Idarubicin intercalates between DNA base pairs and inhibits topoisomerase II, preventing the re‑ligation of DNA strands during replication. This results in persistent double‑strand breaks, triggering apoptosis of rapidly dividing malignant cells, particularly leukemic blasts.

Side Effects

Idarubicin may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting
  • Fatigue or weakness
  • Alopecia (hair loss)
  • Myelosuppression (low blood counts)
  • Mucositis (mouth inflammation)
  • Diarrhea

Serious or Rare Side Effects

  • Cardiotoxicity (heart failure or reduced ejection fraction)
  • Severe neutropenia or febrile neutropenia
  • Life‑threatening hemorrhage
  • Secondary malignancies (e.g., therapy‑related leukemia)
  • Anaphylactic or severe hypersensitivity reactions
  • Acute hepatic dysfunction

Precautions & Warnings

Prior to initiating therapy, clinicians should assess patient‑specific risk factors and monitor organ function.

  • Cardiac monitoring: obtain baseline and periodic echocardiograms or MUGA scans.
  • Hematologic monitoring: perform regular complete blood counts to detect myelosuppression.
  • Renal/hepatic function: evaluate liver enzymes and creatinine before each cycle.
  • Pregnancy and lactation: avoid use; drug is contraindicated in pregnant or breastfeeding individuals.
  • Drug interactions: review concomitant cardiotoxic or myelosuppressive agents.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Idarubicin can interact with several medicines, influencing safety or efficacy.

Major Interactions (Avoid)

  • Concurrent anthracyclines: additive cardiotoxicity.
  • Combination with trastuzumab: heightened risk of cardiac dysfunction.
  • High‑dose cyclophosphamide: amplified myelosuppression.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole): may increase plasma concentrations.
  • Erythropoietin‑stimulating agents: can mask anemia progression.
  • Anticoagulants (e.g., warfarin): potential for increased bleeding.

Frequently Asked Questions

Idarubicin Accord is a sterile injectable formulation of idarubicin hydrochloride indicated for the treatment of acute myeloid leukemia in adult patients. It is part of standard induction or consolidation chemotherapy regimens aimed at achieving remission of leukemic disease.

Idarubicin intercalates into DNA and blocks the activity of topoisomerase II, an enzyme required for DNA replication and transcription. This interference creates irreversible DNA strand breaks, leading to apoptosis of rapidly dividing cancer cells, especially leukemic blasts.

The specific dose of idarubicin is determined by the prescribing oncologist based on disease characteristics, patient weight, renal and hepatic function, and treatment protocol. Dosing regimens are individualized and should follow established clinical guidelines.

Idarubicin is classified as contraindicated in pregnancy and breastfeeding because it can cross the placenta and is excreted in breast milk, posing a risk of fetal or neonatal toxicity. Women of child‑bearing potential should use effective contraception during treatment and for a defined period afterward.

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 logistics if needed) and any required import documentation.

Idarubicin is a more lipophilic anthracycline than daunorubicin, allowing greater cellular uptake and potentially higher antileukemic activity. Clinically, idarubicin is often preferred for certain AML protocols because it may achieve remission with fewer infusion‑related toxicities, although both agents share similar cardiotoxic risk profiles.

Idarubicin Accord must be stored refrigerated at 2‑8 °C, protected from light, and should never be frozen or shaken. The solution should be kept in its original container until use, and any unused portion must be discarded according to local hazardous‑drug disposal regulations.

Idarubicin Accord is administered intravenously by a qualified healthcare professional, typically as a short infusion over several minutes. The exact infusion rate and schedule are defined by the treating physician and depend on the chemotherapy protocol being followed.

The most serious risks include cardiotoxicity (which can lead to heart failure), severe myelosuppression resulting in neutropenia or infection, life‑threatening hemorrhage, and rare but severe hypersensitivity reactions. Continuous monitoring of cardiac function and blood counts is essential throughout treatment.

Idarubicin is contraindicated in patients with known hypersensitivity to anthracyclines, existing uncontrolled cardiac disease, severe hepatic impairment, or active uncontrolled infections. It should also be avoided in pregnant or breastfeeding women and in individuals lacking adequate organ function to safely metabolize the drug.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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