Indications
Calcium Folinate is indicated in:
·
To diminish the toxicity and counteract the
effect of impaired Methotrexate elimination.
·
To treat the Megaloblastic anemia due to folate
deficiency, as in sprue, nutritional deficiency.
·
To treat the Megaloblastic anemia of pregnancy
and infancy.
Dosage &
Administration
·
Oral Reduction of harmful effects of folic acid
antagonists such as Methotrexate, Trimethoprim etc: The dose is usually one
5-15mg tablet every 6 hours for 2 to 3 days. Megaloblastic anemia: In the
treatment of Megaloblastic anemia, the dose is one 5-15 mg tablet daily. Or, as
directed by the registered physician.
·
Intravenous Advanced Colorectal Cancer:
Leucovorin is administered at 200 mg/m by slow intravenous injection followed
by 5-fluorouracil at 370 mg/m by intravenous injection. Or 20 mg/m 2 by slow
intravenous injection followed by 5-fluorouracil at 425 mg/m by intravenous
injection. Treatment is repeated daily for 5 days. This 5 day treatment course
may be repeated at 4 weeks interval, for 2 courses and then may repeated at 4-5
weekly intervals if the patient has recovered completely from the toxic effects
of the prior treatment course. Folinic acid rescue after high dose Methotrexate
Therapy: Leucovorin starts 24 hours after the beginning of the methotrexate
infusion at dose of 15mg (10 mg/m ) every 6 hours for 10 doses.
·
Intramuscular Folate deficient megaloboastic
anaemia: Up to 1 mg/day. Or, as directed by the registered physician.
Side Effects
·
Allergic reaction: one may experience a sudden
itchy rash (hives), swelling of the hands, feet, ankles, face, lips, mouth or
throat (which may cause difficulty in swallowing or breathing).
·
Fits and fainting.