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

Leucovorin

Active Ingredient:
Calcium Folinate
Origin:
EU

Leucovorin (Calcium Folinate)

Calcium Folinate, the active ingredient in Leucovorin, is a folate analog presented as an injectable solution for intramuscular or intravenous use. It is employed to rescue normal cells from the effects of certain chemotherapeutic agents and to prevent folate deficiency in patients receiving high‑dose methotrexate or fluorouracil‑based regimens.

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

Manufacturer / TM Owner

Teva Pharma B.V.

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Indications & Clinical Uses

Leucovorin is used as a folate rescue and adjunct in oncology and supportive care.

  • Rescue after high‑dose methotrexate: restores folate pools to reduce toxicity.
  • Adjunct to fluorouracil‑based chemotherapy: enhances antitumor activity while protecting normal tissue.
  • Prevention of folate deficiency: supplies reduced folate to patients at risk of deficiency during chemotherapy.

How It Works

  • Leucovorin provides reduced folate that bypasses dihydrofolate reductase inhibition, allowing tetrahydrofolate‑dependent reactions to continue. This restores DNA synthesis and repair in normal cells and can augment the formation of active fluorouracil metabolites, thereby improving the therapeutic index of certain chemotherapeutic agents.

Side Effects

Leucovorin may cause a range of adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Nausea or vomiting
  • Diarrhea
  • Mild rash or itching
  • Transient elevation of liver enzymes
  • Low blood pressure during rapid IV infusion

Serious or Rare Side Effects

  • Severe allergic reaction (anaphylaxis)
  • Acute renal impairment
  • Significant electrolyte disturbances
  • Hemolytic anemia in patients with G6PD deficiency

Precautions & Warnings

Leucovorin should be used with attention to patient‑specific factors and proper handling.

  • Renal function: assess before administration in patients with impaired kidneys.
  • Hepatic function: monitor liver enzymes during prolonged therapy.
  • Pregnancy: avoid unless clearly needed; risk to fetus is unknown.
  • Breastfeeding: consider potential excretion in milk; weigh benefits versus risks.
  • Concomitant methotrexate: adjust timing to avoid antagonism of therapeutic effect.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Leucovorin can interact with drugs that affect folate metabolism or renal clearance.

Major Interactions (Avoid)

  • High‑dose methotrexate given too close to leucovorin: may reduce antitumor efficacy.
  • Antifolate agents (e.g., pemetrexed) administered concurrently: potential antagonism.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may impair renal clearance of leucovorin.
  • Loop diuretics: increase risk of electrolyte imbalance.
  • Proton pump inhibitors: may affect folate absorption indirectly.

Frequently Asked Questions

Leucovorin is used as a folate rescue agent after high‑dose methotrexate therapy, as an adjunct to fluorouracil‑based chemotherapy to improve efficacy, and to prevent folate deficiency in patients undergoing intensive cancer treatment.

Calcium Folinate supplies reduced folate that bypasses the block of dihydrofolate reductase, allowing normal cells to resume DNA synthesis and repair while also enhancing the activation of fluorouracil metabolites, thereby supporting both rescue and therapeutic functions.

The dose of Leucovorin is individualized and determined by the prescribing clinician based on the specific chemotherapy regimen, patient renal function, and therapeutic goals. No standard dosing is provided here.

Safety data for Leucovorin in pregnancy are limited, and it should only be used if the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should discuss possible excretion in milk with their healthcare provider.

To order Leucovorin, 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 cold‑chain if needed), and import documentation.

Leucovorin (calcium folinate) is the most widely used reduced‑folate form for methotrexate rescue and fluorouracil adjunct therapy. Compared with oral folic acid, it provides a more direct and rapid replenishment of intracellular folate pools, which is essential for intravenous chemotherapy protocols.

Leucovorin injectable solution should be stored at 2‑8 °C, protected from light, and must not be frozen or shaken. Before use, inspect the vial for particulate matter and ensure the solution is clear.

Leucovorin is administered by intramuscular or intravenous injection, typically as a sterile solution. The route, rate, and timing are determined by the treating physician according to the chemotherapy protocol and patient condition.

Serious risks include severe allergic reactions (anaphylaxis), acute renal impairment, significant electrolyte disturbances, and hemolytic anemia in patients with glucose‑6‑phosphate dehydrogenase deficiency. Prompt medical attention is required if any of these occur.

Leucovorin is contraindicated in patients with known hypersensitivity to calcium folinate or any component of the formulation. Caution is advised for individuals with severe renal or hepatic impairment, and it should be avoided in pregnant women unless clearly indicated.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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