Product image of Irinotecan Eugia (Irinotecan Hydrochloride Trihydrate) supplied by GNH India

Irinotecan Eugia

Active Ingredient:
Irinotecan Hydrochloride Trihydrate
Origin:
EU

Irinotecan Eugia (Irinotecan Hydrochloride Trihydrate)

Irinotecan, the active ingredient in Irinotecan Eugia, is a topoisomerase I inhibitor presented as an injectable solution for intravenous use. It is employed in the treatment of metastatic colorectal cancer and other solid tumours in adult patients, administered intravenously.

GNH India supplies Irinotecan Eugia as a licensed, GDP‑compliant international pharmaceutical supplier serving oncology centres, hospitals, pharmacies and clinics worldwide, adhering to rigorous quality assurance and regulatory standards. The company provides reliable cold‑chain logistics where required and supports regulatory documentation for importation.

Manufacturer / TM Owner

Eugia Pharma (Malta) Ltd

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Indications & Clinical Uses

Irinotecan is a topoisomerase I inhibitor used in oncology for specific solid tumours.

  • Metastatic colorectal cancer: improves survival as part of combination chemotherapy.
  • Advanced gastric cancer: used in combination regimens to control disease progression.
  • Small cell lung cancer: employed in second‑line therapy to achieve tumor response.

How It Works

  • Irinotecan is converted intracellularly to its active metabolite SN‑38, which binds to the DNA‑topoisomerase I complex and prevents relegation of single‑strand breaks. This inhibition leads to accumulation of DNA damage, triggering apoptosis and cell death in rapidly dividing cancer cells.

Side Effects

Irinotecan may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Neutropenia: reduced white blood cell count leading to infection risk.
  • Diarrhea: frequent loose stools that may be severe.
  • Nausea and vomiting: gastrointestinal upset common during treatment.

Serious or Rare Side Effects

  • Febrile neutropenia: fever with low neutrophils requiring urgent care.
  • Severe colitis: intense diarrhea with abdominal pain and risk of perforation.
  • Hepatic toxicity: elevated liver enzymes or jaundice indicating liver injury.

Precautions & Warnings

When using Irinotecan, clinicians should observe several safety measures to minimize risks.

  • Monitor blood counts: perform regular CBC to detect neutropenia.
  • Assess liver function: check enzymes before and during therapy.
  • Evaluate bowel status: identify pre‑existing diarrhea or obstruction.
  • Adjust dose in hepatic impairment: reduce dosage according to liver function.
  • Avoid in known hypersensitivity: discontinue if allergic reaction occurs.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Irinotecan can interact with other medicines, affecting its efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): increase irinotecan exposure.
  • UGT1A1 inhibitors (e.g., atazanavir): raise risk of severe neutropenia.
  • Anticholinergic agents (e.g., atropine): may worsen diarrhea.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin, carbamazepine): reduce drug levels.
  • Anticoagulants (e.g., warfarin): monitor INR for bleeding risk.
  • Live vaccines: avoid during treatment due to immunosuppression.

Frequently Asked Questions

Irinotecan Eugia is used as a chemotherapy agent for the treatment of metastatic colorectal cancer and, in some regions, for other solid tumours such as gastric and small‑cell lung cancer. It is administered intravenously as part of combination regimens to improve disease control.

Irinotecan is converted inside cells to the active metabolite SN‑38, which binds to the DNA‑topoisomerase I complex. By preventing the religation of single‑strand DNA breaks, SN‑38 causes accumulation of DNA damage, leading to apoptosis of rapidly dividing cancer cells.

The dose of Irinotecan Eugia is individualized by the prescribing oncologist based on factors such as the patient’s body surface area, disease stage, and treatment protocol. Specific dosing regimens are not disclosed publicly and should be determined by a qualified healthcare professional.

There is limited clinical data on the use of Irinotecan during pregnancy or lactation. Because it may cause fetal harm and is excreted in breast milk, it is generally contraindicated in pregnant or breastfeeding women unless the potential benefit justifies the risk.

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

The closest alternative within the same class is topotecan, another topoisomerase I inhibitor. Irinotecan generally has a broader indication spectrum, especially for colorectal cancer, and its toxicity profile differs, with more pronounced diarrhea and neutropenia, whereas topotecan is often associated with greater myelosuppression.

Irinotecan Eugia should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the product from moisture, direct light, and extreme temperature fluctuations. Follow standard aseptic handling procedures for injectable medicines.

Irinotecan is given by intravenous infusion, typically over 30 to 90 minutes depending on the protocol. The infusion is performed in a clinical setting by qualified healthcare personnel, with monitoring for infusion‑related reactions and supportive care as needed.

The most serious adverse events include severe neutropenia (especially febrile neutropenia), life‑threatening diarrhea or colitis, hepatic toxicity, and rare allergic reactions. Prompt medical attention is required if fever, persistent diarrhea, jaundice, or signs of an allergic response develop.

Patients with known hypersensitivity to Irinotecan or any of its excipients, those with severe hepatic impairment, and individuals with uncontrolled infections should avoid the drug. Caution is also advised for patients with pre‑existing bowel disorders or significant bone‑marrow suppression.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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