Product image of Irinotecanhydrochlorid 3 H2o Bhardwaj (Irinotecan) supplied by GNH India

Irinotecanhydrochlorid 3 H2o Bhardwaj

Active Ingredient:
Irinotecan
Origin:
EU

Irinotecanhydrochlorid 3 H2o Bhardwaj (Irinotecan)

Irinotecan, the active ingredient in Irinotecanhydrochlorid 3 H2O Bhardwaj, is a topoisomerase I inhibitor presented as an injection solution for intravenous use. It is used in the treatment of metastatic colorectal cancer and other advanced solid tumors in adult patients.

GNH India supplies Irinotecanhydrochlorid 3 H2O Bhardwaj as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Bhardwaj Gmbh

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Indications & Clinical Uses

Irinotecan is employed in chemotherapy regimens targeting DNA replication in solid tumors.

  • Metastatic colorectal cancer: improves progression‑free survival when combined with fluoropyrimidine‑based regimens.
  • Gastric cancer: used as part of combination therapy for advanced disease.
  • Pancreatic cancer: incorporated into multi‑agent regimens for unresectable or metastatic disease.
  • Lung cancer: administered in combination protocols for advanced non‑small cell lung cancer.

How It Works

  • Irinotecan is a prodrug converted intracellularly to SN‑38, which binds to the DNA‑topoisomerase I complex and stabilizes it, preventing relegation of single‑strand DNA breaks. This inhibition leads to accumulation of DNA damage, arrest of DNA replication, and ultimately cell death in rapidly dividing cancer cells.

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 supportive care.
  • Neutropenia: reduced white blood cell count increasing infection risk.
  • Nausea: may occur during or after infusion.
  • Fatigue: general tiredness reported by many patients.

Serious or Rare Side Effects

  • Severe neutropenia with infection: can lead to life‑threatening sepsis.
  • Febrile neutropenia: fever accompanying low neutrophil counts.
  • Severe colitis or ileus: intense intestinal inflammation requiring hospitalization.

Precautions & Warnings

Before initiating therapy, several safety considerations should be addressed.

  • Assess baseline blood counts: monitor CBC before each cycle.
  • Evaluate liver function: adjust dosing if hepatic impairment is present.
  • Avoid concurrent strong CYP3A4 inhibitors: may increase irinotecan exposure.
  • Pregnancy: contraindicated; use effective contraception.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Irinotecan interacts with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): can raise plasma SN‑38 levels.
  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce efficacy.
  • Concurrent myelosuppressive agents: increase risk of severe bone‑marrow suppression.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., erythromycin, fluconazole): may modestly increase exposure.
  • Anticoagulants (e.g., warfarin): monitor INR as bleeding risk may rise.
  • Other antineoplastic agents: adjust schedules to manage overlapping toxicities.

Frequently Asked Questions

Irinotecanhydrochlorid 3 H2O Bhardwaj is a sterile injectable formulation of irinotecan used in combination chemotherapy for metastatic colorectal cancer and other advanced solid tumors such as gastric, pancreatic and lung cancers. It is administered under the supervision of an oncologist as part of a multi‑drug regimen.

Irinotecan is a prodrug that is converted inside cells to the active metabolite SN‑38. SN‑38 binds to the DNA‑topoisomerase I complex, preventing the re‑ligation of single‑strand DNA breaks. This leads to accumulation of DNA damage, inhibition of DNA replication, and ultimately death of rapidly dividing cancer cells.

The dose of Irinotecanhydrochlorid is individualized by the prescribing oncologist based on factors such as body surface area, type of tumor, previous therapy, and patient tolerance. No fixed regimen is provided here; the prescriber determines the appropriate amount and schedule for each patient.

Irinotecan is classified as Pregnancy Category D, indicating evidence of fetal risk, and it is not recommended for use during pregnancy. Breastfeeding is also contraindicated because the drug is excreted in milk and may harm a nursing infant.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, oncology centres, pharmacies and procurement teams worldwide. After verification of trade or institutional credentials, the sales team will respond with pricing, availability, shipping details (including cold‑chain logistics if needed) and any required import documentation.

Irinotecan belongs to the topoisomerase I inhibitor class, differing from topoisomerase II inhibitors such as etoposide. Compared with agents like topotecan, irinotecan generally has a broader indication spectrum, especially for colorectal cancer, and its toxicity profile includes prominent diarrhea and neutropenia. Choice of therapy depends on tumor type, prior treatment, and patient-specific factors.

The product should be stored at 2‑8 °C in a refrigerator, protected from light. It must not be frozen or shaken. Before use, allow the vial to reach room temperature if required, and inspect for particulate matter or discoloration. Follow aseptic techniques during preparation and administration.

Irinotecanhydrochlorid is given as an intravenous infusion, typically over 30 to 90 minutes depending on the regimen and patient tolerance. The infusion is performed by qualified healthcare professionals in a clinical setting, with appropriate monitoring of vital signs and laboratory parameters before, during, and after administration.

The most serious risks include severe neutropenia leading to infection, febrile neutropenia, and life‑threatening diarrhea or colitis that may progress to intestinal perforation. Prompt recognition and supportive care are essential. Patients should be educated to report fever, persistent diarrhea, or signs of infection immediately.

Irinotecanhydrochlorid is contraindicated in patients with known hypersensitivity to irinotecan or any component of the formulation, those with severe bone‑marrow suppression, uncontrolled infections, and pregnant women. Caution is also advised for patients with significant hepatic impairment or pre‑existing gastrointestinal disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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