Prescription Required.Why?
Is a formulation containing leucovorin calcium, a synthetic form of folinic acid (a vitamin b9 derivative).
Prevention and treatment of methotrexate toxicity (highdose methotrexate chemotherapy).
Treatment of megaloblastic anemia due to folate deficiency (rarely used for this purpose due to the availability of other folates).
Adjunctive therapy in some types of chemotherapy regimens (specified by oncologist).
Leucovorin acts as a reduced folate, bypassing the enzymatic step blocked by methotrexate. It facilitates the formation of thymidylate and purines, crucial for DNA synthesis and cell replication, thereby rescuing normal cells from the toxic effects of methotrexate while enhancing its cytotoxic effect on rapidly dividing cancer cells.
Store at room temperature (20-25°C), protected from light and moisture. Discard any unused portion after the expiry date.
Dosage is highly variable and depends on the indication, patient's condition, and the specific treatment protocol. It is always determined and administered by a healthcare professional.
Administration routes include intravenous (IV), intramuscular (IM), and oral.
Never adjust or discontinue dosage without consulting your doctor.
Nausea
Vomiting
Diarrhea
Mouth sores (stomatitis)
Rash
Allergic reactions (rare but possible)
Elevated liver enzymes (rare).
The interaction between alcohol and leucovorin is not significant, but excessive alcohol intake should be avoided as it can affect overall health and potentially compromise treatment response.
Drowsiness or other neurological symptoms are rarely reported, but it's advisable to observe any effects before undertaking activities requiring alertness.
Use only under strict medical supervision. Benefits must outweigh potential risks. Discuss thoroughly with your doctor.
Dosage adjustments are usually required. Pediatric oncologists determine the appropriate dosage.
Renal impairment may necessitate dosage adjustments. Renal function should be closely monitored.
Liver function should be monitored, especially in patients with pre-existing liver disease or during prolonged administration.
Consult your doctor or pharmacist for specific references and the latest drug information.
