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 (DMARD) presented as an oral tablet for oral use. It treats 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 used to modify disease activity in inflammatory arthritides, particularly within the rheumatoid and psoriatic arthritis families.

  • Rheumatoid arthritis: reduces joint inflammation, pain, and structural damage.
  • Psoriatic arthritis: improves skin lesions and joint symptoms.
  • Inadequate response to methotrexate: provides an alternative disease‑modifying option.

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, from mild to severe. Patients should be monitored regularly for any emerging symptoms.

Common Side Effects

  • Diarrhoea: mild to moderate gastrointestinal upset.
  • Nausea: occasional feeling of queasiness.
  • Alopecia: reversible hair thinning.
  • Elevated liver enzymes: mild transaminase rise.
  • Hypertension: new‑onset or worsening blood pressure.
  • Rash: non‑specific skin irritation.

Serious or Rare Side Effects

  • Severe liver injury: jaundice, hepatic failure.
  • Bone marrow suppression: neutropenia, anaemia, thrombocytopenia.
  • Pulmonary toxicity: interstitial lung disease.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Infections: opportunistic or serious bacterial infections.
  • Teratogenicity: risk of fetal malformations.

Precautions & Warnings

Before initiating therapy, clinicians should assess baseline organ function and counsel patients on potential risks.

  • Liver monitoring: obtain baseline and periodic liver function tests.
  • Hematology monitoring: perform regular complete blood counts.
  • Hepatic impairment: avoid use in patients with severe liver disease.
  • Pregnancy: contraindicated in pregnancy; advise effective contraception.
  • Hypertension: monitor blood pressure regularly.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Leflunomide can alter the pharmacokinetics of several co‑administered medicines, requiring careful management.

Major Interactions (Avoid)

  • Warfarin: increased anticoagulant effect, risk of bleeding.
  • Methotrexate: heightened toxicity, especially hepatic.
  • Cholesterol‑binding resins (e.g., cholestyramine): markedly reduces leflunomide exposure.
  • Live vaccines: heightened risk of infection.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive bone‑marrow suppression.
  • Cyclosporine: possible increased leflunomide levels.
  • Statins: modest increase in statin concentrations.
  • Oral contraceptives: reduced efficacy, consider alternative contraception.

Frequently Asked Questions

Leflunomide Elvim contains leflunomide, a disease‑modifying antirheumatic drug indicated for the treatment of rheumatoid arthritis and psoriatic arthritis in adult patients. It helps reduce joint inflammation, pain, and long‑term structural damage associated with these chronic inflammatory conditions.

Leflunomide blocks the enzyme dihydroorotate dehydrogenase, which is essential for de novo synthesis of pyrimidine nucleotides. By limiting pyrimidine production, the drug suppresses the proliferation of activated T‑cells and B‑cells, thereby decreasing the immune‑driven inflammation that characterises rheumatoid and psoriatic arthritis.

The specific dosage regimen for Leflunomide Elvim is determined by the prescribing physician based on the patient’s clinical condition, disease severity, and laboratory monitoring. Healthcare providers set the appropriate dose and any necessary loading or maintenance schedule.

Leflunomide is classified as contraindicated in pregnancy because it can cause fetal malformations. Women of child‑bearing potential must use effective contraception while on therapy and for a defined wash‑out period after discontinuation. Safety during breastfeeding has not been established, so breastfeeding is generally not recommended.

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 (including any cold‑chain requirements), and necessary import documentation.

Compared with conventional DMARDs such as methotrexate, leflunomide offers a once‑daily oral regimen and a distinct mechanism targeting pyrimidine synthesis. It can be used as monotherapy or in combination with other agents, but clinicians must consider its hepatic and hematologic safety profile, which differs from that of methotrexate or sulfasalazine.

Leflunomide Elvim should be stored at temperatures below 25 °C. Keep the product in its original packaging, protect it from moisture and direct sunlight, and ensure the container is tightly closed to maintain stability throughout its shelf life.

Leflunomide Elvim is taken orally, usually as a tablet swallowed whole with water. The exact timing (e.g., with or without food) is guided by the prescribing physician, and patients should follow the dosing instructions provided on the prescription label.

The most serious risks include severe liver injury, bone‑marrow suppression leading to low blood counts, pulmonary toxicity, and rare but life‑threatening skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored regularly for liver enzymes, complete blood counts, and any respiratory or dermatologic symptoms.

Leflunomide Elvim is contraindicated in patients with severe hepatic impairment, active infections, or known hypersensitivity to leflunomide. It should also be avoided in pregnant women and in women who are not using reliable contraception, as well as in individuals with uncontrolled hypertension or significant bone‑marrow disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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