Product image of Leflunomid Tillomed (Leflunomide) supplied by GNH India

Leflunomid Tillomed

Active Ingredient:
Leflunomide
Origin:
EU

Leflunomid Tillomed (Leflunomide)

Leflunomide, the active ingredient in Leflunomid Tillomed, is an immunomodulatory agent presented as an oral tablet for systemic use. It is employed to modify disease activity in inflammatory joint disorders such as rheumatoid arthritis and psoriatic arthritis in adult patients.

GNH India supplies Leflunomid Tillomed 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 comprehensive regulatory support and on‑time delivery across multiple continents.

Manufacturer / TM Owner

Tillomed Pharma Gmbh

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Indications & Clinical Uses

Leflunomide is a disease‑modifying antirheumatic drug that targets inflammatory pathways in autoimmune arthritis.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage in adult patients.
  • Psoriatic arthritis: improves skin and joint symptoms and limits disease progression.
  • Inadequate response to conventional DMARDs: provides an alternative oral option when other agents have failed.

How It Works

  • Leflunomide is metabolised to its active form, teriflunomide, which inhibits the mitochondrial enzyme dihydroorotate dehydrogenase. This blockade prevents de novo pyrimidine synthesis, limiting proliferation of activated T‑lymphocytes and B‑cells. The resulting reduction in lymphocyte expansion dampens the autoimmune response that drives joint inflammation and tissue destruction. By selectively targeting rapidly dividing immune cells while sparing resting cells, the drug achieves immunomodulation with limited impact on other organ systems.

Side Effects

Leflunomide may cause a range of adverse reactions, which are classified by frequency and severity.

Common Side Effects

  • Diarrhoea: mild to moderate gastrointestinal upset.
  • Nausea: occasional feeling of queasiness.
  • Elevated liver enzymes: transient increase in ALT/AST.
  • Hypertension: rise in blood pressure.
  • Rash: non‑specific skin eruptions.

Serious or Rare Side Effects

  • Severe liver injury: hepatitis or hepatic failure.
  • Bone marrow suppression: neutropenia, anaemia, thrombocytopenia.
  • Severe cutaneous reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Interstitial lung disease: progressive pulmonary fibrosis.

Precautions & Warnings

Before initiating Leflunomide, clinicians should evaluate several safety considerations to minimise risk.

  • Liver function: obtain baseline hepatic enzymes and monitor regularly.
  • Pregnancy: contraindicated; avoid use in women of childbearing potential.
  • Immunosuppression: assess risk of infections and vaccinate appropriately.
  • Hematology: perform baseline complete blood count and monitor for cytopenias.
  • Drug interactions: review concomitant medications that affect hepatic metabolism.
  • Store at ambient temperature: keep below 25 °C in original packaging, protect from moisture and light.

Avoid Interactions

Leflunomide interacts with several agents that can alter its efficacy or increase toxicity.

Major Interactions (Avoid)

  • Teriflunomide with cholestyramine or activated charcoal: markedly reduces drug exposure.
  • Strong CYP1A2 inhibitors (e.g., fluvoxamine): increase teriflunomide plasma levels.
  • Hepatotoxic drugs (e.g., methotrexate, azathioprine): compound risk of liver injury.

Moderate Interactions (Monitor Closely)

  • Warfarin: may enhance anticoagulant effect, monitor INR.
  • Live vaccines: increased risk of infection, avoid during therapy.
  • NSAIDs: additive risk of hypertension and renal impairment.

Frequently Asked Questions

Leflunomid Tillomed contains leflunomide, which is indicated for the treatment of moderate to severe rheumatoid arthritis and psoriatic arthritis in adult patients. It is used when disease activity remains high despite conventional therapy and aims to reduce joint inflammation and prevent structural damage.

Leflunomide is converted in the body to teriflunomide, an inhibitor of the enzyme dihydroorotate dehydrogenase. By blocking this key step in pyrimidine synthesis, the drug limits the proliferation of activated T‑ and B‑lymphocytes, thereby dampening the autoimmune response that drives joint inflammation.

The exact dose of Leflunomid Tillomed is set by the prescribing clinician based on the individual’s disease severity, prior treatment response, liver function, and overall health status. Patients should follow the prescriber’s instructions and not adjust the dose without medical guidance.

Leflunomid Tillomed is classified as pregnancy category X, meaning it is contraindicated in pregnancy because of a high risk of fetal harm. It should not be used by women who are pregnant, planning to become pregnant, or breastfeeding. Effective contraception is required for women of child‑bearing potential.

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 and any necessary import documentation.

Both leflunomide and methotrexate are conventional DMARDs used for inflammatory arthritis, but leflunomide is taken orally as a single daily tablet, whereas methotrexate may be oral or injectable and often requires weekly dosing. Leflunomide has a different safety profile, notably a higher risk of liver enzyme elevation and teratogenicity, while methotrexate is associated with mucosal and pulmonary toxicity.

Leflunomid Tillomed should be stored at ambient temperature, preferably below 25 °C, in its original packaging. The container should be kept away from moisture, direct sunlight, and excessive heat to maintain product stability throughout its shelf life.

Leflunomid Tillomed is administered orally, usually as a tablet taken with water. The exact timing (morning or evening) and whether it is taken with food depend on the prescribing physician’s instructions. Patients should swallow the tablet whole and not crush or split it unless directed.

The most serious risks include severe liver injury, bone‑marrow suppression leading to low blood counts, and rare but life‑threatening skin reactions such as Stevens‑Johnson syndrome. Patients should report any signs of jaundice, persistent fatigue, unexplained bruising, or severe rash to their healthcare provider promptly.

Leflunomid Tillomed is contraindicated in pregnant women, women planning pregnancy, and individuals with severe liver disease, active infections, or known hypersensitivity to leflunomide or its metabolites. Caution is also advised for patients with pre‑existing hematologic disorders or uncontrolled hypertension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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