Product image of Lederfolat Anwendung Bei Erwachsenen Und Kindern (Calcium Folinate Pentahydrate) supplied by GNH India

Lederfolat Anwendung Bei Erwachsenen Und Kindern

Active Ingredient:
Calcium Folinate Pentahydrate
Origin:
EU

Lederfolat Anwendung Bei Erwachsenen Und Kindern (Calcium Folinate Pentahydrate)

Calcium folinate, the active ingredient in Lederfolat Anwendung Bei Erwachsenen Und Kindern, is a folate analog presented as an oral formulation for oral use. It is employed to counteract folate deficiency, mitigate methotrexate toxicity, and serve as an adjunct in cancer chemotherapy for both adults and children.

GNH India supplies Lederfolat Anwendung Bei Erwachsenen Und Kindern as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. The company adheres to EU quality standards and provides regulatory documentation for import.

Manufacturer / TM Owner

Teofarma S.R.L.

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Indications & Clinical Uses

Lederfolat (calcium folinate) is used in clinical situations that require restoration of folate‑dependent pathways.

  • Methotrexate toxicity: provides rapid rescue from high‑dose methotrexate‑induced folate blockade.
  • Folate deficiency: restores normal folate levels in patients with inadequate dietary intake or malabsorption.
  • Cancer chemotherapy adjunct: enhances efficacy of antifolate agents by supplying reduced folate for DNA synthesis.

How It Works

  • Calcium folinate is converted intracellularly to the reduced folate form, folinic acid, which bypasses dihydrofolate reductase inhibition. This restores the supply of tetrahydrofolate cofactors needed for purine and pyrimidine synthesis, enabling DNA replication and cellular repair in tissues affected by folate antagonists such as methotrexate.

Side Effects

Calcium folinate may be associated with a range of adverse reactions, which are classified by frequency and severity.

Common Side Effects

  • Nausea
  • Diarrhea
  • Rash
  • Headache

Serious or Rare Side Effects

  • Anaphylaxis (severe allergic reaction)
  • Neutropenia
  • Hepatic dysfunction
  • Renal impairment

Precautions & Warnings

When prescribing calcium folinate, several safety considerations should be observed.

  • Renal function: assess baseline renal function and monitor during therapy.
  • Hepatic function: evaluate liver enzymes before initiation and periodically.
  • Folate status: confirm folate deficiency or need for rescue before use.
  • Hypersensitivity: avoid in patients with known allergy to calcium folinate or other folate analogs.
  • Pregnancy: use only if potential benefit justifies potential risk; consult obstetric specialist.
  • Store at below 25°C: keep in original packaging, protect from moisture and light.

Avoid Interactions

Calcium folinate can modify the effects of several concomitant medicines.

Major Interactions (Avoid)

  • Methotrexate: concurrent use may reduce methotrexate toxicity but requires careful dosing.
  • Antifolate agents (e.g., pemetrexed): may antagonize therapeutic effect.
  • Trimethoprim‑sulfamethoxazole: can increase risk of hematologic toxicity.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may increase renal risk when combined with calcium folinate.
  • Proton pump inhibitors: may affect folate absorption and require monitoring.

Frequently Asked Questions

Lederfolat contains calcium folinate, which is used to treat folate deficiency, rescue patients from high‑dose methotrexate toxicity, and act as an adjunct in certain cancer‑chemotherapy regimens that rely on folate metabolism.

Calcium folinate is converted to folinic acid, the reduced form of folic acid. It bypasses the block created by drugs such as methotrexate on dihydrofolate reductase, restoring the cellular pool of tetrahydrofolate needed for DNA synthesis and repair.

The dose of Lederfolat is determined by the prescribing clinician based on the specific indication, patient age, weight, renal function and concurrent therapies. Only a qualified health‑care professional should set the regimen.

Safety in pregnancy and lactation has not been fully established. It should be used only if the potential benefit outweighs any possible risk, and the decision should be made in consultation with an obstetrician or maternal‑fetal medicine specialist.

Enquiries are submitted through the product page on gnhindia.com, where you specify 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 and any necessary import documentation.

Unlike standard folic acid, calcium folinate is already in the reduced, biologically active form, allowing it to bypass dihydrofolate reductase inhibition. This makes it effective for methotrexate rescue, whereas regular folic acid does not provide the same rapid cellular protection.

Store Lederfolat at below 25 °C in its original container, protecting it from moisture, heat and direct light. Do not store in a bathroom or near a kitchen stove, and keep the package tightly closed when not in use.

Lederfolat is supplied as an oral formulation. It is taken by mouth with or without food, according to the prescribing clinician’s instructions. The tablet should be swallowed whole and not crushed unless specifically directed.

Serious risks include severe allergic reactions such as anaphylaxis, neutropenia, hepatic dysfunction and renal impairment. Patients should be monitored for signs of these conditions, and treatment should be stopped immediately if they occur.

Lederfolat should be avoided in individuals with known hypersensitivity to calcium folinate or other folate analogs, and it should be used with caution in patients with severe renal or hepatic impairment. Pregnant or breastfeeding women should only use it when clearly indicated by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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