Product image of Lenalidomid Hexal (Lenalidomide) supplied by GNH India

Lenalidomid Hexal

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomid Hexal (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomid Hexal, is an immunomodulatory drug presented as an oral tablet for oral use. It is indicated for the treatment of certain hematologic malignancies, including multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma, in adult patients.

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

Manufacturer / TM Owner

Hexal Ag

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Indications & Clinical Uses

Lenalidomid Hexal is an immunomodulatory agent used in the management of specific blood cancers.

  • Multiple myeloma: improves progression‑free survival and overall response when combined with dexamethasone and other agents.
  • Myelodysplastic syndromes with del(5q): reduces transfusion dependence and can induce cytogenetic remission.
  • Mantle cell lymphoma: contributes to disease control as part of combination therapy in relapsed or refractory cases.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4 E3 ubiquitin ligase complex, leading to ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos. This results in modulation of the immune response, inhibition of angiogenesis, and direct anti‑proliferative and pro‑apoptotic effects on malignant plasma cells and other hematologic tumor cells.

Side Effects

Lenalidomid Hexal may cause a range of adverse reactions.

Common Side Effects

  • Fatigue
  • Neutropenia
  • Thrombocytopenia
  • Diarrhea
  • Rash
  • Constipation

Serious or Rare Side Effects

  • Venous thromboembolism
  • Severe neutropenia or infection
  • Secondary primary malignancies
  • Hepatic toxicity
  • Tumor lysis syndrome
  • Severe cutaneous reactions such as Stevens‑Johnson syndrome

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Pregnancy: contraindicated; teratogenic (Category X).
  • Thromboembolic risk: assess and consider prophylaxis in patients with additional risk factors.
  • Hematologic monitoring: perform regular CBC to detect neutropenia or thrombocytopenia.
  • Renal impairment: adjust dosing and monitor renal function.
  • Drug interactions: avoid concomitant use with strong CYP inducers without supervision.
  • Store at ambient temperature below 25°C: keep in the original container, protect from moisture and light.

Avoid Interactions

Lenalidomid Hexal can interact with several medication classes.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine): may markedly reduce lenalidomide exposure.
  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Live vaccines: immunosuppression may diminish vaccine efficacy.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole): may increase drug exposure.
  • P‑glycoprotein inhibitors (e.g., verapamil): may raise plasma concentrations.
  • Other immunomodulatory agents (e.g., thalidomide): additive hematologic toxicity.

Frequently Asked Questions

Lenalidomid Hexal contains lenalidomide and is prescribed for adult patients with multiple myeloma, myelodysplastic syndromes that carry a del(5q) chromosomal abnormality, and mantle cell lymphoma, typically as part of combination chemotherapy regimens.

Lenalidomide binds to cereblon, a component of the CRL4 E3 ubiquitin ligase complex, triggering degradation of transcription factors Ikaros and Aiolos. This action modifies immune cell activity, inhibits new blood‑vessel formation, and directly suppresses proliferation while promoting apoptosis of malignant cells.

The specific dose of Lenalidomid Hexal is determined by the treating physician based on the patient’s diagnosis, disease stage, renal function, and other clinical factors. Prescribers follow approved labeling and adjust dosing as needed for safety and efficacy.

Lenalidomid Hexal is classified as pregnancy category X because it is teratogenic and can cause fetal harm. It should not be used by pregnant women, and effective contraception is required during treatment and for a defined period afterward. Use while breastfeeding is not recommended.

To order Lenalidomid Hexal, 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.

Lenalidomid Hexal belongs to the immunomodulatory drug (IMiD) class, similar to thalidomide and pomalidomide. Compared with thalidomide, lenalidomide generally offers higher potency with a more favorable peripheral neuropathy profile, while pomalidomide is often reserved for patients who have progressed after lenalidomide therapy.

Lenalidomid Hexal should be stored at ambient temperature below 25 °C, protected from moisture and light. Keep the tablets in the original blister pack until use and avoid exposing them to excessive heat or humidity.

Lenalidomid Hexal is taken orally, usually once daily, with or without food, as directed by the prescriber. The tablets should be swallowed whole with water and not crushed or chewed unless specifically instructed.

Serious risks include venous thromboembolism, severe neutropenia or infection, secondary primary malignancies, significant liver toxicity, tumor lysis syndrome, and severe skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored closely for these events and report any concerning symptoms promptly.

Lenalidomid Hexal should not be used by pregnant women, individuals with known hypersensitivity to lenalidomide or any excipients, patients with severe hepatic impairment, or those for whom anticoagulation therapy cannot be safely managed. Clinicians must assess each patient’s risk profile before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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