GNH USA

Europe — EMA

Irinotecan Accord

GNH USA supplies Irinotecan Accord (Irinotecan), a topoisomerase I inhibitor for metastatic colorectal cancer and other solid tumors.

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 intravenous formulation for intravenous use. It treats metastatic colorectal cancer and other solid tumors in adult patients.

GNH USA supplies Irinotecan Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving oncology centres worldwide.

What is Irinotecan Hydrochloride Trihydrate used for?

Irinotecan Accord is a topoisomerase I inhibitor used in the management of solid tumours, particularly colorectal cancer.

Metastatic colorectal cancer: improves overall survival in adult patients. Advanced colorectal cancer: used in combination regimens to control disease progression. Other solid tumours (off‑label): may be considered in selected cases under specialist supervision.

What are the side effects of Irinotecan Hydrochloride Trihydrate?

Irinotecan Accord may cause a range of adverse reactions.

Common Side Effects: - Diarrhea - Neutropenia - Nausea and vomiting - Fatigue

Serious or Rare Side Effects: - Febrile neutropenia - Severe colitis or intestinal perforation - Allergic reactions (including anaphylaxis)

What precautions apply to Irinotecan Hydrochloride Trihydrate?

When using Irinotecan Accord, clinicians should observe several safety measures.

Monitor blood counts: perform regular CBC to detect neutropenia. Assess liver function: evaluate hepatic enzymes before and during therapy. Hydration: ensure adequate fluid intake to mitigate diarrhoea. Pregnancy: avoid use unless benefits outweigh potential risks. Drug interactions: review concomitant medications for CYP3A4 inhibitors or inducers. Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

What does Irinotecan Hydrochloride Trihydrate interact with?

Irinotecan may interact with several medicines; awareness helps prevent reduced efficacy or increased toxicity.

Major Interactions (Avoid): - Strong CYP3A4 inhibitors (e.g., ketoconazole): can raise irinotecan exposure. - Concurrent high‑dose anticoagulants (e.g., warfarin): may increase bleeding risk. - Live bacterial or viral vaccines: risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely): - Moderate CYP3A4 inducers (e.g., rifampin): may reduce drug effectiveness. - Serotonin‑modulating antiemetics (e.g., ondansetron): may require dose adjustment.

Frequently asked questions

What is Irinotecan Accord used for?+
Irinotecan Accord contains irinotecan hydrochloride tri­hydrate, a chemotherapy agent indicated for the treatment of metastatic colorectal cancer and, in selected cases, other solid tumours. It is administered under the supervision of an oncologist as part of a systemic cancer‑treatment regimen.
How does irinotecan work?+
Irinotecan is a pro‑drug that is metabolised inside cancer cells to SN‑38, which inhibits topoisomerase I. This enzyme normally relaxes DNA during replication; its inhibition prevents DNA strand religation, causing DNA breaks that trigger cell death, especially in rapidly dividing tumour cells.
What is the usual dose of Irinotecan Accord?+
The dose of Irinotecan Accord is individualized by the treating physician based on factors such as tumour type, patient weight, performance status, and prior therapy. The prescribing oncologist determines the exact amount, schedule, and infusion rate for each patient.
Is Irinotecan safe during pregnancy or breastfeeding?+
Safety data for irinotecan in pregnancy and lactation are limited. Because potential risks to the fetus or infant cannot be excluded, the drug is generally avoided in pregnant or nursing women unless the therapeutic benefit justifies the potential hazard.
How do I order Irinotecan Accord from GNH USA?+
To order Irinotecan Accord, submit an enquiry on the product page at gnh-usa.com, specifying the required quantity. GNH USA works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required) and any necessary import documentation.
How does Irinotecan compare with other topoisomerase I inhibitors?+
Irinotecan and topotecan are the two main topoisomerase I inhibitors. Irinotecan is typically used for colorectal cancer and has a broader indication profile, while topotecan is mainly approved for ovarian and small‑cell lung cancers. Both share similar mechanisms but differ in pharmacokinetics, dosing schedules and toxicity patterns.
What are the storage and handling requirements for Irinotecan Accord?+
Irinotecan Accord should be stored at 2‑8 °C in a refrigerator, protected from light and moisture. The product must not be frozen or shaken. Before use, reconstitute according to the manufacturer’s instructions and keep the prepared solution within the recommended time frame for infusion.
How is Irinotecan Accord administered?+
Irinotecan Accord is given by intravenous infusion, usually over 30‑90 minutes depending on the prescribed regimen. The infusion is performed in a clinical setting where vital signs can be monitored, and anti‑emetic pre‑medication is often provided to reduce nausea and vomiting.
What are the most serious risks to watch for with Irinotecan Accord?+
The most serious adverse events include febrile neutropenia, severe diarrhoea that can progress to colitis or intestinal perforation, and hypersensitivity reactions such as anaphylaxis. Prompt recognition and supportive care are essential to manage these potentially life‑threatening complications.
Who should not use Irinotecan Accord?+
Irinotecan Accord is contraindicated in patients with known hypersensitivity to irinotecan or any of its excipients, in those with severe hepatic impairment, and in individuals receiving live vaccines during treatment. Caution is also advised for patients with pre‑existing bone‑marrow suppression or uncontrolled infections.
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 Polska Sp. Z O.O.
Origin
EU

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