GNH USA

Europe — EMA

Levofolinic Acid Medac

GNH USA supplies Levofolinic Acid Medac (Levoleucovorin Disodium), a folate analog for rescue therapy after high‑dose methotrexate and as an adjunct

Levoleucovorin Disodium

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What is Levoleucovorin Disodium?

Levoleucovorin disodium, the active ingredient in Levofolinic Acid Medac, is a folate analog presented as an injectable solution for intravenous use. It provides reduced folate to protect normal cells during antifolate chemotherapy such as methotrexate and 5‑fluorouracil. GNH USA supplies Levofolinic Acid Medac as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

What is Levoleucovorin Disodium used for?

Levofolinic Acid Medac is used in oncology to mitigate the toxic effects of antifolate chemotherapy agents. - High‑dose methotrexate rescue: reduces systemic toxicity and supports rapid recovery of normal tissue. - 5‑Fluorouracil adjunct: enhances the therapeutic window by protecting healthy cells. - General leucovorin rescue in cancer treatment: supplies reduced folate to maintain DNA synthesis in non‑cancerous cells.

What are the side effects of Levoleucovorin Disodium?

Levofolinic Acid Medac is generally well tolerated, but adverse reactions can occur.

Common Side Effects: - Nausea or vomiting - Mild skin rash or erythema - Transient elevation of liver enzymes - Low‑grade fever - Flushing or warmth at the infusion site - Mild headache

Serious or Rare Side Effects: - Anaphylactic or severe allergic reaction - Acute renal impairment - Severe hypotension or shock - Pulmonary edema or respiratory distress - Stevens‑Johnson syndrome or toxic epidermal necrolysis - Cardiac arrhythmias or myocardial ischemia

What precautions apply to Levoleucovorin Disodium?

Levofolinic Acid Medac should be administered with careful clinical monitoring. - Renal function: assess baseline creatinine and monitor during therapy. - Hepatic function: check liver enzymes before and after infusion. - Hypersensitivity: discontinue immediately if signs of severe allergic reaction appear. - Concomitant methotrexate: coordinate timing to ensure effective rescue and avoid overlapping toxicity. - Pregnancy: use only when the potential benefit justifies the potential risk to the fetus. - Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

What does Levoleucovorin Disodium interact with?

Levofolinic Acid Medac may interact with several agents used in cancer regimens.

Major Interactions (Avoid): - Methotrexate: concurrent high‑dose may diminish rescue effectiveness. - 5‑Fluorouracil: timing must be coordinated to prevent antagonism. - Cytarabine: combined use may increase cytotoxicity.

Moderate Interactions (Monitor Closely): - NSAIDs: can affect renal clearance of the drug. - Aminoglycosides: may heighten risk of nephrotoxicity. - Loop diuretics: may alter electrolyte balance and renal handling.

Frequently asked questions

What is Levofolinic Acid Medac used for?+
Levofolinic Acid Medac is employed as a rescue agent in oncology to protect normal cells from the toxic effects of high‑dose methotrexate and to act as an adjunct during 5‑fluorouracil‑based chemotherapy, helping maintain healthy tissue function while cancer treatment proceeds.
How does levoleucovorin disodium work?+
Levoleucovorin disodium is a reduced folate that bypasses the dihydrofolate reductase step, directly replenishing tetrahydrofolate stores. This restores DNA and RNA synthesis in healthy cells, counteracting the inhibition caused by antifolate drugs such as methotrexate and 5‑fluorouracil.
What is the usual dose of Levofolinic Acid Medac?+
The specific dose and infusion schedule are determined by the prescribing oncologist based on the chemotherapy regimen, patient weight, renal function, and treatment protocol. Dosage should always follow the healthcare professional’s instructions.
Is Levofolinic Acid Medac safe during pregnancy or breastfeeding?+
Safety data are limited, and the drug should only be used during pregnancy or lactation when the potential benefit outweighs any possible risk to the fetus or infant. The prescribing physician must evaluate the individual situation.
How do I order Levofolinic Acid Medac from GNH USA?+
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 needed) and import documentation.
How does Levofolinic Acid Medac compare with other rescue agents?+
Levofolinic Acid Medac (levoleucovorin) is the reduced folate form most commonly used for methotrexate and 5‑fluorouracil rescue. Compared with calcium folinate, it offers similar efficacy but may have different solubility and stability profiles, making it suitable for specific intravenous formulations.
What are the storage and handling requirements for Levofolinic Acid Medac?+
The product should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. Before use, inspect the vial for particulate matter and ensure the solution is at room temperature if required by the administration protocol.
How is Levofolinic Acid Medac administered?+
Levofolinic Acid Medac is given by intravenous infusion, typically over a short period as directed by the treatment protocol. The infusion rate and timing relative to chemotherapy agents are determined by the oncologist to achieve optimal rescue effect.
What are the most serious risks associated with Levofolinic Acid Medac?+
Serious risks include severe allergic reactions such as anaphylaxis, acute renal impairment, pulmonary edema, and rare but life‑threatening skin reactions like Stevens‑Johnson syndrome. Prompt medical attention is required if any of these events occur.
Who should not receive Levofolinic Acid Medac?+
Patients with known hypersensitivity to levoleucovorin or any component of the formulation should avoid the drug. Caution is also advised for individuals with severe renal or hepatic impairment, and it should be used only when the clinical benefit justifies potential risks.
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
Levoleucovorin Disodium
Route
Intravenous Use
Manufacturer
Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)
Origin
EU

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