Product image of Levofolic (Levoleucovorin Disodium) supplied by GNH India

Levofolic

Active Ingredient:
Levoleucovorin Disodium
Origin:
EU

Levofolic (Levoleucovorin Disodium)

Levoleucovorin Disodium, the active ingredient in Levofolic, is a folate analog presented as an injectable solution for intravenous use. It is employed to reduce toxicity from certain chemotherapy agents and to support patients with folate deficiency, and is indicated in clinical protocols for rescue therapy following high‑dose methotrexate or 5‑fluorouracil treatment.

GNH India supplies Levofolic as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide through regulated distribution channels.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Levofolic (Levoleucovorin Disodium) is used in clinical settings to manage folate‑related toxicity and deficiency.

  • Methotrexate toxicity: provides rescue to lessen hematologic and mucosal adverse effects.
  • 5‑Fluorouracil toxicity: mitigates severe mucositis and diarrhea associated with treatment.
  • Folate deficiency: restores normal folate‑dependent metabolic processes in patients with inadequate folate status.

How It Works

  • Levoleucovorin Disodium is a reduced form of folic acid that bypasses dihydrofolate reductase, entering the folate cycle directly as 5‑methyltetrahydrofolate. By replenishing intracellular reduced folates, it restores nucleotide synthesis and methylation reactions, counteracting the inhibition caused by antifolate chemotherapeutics and supporting normal cellular metabolism.

Side Effects

Levofolic may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Vomiting: occasional emesis following infusion.
  • Rash: transient skin erythema or pruritus.
  • Headache: mild to moderate headache during or after administration.
  • Fatigue: generalized tiredness reported by some patients.
  • Flushing: brief warmth or redness of the skin.

Serious or Rare Side Effects

  • Anaphylaxis: severe allergic reaction requiring immediate medical attention.
  • Acute renal dysfunction: sudden decrease in kidney function.
  • Electrolyte imbalance: notable changes in potassium or magnesium levels.
  • Thromboembolic events: rare clot formation in veins or arteries.

Precautions & Warnings

When using Levofolic, clinicians should observe several safety considerations.

  • Renal function: assess baseline and monitor during therapy.
  • Hypersensitivity: discontinue if signs of allergic reaction appear.
  • Electrolytes: monitor serum levels, especially potassium and magnesium.
  • Concurrent antifolates: avoid co‑administration that may diminish efficacy.
  • Store at 2‑8 °C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levofolic can interact with other medicines, affecting efficacy or safety.

Major Interactions (Avoid)

  • High‑dose folic acid supplementation: may reduce therapeutic effect of antifolate chemotherapy.
  • Pemetrexed: concurrent use may increase toxicity.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may impair renal clearance of Levofolic.
  • Aminoglycoside antibiotics: potential additive nephrotoxicity.
  • Loop diuretics: may exacerbate electrolyte disturbances.

Frequently Asked Questions

Levofolic, containing levoleucovorin disodium, is used to reduce the toxic effects of certain chemotherapy agents such as methotrexate and 5‑fluorouracil, and to treat patients with folate deficiency by restoring normal folate metabolism.

Levoleucovorin disodium is a reduced folate that bypasses the enzyme dihydrofolate reductase, directly entering the folate cycle as 5‑methyltetrahydrofolate. This replenishes intracellular reduced folates, supporting DNA synthesis and methylation, thereby counteracting the inhibition caused by antifolate drugs.

The dosage of Levofolic is determined by the prescribing clinician based on the specific indication, patient weight, renal function, and the chemotherapy regimen involved. Only a qualified healthcare professional should set the appropriate dose.

Levofolic should be used during pregnancy or lactation only if clearly needed and after a risk‑benefit assessment by the prescriber. Limited data are available, so the decision must be individualized and discussed with a healthcare provider.

To order Levofolic, 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 required) and import documentation.

Levofolic (levoleucovorin disodium) is a reduced folate similar to folinic acid but supplied as a sodium salt for intravenous use. Compared with oral folic acid, it provides more rapid and reliable restoration of intracellular folate pools, making it preferred for acute rescue after high‑dose antifolate chemotherapy.

Levofolic must be stored at 2‑8 °C (refrigerated), protected from light, and should never be frozen or shaken. It should be kept in its original packaging until use to maintain stability and potency.

Levofolic is administered by intravenous infusion, typically diluted in an appropriate compatible solution and infused over a period defined by the treating physician, often following or preceding chemotherapy according to the clinical protocol.

The most serious risks include severe allergic reactions such as anaphylaxis, acute renal dysfunction, significant electrolyte disturbances, and rare thromboembolic events. Prompt recognition and medical intervention are essential if any of these occur.

Levofolic should be avoided in patients with known hypersensitivity to levoleucovorin or any component of the formulation, and caution is advised in individuals with severe renal impairment or uncontrolled electrolyte abnormalities until evaluated by a healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.