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 a tablet for oral use. It is used to treat certain blood cancers such as multiple myeloma, myelodysplastic syndromes, and mantle cell lymphoma in adult patients.

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

Manufacturer / TM Owner

Piramal Critical Care B.V.

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Indications & Clinical Uses

  • Lenalidomide is employed in hematologic malignancies that involve abnormal plasma or lymphoid cells.
  • Multiple myeloma: improves progression‑free survival and overall response rates.
  • Myelodysplastic syndromes: reduces transfusion dependence and improves blood counts.
  • Mantle cell lymphoma: induces tumor regression and prolongs remission.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4 E3 ubiquitin ligase complex, prompting ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos. This leads to modulation of cytokine production, inhibition of angiogenesis, and direct anti‑proliferative effects on malignant plasma and lymphoid cells, thereby restoring immune surveillance and reducing tumor growth.

Side Effects

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

Common Side Effects

  • Fatigue
  • Neutropenia
  • Thrombocytopenia
  • Anemia
  • Diarrhea
  • Rash

Serious or Rare Side Effects

  • Venous thromboembolism
  • Secondary primary malignancies
  • Severe cutaneous reactions (e.g., Stevens‑Johnson syndrome)
  • Hepatic toxicity
  • Tumor lysis syndrome
  • Severe neutropenia with infection risk

Precautions & Warnings

  • Lenalidomide requires careful monitoring and specific safety measures.
  • Pregnancy: Contraindicated (Category X); ensure effective contraception.
  • Thrombosis risk: Assess need for prophylactic anticoagulation.
  • Blood counts: Perform regular CBC monitoring.
  • Renal impairment: Adjust dose based on renal function.
  • Hepatic impairment: Monitor liver enzymes periodically.
  • Store at ambient temperature: Keep below 25°C, retain in original packaging, protect from moisture.

Avoid Interactions

Lenalidomide can interact with several drug classes, requiring vigilance.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin) may increase exposure.
  • Strong CYP3A4 inducers (e.g., rifampin, phenytoin) may reduce efficacy.
  • Anticoagulants (e.g., warfarin) may heighten bleeding risk.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may augment thrombosis risk.
  • Live vaccines: contraindicated due to immunosuppression.

Frequently Asked Questions

Lenalidomid Piramal contains lenalidomide, which is indicated for the treatment of adult patients with multiple myeloma, myelodysplastic syndromes that have deletion 5q, and mantle cell lymphoma. These are hematologic cancers where the drug helps control disease progression and improve response rates.

Lenalidomide binds to cereblon, a component of the CRL4‑E3 ubiquitin ligase complex, leading to the targeted degradation of transcription factors Ikaros and Aiolos. This action modulates the immune system, inhibits new blood‑vessel formation, and exerts direct anti‑proliferative effects on malignant plasma and lymphoid cells.

The specific dose of Lenalidomid Piramal is determined by the prescribing clinician based on the patient’s diagnosis, disease stage, renal function, and other individual factors. Healthcare professionals follow approved labeling and clinical guidelines to set an appropriate regimen.

Lenalidomid Piramal is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal harm. Women of childbearing potential must use effective contraception, and breastfeeding is not recommended while taking the medication.

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.

Both lenalidomide and thalidomide belong to the immunomodulatory drug class, but lenalidomide is more potent, has a broader spectrum of activity, and generally exhibits a more favorable safety profile, especially regarding peripheral neuropathy. Clinical guidelines often prefer lenalidomide for the approved indications listed.

Lenalidomid Piramal should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original container, protect it from moisture and direct sunlight, and ensure the packaging remains sealed until use.

The medication is taken orally, usually as a tablet, with or without food as directed by the prescriber. Patients should swallow the tablet whole and follow the dosing schedule provided by their healthcare professional.

Serious risks include venous thromboembolism, severe neutropenia leading to infection, secondary primary malignancies, and rare but severe skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored closely for signs of these events and report any concerning symptoms promptly.

Lenalidomid Piramal is contraindicated in pregnant women, individuals with known hypersensitivity to lenalidomide or its excipients, and patients with uncontrolled severe infections. Caution is also advised for those with significant renal or hepatic impairment, and the drug should be avoided in patients receiving live vaccines.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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