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

Lenalidomid Zentiva

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomid Zentiva (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomid Zentiva, is an immunomodulatory drug (IMiD) presented as an oral tablet for oral use. It is indicated for the treatment of multiple myeloma, myelodysplastic syndromes, and mantle cell lymphoma in adult patients.

GNH India supplies Lenalidomid Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, oncology centres, pharmacies and clinics worldwide from its EU‑originated manufacturing sources, ensuring quality and regulatory compliance.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

  • Lenalidomide is an immunomodulatory agent used in hematologic malignancies.
  • Multiple myeloma: improves progression‑free survival and overall response rates.
  • Myelodysplastic syndromes: reduces transfusion dependence and improves peripheral blood counts.
  • Mantle cell lymphoma: induces tumor regression and extends overall survival.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4 E3 ubiquitin ligase complex, altering substrate specificity and promoting 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 cells and lymphoid cells.

Side Effects

Lenalidomide may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Neutropenia: reduced neutrophil count increasing infection risk.
  • Thrombocytopenia: low platelet levels that may cause bleeding.
  • Fatigue: persistent tiredness affecting daily activities.
  • Diarrhea: loose stools that may lead to dehydration.
  • Rash: mild skin eruptions.
  • Constipation: difficulty passing stool.

Serious or Rare Side Effects

  • Venous thromboembolism: blood clots in deep veins or lungs.
  • Severe cutaneous reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Secondary primary malignancies: emergence of new cancers.
  • Hepatotoxicity: elevated liver enzymes or liver injury.
  • Severe infections: opportunistic or life‑threatening infections.

Precautions & Warnings

Lenalidomide requires careful monitoring and specific safety measures.

  • Pregnancy: contraindicated; teratogenic risk requires strict pregnancy prevention programs.
  • Thromboembolism risk: assess patient history and consider prophylactic anticoagulation.
  • Hematologic monitoring: regular CBC to detect neutropenia or thrombocytopenia.
  • Infection vigilance: monitor for signs of infection and manage promptly.
  • Renal/hepatic impairment: adjust dosing based on organ function.
  • Store at ambient temperature: keep below 25 °C, in original container, protect from moisture and light.

Avoid Interactions

Lenalidomide may interact with other medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase lenalidomide exposure.
  • Anticoagulants (e.g., warfarin): heightened risk of bleeding.
  • Live vaccines: increased risk of vaccine‑derived infection.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin): may reduce drug levels.
  • P‑gp inhibitors (e.g., amiodarone): modestly increase exposure.
  • Other myelosuppressive agents: additive bone‑marrow suppression.
  • NSAIDs: may exacerbate thrombocytopenia.

Frequently Asked Questions

Lenalidomid Zentiva, containing the active ingredient lenalidomide, is prescribed for adult patients with multiple myeloma, myelodysplastic syndromes, and mantle cell lymphoma. These are hematologic cancers where the drug’s immunomodulatory and anti‑proliferative actions help control disease progression.

Lenalidomide binds to cereblon, a component of the CRL4 E3 ubiquitin ligase complex, causing selective degradation of transcription factors Ikaros and Aiolos. This triggers immunomodulation, reduces angiogenesis, and directly inhibits the growth of malignant plasma and lymphoid cells, contributing to its antineoplastic effect.

The specific dose of Lenalidomid Zentiva 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 Zentiva is classified as Pregnancy Category X because it is known to cause fetal harm. It is contraindicated in pregnancy, and effective contraception is required for both male and female patients of reproductive potential. Breastfeeding is not recommended while using this 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 (including any cold‑chain requirements), and necessary import documentation.

Lenalidomide is a more potent analogue of thalidomide with enhanced immunomodulatory activity and a generally more favorable safety profile. It exhibits stronger anti‑angiogenic effects and lower incidence of peripheral neuropathy, though both drugs share risks such as teratogenicity and thromboembolic events.

Lenalidomid Zentiva should be stored at ambient temperature, below 25 °C. Keep the tablets in the original blister pack, protect them from moisture and direct light, and ensure the container is tightly closed to maintain product stability.

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

The most serious risks include severe neutropenia and thrombocytopenia, which can lead to life‑threatening infections or bleeding; venous thromboembolism; secondary primary malignancies; and rare but severe skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored closely for these events.

Lenalidomid Zentiva is contraindicated in pregnant women, individuals with known hypersensitivity to lenalidomide or its excipients, and patients with severe renal impairment unless dose‑adjusted. It should also be avoided in patients with uncontrolled active infections or those unable to adhere to strict pregnancy‑prevention programs.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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