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

Irinotecán Hospira

Active Ingredient:
Irinotecan Hydrochloride Trihydrate
Origin:
EU

Irinotecán Hospira (Irinotecan Hydrochloride Trihydrate)

Irinotecan Hydrochloride Trihydrate, the active ingredient in Irinotecán Hospira, is a topoisomerase I inhibitor presented as an injectable solution for intravenous use. It is employed in the treatment of colorectal cancer, particularly in advanced or metastatic disease, and is administered under the supervision of an oncologist.

GNH India supplies Irinotecán Hospira as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company ensures quality compliance with EU standards and provides reliable global distribution.

Manufacturer / TM Owner

Pfizer S.L.

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Indications & Clinical Uses

Irinotecan is indicated for colorectal cancer and related disease states where tumor growth must be controlled.

  • Metastatic colorectal cancer: used as part of combination chemotherapy to reduce tumor burden.
  • Advanced colorectal cancer: administered to improve progression‑free survival.
  • Refractory colorectal cancer: employed when disease progresses after prior therapies.

How It Works

  • Irinotecan is a prodrug that is converted intracellularly to SN‑38, a potent inhibitor of topoisomerase I. By stabilizing the DNA‑topoisomerase I complex, it prevents the re‑ligation of single‑strand DNA breaks during replication, leading to accumulation of DNA damage and ultimately tumor cell death.

Side Effects

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

Common Side Effects

  • Diarrhea: often severe and may require medical management.
  • Nausea and vomiting: typical chemotherapy‑related symptoms.
  • Fatigue: general tiredness experienced during treatment.
  • Neutropenia: reduced white blood cell count increasing infection risk.
  • Alopecia: hair loss affecting scalp and body hair.

Serious or Rare Side Effects

  • Severe intestinal toxicity (colitis): can lead to perforation.
  • Febrile neutropenia: fever with low neutrophil count.
  • Hepatotoxicity: liver enzyme elevations or injury.
  • Hypersensitivity reactions: including rash, bronchospasm, or anaphylaxis.

Precautions & Warnings

When using Irinotecán Hospira, 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.
  • Manage diarrhea promptly: initiate antidiarrheal agents at first sign.
  • Avoid in patients with known hypersensitivity to irinotecan or its excipients.
  • Pregnancy: use only if potential benefit justifies potential risk, as safety data are limited.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

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

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin): may reduce drug exposure.
  • UGT1A1 inhibitors (e.g., atazanavir): increase risk of severe neutropenia.
  • Concurrent use with other topoisomerase I inhibitors: additive toxicity.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin): monitor INR for bleeding risk.
  • Antiemetics (e.g., aprepitant): may alter irinotecan metabolism.
  • Diuretics: watch for electrolyte disturbances during diarrhea.

Frequently Asked Questions

Irinotecán Hospira contains irinotecan, a chemotherapy agent used primarily to treat colorectal cancer, including metastatic and advanced forms. It is administered as part of combination regimens to help control tumor growth and improve patient outcomes under oncologist supervision.

Irinotecan is a prodrug that is converted inside cancer cells to SN‑38, which inhibits topoisomerase I. This enzyme normally relaxes DNA during replication; its inhibition leads to DNA strand breaks that cannot be repaired, causing cancer cell death.

The dose of Irinotecán Hospira is individualized by the prescribing oncologist based on factors such as cancer stage, patient weight, liver function, and prior treatments. No fixed regimen is provided here; the prescriber determines the appropriate dosing schedule.

Safety data for Irinotecán Hospira in pregnancy and lactation are limited. It should only be used during pregnancy if the potential benefit justifies the potential risk to the fetus, and breastfeeding is generally not recommended while receiving treatment.

To order Irinotecán Hospira, submit an enquiry on the 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 if needed) and import documentation.

Irinotecan is a widely used topoisomerase I inhibitor with a well‑characterized efficacy profile in colorectal cancer. Compared with alternatives such as topotecan, irinotecan generally offers a broader indication range in solid tumors and is often preferred in combination regimens, though toxicity profiles differ and must be considered.

Irinotecán Hospira should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the product in its original packaging until use to maintain stability and potency.

The medication is given by intravenous infusion under controlled clinical conditions. The infusion rate and duration are determined by the treating physician, and patients are monitored closely for any adverse reactions during and after administration.

Serious risks include severe diarrhea that can lead to intestinal perforation, febrile neutropenia, hepatotoxicity, and hypersensitivity reactions such as anaphylaxis. Prompt recognition and management of these events are essential to minimize complications.

Patients with known hypersensitivity to irinotecan or any of its excipients, those with severe uncontrolled infections, or individuals with significant liver dysfunction should avoid using Irinotecán Hospira. The drug is also contraindicated in patients for whom the risks outweigh the potential therapeutic benefits.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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