Product image of Imatinib Zentiva (Imatinib) supplied by GNH India

Imatinib Zentiva

Active Ingredient:
Imatinib
Origin:
EU

Imatinib Zentiva (Imatinib)

Imatinib, the active ingredient in Imatinib Zentiva, is a tyrosine kinase inhibitor presented as an oral tablet for oral use. It treats chronic myeloid leukemia and other BCR‑ABL‑positive cancers in adult patients.

GNH India supplies Imatinib Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Zentiva Pharma Uk Limited

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Indications & Clinical Uses

Imatinib targets BCR‑ABL driven malignancies and is indicated for several hematologic and solid tumours.

  • Chronic myeloid leukemia (CML): achieves durable hematologic and cytogenetic responses.
  • Philadelphia chromosome‑positive acute lymphoblastic leukemia (Ph+ ALL): provides remission induction and maintenance.
  • Gastrointestinal stromal tumor (GIST): inhibits tumor growth in patients with KIT‑positive disease.

How It Works

  • Imatinib binds competitively to the ATP‑binding site of the BCR‑ABL tyrosine kinase, as well as KIT and PDGFR receptors, blocking phosphorylation cascades that drive uncontrolled cell proliferation. By preventing downstream signaling, it induces apoptosis of malignant cells that depend on these kinases for survival.

Side Effects

Adverse reactions may range from mild to severe and should be monitored throughout therapy.

Common Side Effects

  • Nausea
  • Edema (periorbital or peripheral)
  • Muscle cramps or weakness
  • Fatigue
  • Diarrhea
  • Rash or pruritus

Serious or Rare Side Effects

  • Hepatotoxicity (elevated transaminases, hepatitis)
  • Severe neutropenia or thrombocytopenia
  • Cardiac failure or left ventricular dysfunction
  • Pulmonary arterial hypertension
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis
  • Tumor lysis syndrome

Precautions & Warnings

Before initiating therapy, clinicians should evaluate baseline organ function and counsel patients on potential risks.

  • Monitor blood counts: perform complete blood count regularly to detect cytopenias.
  • Assess liver function: check transaminases and bilirubin before and during treatment.
  • Evaluate cardiac status: baseline echocardiogram for patients with cardiac risk factors.
  • Avoid in severe hepatic impairment: dose adjustment may be required.
  • Counsel on pregnancy risk: discuss contraception and potential fetal effects.
  • Store at below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Imatinib is metabolized primarily by CYP3A4, making it susceptible to drug‑drug interactions.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): may increase imatinib exposure and toxicity.
  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce efficacy by lowering plasma levels.
  • Concomitant use with warfarin: may enhance anticoagulant effect and increase bleeding risk.

Moderate Interactions (Monitor Closely)

  • CYP3A4 substrates with narrow therapeutic index (e.g., midazolam, cyclosporine): monitor plasma concentrations.
  • QT‑prolonging agents (e.g., quinidine, sotalol): observe ECG for QT interval changes.
  • Vaccines (live attenuated): consider timing to avoid reduced immune response.

Frequently Asked Questions

Imatinib Zentiva is prescribed for chronic myeloid leukemia (CML), Philadelphia chromosome‑positive acute lymphoblastic leukemia (Ph+ ALL), and gastrointestinal stromal tumor (GIST) that express the BCR‑ABL, KIT or PDGFR kinases. In each case the drug targets the abnormal signaling that drives malignant cell growth, helping to achieve remission or disease control.

Imatinib binds to the ATP‑binding pocket of the BCR‑ABL, KIT and PDGFR tyrosine kinases, preventing phosphorylation of downstream substrates. This blockade stops the proliferative signals that cancer cells rely on, leading to cell cycle arrest and apoptosis of the malignant clone.

The specific dose of Imatinib Zentiva is determined by the prescribing physician based on the patient’s diagnosis, disease stage, renal and hepatic function, and other clinical factors. The prescriber will tailor the regimen to achieve optimal therapeutic effect while minimizing toxicity.

The safety of Imatinib Zentiva in pregnancy and lactation has not been established. It is generally advised to avoid use during pregnancy unless the potential benefit outweighs the risk, and breastfeeding is not recommended because the drug can be excreted in milk.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.

Imatinib was the first BCR‑ABL inhibitor approved and remains a standard of care for CML and Ph+ ALL. Newer agents such as dasatinib or nilotinib may offer potency against certain resistant mutations, but Imatinib retains a well‑characterized safety profile and is often preferred as first‑line therapy in many treatment guidelines.

Imatinib Zentiva should be stored at temperatures below 25 °C, in its original packaging, and protected from moisture and direct sunlight. Do not store in bathrooms or near heat sources, and keep the container tightly closed when not in use.

The medication is taken orally, usually once daily, with a glass of water. It can be swallowed whole with or without food; however, consistent intake with respect to meals helps maintain stable absorption. Patients should follow the prescriber’s instructions regarding timing and any required dose adjustments.

Serious adverse events include severe liver injury, profound neutropenia or thrombocytopenia, cardiac dysfunction, pulmonary arterial hypertension, and rare but life‑threatening skin reactions such as Stevens‑Johnson syndrome. Prompt medical evaluation is essential if any of these symptoms arise.

Imatinib Zentiva is contraindicated in patients with known hypersensitivity to imatinib or any of its excipients. It should also be avoided in individuals with severe hepatic impairment unless dose adjustments are made, and it is not recommended for pregnant women unless absolutely necessary.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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