Product image of Isovorin (Levoleucovorin) supplied by GNH India

Isovorin

Active Ingredient:
Levoleucovorin
Origin:
EU

Isovorin (Levoleucovorin)

Levoleucovorin, the active ingredient in Isovorin, is a folate analog presented as a sterile solution for intravenous and intramuscular use. It is employed as an antineoplastic adjuvant to support DNA synthesis and to enhance the efficacy of fluoropyrimidine chemotherapy, particularly in patients receiving high‑dose methotrexate or 5‑fluorouracil.

GNH India supplies Isovorin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide, ensuring quality and regulatory compliance.

Manufacturer / TM Owner

Pfizer Hellas A.E.

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Indications & Clinical Uses

Isovorin is a folate analog used in oncology and metabolic support pathways. It provides reduced folate to improve treatment outcomes and address deficiency.

  • Rescue therapy after high-dose methotrexate: supplies reduced folate to mitigate toxicity and support recovery.
  • Enhancement of 5‑fluorouracil chemotherapy: augments drug activity by stabilizing the active metabolite.
  • Folate deficiency: restores folate levels in patients with inadequate dietary intake or increased metabolic demand.

How It Works

  • Levoleucovorin delivers reduced folate directly to cells, bypassing the inhibition of dihydrofolate reductase caused by methotrexate or fluoropyrimidines. By supplying tetrahydrofolate derivatives, it enables continued synthesis of purines and thymidylate, supporting DNA replication and repair, and thereby enhancing the cytotoxic effect of fluoropyrimidine agents while protecting normal tissues from methotrexate toxicity.

Side Effects

Levoleucovorin is generally well tolerated, but adverse reactions can occur.

Common Side Effects

  • Nausea
  • Vomiting
  • Mild rash or flushing
  • Transient hypotension
  • Mild elevation of liver enzymes
  • Headache

Serious or Rare Side Effects

  • Severe allergic reaction or anaphylaxis
  • Acute renal failure
  • Severe hepatic dysfunction
  • Life‑threatening hypotension
  • Neutropenia or severe bone‑marrow suppression
  • Thromboembolic events

Precautions & Warnings

Levoleucovorin requires careful monitoring and appropriate patient selection.

  • Renal function monitoring: assess creatinine clearance before and during therapy.
  • Hepatic function monitoring: check liver enzymes regularly.
  • Use with caution in patients with known folate metabolism disorders.
  • Avoid in individuals with documented hypersensitivity to folate analogues.
  • Pregnancy safety unknown: weigh potential benefits against risks.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levoleucovorin may interact with other agents affecting folate pathways or renal/hepatic function.

Major Interactions (Avoid)

  • Concurrent high‑dose methotrexate without proper timing: may reduce rescue effectiveness.
  • Strong folate antagonists (e.g., pemetrexed) administered simultaneously: can diminish therapeutic benefit.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may affect renal clearance.
  • Proton pump inhibitors: potential alteration of folate absorption.
  • Cytotoxic agents that also rely on folate metabolism (e.g., trimetrexate): monitor for additive toxicity.

Frequently Asked Questions

Isovorin (levoleucovorin) is used as an antineoplastic adjuvant to rescue patients after high‑dose methotrexate, to enhance the activity of 5‑fluorouracil‑based chemotherapy, and to treat folate deficiency in clinical settings.

Levoleucovorin provides a reduced form of folate that bypasses dihydrofolate reductase inhibition, allowing normal cells to continue DNA synthesis while supporting the cytotoxic action of fluoropyrimidine agents and reducing methotrexate‑related toxicity.

The dose of Isovorin is determined by the prescribing clinician based on the specific indication, patient weight, renal function, and the chemotherapy regimen being supported. Exact dosing instructions are provided on the prescription.

Safety data for levoleucovorin in pregnancy and lactation are limited. The product’s pregnancy category is unknown, so it should only be used if the potential benefit justifies the potential risk to the fetus or infant, and under close medical supervision.

To order Isovorin, submit an enquiry on the product page at gnhindia.com with 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 where required) and import documentation.

Isovorin (levoleucovorin) is a stereoisomer of leucovorin that offers a higher affinity for cellular uptake, potentially providing more efficient folate rescue. Compared with standard leucovorin, it may achieve similar clinical outcomes at lower concentrations, but choice depends on physician preference, formulation availability, and specific treatment protocols.

Isovorin should be stored at 2‑8 °C in a refrigerator, protected from light. Do not freeze or shake the solution. Keep the product in its original packaging until ready for use to maintain stability.

Isovorin is administered by intravenous or intramuscular injection under aseptic conditions. The route, infusion rate, and timing relative to chemotherapy are determined by the treating oncologist and follow institutional protocols.

Serious risks include severe allergic reactions such as anaphylaxis, acute renal failure, severe hepatic dysfunction, life‑threatening hypotension, and rare thromboembolic events. Patients should be monitored closely for any signs of these reactions during and after administration.

Isovorin is contraindicated in patients with known hypersensitivity to levoleucovorin or other folate analogues. Caution is also advised for individuals with severe renal or hepatic impairment, and it should be avoided in pregnant or breastfeeding women unless clearly indicated by a specialist.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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