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

Lenalidomid Piramal

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomid Piramal (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomid Piramal, is an immunomodulatory drug (IMiD) presented as an oral formulation for oral use. It treats multiple myeloma and myelodysplastic syndromes in adult patients, including those with relapsed or refractory disease, and is administered under specialist supervision.

GNH India supplies Lenalidomid Piramal as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide, with established quality‑assured distribution networks and regulatory compliance.

Manufacturer / TM Owner

Piramal Critical Care B.V.

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Indications & Clinical Uses

Lenalidomide is used in hematologic malignancies and bone marrow failure syndromes, targeting abnormal plasma cells and dysplastic hematopoiesis.

  • Multiple myeloma: improves progression‑free survival, reduces tumor burden, and may extend overall survival in adult patients with relapsed or refractory disease.
  • Myelodysplastic syndromes with del(5q): decreases transfusion dependence, induces cytogenetic remission, and improves hematologic parameters in affected patients.
  • Relapsed/refractory multiple myeloma: used in combination with dexamethasone or other agents to achieve deeper responses and prolong disease control.
  • Multiple myeloma maintenance: administered after initial response to maintain remission.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑E3 ubiquitin ligase complex, altering substrate specificity and leading to degradation of transcription factors Ikaros and Aiolos. This results in modulation of cytokine production, inhibition of angiogenesis, and activation of T‑ and NK‑cell mediated immune responses, while directly inducing apoptosis of malignant plasma cells. Additionally, lenalidomide reduces adhesion of myeloma cells to the bone‑marrow microenvironment, further impairing tumor growth.

Side Effects

Lenalidomide may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Neutropenia
  • Thrombocytopenia
  • Fatigue
  • Nausea

Serious or Rare Side Effects

  • Venous thromboembolism
  • Severe neutropenia with infection risk
  • Secondary primary malignancies

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Monitor blood counts: regular CBC testing to detect neutropenia or thrombocytopenia.
  • Assess thrombotic risk: evaluate history of clotting disorders and consider prophylactic anticoagulation.
  • Contraindicated in pregnancy: avoid use and ensure effective contraception.
  • Adjust for renal impairment: dose may need modification in patients with reduced kidney function.
  • Avoid in patients with known hypersensitivity: discontinue if severe allergic reaction occurs.
  • Store at below 25°C: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Lenalidomid Piramal can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase lenalidomide exposure.
  • Strong CYP3A4 inducers (e.g., rifampin, phenytoin): may reduce efficacy.
  • Thalidomide or pomalidomide: additive teratogenic risk.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (warfarin): may enhance anticoagulant effect.
  • Antiplatelet agents (aspirin, clopidogrel): increased bleeding risk.
  • Live vaccines: reduced immune response, consider timing.

Frequently Asked Questions

Lenalidomid Piramal contains lenalidomide, an immunomodulatory agent indicated for adult patients with multiple myeloma and for myelodysplastic syndromes that carry a del(5q) chromosomal abnormality. It is used to control disease progression, reduce transfusion needs, and improve survival outcomes under specialist supervision.

Lenalidomide binds to cereblon, a component of the CRL4‑E3 ubiquitin ligase complex, altering the complex’s substrate specificity. This triggers degradation of transcription factors Ikaros and Aiolos, leading to reduced cytokine production, inhibition of angiogenesis, enhanced T‑ and NK‑cell activity, and direct apoptosis of malignant plasma cells.

The prescribed dose is individualized by the treating physician based on the specific indication, disease stage, patient weight, renal function, and any concomitant therapies. Dosage adjustments may be required for patients with impaired kidney function or those receiving interacting medications.

Lenalidomid Piramal is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because of a high risk of fetal harm. Women of child‑bearing potential must use effective contraception. The drug is also not recommended while breastfeeding, as it may be excreted in milk.

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 the necessary import documentation.

Both lenalidomide and thalidomide belong to the immunomodulatory drug (IMiD) class, but lenalidomide has a more potent anti‑angiogenic and immune‑activating profile, a shorter half‑life, and a different side‑effect spectrum. Lenalidomide generally shows higher efficacy in multiple myeloma and a lower incidence of peripheral neuropathy compared with thalidomide.

Store Lenalidomid Piramal at temperatures below 25 °C in its original container, protecting it from moisture, light and excessive heat. Keep the product out of reach of children and avoid crushing or splitting tablets unless specifically instructed by a pharmacist.

Lenalidomid Piramal is taken orally, usually as a whole tablet swallowed with water. It is typically administered once daily on a schedule defined by the prescriber, often in cycles that include treatment days followed by rest periods to allow blood‑cell recovery.

Serious risks include venous thromboembolism, severe neutropenia that can lead to infection, secondary primary malignancies, and rare but life‑threatening skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored closely for signs of clotting, infection, or unusual skin changes.

Lenalidomid Piramal should not be used by pregnant women, individuals with known hypersensitivity to lenalidomide or its excipients, and patients with severe renal impairment unless dose adjustments are made. It is also contraindicated in patients with a history of thromboembolic events unless appropriate prophylaxis is in place.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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