GNH USA

Europe — EMA

Irinotecan Hcl-Trihydraat Accord

GNH USA supplies Irinotecan Hcl-Trihydraat Accord (Irinotecan), a topoisomerase I inhibitor for metastatic colorectal cancer.

Irinotecan Hydrochloride Trihydrate

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What is Irinotecan Hydrochloride Trihydrate?

Irinotecan Hydrochloride Trihydrate, the active ingredient in Irinotecan Hcl-Trihydraat Accord, is a topoisomerase I inhibitor presented as an intravenous solution for intravenous administration. It is used in the treatment of metastatic colorectal cancer, primarily in adult patients who require systemic chemotherapy.

GNH USA supplies Irinotecan Hcl-Trihydraat Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The product complies with EU pharmaceutical standards and is manufactured under GMP conditions. It is distributed through a secure cold‑chain logistics network to ensure product integrity during transport.

What is Irinotecan Hydrochloride Trihydrate used for?

Irinotecan is a topoisomerase I inhibitor used in the management of colorectal cancer.

Metastatic colorectal cancer: improves survival when used in combination chemotherapy regimens. Refractory colorectal cancer: provides an option after progression on first‑line therapies. Colorectal cancer in combination therapy: contributes to tumor response as part of the FOLFIRI regimen.

What are the side effects of Irinotecan Hydrochloride Trihydrate?

Irinotecan may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects: - Nausea and vomiting - Diarrhea (often delayed) - Neutropenia - Fatigue - Alopecia - Abdominal pain

Serious or Rare Side Effects: - Severe neutropenia or febrile neutropenia - Life‑threatening diarrhea or colitis - Hepatic toxicity (elevated transaminases) - Severe allergic reactions (anaphylaxis) - Pulmonary toxicity (interstitial pneumonitis)

What precautions apply to Irinotecan Hydrochloride Trihydrate?

When using Irinotecan, clinicians should observe several safety measures.

Dose adjustment: required in patients with hepatic impairment. Monitoring: regular blood counts to detect neutropenia. Hydration: maintain adequate fluids to reduce risk of severe diarrhea. Drug interactions: avoid concurrent strong CYP3A4 inhibitors. Pregnancy: use only if potential benefit justifies risk; data are limited. Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

What does Irinotecan Hydrochloride Trihydrate interact with?

Irinotecan interacts with several medicines; awareness of the interaction level guides clinical decisions.

Major Interactions (Avoid): - Strong CYP3A4 inhibitors: may increase irinotecan exposure. - UGT1A1 inhibitors: can raise active metabolite levels. - Concurrent use with other myelosuppressive agents: risk of severe bone marrow suppression.

Moderate Interactions (Monitor Closely): - Anticoagulants: may increase bleeding risk. - Diuretics: may affect electrolyte balance. - Radiation therapy: may enhance toxicity.

Frequently asked questions

What is Irinotecan Hcl‑Trihydraat Accord used for?+
Irinotecan Hcl‑Trihydraat Accord is an intravenous chemotherapy agent indicated for the treatment of metastatic colorectal cancer in adult patients. It is typically used as part of combination regimens such as FOLFIRI to improve tumor response and overall survival.
How does Irinotecan Hydrochloride Trihydrate work?+
The drug is a pro‑drug that is converted inside cancer cells to the active metabolite SN‑38. SN‑38 binds to the DNA‑topoisomerase I complex, preventing DNA religation during replication, which leads to DNA strand breaks, inhibition of cell division, and tumor cell death.
How is the dose of Irinotecan Hcl‑Trihydraat Accord determined?+
The dosing regimen is individualized by the prescribing oncologist based on factors such as the patient’s body surface area, liver function, prior treatment history, and overall clinical condition. No fixed dose can be provided without a medical assessment.
Is Irinotecan safe during pregnancy or breastfeeding?+
Safety data for Irinotecan in pregnancy and lactation are limited. It should only be used when the potential therapeutic benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.
How do I order Irinotecan Hcl‑Trihydraat Accord from GNH USA?+
To place an order, submit an enquiry on the product page at gnh-usa.com with 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 if needed) and import documentation.
How does Irinotecan compare with other colorectal cancer therapies?+
Irinotecan belongs to the topoisomerase I inhibitor class and is often used after or in combination with fluoropyrimidines and oxaliplatin. Compared with agents like oxaliplatin, Irinotecan has a distinct toxicity profile, featuring more pronounced diarrhea and neutropenia, but offers an effective alternative for patients who progress on other regimens.
How should Irinotecan be stored and handled?+
The product should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen. Prior to administration, the solution should be inspected for particulate matter and used within the time frame specified by the manufacturer.
How is Irinotecan administered to patients?+
Irinotecan is given as an intravenous infusion, usually over 30 to 90 minutes depending on the protocol. The infusion is performed by qualified healthcare personnel in a clinical setting, with appropriate monitoring for infusion‑related reactions and vital signs.
What are the most serious risks to watch for with Irinotecan?+
The most critical adverse events include severe neutropenia (which can lead to infection), life‑threatening diarrhea or colitis, hepatic toxicity, and rare allergic reactions. Prompt recognition and supportive care are essential to mitigate these risks.
Who should not receive Irinotecan?+
Patients with known hypersensitivity to Irinotecan or any of its excipients, those with severe hepatic impairment, and individuals with uncontrolled infections or active severe bone‑marrow suppression should not be treated with Irinotecan. Clinical judgment is required for all other cases.
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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