Product image of Lederfolat (Calcium Folinate Pentahydrate) supplied by GNH India

Lederfolat

Active Ingredient:
Calcium Folinate Pentahydrate
Origin:
EU

Lederfolat (Calcium Folinate Pentahydrate)

Calcium folinate, the active ingredient in Lederfolat, is a folate analog presented as an oral formulation for oral use. It supplies reduced folate that bypasses dihydrofolate reductase inhibition, helping to restore normal folate‑dependent metabolic pathways. The drug is used to correct folate deficiency and to rescue patients from toxicity associated with methotrexate or 5‑fluorouracil chemotherapy.

GNH India supplies Lederfolat as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide. The company adheres to stringent quality standards and provides regulatory support for cross‑border distribution.

Manufacturer / TM Owner

Teofarma S.R.L.

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Indications & Clinical Uses

Lederfolat is a folate analog used to address conditions related to impaired folate metabolism or chemotherapy‑induced folate antagonism.

  • Folate deficiency: restores normal folate levels and supports hematopoiesis.
  • Methotrexate toxicity: provides rescue therapy to reduce adverse effects of methotrexate treatment.
  • 5‑Fluorouracil toxicity: mitigates toxicity when 5‑FU is administered.
  • Folate‑related anemia: assists in correcting anemia caused by inadequate folate.

How It Works

  • Calcium folinate delivers reduced folate directly to cells, bypassing the enzymatic block created by dihydrofolate reductase inhibitors. By entering the folate cycle downstream of the blocked step, it replenishes tetrahydrofolate pools, enabling normal synthesis of nucleotides and amino acids, which restores DNA synthesis and cellular replication in tissues affected by folate deficiency or antifolate chemotherapy.

Side Effects

Adverse reactions may occur with Lederfolat use.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Diarrhea: loose stools that may be transient.
  • Headache: occasional mild headache.
  • Abdominal pain: discomfort in the stomach area.
  • Rash: mild skin irritation.

Serious or Rare Side Effects

  • Hypersensitivity reactions: including anaphylaxis or severe skin rash.
  • Hepatic enzyme elevation: significant increase in liver function tests.
  • Hematologic abnormalities: severe neutropenia or thrombocytopenia.
  • Renal impairment: reduced kidney function in susceptible patients.
  • Severe gastrointestinal bleeding: rare but serious.

Precautions & Warnings

Before prescribing Lederfolat, consider the following precautions.

  • Assess renal function: adjust use in patients with impaired kidneys.
  • Monitor liver enzymes: watch for hepatic toxicity during therapy.
  • Check for hypersensitivity: discontinue if allergic reactions occur.
  • Use caution in cancer patients receiving antifolate chemotherapy: coordinate timing with oncologist.
  • Avoid in known folate hypersensitivity: contraindicated for individuals with documented allergy.
  • Store at ambient temperature: keep in the original pack, protect from moisture and light.

Avoid Interactions

Lederfolat may interact with several medications.

Major Interactions (Avoid)

  • Methotrexate: calcium folinate can antagonize methotrexate's therapeutic effect if given concurrently.
  • Pemetrexed: may reduce the anticancer activity of pemetrexed.
  • High‑dose folic acid supplements: can interfere with intended rescue dosing.

Moderate Interactions (Monitor Closely)

  • Cytarabine: increased risk of toxicity when combined.
  • Trimethoprim: may heighten myelosuppression.
  • Phenytoin: can alter folate metabolism, requiring monitoring.

Frequently Asked Questions

Lederfolat is prescribed to correct folate deficiency and to provide rescue therapy for patients experiencing toxicity from antifolate chemotherapy agents such as methotrexate and 5‑fluorouracil. It also supports the treatment of anemia that results from inadequate folate levels.

Calcium folinate supplies a reduced form of folate that bypasses the dihydrofolate reductase block created by certain chemotherapy drugs. By entering the folate cycle downstream, it restores tetrahydrofolate pools, enabling normal DNA synthesis, amino‑acid production, and cell division in tissues affected by folate deficiency or antifolate exposure.

The dosage of Lederfolat is individualized and must be determined by a qualified prescriber based on the patient’s clinical condition, age, weight, and the specific indication. Healthcare professionals set the appropriate regimen and adjust it as needed.

Safety data for Lederfolat in pregnancy and lactation are limited. The prescriber should evaluate the potential benefits against any possible risks to the fetus or infant before initiating therapy. Use only if clearly indicated and under medical supervision.

To order Lederfolat, 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 any cold‑chain requirements), and the necessary import documentation.

Regular folic acid requires conversion by dihydrofolate reductase to become biologically active, a step blocked by antifolate drugs. Calcium folinate is a reduced folate that bypasses this conversion, making it effective for rescuing patients from antifolate toxicity, whereas standard folic acid does not provide the same protective effect in those situations.

Lederfolat should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct light, and ensure the container is tightly closed to maintain stability throughout its shelf life.

Lederfolat is administered orally, typically as a tablet or capsule, and should be taken according to the prescribing clinician’s instructions. It may be taken with or without food, unless the prescriber advises otherwise.

Serious risks include hypersensitivity reactions such as anaphylaxis, severe skin eruptions, significant liver enzyme elevation, hematologic abnormalities like neutropenia or thrombocytopenia, and renal impairment. Patients should be monitored for these events, and therapy should be discontinued if any serious reaction occurs.

Lederfolat is contraindicated in individuals with a known hypersensitivity to calcium folinate or any of its excipients. It should also be used with caution in patients with severe renal or hepatic impairment, and it is not recommended for those who have not been evaluated by a healthcare professional for the indicated uses.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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