GNH USA

Europe — EMA

Irinotekan Kabi

GNH USA supplies Irinotekan Kabi (Irinotecan), a topoisomerase I inhibitor for metastatic colorectal cancer, adjuvant colon cancer, and small cell lung

Irinotecan Hydrochloride Trihydrate

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What is Irinotecan Hydrochloride Trihydrate?

Irinotecan, the active ingredient in Irinotekan Kabi, is a topoisomerase I inhibitor presented as an intravenous solution for infusion use. It is employed in the treatment of metastatic colorectal cancer, adjuvant colon cancer, and small cell lung cancer in adult patients. The product conforms to European Union pharmaceutical standards and is supplied under a prescription‑only status.

GNH USA supplies Irinotekan Kabi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide. Our distribution network ensures timely delivery and regulatory compliance across multiple regions.

What is Irinotecan Hydrochloride Trihydrate used for?

Irinotekan Kabi, a topoisomerase I inhibitor, is indicated for several solid‑tumor malignancies. - Metastatic colorectal cancer: improves overall survival and disease control in adult patients. - Adjuvant treatment of colon cancer: reduces risk of postoperative recurrence after curative resection. - Small cell lung cancer: contributes to tumor response when used in combination chemotherapy regimens.

What are the side effects of Irinotecan Hydrochloride Trihydrate?

Irinotekan Kabi is associated with a range of adverse reactions that vary in frequency and severity.

Common Side Effects: - Nausea: frequent gastrointestinal upset. - Vomiting: may occur during or after infusion. - Diarrhea: can be severe and require supportive care. - Neutropenia: reduced white blood cell count increasing infection risk. - Alopecia: hair loss affecting scalp and body hair. - Fatigue: generalized tiredness and weakness.

Serious or Rare Side Effects: - Febrile neutropenia: fever with low neutrophil count requiring urgent treatment. - Severe colitis or ileus: intense intestinal inflammation leading to obstruction. - Allergic reactions: including rash, pruritus, or anaphylaxis. - Hepatic toxicity: elevated liver enzymes or jaundice. - Pulmonary toxicity: interstitial pneumonitis or fibrosis. - Electrolyte disturbances: severe hypokalemia or hyponatremia.

What precautions apply to Irinotecan Hydrochloride Trihydrate?

Prior to initiating Irinotekan Kabi therapy, clinicians should evaluate several safety considerations. - Baseline blood counts: monitor neutrophils, platelets, and hemoglobin regularly. - Liver function: assess transaminases and bilirubin before and during treatment. - Bowel status: avoid use in patients with recent or active gastrointestinal obstruction. - Concomitant myelosuppressants: adjust dose when combined with other bone‑marrow‑suppressing agents. - Dose adjustments: consider renal or hepatic impairment when determining infusion rates. - Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

What does Irinotecan Hydrochloride Trihydrate interact with?

Irinotekan Kabi may interact with other medicines, altering its efficacy or toxicity.

Major Interactions (Avoid): - Strong CYP3A4 inducers (e.g., rifampin): decrease SN‑38 exposure. - UGT1A1 inhibitors (e.g., atazanavir): increase SN‑38 levels and toxicity. - Concurrent myelosuppressive chemotherapy: heighten risk of severe neutropenia. - High‑dose radiation therapy: may exacerbate bone‑marrow suppression.

Moderate Interactions (Monitor Closely): - Anticholinergic agents: increase risk of ileus and constipation. - Warfarin: potential alteration of INR and bleeding risk. - Diuretics: may worsen electrolyte imbalances during diarrhea. - Antidepressants (SSRIs): monitor for serotonin syndrome when combined with other serotonergic drugs.

Frequently asked questions

What is Irinotekan Kabi used for?+
Irinotekan Kabi is used as a prescription‑only chemotherapy for adult patients with metastatic colorectal cancer, as adjuvant therapy after surgical resection of colon cancer, and in combination regimens for small cell lung cancer. It belongs to the topoisomerase I inhibitor class and works by interfering with DNA replication in rapidly dividing tumor cells.
How does Irinotecan work?+
Irinotecan is a prodrug that is converted inside cancer cells to the active metabolite SN‑38. SN‑38 binds to topoisomerase I and stabilizes the transient DNA‑enzyme complex, preventing the re‑ligation of single‑strand DNA breaks during replication. The accumulation of unrepaired DNA damage triggers apoptosis, especially in cells that are actively dividing.
What is the usual dose of Irinotekan Kabi?+
The dosing regimen for Irinotekan Kabi is individualized by the treating oncologist. It is typically calculated based on the patient’s body surface area, the specific cancer indication, and any relevant organ function parameters. Exact dose, infusion rate, and schedule must be prescribed by a qualified healthcare professional.
Is Irinotekan Kabi safe during pregnancy or breastfeeding?+
Safety data for Irinotekan Kabi in pregnancy and lactation are limited. The drug is generally contraindicated during pregnancy unless the potential benefit justifies the risk to the fetus. Breastfeeding is not recommended because the medication may be excreted in milk and could harm the infant.
How do I order Irinotekan Kabi from GNH USA?+
To request Irinotekan Kabi, submit an enquiry on the product page at gnh-usa.com specifying the required quantity. GNH USA supplies hospitals, pharmacies, and procurement teams worldwide. After the enquiry, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including cold‑chain if needed), and import documentation.
How does Irinotekan Kabi compare with other topoisomerase I inhibitors?+
Irinotekan Kabi (irinotecan) and agents such as topotecan share the same mechanism of inhibiting topoisomerase I, but they differ in pharmacokinetics, spectrum of activity, and toxicity profiles. Irinotecan is commonly used for colorectal and small cell lung cancers, whereas topotecan is often selected for ovarian and small‑cell lung cancers. Choice of agent depends on tumor type, prior therapy, and patient tolerance.
What are the storage requirements for Irinotekan Kabi?+
Irinotekan Kabi should be stored at 2‑8 °C (refrigerated). Keep the product in its original packaging, protect it from light, and do not freeze or shake the vials. If the product is supplied as a lyophilized powder, reconstitute only when ready for use and follow aseptic technique.
How is Irinotekan Kabi administered?+
Irinotekan Kabi is administered by intravenous infusion. The lyophilized powder is reconstituted with the appropriate diluent, then further diluted in a compatible IV solution. The infusion is given over a specified period, usually 30–90 minutes, under medical supervision with monitoring for infusion‑related reactions.
What are the most serious risks to watch for with Irinotekan Kabi?+
The most serious adverse events include febrile neutropenia, severe diarrhea that can progress to colitis or ileus, hepatic toxicity, and rare allergic reactions such as anaphylaxis. Prompt recognition and supportive care, including growth‑factor support for neutropenia and aggressive hydration for diarrhea, are essential to mitigate these risks.
Who should not use Irinotekan Kabi?+
Irinotekan Kabi should be avoided in patients with known hypersensitivity to irinotecan or any of its excipients, those with severe bone‑marrow suppression (e.g., absolute neutrophil count < 500 µL), uncontrolled infections, or active gastrointestinal obstruction. Caution is also advised for patients with significant hepatic impairment.
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
Fresenius Kabi D.O.O.
Origin
EU

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