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Calcium folinate tablets

Function and Efficacy

This product is a formyl derivative of tetrahydrofolate. It is mainly used to rescue high-dose methotrexate and other folic acid antagonists. The main function of methotrexate is to bind to dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate, thereby inhibiting DNA synthesis. After entering the human body, this product is converted into tetrahydrofolate by tetrahydrofolate reductase, which can effectively counteract the toxic reaction caused by methotrexate.

Ingredients

Keep away from light and store in sealed container.

Appearance

This product is off-white to yellow tablets.

Indication

1. Mainly used as an antidote for folic acid antagonists (such as methotrexate, pyrimethamine or trimethoprim, etc.). 2. Used to prevent severe toxic effects caused by overdose or high-dose treatment of methotrexate. 3. Megaloblastic anemia caused by folic acid deficiency. 4. When used in combination with fluorouracil, it is used to treat advanced colon cancer and rectal cancer.

Usage and Dosage

1. As a "rescue" therapy for methotrexate, the commonly used dose is 5-15 mg (1/3 to 1 tablet), taken orally every 6-8 hours for 2 consecutive days. The blood concentration of methotrexate is controlled below 5×10-8 mol/L according to the results of blood concentration determination. 2. As a detoxification of pyrimethamine or trimethoprim, the daily oral dose is 5-15 mg (1/3 to 1 tablet), depending on the poisoning situation. 3. For megaloblastic anemia, take 15 mg (1 tablet) orally daily. 4. When used in combination with fluorouracil, take 20-30 mg/m2 of body surface area orally half an hour before taking fluorouracil.

Adverse Reactions

Rarely, allergic reactions such as rash, hives, or asthma may occur occasionally.

Precautions

It is contraindicated in pernicious anemia or megaloblastic anemia caused by vitamin B12 deficiency.

Special Population Medication

Precautions for children: Not yet clear. Precautions for pregnancy and lactation: Not yet clear. Precautions for the elderly: Not yet clear.

Drug Interactions

The use of this product in large doses together with barbiturates, primidone or phenytoin sodium may affect the anti-epileptic effect.

Storage

Keep away from light and store in sealed container.

Packaging Specification

15 mg (as folinic acid)

Validity Period

24 months

Manufacturer

Jiangsu Hengrui Pharmaceuticals Co., Ltd.

  • Founded in:

    1997-04-28
  • Address:

    No. 38 Huanghe Road, Lianyungang Economic and Technological Development Zone
  • Tax NO.:

    9132070070404786XB
  • Registered Funds:

    6,379,002,274 yuan
  • Website:

  • Email:

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