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 folinic acid analog presented as a sterile injectable solution for intramuscular and intravenous use. It is employed to enhance the efficacy of 5‑fluorouracil‑based chemotherapy and to rescue normal cells after high‑dose methotrexate treatment in adult patients with solid tumours.

GNH India supplies Isovorin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution.

Manufacturer / TM Owner

Pfizer Aps

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Indications & Clinical Uses

Isovorin is used as an adjunct in chemotherapy regimens that involve fluoropyrimidines and high‑dose methotrexate.

  • 5‑Fluorouracil‑based chemotherapy: enhances the cytotoxic effect of 5‑FU, improving tumour response.
  • High‑dose methotrexate therapy: rescues normal cells from folate deficiency, reducing toxicity.
  • Colorectal cancer treatment protocols: supports standard regimens by stabilizing drug‑target interaction.

How It Works

  • Levoleucovorin is a reduced form of folic acid that binds to and stabilizes the ternary complex of 5‑fluorouracil and thymidylate synthase, thereby increasing inhibition of DNA synthesis in cancer cells. It also bypasses the need for intracellular reduction of folic acid, allowing rapid replenishment of reduced folates in normal tissues after high‑dose methotrexate, which mitigates methotrexate‑induced toxicity.

Side Effects

Levoleucovorin may be associated with a range of adverse reactions, which are categorised by frequency and severity.

Common Side Effects

  • Nausea
  • Vomiting
  • Diarrhea
  • Rash
  • Fever
  • Headache

Serious or Rare Side Effects

  • Anaphylaxis
  • Severe hypersensitivity reactions
  • Renal impairment
  • Cardiac arrhythmia
  • Neutropenia
  • Thrombocytopenia

Precautions & Warnings

When using Isovorin, several precautionary measures should be observed to ensure patient safety.

  • Assess renal function: evaluate creatinine clearance before administration.
  • Monitor complete blood count: watch for cytopenias during therapy.
  • Check for folate deficiency: consider baseline folate levels in at‑risk patients.
  • Avoid use in patients with known hypersensitivity to folinic acid analogues.
  • Store at controlled room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Levoleucovorin can interact with other medicines, affecting efficacy or safety.

Major Interactions (Avoid)

  • Antifolate agents (e.g., pemetrexed): may antagonize levoleucovorin’s rescue effect.
  • High‑dose methotrexate without appropriate timing: can increase toxicity if not properly sequenced.
  • Live vaccines: potential alteration of immune response.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may reduce renal clearance of levoleucovorin.
  • Loop diuretics: increase risk of electrolyte disturbances.
  • Vitamin supplements containing folic acid: may diminish the intended pharmacodynamic effect.

Frequently Asked Questions

Isovorin is used as an antineoplastic adjuvant to improve the effectiveness of 5‑fluorouracil‑based chemotherapy and to act as a rescue therapy after high‑dose methotrexate, helping to protect normal cells from folate depletion.

Levoleucovorin is a reduced folic‑acid derivative that stabilises the binding of 5‑fluorouracil to thymidylate synthase, intensifying DNA synthesis inhibition in cancer cells, while also supplying reduced folates to normal tissues after methotrexate exposure.

The dose of Isovorin is determined by the prescribing clinician based on the specific chemotherapy protocol, patient weight, renal function and the timing relative to 5‑fluorouracil or methotrexate administration.

Safety data for levoleucovorin in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible 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 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.

Isovorin contains levoleucovorin, the active stereoisomer of folinic acid, offering a more potent rescue effect at lower concentrations compared with racemic calcium folinate formulations. Clinical choice often depends on local guidelines, availability and specific chemotherapy regimens.

Isovorin should be stored at controlled room temperature, typically below 25 °C, in its original packaging. Protect the product from light, moisture and extreme temperature fluctuations to maintain stability.

Isovorin is supplied as a sterile injectable solution and is administered by intravenous or intramuscular injection, usually shortly after 5‑fluorouracil infusion or as a timed rescue following high‑dose methotrexate, according to the prescribing oncologist’s protocol.

Serious risks include anaphylactic or severe hypersensitivity reactions, renal impairment, cardiac arrhythmias, and significant reductions in blood cell counts such as neutropenia or thrombocytopenia, which require immediate medical attention.

Isovorin is contraindicated in patients with known hypersensitivity to levoleucovorin or any component of the formulation. Caution is also advised for individuals with severe renal dysfunction or those receiving incompatible antifolate agents.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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