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 reduced form of folic acid presented as an intravenous solution for IV use. It is employed to mitigate antifolate toxicity and to support nucleotide synthesis in patients undergoing certain chemotherapy regimens.

GNH India supplies Levofolic as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution. Customer support is available to assist with regulatory documentation and import procedures.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

Levofolic (levoleucovorin disodium) is used in clinical settings that involve antifolate chemotherapy and folate deficiency.

  • Methotrexate toxicity: rescues normal cells from methotrexate‑induced folate depletion.
  • 5‑Fluorouracil‑based chemotherapy: enhances the cytotoxic effect of 5‑FU in solid tumors.
  • Folate deficiency: supplies a bioavailable form of folate to support DNA and RNA synthesis.

How It Works

  • Levoleucovorin disodium is a reduced folate that bypasses the dihydrofolate reductase step, directly entering the folate cycle as 5‑methyltetrahydrofolate. By providing tetrahydrofolate derivatives, it restores nucleotide biosynthesis in cells impaired by antifolate agents such as methotrexate, and it stabilizes the binding of 5‑fluorouracil metabolites to thymidylate synthase, enhancing antitumor activity.

Side Effects

Levofolic may be associated with a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Headache: transient cranial discomfort.
  • Flushing: brief redness or warmth of the skin.

Serious or Rare Side Effects

  • Hypersensitivity reactions: rash, itching, bronchospasm, or anaphylaxis.
  • Renal impairment: decreased kidney function in susceptible patients.
  • Hematologic abnormalities: neutropenia or thrombocytopenia.

Precautions & Warnings

Before initiating Levofolic therapy, clinicians should consider several safety measures.

  • Assess renal function: evaluate baseline creatinine clearance before initiation.
  • Monitor liver enzymes: check hepatic function during therapy.
  • Adjust dose in elderly: consider reduced dosing for older patients with comorbidities.
  • Avoid concurrent high‑dose antifolates: do not combine with other antifolate agents without specialist guidance.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levofolic can interact with other medicines; some combinations require avoidance while others need close monitoring.

Major Interactions (Avoid)

  • Methotrexate: concurrent use may reduce methotrexate efficacy; timing must be managed.
  • High‑dose folic acid supplements: may interfere with intended rescue effect.
  • Certain antibiotics (e.g., trimethoprim‑sulfamethoxazole): can increase risk of renal toxicity.

Moderate Interactions (Monitor Closely)

  • 5‑Fluorouracil: levoleucovorin enhances cytotoxicity; dose adjustments may be required.
  • Cytarabine: potential additive myelosuppression.
  • NSAIDs: may affect renal clearance of the drug.

Frequently Asked Questions

Levofolic is an intravenous formulation of levoleucovorin disodium used primarily as a rescue agent to counteract the toxic effects of methotrexate, to enhance the efficacy of 5‑fluorouracil‑based chemotherapy, and to treat patients with folate deficiency by providing a biologically active form of folate.

Levoleucovorin disodium is a reduced folate that bypasses the dihydrofolate reductase step, directly entering the folate cycle as 5‑methyltetrahydrofolate. This restores nucleotide synthesis in cells affected by antifolate drugs and stabilizes the binding of 5‑fluorouracil metabolites to thymidylate synthase, thereby supporting DNA/RNA production and enhancing chemotherapeutic activity.

The dose of Levofolic is individualized and determined by the prescribing healthcare professional based on the specific clinical situation, such as the type of chemotherapy, patient weight, renal function, and treatment protocol. No standard dosing regimen is provided here.

Safety data for levoleucovorin disodium 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 the decision must be made by a qualified healthcare provider.

To order Levofolic, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required) and necessary import documentation.

Levofolic (levoleucovorin) is a reduced folate, whereas standard folic acid requires enzymatic reduction before use. Levofolic provides immediate bioavailable folate, making it more effective for rapid rescue from methotrexate toxicity and for potentiating 5‑fluorouracil, while plain folic acid is less efficient in these settings.

Levofolic must be stored at 2‑8 °C in a refrigerator. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. If temperature excursions occur, discard the product according to local regulations.

Levofolic is administered by intravenous infusion. The healthcare professional selects the infusion rate and duration according to the clinical protocol, typically delivering the solution over several minutes to an hour, and monitors the patient for any immediate adverse reactions.

Serious risks include hypersensitivity reactions such as rash, bronchospasm or anaphylaxis, renal impairment especially in patients with pre‑existing kidney disease, and hematologic abnormalities like neutropenia or thrombocytopenia. Prompt medical evaluation is required if any of these events occur.

Levofolic should be avoided in individuals with known hypersensitivity to levoleucovorin or any component of the formulation, in patients with severe renal impairment unless dose‑adjusted by a specialist, and in those for whom the intended rescue or enhancement therapy is contraindicated.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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