Product image of Lenalidomid Alkaloid-Int (Lenalidomide) supplied by GNH India

Lenalidomid Alkaloid-Int

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomid Alkaloid-Int (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomid Alkaloid-Int, is an immunomodulatory imide drug (IMiD) presented as an oral formulation for oral use. It is employed in the treatment of certain blood cancers, including multiple myeloma, myelodysplastic syndromes with del(5q), mantle cell lymphoma and follicular lymphoma, typically in adult patients.

GNH India supplies Lenalidomid Alkaloid-Int as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies, clinics and research institutions worldwide. The company adheres to stringent quality standards and provides regulatory support for global distribution.

Manufacturer / TM Owner

Alkaloid-Int D.O.O.

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Indications & Clinical Uses

Lenalidomide is used in hematologic malignancies, targeting abnormal plasma cells and dysregulated bone‑marrow environments.

  • Multiple myeloma: improves survival and disease control in patients with relapsed or refractory disease.
  • Myelodysplastic syndromes (del(5q)): reduces transfusion dependence and corrects cytopenias.
  • Mantle cell lymphoma: induces remission and prolongs progression‑free survival.
  • Follicular lymphoma: enhances response rates when combined with other therapies.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑E3 ubiquitin ligase complex, altering substrate specificity. This leads to ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos, which modulates immune cell activity, inhibits angiogenesis, and suppresses proliferation of malignant plasma cells and related hematologic tumor cells.

Side Effects

Lenalidomide may cause a range of adverse reactions, varying in frequency and severity.

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Diarrhea: loose stools that may require fluid replacement.
  • Rash: mild to moderate skin eruptions.
  • Constipation: reduced bowel movements causing discomfort.

Serious or Rare Side Effects

  • Thromboembolic events: deep‑vein thrombosis or pulmonary embolism.
  • Severe neutropenia: markedly low neutrophil counts increasing infection risk.
  • Secondary malignancies: emergence of new cancers unrelated to the primary disease.

Precautions & Warnings

Lenalidomide requires careful monitoring and patient education before initiation.

  • Pregnancy risk: avoid use in pregnant women; effective contraception is mandatory for women of child‑bearing potential.
  • Thrombosis prophylaxis: assess need for anticoagulation in patients with additional risk factors.
  • Renal function: dose adjustment may be needed in patients with impaired kidney function.
  • Hepatic impairment: monitor liver enzymes and adjust therapy as clinically indicated.
  • Store at ambient temperature: keep below 25 °C, protect from moisture, and retain in original packaging.

Avoid Interactions

Lenalidomide can interact with several drug classes, influencing efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce plasma concentrations of lenalidomide.
  • Anticoagulants (e.g., warfarin): increased risk of bleeding when combined.

Moderate Interactions (Monitor Closely)

  • P‑glycoprotein inhibitors (e.g., verapamil): may raise lenalidomide exposure.
  • Immunosuppressants (e.g., cyclosporine): heightened risk of infection.
  • Vaccines: live attenuated vaccines should be avoided during therapy.

Frequently Asked Questions

Lenalidomid Alkaloid-Int, containing the active ingredient lenalidomide, is indicated for several hematologic malignancies. It is used in the management of multiple myeloma, myelodysplastic syndromes with the del(5q) chromosomal abnormality, mantle cell lymphoma, and follicular lymphoma. In each case, the drug helps control disease progression and can improve survival outcomes when prescribed by a qualified oncologist.

Lenalidomide exerts its therapeutic effect by binding to cereblon, a component of the CRL4‑E3 ubiquitin ligase complex. This binding changes the complex’s substrate specificity, leading to the ubiquitination and degradation of transcription factors Ikaros and Aiolos. The resulting actions include modulation of the immune response, inhibition of new blood‑vessel formation, and direct anti‑proliferative activity against malignant plasma cells.

The specific dose of Lenalidomid Alkaloid-Int is determined by the prescribing physician based on the patient’s diagnosis, disease stage, renal function, and overall health status. Dosage regimens can vary widely between indications and individual treatment plans, so the prescriber sets the appropriate amount and schedule for each patient.

Lenalidomid Alkaloid-Int is classified as contraindicated in pregnancy because it can cause fetal harm. Women of child‑bearing potential must use effective contraception throughout treatment and for a defined period after the last dose. Safety during breastfeeding has not been established, and the drug is generally not recommended for nursing mothers.

To place an order, visit the product page on gnhindia.com and submit an enquiry with the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifying trade or institutional credentials before providing a formal quotation. The team then confirms pricing, availability, shipping details (including any cold‑chain requirements), and assists with necessary import documentation.

Lenalidomid Alkaloid-Int belongs to the class of immunomodulatory imide drugs (IMiDs), which differ from proteasome inhibitors and monoclonal antibodies commonly used in multiple myeloma. While IMiDs primarily modulate the immune environment and degrade specific transcription factors, proteasome inhibitors block protein degradation pathways, and antibodies target surface antigens. Choice of therapy depends on disease characteristics, prior treatment exposure, and patient tolerance.

Lenalidomid Alkaloid-Int should be stored at ambient temperature, preferably below 25 °C (77 °F). Keep the product in its original packaging to protect it from moisture and light. Do not store in areas with high humidity or extreme heat, and keep it out of reach of children.

The medication is supplied as an oral tablet that patients swallow with water. It is typically taken once daily on a schedule prescribed by the treating physician, often in cycles that include treatment days followed by rest periods. Patients should follow the exact dosing instructions provided by their healthcare professional.

The most serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, severe neutropenia leading to heightened infection susceptibility, and the potential for secondary malignancies. Patients should be monitored regularly for signs of blood clots, infections, and any new cancer development, and appropriate preventive measures should be taken.

Lenalidomid Alkaloid-Int is contraindicated in pregnant women and should not be used by individuals who cannot practice effective contraception. Patients with uncontrolled severe infections, significant hypersensitivity to lenalidomide or any formulation excipients, and those with certain uncontrolled cardiac or vascular conditions may also be advised against its use. A thorough medical assessment by a qualified clinician is essential before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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