Product image of Leflunomide Arrow (Leflunomide) supplied by GNH India

Leflunomide Arrow

Active Ingredient:
Leflunomide
Origin:
EU

Leflunomide Arrow (Leflunomide)

Leflunomide, the active ingredient in Leflunomide Arrow, is an immunomodulator (DMARD) presented as an oral tablet for oral use. It is indicated for the management of rheumatoid arthritis and psoriatic arthritis in adult patients, reducing disease activity and slowing joint damage.

GNH India supplies Leflunomide Arrow as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for importers. This enables reliable access to essential therapy across diverse healthcare settings.

Manufacturer / TM Owner

Arrow Generiques

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Indications & Clinical Uses

Leflunomide is used to modify disease activity in autoimmune joint disorders.

  • Rheumatoid arthritis: reduces joint inflammation, pain, and structural damage.
  • Psoriatic arthritis: alleviates skin and joint symptoms and slows disease progression.
  • Active disease in adults: helps achieve remission when other DMARDs are insufficient.

How It Works

  • Leflunomide is metabolized to its active form teriflunomide, which selectively inhibits dihydroorotate dehydrogenase, a key enzyme in the de novo synthesis of pyrimidine nucleotides. By limiting pyrimidine availability, the drug suppresses proliferation of activated T‑lymphocytes and B‑cells, thereby reducing the autoimmune inflammatory response that drives joint damage in rheumatoid and psoriatic arthritis. The inhibition is reversible and contributes to the immunomodulatory profile of the medication.

Side Effects

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

Common Side Effects

  • Diarrhea: loose stools or increased frequency.
  • Nausea: feeling of sickness or upset stomach.
  • Elevated liver enzymes: mild increase in ALT/AST.
  • Headache: mild to moderate head pain.

Serious or Rare Side Effects

  • Severe liver injury: hepatitis or hepatic failure.
  • Hematologic abnormalities: low white blood cells, anemia, or thrombocytopenia.
  • Pulmonary toxicity: interstitial lung disease or severe pneumonia.

Precautions & Warnings

Before prescribing Leflunomide, clinicians should consider several safety measures.

  • Pregnancy: contraindicated (Category X); avoid use in women who are pregnant or may become pregnant.
  • Liver function: monitor baseline and periodic liver enzymes; discontinue if significant elevation occurs.
  • Infection risk: assess for active infections before initiating therapy.
  • Blood counts: perform regular CBC monitoring for leukopenia or anemia.
  • Drug interactions: avoid concurrent use with strong CYP1A2 inhibitors or other immunosuppressants without monitoring.
  • Store at ambient temperature: keep below 25 °C, in original packaging, protected from moisture and light.

Avoid Interactions

Leflunomide can interact with several medicines, requiring attention to avoid reduced efficacy or increased toxicity.

Major Interactions (Avoid)

  • Strong CYP1A2 inhibitors (e.g., fluvoxamine): may increase leflunomide levels, raising toxicity risk.
  • Warfarin: concurrent use can enhance anticoagulant effect, requiring close INR monitoring.
  • Live vaccines: immunosuppression may reduce vaccine efficacy and increase infection risk.

Moderate Interactions (Monitor Closely)

  • Methotrexate: combined immunosuppression may increase risk of hepatic toxicity.
  • Azathioprine or mycophenolate: additive bone marrow suppression.
  • NSAIDs: may increase risk of liver enzyme elevation.

Frequently Asked Questions

Leflunomide Arrow contains leflunomide, an immunomodulatory disease‑modifying antirheumatic drug (DMARD) approved for the treatment of rheumatoid arthritis and psoriatic arthritis in adult patients. It helps reduce joint inflammation, pain, and structural damage associated with these autoimmune conditions.

Leflunomide is converted in the body to teriflunomide, which selectively blocks the enzyme dihydroorotate dehydrogenase. This inhibition curtails de novo pyrimidine synthesis, limiting the proliferation of activated T‑ and B‑lymphocytes and thereby dampening the autoimmune inflammatory response that drives joint damage.

The dosing regimen for leflunomide is individualized by the prescribing healthcare professional based on the patient’s clinical condition, disease severity, and laboratory parameters. Physicians typically start with a loading dose followed by a maintenance dose, but exact amounts should only be set by the prescriber.

Leflunomide is classified as Pregnancy Category X, meaning it is contraindicated in pregnant women and should not be used by women who may become pregnant. It is also not recommended during breastfeeding because it can be excreted in breast milk and may harm the infant.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity of Leflunomide Arrow. 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 import documentation.

The most common alternative DMARD is methotrexate. While both suppress immune activity, leflunomide primarily inhibits pyrimidine synthesis, whereas methotrexate interferes with folate metabolism. Leflunomide may be preferred when patients cannot tolerate methotrexate’s hepatic or gastrointestinal side effects, but both require regular monitoring.

Leflunomide Arrow tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original blister pack or container, protect from moisture and direct light, and ensure the packaging is tightly closed to maintain product stability.

Leflunomide Arrow is administered orally as a tablet. Patients should swallow the tablet whole with a full glass of water, preferably with food to minimize gastrointestinal discomfort. The exact timing and any dose adjustments are determined by the prescribing clinician.

The most serious adverse events include severe liver injury (hepatitis or hepatic failure), hematologic abnormalities such as leukopenia, anemia, or thrombocytopenia, and pulmonary toxicity like interstitial lung disease. Patients should report symptoms such as jaundice, unusual bruising, persistent cough, or shortness of breath immediately.

Leflunomide Arrow should not be used by pregnant women, individuals with severe hepatic impairment, patients with active serious infections, or those with known hypersensitivity to leflunomide or its excipients. Caution is also advised for patients with compromised immune systems or pre‑existing lung disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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