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Item No. 23833

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L-Folinic acid is a reduced folic acid and isomer of DL-folinic acid (Item No. 20383).1 Formulations containing DL-folinic acid, a racemic mixture of D-folinic acid and L-folinic acid, that have been used to prevent toxicity following therapy with high-dose methotrexate, to enhance the antitumor activity of 5-fluorouracil, and as a folate supplement.2,3 Clinical studies demonstrate that formulations containing L-folinic acid have similar efficacy and tolerability as those contianing DL-folinic acid and have been used interchangeably for modification of antitumor activity of 5-fluorouracil, while D-folinic acid is inactive.1
WARNING This product is not for human or veterinary use.
1. Is levoleucovorin an alternative to racemic leucovorin? A literature review. Clin. Colorectal Cancer 8(4), 200-206 (2009).
2. Folates as adjuvants to anticancer agents: Chemical rationale and mechanism of action. Crit. Rev. Oncol. Hematol. 106, 118-131 (2016).
3. A review of traditional and novel treatments for seizures in autism spectrum disorder: Findings from a systematic review and expert panel. Front. Public Health 1, 31 (2013).