Product image of Lederfoline (Calcium Folinate) supplied by GNH India

Lederfoline

Active Ingredient:
Calcium Folinate
Origin:
EU

Lederfoline (Calcium Folinate)

Calcium Folinate, the active ingredient in Lederfoline, is a folate analog presented as an oral dosage form for oral use. It is employed to counteract methotrexate toxicity, support certain chemotherapy regimens, and treat folate deficiency in patients requiring rapid repletion.

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

Manufacturer / TM Owner

Teofarma S.R.L.

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Indications & Clinical Uses

Calcium folinate is used in clinical situations that involve folate metabolism disruption or methotrexate exposure.

  • Methotrexate toxicity: rescues normal cells from the toxic effects of methotrexate.
  • Cancer chemotherapy regimens: stabilises intracellular folate pools to enhance the safety of selected chemotherapeutic agents.
  • Folate deficiency: provides rapid repletion of folate stores when deficiency is clinically significant.

How It Works

  • Calcium folinate supplies a reduced form of folic acid that bypasses dihydrofolate reductase inhibition. By entering the folate cycle downstream of the blocked step, it restores tetrahydrofolate‑dependent one‑carbon transfer reactions, enabling DNA synthesis, repair and cellular replication in normal tissues despite the presence of antifolate drugs.

Side Effects

Adverse reactions may occur with calcium folinate administration.

Common Side Effects

  • Nausea: mild to moderate upset stomach.
  • Vomiting: occasional emesis.
  • Diarrhoea: loose stools.
  • Rash: mild skin erythema.
  • Headache: transient cranial discomfort.
  • Fatigue: general tiredness.

Serious or Rare Side Effects

  • Anaphylactic reaction: severe allergic response requiring immediate medical attention.
  • Stevens‑Johnson syndrome: rare severe skin eruption.
  • Acute renal failure: sudden loss of kidney function.
  • Pancytopenia: marked reduction in blood cell lines.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.
  • Severe hypotension: marked drop in blood pressure.

Precautions & Warnings

Calcium folinate should be used with attention to specific clinical conditions.

  • Renal impairment: monitor renal function and adjust dose if necessary.
  • Hepatic dysfunction: use cautiously and observe liver enzymes.
  • Pregnancy: weigh potential benefits against risks; limited data available.
  • Concurrent methotrexate therapy: ensure appropriate timing to avoid antagonism.
  • Known hypersensitivity: discontinue immediately if allergic reaction occurs.
  • Store at ambient temperature: keep below 25°C, retain in original packaging, protect from moisture.

Avoid Interactions

Calcium folinate can modify the activity of several drugs.

Major Interactions (Avoid)

  • Methotrexate: may reduce therapeutic effect if not co‑administered as a rescue.
  • Pemetrexed (antifolate): antagonistic interaction diminishing anticancer activity.
  • High‑dose folic acid supplements: can blunt rescue efficacy.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may increase risk of renal toxicity when combined.
  • Trimethoprim: additive folate antagonism requiring monitoring.
  • 5‑Fluorouracil: dose adjustments may be needed to maintain efficacy.

Frequently Asked Questions

Lederfoline contains calcium folinate, which is used to rescue patients from methotrexate toxicity, support certain cancer chemotherapy protocols, and correct clinically significant folate deficiency. It acts as a folate analog that bypasses the metabolic block caused by antifolate drugs.

Calcium folinate provides a reduced form of folic acid that enters the folate cycle downstream of dihydrofolate reductase inhibition. This restores tetrahydrofolate‑dependent reactions needed for DNA synthesis and cell division, allowing normal cells to recover while antifolate therapy continues.

The dose of Lederfoline is determined by the prescribing clinician based on the specific indication, patient weight, renal function and concurrent therapies. Healthcare professionals set the appropriate regimen and timing for each individual case.

Safety data for calcium folinate in pregnancy and lactation are limited. It should only be used when the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare provider.

To order Lederfoline, 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 and any necessary import documentation.

Lederfoline (calcium folinate) is the standard folinic‑acid rescue agent and is preferred over high‑dose folic acid because it bypasses the dihydrofolate reductase block. Other agents, such as leucovorin calcium, are essentially the same molecule; alternatives like folic acid lack the same rapid cellular uptake and efficacy in rescue situations.

Lederfoline should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original container, protect it from moisture and direct sunlight, and ensure the packaging remains sealed until use.

Lederfoline is administered orally in tablet or liquid form, as directed by the prescriber. The route of administration is oral, and the exact timing relative to other medications, such as methotrexate, is determined by the treating clinician.

Serious risks include severe allergic reactions such as anaphylaxis, rare skin conditions like Stevens‑Johnson syndrome, acute renal failure, pancytopenia and significant hepatic dysfunction. Patients should be monitored for any signs of these reactions and seek immediate medical attention if they occur.

Lederfoline should be avoided in patients with known hypersensitivity to calcium folinate or any of its excipients. Caution is also advised for individuals with severe renal or hepatic impairment, and it should only be used in pregnancy or lactation when clearly indicated by a healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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