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 an immunomodulatory agent presented as a tablet for oral use. It treats rheumatoid arthritis, psoriatic arthritis and juvenile idiopathic arthritis in adults and children as indicated.

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 (DMARD) used in inflammatory arthritis conditions.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriatic arthritis: improves skin and joint symptoms and limits disease progression.
  • Juvenile idiopathic arthritis: controls disease activity and helps maintain functional ability 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 T‑lymphocytes and other immune cells, thereby reducing cytokine production, auto‑antibody formation and the inflammatory response that drives autoimmune joint disease.

Side Effects

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

Common Side Effects

  • Diarrhea: mild gastrointestinal upset.
  • Nausea: occasional feeling of sickness.
  • Elevated liver enzymes: transient increase in hepatic transaminases.
  • Hypertension: rise in blood pressure.
  • Rash: skin irritation or mild eruption.

Serious or Rare Side Effects

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

Precautions & Warnings

Before initiating Leflunomide therapy, several safety considerations should be reviewed.

  • Pregnancy: contraindicated (Category X); avoid use in pregnant women.
  • Liver function: assess baseline hepatic enzymes and monitor regularly.
  • Blood counts: perform complete blood count before treatment and periodically.
  • Infections: screen for active infections; avoid initiating during serious infection.
  • Teratogenicity: require effective contraception for both male and female patients during treatment and for a defined period after discontinuation.
  • Store at ambient temperature: keep tablets below 25 °C in the original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Methotrexate: combined use increases risk of hepatotoxicity.
  • Strong CYP1A2 inhibitors (e.g., fluvoxamine): raise leflunomide plasma levels, heightening toxicity.
  • Warfarin: may enhance anticoagulant effect, increasing bleeding risk.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive bone marrow suppression.
  • Bupropion: may increase leflunomide concentrations modestly.
  • Live vaccines: reduced efficacy and potential infection risk.

Frequently Asked Questions

Leflunomide Elvim contains the active ingredient leflunomide and is prescribed to manage inflammatory joint diseases such as rheumatoid arthritis, psoriatic arthritis and juvenile idiopathic arthritis. It helps reduce pain, swelling and structural damage by modifying the underlying disease process.

Leflunomide works by inhibiting dihydroorotate dehydrogenase, an enzyme required for de novo pyrimidine synthesis. This limits the production of nucleotides needed for rapidly dividing immune cells, especially activated T‑lymphocytes, thereby dampening the autoimmune response that drives arthritis.

The dosing regimen for leflunomide is individualized by the prescribing clinician based on the patient’s condition, age, renal and hepatic function, and other medications. The prescriber determines the appropriate loading and maintenance doses and provides specific instructions.

Leflunomide is classified as Pregnancy Category X because it is teratogenic and can cause fetal harm. It is contraindicated during pregnancy and women of child‑bearing potential must use effective contraception. Breastfeeding is also not recommended while taking leflunomide.

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

Leflunomide is often compared with methotrexate, another first‑line DMARD. Both suppress immune activity, but leflunomide primarily inhibits pyrimidine synthesis while methotrexate interferes with folate metabolism. Their safety profiles differ; leflunomide has a higher risk of liver enzyme elevation, whereas methotrexate is more associated with mucosal ulcers and pulmonary toxicity.

Leflunomide Elvim tablets should be stored at ambient temperature, preferably below 25 °C, in the original packaging to protect from moisture and light. Keep the product out of reach of children and avoid storing in humid or excessively hot environments.

Leflunomide Elvim is taken orally as a tablet with or without food, according to the prescriber’s instructions. Swallow the tablet whole with a glass of water; do not crush, chew, or split the tablet unless specifically advised by a healthcare professional.

Serious risks include severe liver injury, bone‑marrow suppression leading to anemia or low white‑blood‑cell counts, and interstitial lung disease. Patients should be monitored regularly for liver function, complete blood counts and respiratory symptoms, and any signs of infection or unusual bleeding should prompt immediate medical evaluation.

Leflunomide is contraindicated in pregnant women, individuals with severe hepatic impairment, active infections, or known hypersensitivity to leflunomide. Patients with uncontrolled hypertension or a history of severe lung disease should also avoid the drug unless a specialist determines that benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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