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

Leflunomide Tillomed

Active Ingredient:
Leflunomide
Origin:
EU

Leflunomide Tillomed (Leflunomide)

Leflunomide, the active ingredient in Leflunomide Tillomed, is an immunomodulator (DMARD) presented as an oral dosage form for systemic use. It is indicated for the treatment of rheumatoid arthritis and psoriatic arthritis in adult patients.
GNH India supplies Leflunomide Tillomed as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Tillomed Pharma Gmbh

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Indications & Clinical Uses

Leflunomide is used within the disease‑modifying antirheumatic drug class to control inflammatory joint diseases.

  • Rheumatoid arthritis: reduces disease activity, slows joint damage and improves functional status.
  • Psoriatic arthritis: alleviates joint inflammation, skin lesions and prevents structural progression.

How It Works

  • Leflunomide is metabolised to its active form, teriflunomide, which inhibits dihydroorotate dehydrogenase, a key enzyme in de novo pyrimidine synthesis. This blockade limits the proliferation of activated lymphocytes, thereby reducing the autoimmune inflammatory response that drives rheumatoid and psoriatic arthritis.

Side Effects

Leflunomide may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Diarrhoea: mild to moderate gastrointestinal upset.
  • Nausea: occasional feeling of queasiness.
  • Alopecia: reversible hair thinning.
  • Rash: non‑specific skin eruptions.
  • Elevated liver enzymes: transient increases in ALT/AST.
  • Hypertension: modest rise in blood pressure.

Serious or Rare Side Effects

  • Severe liver injury: rare but may lead to hepatic failure.
  • Stevens‑Johnson syndrome: life‑threatening skin reaction.
  • Bone‑marrow suppression: pancytopenia or aplastic anaemia.
  • Interstitial lung disease: pulmonary inflammation.
  • Severe infections: opportunistic bacterial or viral infections.
  • Teratogenicity: fetal malformations when exposure occurs in pregnancy.

Precautions & Warnings

Before initiating therapy, clinicians should assess baseline organ function and counsel patients on risk mitigation.

  • Liver monitoring: obtain baseline and periodic ALT/AST levels.
  • Blood pressure: monitor regularly, especially in hypertensive patients.
  • Pregnancy avoidance: contraindicated in pregnancy; effective contraception required.
  • Infection risk: screen for active infections and avoid live vaccines.
  • Hematology: periodic complete blood counts to detect cytopenias.
  • Store at room temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Leflunomide can alter the pharmacokinetics or pharmacodynamics of several co‑administered drugs.

Major Interactions (Avoid)

  • Warfarin: increased anticoagulant effect, risk of bleeding.
  • Carbamazepine: induces metabolism, reducing leflunomide exposure.
  • Azathioprine: additive bone‑marrow suppression.
  • Live vaccines: heightened risk of severe infection.

Moderate Interactions (Monitor Closely)

  • Statins: potential for myopathy.
  • Methotrexate: combined hepatotoxicity.
  • NSAIDs: may exacerbate liver enzyme elevations.

Frequently Asked Questions

Leflunomide Tillomed is prescribed for adults with rheumatoid arthritis and psoriatic arthritis. In both conditions it helps to reduce joint inflammation, prevent structural damage, and improve overall functional ability. The drug belongs to the disease‑modifying antirheumatic drug (DMARD) class and works by modulating the immune response that drives these chronic inflammatory diseases.

Leflunomide is converted in the body to an active metabolite called teriflunomide. This metabolite blocks the enzyme dihydroorotate dehydrogenase, which is essential for de novo synthesis of pyrimidine nucleotides. By limiting pyrimidine production, the drug reduces the proliferation of activated T‑lymphocytes, thereby dampening the autoimmune inflammation that characterises rheumatoid and psoriatic arthritis.

The appropriate dose of Leflunomide Tillomed is determined by the prescribing physician based on the individual patient's clinical condition, disease severity, and laboratory monitoring. Dosage decisions consider factors such as liver function, blood pressure, and potential drug interactions. Patients should follow the exact regimen provided by their healthcare professional and not adjust the dose on their own.

Leflunomide is classified as pregnancy category X, meaning it is contraindicated in pregnancy because it can cause fetal malformations. Women of child‑bearing potential must use reliable contraception before, during, and for a specified period after stopping therapy. The drug is also not recommended while breastfeeding, as it may be excreted in breast milk and affect the infant.

To place an order, visit the product page on gnhindia.com and submit an enquiry with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements if applicable) and assist with import documentation.

Leflunomide differs from other conventional DMARDs such as methotrexate or sulfasalazine in its mechanism; it specifically inhibits pyrimidine synthesis rather than folate metabolism. Clinically, it offers an oral alternative with a once‑daily dosing schedule, but it carries a distinct safety profile, including a higher risk of liver enzyme elevations and teratogenicity. Choice of therapy depends on patient‑specific factors and physician judgment.

Leflunomide Tillomed should be stored at room temperature, preferably below 25 °C. Keep the product in its original packaging to protect it from moisture and direct sunlight. Do not store in a refrigerator or freezer, and ensure the container remains tightly closed when not in use to maintain stability.

Leflunomide Tillomed is taken orally, usually as a tablet, with or without food as directed by the prescribing clinician. The medication is swallowed whole with a glass of water. Patients should follow the dosing schedule provided by their healthcare professional and should not crush, split, or chew the tablet unless specifically instructed.

The most serious risks of Leflunomide include severe liver injury, which can progress to hepatic failure, and teratogenic effects that can cause birth defects if exposure occurs during pregnancy. Additional serious concerns are bone‑marrow suppression leading to pancytopenia, life‑threatening skin reactions such as Stevens‑Johnson syndrome, and opportunistic infections due to immunosuppression. Regular monitoring helps mitigate these risks.

Leflunomide Tillomed is contraindicated in pregnant women, women planning to become pregnant, and nursing mothers. Patients with pre‑existing severe liver disease, uncontrolled hypertension, or active infections should avoid the drug. Additionally, individuals taking certain interacting medications—such as warfarin, carbamazepine, or azathioprine—should not use Leflunomide unless a healthcare professional determines that benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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