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

Leflunomide Cf

Active Ingredient:
Leflunomide
Origin:
EU

Leflunomide Cf (Leflunomide)

Leflunomide, the active ingredient in Leflunomide Cf, is an immunosuppressant presented as an oral formulation for systemic use. It is indicated for the treatment of rheumatoid arthritis, psoriatic arthritis, and juvenile idiopathic arthritis in adult and pediatric patients where disease‑modifying therapy is required.

GNH India supplies Leflunomide Cf 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 import and distribution. Customers benefit from reliable logistics, batch traceability, and responsive technical support throughout the supply chain.

Manufacturer / TM Owner

Centrafarm B.V.

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Indications & Clinical Uses

Leflunomide is used to modify disease activity in inflammatory arthritis conditions by reducing immune‑mediated joint damage.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage, improving functional ability.
  • Psoriatic arthritis: alleviates skin and joint symptoms, decreasing disease progression.
  • Juvenile idiopathic arthritis: controls systemic inflammation and joint involvement in pediatric patients.

How It Works

  • Leflunomide inhibits the mitochondrial enzyme dihydroorotate dehydrogenase, a key step in de novo pyrimidine synthesis. By limiting pyrimidine availability, it suppresses proliferation of activated lymphocytes, particularly T‑cells, thereby reducing the autoimmune response that drives inflammatory arthritis. The drug’s immunomodulatory effect results in decreased cytokine production and joint inflammation. Additionally, Leflunomide interferes with the activation of B‑cells and modulates adhesion molecule expression, contributing to its overall disease‑modifying properties.

Side Effects

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

Common Side Effects

  • Diarrhea: loose stools often occurring early in therapy.
  • Nausea: feeling of sickness that may improve over time.
  • Elevated liver enzymes: mild increases in ALT or AST.
  • Hypertension: rise in blood pressure requiring monitoring.

Serious or Rare Side Effects

  • Severe liver injury: jaundice, hepatic failure, or hepatitis.
  • Bone marrow suppression: anemia, leukopenia, or thrombocytopenia.
  • Interstitial lung disease: cough, dyspnea, and pulmonary infiltrates.

Precautions & Warnings

When prescribing Leflunomide, clinicians should observe several safety precautions to minimize risk.

  • Monitor liver function: obtain baseline tests and repeat periodically.
  • Check blood pressure: measure regularly during treatment.
  • Assess for infections: evaluate signs of opportunistic or severe infections.
  • Avoid use in pregnancy: contraindicated due to teratogenic risk.
  • Store at room temperature: keep in original packaging, protect from moisture and heat.

Avoid Interactions

Leflunomide interacts with several medicines; some combinations should be avoided while others require careful monitoring.

Major Interactions (Avoid)

  • Methotrexate: increased hepatotoxicity risk.
  • Warfarin: enhanced anticoagulant effect, may raise INR.
  • Live vaccines: risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive bone marrow suppression.
  • Cyclosporine: possible increased plasma levels of both agents.
  • TNF‑α inhibitors: may augment immunosuppressive effects.

Frequently Asked Questions

Leflunomide Cf is prescribed for inflammatory joint diseases. It is approved to treat rheumatoid arthritis, psoriatic arthritis, and juvenile idiopathic arthritis, helping to reduce joint inflammation, prevent structural damage, and improve functional outcomes in adult and pediatric patients.

Leflunomide blocks the enzyme dihydroorotate dehydrogenase, which is essential for de novo pyrimidine synthesis. This limits the production of nucleotides needed for rapidly dividing lymphocytes, especially activated T‑cells, thereby dampening the autoimmune response that drives arthritis.

The dosing regimen for Leflunomide Cf is individualized by the prescribing clinician based on the patient’s condition, disease severity, and laboratory monitoring. Physicians determine the appropriate loading and maintenance doses and adjust them according to therapeutic response and safety parameters.

Leflunomide is classified as Pregnancy Category X, meaning it is contraindicated during pregnancy because of proven teratogenicity. Women of child‑bearing potential must use effective contraception, and the drug should not be used while breastfeeding, as it may pass into milk and affect the infant.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Leflunomide Cf. 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 in rheumatoid and psoriatic arthritis is methotrexate, a folate antagonist. While both are disease‑modifying agents, Leflunomide is taken orally and may be preferred when methotrexate is poorly tolerated or contraindicated. Leflunomide has a distinct safety profile, notably a higher risk of liver enzyme elevation, whereas methotrexate carries risks of pulmonary toxicity and folate deficiency.

Leflunomide Cf should be stored at room temperature, below 25 °C, in its original container. Keep the product away from moisture, direct sunlight, and excessive heat. Ensure the packaging remains sealed until use to maintain stability and potency.

Leflunomide is administered orally, usually as a tablet taken with or without food. Patients should swallow the tablet whole with a glass of water and follow the prescribing physician’s instructions regarding timing and any required loading dose.

The most serious adverse events include severe liver injury, bone marrow suppression (which can lead to anemia, leukopenia, or thrombocytopenia), and interstitial lung disease. Patients should report signs such as jaundice, unusual bruising or bleeding, persistent cough, or shortness of breath promptly to their healthcare provider.

Leflunomide is contraindicated in pregnant women, women planning pregnancy, and nursing mothers. It should also be avoided in patients with pre‑existing severe liver disease, uncontrolled infections, or known hypersensitivity to the drug. Caution is advised for individuals with significant immunosuppression or pulmonary disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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