folinic acid (leucovorin)

E822405

Folinic acid (leucovorin) is a reduced form of folic acid used clinically to enhance the effects of certain chemotherapy drugs like fluorouracil and to "rescue" normal cells from the toxic effects of folate antagonists such as methotrexate.

All labels observed (5)

Label Occurrences
Calcium Folinate 1
Leucovorin 1
calcium folinate 1

How this entity was disambiguated

Statements (50)

Predicate Object
instanceOf antidote
antineoplastic adjunct
chemical compound
pharmaceutical drug
vitamin B9 derivative
activeIsomer L-folinic acid
antidoteFor methotrexate
pyrimethamine
trimethoprim
belongsTo folate analogs
bypassesInhibitionOf dihydrofolate reductase
commonAdverseEffect allergic reactions
diarrhea
nausea
vomiting
doesNotRequire dihydrofolate reductase for activation
enhancesEffectOf fluorouracil
hasATCCode L01BA04
V03AF03
hasChemicalFormula C20H23N7O7
hasMolarMass 473.44 g/mol
hasPregnancyCategory generally considered low risk when clinically indicated
hasRouteOfAdministration intramuscular
intravenous
oral
hasSynonym 5-formyl-THF
5-formyltetrahydrofolate
calcium folinate
citrovorum factor
leucovorin
leucovorin calcium
isEnantiomerMixture racemic mixture of D- and L-forms
isFormOf tetrahydrofolate
isMarketedAs Calcium Folinate
Leucovorin
Wellcovorin
isOn World Health Organization Model List of Essential Medicines
isReducedFormOf folic acid
mayReduceEffectOf antiepileptic drugs such as phenobarbital, phenytoin, primidone
mechanismOfAction stabilizes binding of fluorodeoxyuridylate to thymidylate synthase
protects normal cells from high-dose methotrexate toxicity
usedFor advanced colorectal carcinoma
colorectal cancer
megaloblastic anemia due to folate deficiency when oral therapy not feasible
methotrexate toxicity rescue
osteosarcoma regimens with high-dose methotrexate
overdose of folate antagonists
palliative treatment of colorectal cancer
prevention of methotrexate-induced mucositis
usedWith fluorouracil

How these facts were elicited

Referenced by (5)

Full triples — surface form annotated when it differs from this entity's canonical label.

Xeloda interactsWith folinic acid (leucovorin)
folinic acid hasSynonym leucovorin
subject linked to: folinic acid (leucovorin)
linked to: folinic acid (leucovorin)
folinic acid hasSynonym calcium folinate
subject linked to: folinic acid (leucovorin)
linked to: folinic acid (leucovorin)
folinic acid isMarketedAs Leucovorin
subject linked to: folinic acid (leucovorin)
linked to: folinic acid (leucovorin)
folinic acid isMarketedAs Calcium Folinate
subject linked to: folinic acid (leucovorin)
linked to: folinic acid (leucovorin)