GNH USA

Europe — EMA

Levofolino Rugštis Medac

GNH USA supplies Levofolino Rugštis Medac (Levoleucovorin Disodium), a folate analog for rescue therapy after high‑dose methotrexate and reduction

Levoleucovorin Disodium

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What is Levoleucovorin Disodium?

Levoleucovorin Disodium, the active ingredient in Levofolino Rugštis Medac, is a folate analog presented as a sterile powder for intravenous use. It is employed to rescue patients from the toxic effects of high‑dose methotrexate and other antifolate chemotherapies, supporting normal cell recovery during cancer treatment.

GNH USA supplies Levofolino Rugštis Medac as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company follows stringent quality standards and provides full regulatory documentation to facilitate global distribution and import compliance.

What is Levoleucovorin Disodium used for?

Levoleucovorin Disodium is used in oncology to mitigate toxicity associated with antifolate chemotherapy.

- Rescue therapy after high‑dose methotrexate: reduces methotrexate‑induced toxicity and promotes rapid recovery of normal cells. - Antifolate chemotherapy toxicity reduction: lessens adverse effects of agents such as pemetrexed and carmustine. - Adjunct to 5‑fluorouracil‑based regimens: enhances therapeutic efficacy while decreasing gastrointestinal and hematologic side effects.

What are the side effects of Levoleucovorin Disodium?

Levoleucovorin Disodium may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects: - Nausea: mild to moderate gastrointestinal upset. - Headache: transient cranial discomfort. - Rash: mild erythematous skin changes. - Elevated liver enzymes: temporary increase in hepatic transaminases.

Serious or Rare Side Effects: - Acute renal failure: sudden loss of kidney function. - Severe hypersensitivity or anaphylaxis: life‑threatening allergic reaction. - Hepatic dysfunction: marked liver injury or jaundice. - Bone marrow suppression: pancytopenia or severe neutropenia.

What precautions apply to Levoleucovorin Disodium?

When using Levofolino Rugštis Medac, several safety considerations should be observed.

- Renal function: assess baseline kidney status and monitor during therapy. - Hepatic impairment: evaluate liver enzymes before and after administration. - Pregnancy: use only if the potential benefit justifies the potential risk to the fetus. - Concomitant methotrexate timing: ensure appropriate interval to achieve rescue effect. - Allergy: discontinue immediately if signs of hypersensitivity appear. - Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

What does Levoleucovorin Disodium interact with?

Levoleucovorin Disodium can interact with other medicines, influencing efficacy or toxicity.

Major Interactions (Avoid): - Methotrexate: improper timing may diminish rescue efficacy. - Cytarabine: concurrent use can increase cytotoxicity. - High‑dose folate antagonists: may reduce therapeutic effect of Levoleucovorin.

Moderate Interactions (Monitor Closely): - NSAIDs: may affect renal clearance of the drug. - Penicillins: possible reduction in folate levels. - Trimethoprim: additive folate antagonism may increase toxicity.

Frequently asked questions

What is Levofolino Rugštis Medac used for?+
Levofolino Rugštis Medac is an intravenous formulation of levoleucovorin disodium used as a rescue agent after high‑dose methotrexate or other antifolate chemotherapy. It helps restore normal cell function and reduces the toxic side effects of these cancer treatments.
How does Levoleucovorin Disodium work?+
Levoleucovorin Disodium supplies a reduced folate that bypasses the inhibition of dihydrofolate reductase caused by antifolate drugs. By entering the folate cycle directly, it restores DNA synthesis in healthy cells, counteracting the cytotoxic impact of agents such as methotrexate while leaving tumor cells largely unaffected.
What determines the dose of Levofolino Rugštis Medac?+
The dose of Levofolino Rugštis Medac is individualized by the prescribing oncologist or pharmacist based on the specific chemotherapy regimen, patient renal and hepatic function, and the timing relative to methotrexate administration. No standard dosing can be provided without a medical prescription.
Is Levofolino Rugštis Medac safe during pregnancy or breastfeeding?+
The safety of levoleucovorin disodium in pregnancy and lactation has not been definitively established. It should only be used if the potential therapeutic benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.
How do I order Levofolino Rugštis Medac 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 necessary import documentation.
How does Levofolino Rugštis Medac compare with other rescue agents?+
Levofolino Rugštis Medac (levoleucovorin disodium) is a sodium salt form of leucovorin that offers higher solubility and stability for intravenous use compared with calcium leucovorin. Clinical efficacy in methotrexate rescue is comparable, while the formulation may allow more precise dosing and easier preparation in a hospital pharmacy.
What are the storage requirements for Levofolino Rugštis Medac?+
Levofolino Rugštis Medac should be stored at 2‑8 °C (refrigerated). Keep the product in its original packaging, protect it from light, and avoid freezing or shaking the vial to maintain stability.
How is Levofolino Rugštis Medac administered?+
The medication is supplied as a sterile powder for reconstitution and is administered intravenously, typically as an infusion over a defined period after high‑dose methotrexate. Administration details, including infusion rate and timing, are determined by the treating physician.
What are the most serious risks to watch for with Levofolino Rugštis Medac?+
Serious adverse events include acute renal failure, severe hypersensitivity or anaphylaxis, marked hepatic dysfunction, and bone‑marrow suppression leading to pancytopenia. Prompt recognition and medical intervention are essential if any of these reactions occur.
Who should not use Levofolino Rugštis Medac?+
Patients with known hypersensitivity to levoleucovorin or any component of the formulation should avoid its use. Caution is also advised in individuals with severe renal or hepatic impairment, and the drug should not be given without proper medical supervision in pregnant or breastfeeding women unless clearly indicated.
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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