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

Idarubicina Accord

Active Ingredient:
Idarubicin Hydrochloride
Origin:
EU

Idarubicina Accord (Idarubicin Hydrochloride)

Idarubicin, the active ingredient in Idarubicina Accord, is an anthracycline presented as an injection solution for intravenous use. It is employed in the treatment of acute myeloid leukemia and acute lymphoblastic leukemia in both adult and pediatric patients, and is administered under strict clinical protocols to maximize therapeutic benefit while monitoring for toxicity.

GNH India supplies Idarubicina Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide, ensuring quality and regulatory compliance across EU and global markets.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

  • Idarubicin is an anthracycline chemotherapy used in the management of acute leukemias.
  • Acute myeloid leukemia: induces remission by intercalating DNA and inhibiting topoisomerase II in leukemic blasts.
  • Acute lymphoblastic leukemia: achieves disease control through DNA damage and apoptosis of malignant lymphoid cells.
  • Relapsed or refractory AML: provides a therapeutic option when standard regimens have failed.

How It Works

  • Idarubicin intercalates between DNA base pairs, disrupting the double‑helix structure and preventing replication. It also inhibits topoisomerase II, leading to accumulation of DNA strand breaks. The resulting genomic damage triggers apoptosis of rapidly dividing cancer cells, particularly leukemic blasts, thereby reducing tumor burden.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Alopecia (hair loss)
  • Myelosuppression (decreased blood cell counts)
  • Mucositis (inflammation of the mouth lining)
  • Fatigue
  • Diarrhea

Serious or Rare Side Effects

  • Cardiotoxicity, including reduced left‑ventricular function
  • Severe neutropenia and febrile neutropenia
  • Hemorrhagic events due to thrombocytopenia
  • Anaphylactic or hypersensitivity reactions
  • Secondary malignancies such as therapy‑related leukemia
  • Acute liver injury

Precautions & Warnings

  • Prior to initiating therapy, clinicians should assess patient‑specific risk factors and monitor organ function throughout treatment.
  • Cardiac assessment: baseline and periodic echocardiograms to detect early cardiotoxicity.
  • Hematologic monitoring: regular complete blood counts to manage myelosuppression.
  • Liver function: evaluate hepatic enzymes before each cycle.
  • Renal function: assess creatinine clearance for dose adjustments.
  • Concomitant cardiotoxic agents: avoid or limit use of other anthracyclines and radiation to the chest.
  • Pregnancy and lactation: contraindicated; use only if benefits outweigh risks.
  • Store at 2‑8 °C: keep refrigerated, protect from light, do not freeze or shake the vial.

Avoid Interactions

Idarubicina may interact with several medicines, altering efficacy or increasing toxicity.

Major Interactions (Avoid)

  • Concurrent use of other anthracyclines or cardiotoxic chemotherapy agents.
  • Live vaccines administered during treatment due to immunosuppression.
  • High‑dose radiation therapy to the thoracic region.

Moderate Interactions (Monitor Closely)

  • Strong CYP3A4 inhibitors (e.g., azole antifungals) that may increase plasma levels.
  • Anticoagulants, as thrombocytopenia can heighten bleeding risk.
  • Drugs that prolong QT interval, potentially exacerbating cardiac effects.

Frequently Asked Questions

Idarubicina Accord contains idarubicin, an anthracycline indicated for the treatment of acute myeloid leukemia (AML) and acute lymphoblastic leukemia (ALL). It is used in both adult and pediatric oncology settings to induce remission and improve survival outcomes when administered under specialist supervision.

Idarubicin intercalates into DNA, disrupting the double‑helix structure, and inhibits topoisomerase II, which prevents the resealing of DNA strands during replication. This leads to accumulation of DNA breaks, triggering apoptosis of rapidly dividing leukemic cells and reducing tumor burden.

The dosing regimen for Idarubicina Accord is individualized by the treating physician based on disease type, patient age, body surface area, and organ function. Clinicians calculate the appropriate intravenous dose and schedule according to established oncology protocols and patient‑specific factors.

Idarubicina Accord is contraindicated during pregnancy and lactation because anthracyclines can cause fetal harm and are excreted in breast milk. Women of child‑bearing potential should use effective contraception, and breastfeeding should be avoided throughout treatment and for a period recommended by the prescriber.

To order Idarubicina Accord, 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 logistics), and necessary import documentation.

Idarubicina (idarubicin) is structurally related to daunorubicin but has a higher lipophilicity, allowing better cellular uptake and potentially greater antileukemic activity. It shares the same class‑related toxicities, such as cardiotoxicity and myelosuppression, but may be preferred in certain regimens due to its pharmacokinetic profile.

Idarubicina Accord must be stored at 2‑8 °C in a refrigerator, protected from light. The vial should not be frozen or shaken. During preparation, use aseptic technique, keep the solution in the original container, and discard any unused portion after the recommended in‑use period.

Idarubicina is given as an intravenous infusion, typically diluted in a compatible carrier solution. The infusion rate and duration are determined by the treating oncologist and nursing staff, following institutional protocols to monitor for infusion‑related reactions and ensure patient safety.

The most serious adverse risks include cardiotoxicity (which can lead to irreversible heart failure), severe myelosuppression resulting in neutropenia or thrombocytopenia, and life‑threatening infections. Prompt monitoring of cardiac function, blood counts, and infection signs is essential throughout therapy.

Idarubicina should not be used in patients with known hypersensitivity to idarubicin or other anthracyclines, those with severe pre‑existing cardiac dysfunction (e.g., left‑ventricular ejection fraction < 50 %), uncontrolled active infections, or in pregnant or nursing women unless no alternative exists.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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