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 a sterile injectable solution for intravenous use. It replenishes reduced folate pools in cells and is employed to mitigate the toxic effects of antifolate chemotherapy agents and to support certain cancer treatment regimens.

GNH India supplies Levofolic as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company adheres to strict quality standards and provides reliable global distribution.

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 oncology and supportive care to modulate folate pathways and protect normal cells during chemotherapy.

  • Methotrexate toxicity: rescues normal cells from high‑dose methotrexate–induced damage.
  • 5‑Fluorouracil‑based regimens: enhances antitumor activity by stabilizing the drug‑target complex.
  • Folate deficiency: restores intracellular folate levels when oral supplementation is insufficient.

How It Works

  • Levoleucovorin is a reduced form of folic acid that bypasses the dihydrofolate reductase step, directly entering the reduced folate pool. By providing 5‑methyltetrahydrofolate to cells, it restores nucleotide synthesis and DNA repair pathways, allowing normal tissues to recover from the inhibition caused by antifolate agents such as methotrexate and to potentiate the action of 5‑fluorouracil.

Side Effects

Levofolic may be associated with a range of adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Headache: transient cranial discomfort.
  • Rash: erythematous skin eruption.
  • Fever: low‑grade temperature elevation.

Serious or Rare Side Effects

  • Anaphylaxis: severe allergic reaction with airway compromise.
  • Acute renal failure: sudden loss of kidney function.
  • Hepatic dysfunction: elevated transaminases or jaundice.

Precautions & Warnings

When using Levofolic, clinicians should observe several precautionary measures to ensure patient safety.

  • Renal function: assess baseline creatinine and monitor during therapy.
  • Hepatic function: evaluate liver enzymes before and during treatment.
  • Pregnancy: avoid unless benefits outweigh potential risks, as data are limited.
  • Concomitant antifolate chemotherapy: coordinate timing to prevent antagonism.
  • Hypersensitivity: discontinue immediately if signs of allergic reaction appear.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

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

Major Interactions (Avoid)

  • High‑dose methotrexate: concurrent administration without proper rescue may increase toxicity.
  • 5‑Fluorouracil: simultaneous use can amplify cytotoxic effects, requiring dose adjustment.

Moderate Interactions (Monitor Closely)

  • Nephrotoxic agents (e.g., aminoglycosides): monitor renal parameters.
  • Hepatotoxic drugs (e.g., isoniazid): watch liver function tests.
  • Anticonvulsants affecting folate (e.g., phenytoin): assess folate status.
  • Vitamin B12 deficiency: may reduce effectiveness, consider supplementation.

Frequently Asked Questions

Levofolic (levoleucovorin disodium) is employed primarily to reduce the toxic effects of high‑dose methotrexate and to enhance the efficacy of 5‑fluorouracil‑based chemotherapy. It is also used when rapid restoration of folate status is required, such as in certain cases of folate deficiency.

Levoleucovorin is a reduced folate that bypasses the dihydrofolate reductase step, directly entering the intracellular reduced folate pool. This restores nucleotide synthesis and DNA repair capacity, protecting normal cells from antifolate‑induced damage and, in some regimens, stabilizing the active complex of 5‑fluorouracil.

The dose of Levofolic is individualized by the prescribing clinician based on the specific chemotherapy protocol, patient renal and hepatic function, and the amount of methotrexate or 5‑fluorouracil administered. No fixed regimen can be stated; the prescriber sets the appropriate amount.

Safety data for Levofolic in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and only under close medical supervision.

To order Levofolic, submit an enquiry on the product page at gnhindia.com with 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 the necessary import documentation.

Levofolic (levoleucovorin) is a reduced folate that provides more rapid intracellular folate replenishment than folic acid, making it the preferred rescue agent for high‑dose methotrexate. Compared with calcium folinate, it has similar efficacy but is supplied in a sterile injectable form suitable for precise dosing in oncology settings.

Levofolic should be stored at 2‑8 °C in a refrigerator, protected from light and moisture. Do not freeze the product, and keep it in the original packaging until use to maintain stability.

Levofolic is administered intravenously by a qualified healthcare professional. It is typically given as an infusion over several minutes, following the timing guidelines of the associated chemotherapy regimen, and may be diluted in compatible IV fluids as instructed by the prescriber.

The most serious risks include severe allergic reactions such as anaphylaxis, acute renal failure, and significant hepatic dysfunction. Prompt recognition of these events and immediate medical intervention are essential to mitigate harm.

Levofolic should be avoided in patients with known hypersensitivity to levoleucovorin or any component of the formulation, and in those with severe renal or hepatic impairment where the risk may outweigh benefit. Clinicians must evaluate each case individually.

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.