GNH USA

Europe — EMA

Irinotecan Accord

GNH USA supplies Irinotecan Accord (Irinotecan), a topoisomerase I inhibitor for metastatic colorectal cancer and adjuvant colon cancer treatment.

Irinotecan Hydrochloride Trihydrate

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What is Irinotecan Hydrochloride Trihydrate?

Irinotecan, the active ingredient in Irinotecan Accord, is a topoisomerase I inhibitor presented as a sterile powder for intravenous use. It is employed in the treatment of metastatic colorectal cancer and as adjuvant therapy for colon cancer in adult patients, and is indicated for use under specialist oncology supervision.

GNH USA supplies Irinotecan Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for import and distribution.

What is Irinotecan Hydrochloride Trihydrate used for?

Irinotecan Accord is a chemotherapy agent used in colorectal cancer treatment pathways. - Metastatic colorectal cancer: improves survival when combined with fluoropyrimidine therapy. - Adjuvant colon cancer: reduces risk of recurrence after surgical resection. - Advanced colorectal adenocarcinoma: employed as part of combination chemotherapy regimens.

What are the side effects of Irinotecan Hydrochloride Trihydrate?

Irinotecan Accord may cause a range of adverse reactions.

Common Side Effects: - Nausea: mild to moderate nausea during or after infusion. - Diarrhea: often self‑limited but may require antidiarrheal therapy. - Neutropenia: reduced white blood cell count increasing infection risk. - Fatigue: generalized tiredness during treatment cycles.

Serious or Rare Side Effects: - Severe neutropenia or febrile neutropenia: requires immediate medical attention. - Severe diarrhea or colitis: can lead to dehydration and electrolyte imbalance. - Hepatic toxicity: elevated liver enzymes or bilirubin. - Allergic reactions: rash, bronchospasm, or anaphylaxis. - Pulmonary toxicity: interstitial pneumonitis or fibrosis.

What precautions apply to Irinotecan Hydrochloride Trihydrate?

Before initiating Irinotecan Accord, several safety measures should be observed. - Baseline assessment: obtain complete blood count and liver function tests prior to therapy. - Monitor hematology: perform regular CBCs to detect neutropenia early. - Assess gastrointestinal toxicity: watch for severe or persistent diarrhea. - Avoid concurrent strong CYP3A4 inhibitors: may increase drug exposure and toxicity. - Pregnancy and lactation: use only if potential benefits outweigh risks. - Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

What does Irinotecan Hydrochloride Trihydrate interact with?

Irinotecan Accord can interact with other medicines, requiring careful management.

Major Interactions (Avoid): - Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole). - UGT1A1 inhibitors (e.g., atazanavir, indinavir). - Concurrent myelosuppressive agents (e.g., other cytotoxics).

Moderate Interactions (Monitor Closely): - CYP3A4 inducers (e.g., rifampin, carbamazepine). - Anticoagulants (e.g., warfarin) – increased bleeding risk. - Nephrotoxic drugs – monitor renal function and dosage adjustments.

Frequently asked questions

What is Irinotecan Accord used for?+
Irinotecan Accord is an intravenous chemotherapy drug indicated for the treatment of metastatic colorectal cancer and as adjuvant therapy following surgical resection of colon cancer. It is used in adult patients under the supervision of an oncologist as part of a combination regimen.
How does Irinotecan work?+
Irinotecan is a pro‑drug that is converted inside tumor cells to SN‑38, an active metabolite that binds to the DNA‑topoisomerase I complex. This binding prevents the re‑ligation of single‑strand DNA breaks during replication, leading to accumulation of DNA damage and ultimately causing cancer cell death.
What is the usual dose of Irinotecan Accord?+
The dose of Irinotecan Accord is individualized by the prescribing oncologist based on factors such as the patient’s body surface area, treatment protocol, and overall health status. Specific dosing regimens are determined by the treating physician and should not be altered without medical guidance.
Is Irinotecan safe during pregnancy or breastfeeding?+
Irinotecan is classified as a high‑risk medication for pregnancy and breastfeeding. It should only be used if the potential benefit to the mother outweighs the potential risk to the fetus or infant. Women of childbearing potential should use effective contraception during treatment and for a period after the last dose.
How do I order Irinotecan Accord from GNH USA?+
To order Irinotecan Accord, submit an enquiry on the product page at gnh-usa.com with the required quantity. GNH USA supplies hospitals, pharmacies, and procurement teams worldwide. After the enquiry, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details (including cold‑chain if needed), and any required import documentation.
How does Irinotecan compare with other chemotherapy agents for colorectal cancer?+
Irinotecan belongs to the topoisomerase I inhibitor class and is often combined with fluoropyrimidines such as 5‑fluorouracil. Compared with oxaliplatin‑based regimens, Irinotecan‑based therapy may have a different toxicity profile, with more frequent diarrhea and neutropenia but less peripheral neuropathy. Choice of regimen depends on prior therapy, patient tolerance, and oncologist assessment.
How should Irinotecan Accord be stored and handled?+
Irinotecan Accord should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. The product should be kept in its original packaging until preparation. During handling, use aseptic technique and follow institutional guidelines for intravenous cytotoxic agents.
How is Irinotecan Accord administered to patients?+
Irinotecan Accord is administered by intravenous infusion, typically over 30 to 90 minutes depending on the specific protocol. The infusion is performed in a clinical setting by qualified healthcare professionals, with appropriate monitoring of vital signs and readiness to manage any infusion‑related reactions.
What are the most serious risks to watch for with Irinotecan Accord?+
The most serious risks include severe neutropenia or febrile neutropenia, which can predispose to life‑threatening infections, and severe diarrhea or colitis that may lead to dehydration and electrolyte imbalance. Hepatic toxicity, allergic reactions, and rare pulmonary complications also require prompt medical attention.
Who should not receive Irinotecan Accord?+
Patients with known hypersensitivity to Irinotecan or any of its excipients should avoid the drug. It is also contraindicated in individuals with severe bone‑marrow suppression, uncontrolled infections, or significant hepatic impairment. Caution is advised for patients taking strong CYP3A4 or UGT1A1 inhibitors, and it should be avoided in pregnancy unless absolutely necessary.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Irinotecan Hydrochloride Trihydrate
Route
Intravenous Use
Manufacturer
Accord Healthcare B.V.
Origin
EU

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