Product image of Lefluonia (Leflunomide) supplied by GNH India

Lefluonia

Active Ingredient:
Leflunomide
Origin:
EU

Lefluonia (Leflunomide)

Leflunomide, the active ingredient in Lefluonia, is an immunomodulator presented as a tablet for oral use. It treats rheumatoid arthritis and psoriatic arthritis in adult patients, helping to reduce joint inflammation and slow disease progression.

GNH India supplies Lefluonia as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Pharmathen S.A.

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Indications & Clinical Uses

  • Leflunomide is used in autoimmune inflammatory diseases that affect the joints and skin.
  • Rheumatoid arthritis: reduces joint pain, swelling and slows structural damage.
  • Psoriatic arthritis: improves skin lesions and joint symptoms.

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.

Common Side Effects

  • Diarrhea: mild to moderate gastrointestinal upset.
  • Nausea: occasional feeling of queasiness.
  • Headache: transient cranial discomfort.
  • Hypertension: elevated blood pressure readings.
  • Alopecia: thinning or loss of hair.
  • Elevated liver enzymes: mild increase in hepatic transaminases.

Serious or Rare Side Effects

  • Severe liver injury: hepatitis or hepatic failure.
  • Bone marrow suppression: anemia, leukopenia, or thrombocytopenia.
  • Pulmonary toxicity: interstitial lung disease or pneumonitis.
  • Stevens‑Johnson syndrome: severe skin reactions.
  • Life‑threatening infections: opportunistic infections due to immunosuppression.
  • Severe hypertension: hypertensive crisis requiring urgent care.

Precautions & Warnings

  • Before initiating therapy, several safety considerations should be addressed.
  • Pregnancy: contraindicated (Category X) – avoid use in pregnant women.
  • Liver function: obtain baseline liver tests and monitor periodically.
  • Hematology: perform complete blood counts before and during treatment.
  • Blood pressure: monitor regularly, especially in patients with pre‑existing hypertension.
  • Renal impairment: adjust use in severe renal dysfunction.
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Leflunomide can interact with several medicines, requiring careful management.

Major Interactions (Avoid)

  • Warfarin: increased anticoagulant effect, risk of bleeding.
  • Methotrexate: additive hepatotoxicity and bone‑marrow suppression.
  • Strong CYP1A2 inhibitors (e.g., fluconazole): raise leflunomide levels.
  • Live vaccines: heightened risk of infection.
  • Cholesterol‑sequestering resins (e.g., cholestyramine): reduce leflunomide absorption.

Moderate Interactions (Monitor Closely):\n- NSAIDs: potential for increased liver enzyme elevation.

  • Statins: risk of myopathy may be enhanced.
  • ACE inhibitors or ARBs: possible additive blood‑pressure effects.
  • Oral contraceptives: may reduce contraceptive efficacy.

Frequently Asked Questions

Lefluonia contains leflunomide and is prescribed for adult patients with rheumatoid arthritis and psoriatic arthritis. In both conditions it helps reduce joint inflammation, pain, and structural damage, and can improve skin lesions associated with psoriatic disease.

Leflunomide blocks the enzyme dihydroorotate dehydrogenase, which is essential for making pyrimidine nucleotides. By limiting pyrimidine synthesis, the drug suppresses the proliferation of activated lymphocytes, thereby dampening the immune response that drives inflammatory arthritis.

The specific dose of Lefluonia is determined by the prescribing physician based on the individual’s clinical condition, laboratory values, and response to therapy. Dosage adjustments may be made after initial assessment and periodic monitoring.

Lefluonia is classified as pregnancy category X, meaning it is contraindicated in pregnancy because it can cause fetal harm. It is also not recommended while breastfeeding, as leflunomide can be excreted in breast milk and may affect 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.

Leflunomide is an oral synthetic DMARD that differs from biologic agents such as TNF‑α inhibitors. It offers the convenience of once‑daily oral dosing and does not require injection, but it carries a distinct safety profile, including potential liver toxicity and teratogenicity, which must be weighed against efficacy.

Lefluonia tablets should be stored below 25 °C in their original container, protected from moisture and direct sunlight. Keeping the product in a dry, temperature‑controlled environment helps maintain its stability and potency throughout its shelf life.

Lefluonia is taken orally, usually as a whole tablet with water. It is generally recommended to swallow the tablet whole and not to crush or split it unless specifically instructed by a healthcare professional.

The most serious risks include severe liver injury, bone‑marrow suppression leading to anemia or low white‑blood‑cell counts, pulmonary toxicity such as interstitial lung disease, and rare but life‑threatening skin reactions like Stevens‑Johnson syndrome. Regular monitoring helps detect these complications early.

Lefluonia should not be used by pregnant women, individuals with severe liver disease, uncontrolled hypertension, or known hypersensitivity to leflunomide. It is also contraindicated in patients receiving certain live vaccines or those with severe renal impairment without appropriate dose adjustment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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