Product image of Irinotecan Hydrochloride Accord Healthcare Ireland (Irinotecan Hydrochloride Trihydrate) supplied by GNH India

Irinotecan Hydrochloride Accord Healthcare Ireland

Active Ingredient:
Irinotecan Hydrochloride Trihydrate
Origin:
EU

Irinotecan Hydrochloride Accord Healthcare Ireland (Irinotecan Hydrochloride Trihydrate)

Irinotecan Hydrochloride Trihydrate, the active ingredient in Irinotecan Hydrochloride Accord Healthcare Ireland, is a topoisomerase I inhibitor presented as an injectable solution for intravenous use. It is employed in the treatment of metastatic and advanced colorectal cancer in adult patients.

GNH India supplies Irinotecan Hydrochloride Accord Healthcare Ireland as a licensed, GDP‑compliant international pharmaceutical supplier serving oncology centres, hospitals and pharmacies worldwide. The company adheres to stringent quality standards and provides reliable cold‑chain logistics for injectable oncology medicines through its global network of regulatory‑approved distributors.

Manufacturer / TM Owner

Accord Healthcare Ireland Limited

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Indications & Clinical Uses

  • Irinotecan is a topoisomerase I inhibitor used primarily in colorectal cancer treatment regimens.
  • Metastatic colorectal cancer: improves survival when combined with fluoropyrimidine‑based chemotherapy.
  • Advanced colorectal carcinoma: reduces tumor progression in patients with refractory disease.
  • Colorectal cancer (first‑line setting): incorporated into combination regimens to increase overall response rates.

How It Works

  • Irinotecan is converted in vivo to its active metabolite SN‑38, which binds to the DNA‑topoisomerase I complex and stabilizes it. This prevents relegation of single‑strand DNA breaks during replication, leading to accumulation of DNA damage, inhibition of DNA synthesis, and ultimately apoptosis of rapidly dividing cancer cells.

Side Effects

Irinotecan therapy is associated with a range of adverse reactions.

Common Side Effects

  • Neutropenia: reduced white blood cell count increasing infection risk.
  • Diarrhea: often severe and may require supportive care.
  • Nausea: may occur during or after infusion.
  • Fatigue: generalised tiredness affecting daily activities.

Serious or Rare Side Effects

  • Severe neutropenia with infection: can be life‑threatening.
  • Febrile neutropenia: fever accompanying low neutrophil counts.
  • Severe colitis/diarrhea: may lead to dehydration and electrolyte imbalance.

Precautions & Warnings

Before initiating therapy, clinicians should assess patient suitability and monitor for potential complications.

  • Blood count monitoring: perform regular CBC to detect neutropenia early.
  • Liver function assessment: evaluate hepatic enzymes as irinotecan is metabolised hepatically.
  • Bowel obstruction risk: avoid use in patients with known gastrointestinal obstruction.
  • Hypersensitivity: discontinue if allergic reactions such as rash or anaphylaxis occur.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Irinotecan may interact with other medicines, altering its safety or efficacy.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): increase irinotecan exposure and toxicity.
  • Concurrent myelosuppressive agents: amplify risk of severe neutropenia.
  • Cholinesterase inhibitors: may exacerbate cholinergic syndrome.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin): reduce irinotecan effectiveness.
  • UGT1A1 inhibitors (e.g., atazanavir): modestly raise SN‑38 levels.
  • Anticoagulants (e.g., warfarin): may increase bleeding tendency.

Frequently Asked Questions

Irinotecan Hydrochloride is employed as an intravenous chemotherapy agent for the treatment of metastatic and advanced colorectal cancer in adult patients. It is typically given in combination with other cytotoxic drugs to improve response rates and overall survival.

After administration, Irinotecan is metabolised to SN‑38, which binds to the DNA‑topoisomerase I complex and prevents the re‑ligation of single‑strand DNA breaks. This disruption of DNA replication triggers cell death, particularly in rapidly dividing cancer cells.

The dose of Irinotecan is determined individually by the prescribing oncologist based on factors such as the patient’s body surface area, treatment regimen, and clinical condition. No standard dosing information is provided here; the prescriber sets the appropriate regimen.

Irinotecan is classified as contraindicated in pregnancy and breastfeeding because it can cause fetal harm and is excreted in breast milk. Women of child‑bearing potential should use effective contraception, and lactating mothers should avoid the drug.

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 handling), and necessary import documentation.

Irinotecan belongs to the topoisomerase I inhibitor class, whereas alternatives such as oxaliplatin are platinum‑based agents. Irinotecan is often used when tumors are resistant to fluoropyrimidines or as part of combination regimens, offering a different mechanism of action that can overcome certain drug‑resistance patterns.

Irinotecan injectable solution must be stored refrigerated at 2‑8 °C, protected from light, and should never be frozen or shaken. It should be kept in its original packaging until ready for use to maintain stability and potency.

Irinotecan is given as an intravenous infusion, usually over 30‑90 minutes depending on the protocol. The infusion is performed by qualified healthcare professionals in a clinical setting, with appropriate monitoring for infusion‑related reactions.

The most serious risks include severe neutropenia with infection, febrile neutropenia, and life‑threatening diarrhea or colitis. Prompt medical attention is required if patients develop fever, persistent diarrhea, or signs of infection during treatment.

Irinotecan should be avoided in patients with known hypersensitivity to the drug or its components, those with uncontrolled bowel obstruction, severe hepatic impairment, or in pregnant and breastfeeding women. Clinicians must assess each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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