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 agent presented as an oral tablet for systemic use. It is employed in the treatment of certain blood cancers, notably multiple myeloma and myelodysplastic syndromes, in adult patients and are prescribed by qualified oncologists.

GNH India supplies Lenalidomid Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company adheres to stringent quality standards and provides regulatory documentation to support import and distribution across global markets.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

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

  • Multiple myeloma: improves progression‑free survival and overall response rates in relapsed or refractory disease.
  • Myelodysplastic syndromes with del(5q): reduces transfusion dependence and induces cytogenetic remission.
  • Multiple myeloma (maintenance after autologous stem cell transplant): prolongs disease‑free interval and supports long‑term control.

How It Works

  • Lenalidomide exerts its antineoplastic activity by binding to cereblon, a component of the CRL4‑E3 ubiquitin ligase complex, altering substrate specificity and promoting degradation of transcription factors such as Ikaros and Aiolos. This leads to inhibition of tumor cell proliferation, enhanced immune‑mediated cytotoxicity, and anti‑angiogenic effects, collectively contributing to apoptosis of malignant plasma cells. Additionally, it modulates cytokine production, reducing pro‑inflammatory signals that support tumor growth.

Side Effects

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

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Neutropenia: reduced neutrophil count increasing infection risk.
  • Diarrhea: loose stools that may lead to dehydration.
  • Rash: mild skin eruptions or itching.

Serious or Rare Side Effects

  • Venous thromboembolism: blood clots in deep veins or lungs.
  • Secondary primary malignancies: emergence of new cancers unrelated to original disease.
  • Severe hepatic injury: marked elevation of liver enzymes or liver failure.

Precautions & Warnings

When prescribing Lenalidomid Zentiva, clinicians should observe several precautionary measures to minimize risks.

  • Pregnancy contraindication: drug is teratogenic (Category X) and must not be used during pregnancy.
  • Thrombosis risk: assess patient history and consider prophylactic anticoagulation.
  • Hematologic monitoring: perform regular complete blood counts to detect neutropenia or thrombocytopenia.
  • Renal impairment: adjust dose in patients with reduced kidney function.
  • Drug interaction awareness: avoid concomitant use with thalidomide or strong CYP3A4 inhibitors.
  • Store at ambient temperature below 25°C: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Lenalidomid Zentiva can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Thalidomide: combined use increases risk of severe teratogenicity and neuropathy.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may raise lenalidomide plasma levels.
  • Anticoagulants (warfarin, direct oral anticoagulants): heightened risk of bleeding events.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce drug exposure.
  • NSAIDs: can exacerbate renal toxicity when used together.
  • Live vaccines: immunosuppression may diminish vaccine efficacy.

Frequently Asked Questions

Lenalidomid Zentiva contains lenalidomide, an immunomodulatory agent indicated for the treatment of multiple myeloma and myelodysplastic syndromes with del(5q). It is prescribed for adult patients to improve disease control, reduce transfusion needs, and extend progression‑free survival in these hematologic cancers.

Lenalidomide binds to the cereblon component of the CRL4‑E3 ubiquitin ligase complex, altering the degradation of specific transcription factors such as Ikaros and Aiolos. This results in reduced tumor cell proliferation, enhanced immune‑mediated killing of malignant cells, and inhibition of new blood‑vessel formation, collectively promoting apoptosis of abnormal plasma cells.

The dose of Lenalidomid Zentiva is individualized by the treating physician based on the specific indication, disease stage, renal function, and patient tolerance. Prescribers determine the appropriate strength, frequency, and duration in accordance with current clinical guidelines and product labeling.

Lenalidomid Zentiva is classified as Pregnancy Category X because it is teratogenic and can cause fetal harm. It must not be used during pregnancy, and effective contraception is required for both men and women of reproductive potential. Breastfeeding is not recommended, as the drug may be excreted in milk and affect the infant.

To order Lenalidomid Zentiva, 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.

The primary alternative within the same class is pomalidomide, which shares the immunomodulatory mechanism but differs in potency and approved indications. Compared with thalidomide, lenalidomide has a more favorable safety profile, especially regarding peripheral neuropathy, while offering stronger anti‑angiogenic and anti‑myeloma activity.

Lenalidomid Zentiva should be stored at ambient temperature below 25 °C, protected from moisture, light, and excessive heat. Keep the product in its original blister or bottle, and ensure the container is tightly closed when not in use to maintain stability throughout its shelf life.

Lenalidomid Zentiva is taken orally as a tablet. Patients should swallow the tablet whole with a glass of water, preferably on an empty stomach or as directed by the prescriber. Dosing times and any food restrictions are determined by the treating physician based on the therapeutic plan.

The most serious risks include venous thromboembolism (blood clots), severe neutropenia or thrombocytopenia that can lead to infections or bleeding, secondary primary malignancies, and significant liver injury. Patients should be monitored regularly for signs of these events, and any sudden symptoms should be reported to a healthcare professional immediately.

Lenalidomid Zentiva is contraindicated in pregnant women and in individuals who are not using effective contraception. It should also be avoided in patients with severe renal impairment, uncontrolled infections, or known hypersensitivity to lenalidomide or any excipients in the formulation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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