Product image of Lefluartil (Leflunomide) supplied by GNH India

Lefluartil

Active Ingredient:
Leflunomide
Origin:
EU

Lefluartil (Leflunomide)

Leflunomide, the active ingredient in Lefluartil, is an immunomodulatory agent presented as an oral formulation for oral use. It is employed to manage chronic inflammatory joint diseases, primarily in adult patients with rheumatoid arthritis or psoriatic arthritis.

GNH India supplies Lefluartil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution. Clients benefit from consistent product availability and regulatory support across EU and other markets.

Manufacturer / TM Owner

Arafarma Group, S.A

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Indications & Clinical Uses

Leflunomide is a disease-modifying antirheumatic drug that modulates immune activity in inflammatory arthritis.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage in adult patients.
  • Psoriatic arthritis: alleviates skin and joint symptoms and improves functional capacity.
  • Inadequately controlled inflammatory arthritis: provides an alternative when response to first‑line DMARDs is insufficient.

How It Works

  • Leflunomide is converted in vivo to its active metabolite teriflunomide, which selectively inhibits dihydroorotate dehydrogenase, a key enzyme in de novo pyrimidine synthesis. By limiting pyrimidine availability, the drug suppresses proliferation of activated T‑lymphocytes and other immune cells, thereby reducing inflammatory cytokine production and joint tissue damage. The inhibition is reversible and preferentially affects rapidly dividing cells, sparing resting lymphocytes, which contributes to its immunomodulatory profile while maintaining overall immune competence.

Side Effects

Leflunomide may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Diarrhea: loose stools that may affect hydration.
  • Elevated liver enzymes: mild transaminase increases.
  • Rash: skin irritation or mild eruption.

Serious or Rare Side Effects

  • Severe liver injury: hepatitis or hepatic failure.
  • Bone marrow suppression: anemia, leukopenia, or thrombocytopenia.
  • Stevens‑Johnson syndrome: severe skin and mucosal reaction.

Precautions & Warnings

When prescribing Leflunomide, clinicians should observe several precautionary measures to minimize risk.

  • Monitor liver function: obtain baseline transaminases and repeat regularly.
  • Check blood pressure: control hypertension before and during therapy.
  • Perform complete blood count: watch for anemia, leukopenia, or thrombocytopenia.
  • Avoid use in severe hepatic impairment: contraindicated in patients with existing liver disease.
  • Contraindicated in pregnancy: ensure effective contraception and discontinue if pregnancy occurs.
  • Store at ambient temperature: keep in original packaging, protect from moisture and light.

Avoid Interactions

Leflunomide can interact with several medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Warfarin: increased anticoagulant effect, risk of bleeding.
  • Teriflunomide (active metabolite of leflunomide): additive toxicity, avoid concurrent use.
  • Carbamazepine: induces metabolism, reducing leflunomide plasma levels.

Moderate Interactions (Monitor Closely)

  • Statins: may increase risk of muscle toxicity.
  • Oral contraceptives: reduced hormonal efficacy, advise additional contraceptive methods.

Frequently Asked Questions

Lefluartil contains leflunomide, which is prescribed to treat chronic inflammatory joint conditions such as rheumatoid arthritis and psoriatic arthritis. It helps reduce joint swelling, pain, and structural damage by modifying the underlying immune response.

Leflunomide is metabolised to teriflunomide, an inhibitor of dihydroorotate dehydrogenase. This enzyme is essential for de novo pyrimidine synthesis, so its blockade limits the proliferation of activated T‑cells and other immune cells, thereby dampening inflammation in the joints.

The dosing regimen for Lefluartil is determined by the prescribing clinician based on the individual’s disease severity, response to therapy, and laboratory monitoring. Physicians typically start with a loading dose followed by a maintenance dose, but exact amounts are not disclosed here.

Leflunomide is classified as contraindicated in pregnancy because of known teratogenic risk. Women of child‑bearing potential must use effective contraception before, during, and after treatment. Limited data exist for breastfeeding, and the drug is generally avoided while nursing.

To place an order, submit an enquiry on the Lefluartil 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 and any necessary import documentation.

The primary alternative to leflunomide is methotrexate, another conventional DMARD. Both aim to control disease activity, but leflunomide is taken orally once daily and may be preferred when weekly methotrexate dosing is problematic. Their safety profiles differ, with leflunomide more associated with liver enzyme elevations and methotrexate with mucosal ulcers.

Lefluartil should be stored at ambient temperature, below 25 °C, in its original container to protect it from moisture and light. Keep the product out of reach of children and avoid exposing it to extreme heat or humidity.

Lefluartil is administered orally, typically as a tablet taken with water. Patients should follow the prescriber’s instructions regarding timing, food intake, and any required loading dose. Swallow the tablet whole; do not crush or chew unless directed by a healthcare professional.

The most serious risks include severe liver injury, bone‑marrow suppression leading to anemia or low white‑blood‑cell counts, and rare but life‑threatening skin reactions such as Stevens‑Johnson syndrome. Regular laboratory monitoring of liver enzymes and blood counts is essential to detect these complications early.

Lefluartil is contraindicated in patients with known hypersensitivity to leflunomide or its metabolites, those with severe hepatic impairment, and pregnant women. Caution is also advised for individuals with existing bone‑marrow disorders, uncontrolled hypertension, or active infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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