♦Leucovorin Calcium
(loo-koh-vor’-in)
Citrovorum factor, folinic acid
Pregnancy Category C
Mechanism of Action
Essential for purine and DNA synthesis; bypasses the inhibitor action of folic acid antagonists.
Indications
♦ Folinic acid rescue after high-dose methotrexate for osteosarcoma, epidermoid tumors, and various refractory tumors
♦ Megaloblastic anemias due to nutritional deficiency, pregnancy, infancy, and sprue
♦ Palliative treatment with 5-fluorouracil for metastatic colorectal cancer
Metabolism/Excretion
Metabolized in the liver; primarily excreted in urine, small amounts in feces.