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 Hydrochloride Trihydrate, the active ingredient in Irinotecan Eugia, is a topoisomerase I inhibitor presented as an injectable for intravenous use. It is employed in the treatment of metastatic and advanced colorectal cancer in adult patients and is classified under ATC code L01XX02.

GNH India supplies Irinotecan Eugia as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. Our distribution network ensures consistent quality and regulatory compliance across EU and global markets.

Manufacturer / TM Owner

Eugia Pharma (Malta) Ltd

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Indications & Clinical Uses

Irinotecan Eugia is a topoisomerase I inhibitor used in colorectal cancer therapy.

  • Metastatic colorectal cancer: improves disease control and extends survival in patients with stage IV disease.
  • Advanced colorectal cancer: provides tumor reduction and symptom relief in patients with unresectable disease.
  • Colorectal cancer (post‑surgical recurrence): used as part of combination regimens to prevent further disease progression.

How It Works

  • Irinotecan is converted intracellularly to its active metabolite SN‑38, which binds to the DNA‑topoisomerase I complex. This binding prevents the religation of single‑strand DNA breaks during replication, leading to accumulation of DNA damage, inhibition of tumor cell proliferation, and ultimately cell death.

Side Effects

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

Common Side Effects

  • Diarrhea: often severe and may require antidiarrheal therapy.
  • Neutropenia: reduced white blood cell count increasing infection risk.
  • Nausea and vomiting: may be managed with antiemetics.
  • Fatigue: general tiredness experienced during treatment.
  • Alopecia: hair loss that is usually reversible.
  • Anemia: decreased red blood cell count causing fatigue.

Serious or Rare Side Effects

  • Febrile neutropenia: fever with low neutrophil count requiring urgent care.
  • Severe colitis: inflammation of the colon that can be life‑threatening.
  • Hepatotoxicity: liver enzyme elevations indicating possible liver injury.
  • Hypersensitivity reactions: rash, bronchospasm, or anaphylaxis in rare cases.

Precautions & Warnings

Before initiating Irinotecan Eugia, clinicians should assess patient-specific risk factors and monitor for toxicity.

  • Baseline blood counts: obtain complete blood count to detect pre‑existing neutropenia.
  • Liver function: evaluate hepatic enzymes as impaired metabolism can increase toxicity.
  • Renal function: adjust monitoring for patients with renal insufficiency.
  • Pregnancy: category D – avoid use unless benefits outweigh potential fetal risks.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Irinotecan's efficacy and safety can be altered by concomitant medications.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce SN‑38 formation and diminish therapeutic effect.
  • UGT1A1 inhibitors (e.g., atazanavir): can increase SN‑38 exposure, raising risk of severe neutropenia.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin): increased bleeding risk due to mucosal damage.
  • Other myelosuppressive agents (e.g., cyclophosphamide): may exacerbate bone‑marrow suppression.
  • Antiemetics containing serotonin antagonists: monitor for serotonin syndrome when combined with serotonergic drugs.

Frequently Asked Questions

Irinotecan Eugia is an intravenous chemotherapy agent indicated for the treatment of metastatic and advanced colorectal cancer in adult patients. It is used alone or in combination with other anticancer drugs to control tumor growth and improve survival outcomes.

The drug is converted inside cells to the active metabolite SN‑38, which binds to the DNA‑topoisomerase I complex. This prevents the resealing of single‑strand DNA breaks during replication, leading to accumulation of DNA damage, inhibition of tumor cell proliferation, and eventual cell death.

The dosing regimen for Irinotecan Eugia is determined by the prescribing oncologist based on the patient’s clinical condition, body surface area, and treatment protocol. Specific dose amounts and schedules are individualized and should not be altered without medical guidance.

Irinotecan is classified as pregnancy category D, indicating evidence of risk to the fetus. It should be avoided during pregnancy unless the potential benefit justifies the risk. Breastfeeding is not recommended while receiving Irinotecan because the drug may be excreted in milk.

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 import documentation.

Irinotecan belongs to the topoisomerase I inhibitor class, offering a distinct mechanism from fluoropyrimidines (e.g., 5‑FU) and oxaliplatin. It is often combined with these agents to enhance efficacy. Compared with monotherapy, Irinotecan‑based regimens can provide greater tumor response but may increase the risk of neutropenia and diarrhea.

Irinotecan Eugia should be stored refrigerated at 2‑8 °C, protected from light, and never frozen. The product must be kept in its original packaging to maintain stability and should be handled using aseptic techniques during preparation for intravenous infusion.

The medication is given as an intravenous infusion, typically over 30 to 90 minutes depending on the treatment protocol. Administration is performed by qualified healthcare professionals in a clinical setting, with appropriate monitoring for infusion‑related reactions and toxicity.

The most serious adverse events include severe neutropenia (which can lead to infection), febrile neutropenia, life‑threatening diarrhea, and rare cases of severe colitis or hypersensitivity reactions. Prompt medical attention is required if any of these symptoms develop.

Patients with known hypersensitivity to Irinotecan or any of its excipients, those with severe bone‑marrow suppression, uncontrolled infections, or significant hepatic impairment should not receive the drug. Additionally, it is contraindicated in pregnant women unless the therapeutic benefit outweighs fetal risk.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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