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

Irinotekan Teva

Active Ingredient:
Irinotecan Hydrochloride Trihydrate
Origin:
EU

Irinotekan Teva (Irinotecan Hydrochloride Trihydrate)

Irinotecan Hydrochloride Trihydrate, the active ingredient in Irinotekan Teva, is a topoisomerase I inhibitor presented as an intravenous solution for intravenous use. It is used to treat metastatic colorectal cancer in adult patients.

GNH India supplies Irinotekan Teva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Teva B.V

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Indications & Clinical Uses

  • Irinotecan is a topoisomerase I inhibitor employed in the management of colorectal cancer.
  • Metastatic colorectal cancer: improves overall survival and disease control in adult patients with advanced disease.

How It Works

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

Side Effects

Irinotecan is associated with a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Neutropenia: reduced white blood cell count increasing infection risk.
  • Diarrhea: may be severe and require prompt management.
  • Nausea and vomiting: typical chemotherapy‑related symptoms.
  • Fatigue: generalized tiredness during treatment.

Serious or Rare Side Effects

  • Febrile neutropenia: fever with low neutrophils indicating infection.
  • Severe colitis: life‑threatening inflammation of the colon.
  • Allergic reactions: rash, bronchospasm, or anaphylaxis.
  • Hepatic toxicity: elevated liver enzymes or jaundice.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis.

Precautions & Warnings

Before initiating therapy, clinicians should assess patient‑specific risk factors and monitor for toxicity.

  • Monitor blood counts: perform regular complete blood counts to detect neutropenia.
  • Assess liver function: check hepatic enzymes and bilirubin prior to each cycle.
  • Evaluate bowel status: avoid use in patients with recent bowel obstruction or perforation.
  • Avoid in known hypersensitivity: discontinue if severe allergic reaction occurs.
  • Adjust in hepatic impairment: consider dose reduction based on liver function.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

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

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce irinotecan exposure.
  • Concurrent myelosuppressive agents: increase risk of severe neutropenia.
  • UGT1A1 inhibitors (e.g., atazanavir): can raise SN‑38 levels and toxicity.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., erythromycin, fluconazole): may modestly increase exposure.
  • Anticoagulants (e.g., warfarin): monitor INR for potential changes.
  • Other antineoplastic drugs: assess overlapping toxicities such as mucositis or hepatic effects.

Frequently Asked Questions

Irinotekan contains irinotecan, a chemotherapy agent indicated for the treatment of metastatic colorectal cancer in adult patients. It is used as part of combination regimens to slow tumor growth, improve survival, and manage disease that has spread beyond the colon.

Irinotecan is a pro‑drug that is converted inside tumor cells to SN‑38, an active metabolite that binds to the DNA‑topoisomerase I complex. This binding prevents the enzyme from resealing DNA strands during replication, causing DNA damage and ultimately leading to cancer cell death.

The specific dose of Irinotekan is determined by the prescribing oncologist based on factors such as body surface area, disease stage, and patient tolerance. Dosing regimens are individualized and should follow the clinician’s written order.

The safety of irinotecan in pregnancy and lactation has not been established. It is generally contraindicated because of potential fetal toxicity and the possibility of drug excretion in breast milk. Women of child‑bearing potential should use effective contraception during treatment.

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, differing from agents such as oxaliplatin (a platinum compound) or fluoropyrimidines. It is often combined with 5‑fluorouracil and leucovorin (FOLFIRI regimen) and offers a distinct mechanism that can be effective in patients who have progressed on other chemotherapy backbones.

Irinotekan should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. The product should be kept in its original container until preparation for infusion, and any unused portion should be discarded according to local regulations.

Irinotekan is supplied as a sterile intravenous solution. It is administered by slow infusion through a peripheral or central line, typically over 30‑90 minutes, according to the prescribing physician’s protocol and under close clinical supervision.

The most serious adverse events include severe neutropenia with fever (febrile neutropenia), life‑threatening diarrhea or colitis, and hypersensitivity reactions such as anaphylaxis. Prompt monitoring and supportive care are essential to manage these risks.

Patients with known hypersensitivity to irinotecan or any component of the formulation should avoid the drug. It is also contraindicated in individuals with recent bowel obstruction, severe hepatic impairment, or uncontrolled infections, and caution is advised for those with pre‑existing bone‑marrow suppression.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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