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

Leflunomide Elvim

Active Ingredient:
Leflunomide
Origin:
EU

Leflunomide Elvim (Leflunomide)

Leflunomide, the active ingredient in Leflunomide Elvim, is a disease-modifying antirheumatic drug (DMARD) presented as an oral tablet for oral use. It is used to treat rheumatoid arthritis and psoriatic arthritis in adult patients.

GNH India supplies Leflunomide Elvim as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Sia Elvim

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Indications & Clinical Uses

  • Leflunomide is a disease-modifying antirheumatic drug that acts on autoimmune arthritis pathways.
  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriatic arthritis: improves joint symptoms and associated skin lesions.
  • Autoimmune arthritis: helps control overall disease activity in adult patients.

How It Works

  • Leflunomide inhibits the mitochondrial enzyme dihydroorotate dehydrogenase, which blocks de novo pyrimidine synthesis. This limits the proliferation of activated lymphocytes, thereby reducing the immune-mediated inflammation that drives rheumatoid and psoriatic arthritis.

Side Effects

Leflunomide may cause a range of adverse reactions.

Common Side Effects

  • Diarrhea
  • Nausea
  • Rash or mild skin irritation
  • Elevated liver enzymes (transaminases)

Serious or Rare Side Effects

  • Severe liver injury or hepatitis
  • Pulmonary toxicity, including interstitial lung disease
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis
  • Bone marrow suppression leading to cytopenias

Precautions & Warnings

  • Before initiating therapy, several safety considerations are required.
  • Pregnancy: contraindicated (Category X) – do not use in pregnant women.
  • Liver function: obtain baseline tests and monitor periodically; discontinue if severe elevation occurs.
  • Blood pressure: monitor regularly as hypertension may develop.
  • Infection risk: avoid starting in patients with active serious infections.
  • Contraception: effective methods required for women of childbearing potential.
  • Store at ambient temperature: keep below 25°C in the original pack, protect from moisture.

Avoid Interactions

Leflunomide can interact with several medicines; monitoring or avoidance may be needed.

Major Interactions (Avoid)

  • Methotrexate: increased risk of hepatotoxicity.
  • Warfarin: potentiation of anticoagulant effect, raising INR.
  • Rituximab: possible reduction in therapeutic efficacy.

Moderate Interactions (Monitor Closely)

  • Statins: heightened risk of myopathy.
  • Azathioprine: additive bone‑marrow suppression.
  • Live vaccines: diminished immune response, consider timing.

Frequently Asked Questions

Leflunomide Elvim is indicated for the treatment of moderate to severe rheumatoid arthritis and psoriatic arthritis in adult patients. It helps reduce joint inflammation, pain, and structural damage associated with these autoimmune conditions.

Leflunomide blocks the enzyme dihydroorotate dehydrogenase, which is essential for pyrimidine synthesis in rapidly dividing lymphocytes. By limiting lymphocyte proliferation, it dampens the immune response that drives inflammation in rheumatoid and psoriatic arthritis.

The dosing regimen for Leflunomide Elvim is determined by the prescribing physician based on the individual’s clinical status, renal and hepatic function, and concomitant therapies. Physicians typically start with a loading dose followed by a maintenance dose, but exact amounts are not disclosed here.

Leflunomide is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal malformations. It is also not recommended for breastfeeding mothers 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. 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 most common alternative to Leflunomide is methotrexate, another DMARD. While both suppress immune activity, Leflunomide is taken orally and may be preferred when methotrexate intolerance occurs. However, Leflunomide carries a higher risk of liver toxicity and is contraindicated in pregnancy, whereas methotrexate has its own teratogenic risks.

Leflunomide Elvim tablets should be stored at ambient temperature, preferably below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged.

The medication is administered orally as a tablet, usually swallowed whole with a glass of water. It can be taken with or without food, but consistent timing each day helps maintain stable blood levels. Patients should follow the prescribing physician’s instructions regarding dosage and schedule.

Serious risks include severe liver injury, pulmonary toxicity (such as interstitial lung disease), bone‑marrow suppression leading to low blood counts, and teratogenic effects if pregnancy occurs. Patients should report signs of jaundice, persistent cough, unexplained bruising, or any pregnancy‑related concerns immediately.

Leflunomide Elvim should not be used by pregnant women, individuals with severe hepatic impairment, patients with active serious infections, or those who cannot use effective contraception. It is also contraindicated in patients with known hypersensitivity to Leflunomide or its excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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