Product image of Inzolfi (Fingolimod) supplied by GNH India

Inzolfi

Active Ingredient:
Fingolimod
Origin:
EU

Inzolfi (Fingolimod)

Fingolimod, the active ingredient in Inzolfi, is a sphingosine‑1‑phosphate (S1P) receptor modulator presented as an oral formulation for oral use. It is indicated for relapsing forms of multiple sclerosis and related disease courses in adult patients.

GNH India supplies Inzolfi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and research institutions worldwide. The company adheres to stringent quality standards and provides regulatory documentation for global distribution.

Manufacturer / TM Owner

Sandoz Gmbh

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Indications & Clinical Uses

Inzolfi (fingolimod) is used in the management of multiple sclerosis, a chronic autoimmune disease of the central nervous system.

  • Relapsing‑remitting multiple sclerosis: reduces annual relapse rate and slows disability progression.
  • Clinically isolated syndrome: delays conversion to definitive multiple sclerosis.
  • Secondary progressive multiple sclerosis with active disease: lowers relapse activity and may slow worsening of disability.

How It Works

  • After oral absorption, fingolimod is phosphorylated to its active form, which binds to sphingosine‑1‑phosphate (S1P) receptors on lymphocytes. This functional antagonism causes internalization of the receptors, sequestering lymphocytes within lymph nodes and thereby reducing their migration into the central nervous system, which diminishes autoimmune inflammation in multiple sclerosis.

Side Effects

Fingolimod may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Headache
  • Diarrhea
  • Nausea
  • Fatigue

Serious or Rare Side Effects

  • Cardiac arrhythmia (including bradycardia)
  • Severe infections (e.g., opportunistic infections)
  • Macular edema

Precautions & Warnings

When prescribing Inzolfi, several safety considerations should be observed.

  • Cardiac monitoring: perform baseline ECG and monitor heart rate after the first dose.
  • Liver function: assess hepatic enzymes before initiation and periodically during therapy.
  • Vaccination: avoid live vaccines while receiving treatment.
  • Pregnancy: contraindicated; ensure effective contraception for women of childbearing potential.
  • Store at below 25°C: keep in the original packaging, protect from moisture.

Avoid Interactions

Fingolimod can interact with other medicines, requiring attention to avoid reduced efficacy or increased toxicity.

Major Interactions (Avoid)

  • Concurrent use with other S1P receptor modulators: may cause additive immunosuppression.
  • Strong CYP4F2 inhibitors (e.g., amiodarone): can increase fingolimod plasma levels.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may mask bradycardia after the first dose.
  • Antihypertensive agents: may enhance blood‑pressure‑lowering effects.
  • Live attenuated vaccines: increased risk of infection due to immunosuppression.

Frequently Asked Questions

Inzolfi contains fingolimod and is prescribed as a disease‑modifying therapy for adults with relapsing forms of multiple sclerosis, clinically isolated syndrome, and secondary progressive multiple sclerosis that shows active disease activity.

Fingolimod is phosphorylated inside the body and then binds to sphingosine‑1‑phosphate receptors on lymphocytes. This causes the receptors to be internalized, trapping lymphocytes in lymph nodes and preventing them from entering the central nervous system, thereby reducing autoimmune inflammation.

The prescribing physician determines the appropriate dose of Inzolfi based on clinical guidelines, patient weight, renal function, and other individual factors. Dosage decisions are made by the healthcare professional and should not be altered without medical advice.

Inzolfi is contraindicated during pregnancy because fingolimod can cause fetal harm. Women of childbearing potential must use effective contraception. The safety of fingolimod during breastfeeding has not been established, and breastfeeding is generally not recommended while on therapy.

To request Inzolfi, 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 necessary import documentation.

The primary alternative class for oral disease‑modifying therapy in multiple sclerosis includes dimethyl fumarate and other S1P modulators such as siponimod. Compared with dimethyl fumarate, fingolimod offers once‑daily dosing and a distinct mechanism of lymphocyte sequestration, but it may have a higher risk of cardiac and infection‑related adverse events.

Inzolfi should be stored at temperatures below 25 °C, in its original packaging, protected from moisture and direct sunlight. Keep the product out of reach of children and do not use if the packaging is damaged or the tablet appears discolored.

Inzolfi is taken orally as a tablet. The tablet should be swallowed whole with water, preferably at the same time each day, and not crushed, chewed, or split unless specifically instructed by a healthcare professional.

The most serious risks include cardiac events such as bradycardia or heart block, severe infections (including opportunistic infections), macular edema affecting vision, and significant liver enzyme elevations. Patients should report any new cardiac symptoms, visual changes, signs of infection, or jaundice promptly.

Inzolfi is contraindicated in pregnant women, individuals with recent myocardial infarction, unstable angina, stroke, or serious cardiac conduction disorders, and patients with severe liver impairment. It should also be avoided in those with known hypersensitivity to fingolimod or any of its excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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