Product image of Leucovorin Pharmacenter (Folinic Acid) supplied by GNH India

Leucovorin Pharmacenter

Active Ingredient:
Folinic Acid
Origin:
EU

Leucovorin Pharmacenter (Folinic Acid)

Folinic acid, the active ingredient in Leucovorin Pharmacenter, is a folate analog presented as an injectable solution for intramuscular and intravenous use. It is employed as an antineoplastic adjuvant to mitigate methotrexate toxicity and to enhance the efficacy of 5‑fluorouracil in cancer patients.

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

Manufacturer / TM Owner

Pharmacenter Europe Kft.

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Indications & Clinical Uses

Leucovorin (folinic acid) is employed in oncology to support folate‑dependent pathways during chemotherapy.

  • Methotrexate toxicity: provides rescue therapy that reduces toxic effects of high‑dose methotrexate.
  • Colorectal and other solid tumours receiving 5‑fluorouracil: enhances chemotherapeutic efficacy.
  • High‑dose methotrexate regimens: used as leucovorin rescue after treatment to protect normal cells.

How It Works

  • Folinic acid is a reduced form of folic acid that bypasses dihydrofolate reductase inhibition, directly entering the folate cycle. It restores tetrahydrofolate pools, enabling normal nucleotide synthesis and DNA repair, which reduces the cytotoxic impact of methotrexate and potentiates the antimetabolite action of 5‑fluorouracil in tumour cells.

Side Effects

Leucovorin is generally well tolerated, but adverse reactions can occur.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Vomiting: occasional emesis after infusion.
  • Rash: transient skin erythema or itching.
  • Flushing: brief warmth or redness.
  • Headache: mild to moderate intensity.
  • Mild fever: low‑grade temperature elevation.

Serious or Rare Side Effects

  • Anaphylaxis: severe allergic reaction requiring immediate medical attention.
  • Severe hypotension: sudden drop in blood pressure during infusion.
  • Acute renal dysfunction: impaired kidney function observed in rare cases.
  • Stevens‑Johnson syndrome: severe skin and mucosal reaction.
  • Thrombocytopenia: notable drop in platelet count.

Precautions & Warnings

Leucovorin should be used with careful clinical oversight.

  • Renal function: assess before administration and monitor during therapy.
  • Pregnancy: risk category unknown; avoid unless clearly indicated.
  • Breastfeeding: discontinue if adverse effects observed in infant.
  • Hypersensitivity: discontinue immediately if signs of allergic reaction appear.
  • Concomitant methotrexate: ensure appropriate rescue timing to avoid toxicity.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Leucovorin may interact with several agents; monitoring is essential.

Major Interactions (Avoid)

  • Methotrexate: antagonizes methotrexate effect if not timed correctly.
  • Other antifolates (e.g., pemetrexed): may reduce therapeutic efficacy.

Moderate Interactions (Monitor Closely)

  • Nephrotoxic drugs (e.g., aminoglycosides): monitor renal function.
  • Cytotoxic agents (e.g., cisplatin): adjust dosing as needed.
  • Electrolyte disturbances: correct imbalances before infusion.

Frequently Asked Questions

Leucovorin Pharmacenter contains folinic acid and is used as an antineoplastic adjuvant. It provides rescue therapy after high‑dose methotrexate, reduces methotrexate‑related toxicity, and enhances the effectiveness of 5‑fluorouracil‑based chemotherapy in cancers such as colorectal carcinoma.

Folinic acid is a reduced folate that bypasses the block created by methotrexate on dihydrofolate reductase. By replenishing tetrahydrofolate pools, it restores normal DNA synthesis in healthy cells, protecting them from methotrexate damage, while also stabilising the metabolic pathway that allows 5‑fluorouracil to act more effectively on tumour cells.

The specific dose and schedule of Leucovorin Pharmacenter are determined by the prescribing clinician based on the indication, patient weight, renal function, and the chemotherapy regimen being used. Healthcare professionals should follow institutional protocols and product labeling when calculating the appropriate dose.

The safety of folinic acid in pregnancy has not been fully established, and it is classified as a pregnancy category with unknown risk. It should only be used if the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should consult their physician, as the drug may be excreted in breast milk.

To place an order, 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 required import documentation.

Leucovorin (folinic acid) is the standard rescue agent for methotrexate toxicity because it directly restores folate metabolism without requiring activation. Alternatives such as calcium folinate are chemically similar, but folinic acid offers more predictable pharmacokinetics and is preferred in many oncology protocols for its rapid intracellular conversion.

Leucovorin Pharmacenter should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken vigorously. Vials should remain in their original packaging until use to maintain sterility and potency.

Leucovorin is supplied as a sterile injectable solution and is administered either intravenously or intramuscularly by a qualified healthcare professional. The route, rate of infusion, and timing relative to chemotherapy are determined by the treating physician and institutional guidelines.

Serious risks, although rare, include anaphylactic reactions, severe hypotension during infusion, acute renal dysfunction, Stevens‑Johnson syndrome, and significant thrombocytopenia. Prompt recognition and immediate medical intervention are essential if any of these events occur.

Patients with known hypersensitivity to folinic acid or any component of the formulation should avoid Leucovorin. Additionally, individuals with severe renal impairment, uncontrolled electrolyte disturbances, or those receiving contraindicated antifolate therapies should not be given the drug without careful medical evaluation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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