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Calcium Folinate

About

Calcium Folinate belongs to the class of medicines known as detoxifying agents or folic acid analogues used in cancer treatment as an antidote to reduce the toxic effects of certain cancer drugs, such as methotrexate. Besides this, it can also use in combination with 5-fluorouracil in cancer treatment (cytotoxic therapy).

Calcium Folinate contains calcium folinate, also known as Leucovorin, which is a form of vitamin B. It is folic acid in its active form. Calcium Folinate works by preventing healthy cells from the toxic effects of methotrexate (cancer medicines) while accepting it to enter and kill the cancer cells. It should be administered as soon as possible after taking methotrexate.

Calcium Folinate will be administered by a qualified healthcare professional. You may experience nausea, diarrhoea, rash, vomiting, itching, urticaria or hives and stomatitis (oral mucositis). Most of these side effects of Calcium Folinate do not require medical attention and gradually resolve over time. However, if the side effects persist, contact your doctor.

Before taking the Calcium Folinate, let your doctor know if you are allergic to any ingredient in it. Inform your doctor about your medical history and other medications you are currently taking to rule out any potential negative effects. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding or if you have pernicious anaemia or other forms of megaloblastic anaemia caused by vitamin B12 deficiency, GI toxicity, renal impairment and seizures.

Uses of Calcium Folinate

Prevention of harmful effects of methotrexate

Medicinal Benefits

Calcium Folinate belongs to the class of medicines known as detoxifying agents or folic acid analogues used in cytotoxic therapy as an antidote to reduce the toxicity and effect of certain cancer drugs such as methotrexate. Calcium Folinate works by preventing healthy cells from the toxic effects of methotrexate (or other cancer medicines) while accepting it to enter and kill the cancer cells. Besides this, it can also use in combination with the drug 5-fluorouracil in cancer treatment (cytotoxic therapy).

Directions for Use

Calcium Folinate will be administered by a qualified healthcare professional.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Calcium Folinate

  • Nausea
  • Diarrhoea
  • Rash
  • Vomiting
  • Itching
  • Urticaria or hives
  • Stomatitis (oral mucositis)

In-Depth Precautions and Warning

Drug Warnings

Before taking the Calcium Folinate, inform your doctor if you are allergic to any of its ingredients. If you are pregnant, planning to become pregnant, or breastfeeding, or if you have pernicious anaemia or other kinds of megaloblastic anaemia caused by vitamin B12 deficiency, GI toxicity, renal impairment, or seizures, please notify your doctor. And also, inform your doctor about your medical history and current drugs to rule out potential side effects.

Drug Interactions

Drug-Drug Interactions: Calcium Folinate may interact with anticancer medicines (e..g fluorouracil, capecitabine, pafolacianine) and antibiotics (e.g. trimethoprim, ceftriaxone).

Drug-Food Interactions: No interactions found.

Drug-Disease Interactions: Calcium Folinate may interact with disease conditions, including anaemia, GI toxicity, renal impairment and seizures.

Drug-Drug Interactions Checker List:

  • FLUOROURACIL
  • CAPECITABINE
  • PAFOLACIANINE
  • TRIMETHOPRIM
  • CEFTRIAXONE
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Avoid the consumption of alcohol as it may cause some side effects and make the impact of Calcium Folinate less effective.

    • Safety Warning

      Pregnancy

      caution

      Calcium Folinate should not be used when pregnancy unless clearly necessary. So, inform your doctor if you are pregnant or suspect pregnancy. Your doctor will weigh the benefits and potential risks before prescribing Calcium Folinate.

    • Safety Warning

      Breast Feeding

      caution

      Calcium Folinate should not be used in nursing mothers unless clearly necessary. So, inform your doctor if you are a nursing mother. Your doctor will weigh the benefits and potential risks before prescribing Calcium Folinate.

    • Safety Warning

      Driving

      not applicable

      Calcium Folinate does not affect the ability to drive or operate machinery.

    • Safety Warning

      Liver

      caution

      Inform your doctor before receiving the Calcium Folinate if you have had a liver impairment/disorder history. Your doctor may adjust the dose of this medicine based on your condition.

    • Safety Warning

      Kidney

      caution

      Inform your doctor before receiving the Calcium Folinate if you have had a kidney impairment/disorder history. Your doctor may adjust the dose of this medicine based on your condition.

    • Safety Warning

      Children

      safe if prescribed

      Your doctor will weigh the benefits and potential risks before prescribing Calcium Folinate.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Cancer can take a toll on anyone. Make sure you regularly see a therapist and take care of your mental health.
    • Meditation and yoga have also proven very effective in helping cancer patients maintain a healthy attitude and body.
    • Eat lean meats, healthy fats, fruits, vegetables and whole-grain foods to give you more energy. 
    • Stay hydrated by drinking plenty of water, as dehydration is often seen in cancers.
    • Taking a stroll in the garden or spending 30 minutes of your time doing some light physical activity can be very useful. However, do not over-exert yourself if you feel too tired. 
    • Avoid taking Calcium Folinate with alcohol as there may be an interaction.
    • Avoid tobacco use.

    Patients Concern

    Disease/Condition Glossary

    Harmful effects of methotrexate: Methotrexate treats cancer, severe rheumatoid arthritis, and severe psoriasis. It can cause side effects like swollen gums, headaches, hair loss, dizziness, etc. Infrequently, it can cause fatal side effects. Harmful effects of methotrexate include vision loss, seizures/ fits, loss of consciousness, etc. It can damage the blood, liver, bone marrow, lungs, etc. The drug can lead to birth defects and death in unborn babies.

    FAQs

    Calcium Folinate contains calcium folinate, also known as Leucovorin. Calcium Folinate works by preventing healthy cells from the toxic effects of methotrexate (cancer medicines) while accepting it to enter and kill the cancer cells.

    Calcium Folinate is an antidote to the side effects of various chemotherapy medications, such as methotrexate.

    Calcium Folinate is contraindicated to use in populations with pernicious anaemia or other forms of megaloblastic anaemia caused by vitamin B12 deficiency.

    It is contraindicated to use if you are known for hypersensitivity to any components present in Calcium Folinate or if you have Pernicious anaemia or other anaemias due to vitamin B12 deficiency.

    Available Medicines for

    Calcium Folinate

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