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 presented as an oral tablet for oral use. It is indicated for the treatment of multiple myeloma and myelodysplastic syndromes in adult patients. The compound modulates immune cell activity, inhibits angiogenesis, and promotes apoptosis of malignant cells, contributing to disease control.

GNH India supplies Lenalidomid Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide with a focus on quality assurance and regulatory compliance.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

Lenalidomid Zentiva is an immunomodulatory antineoplastic that acts on malignant plasma cells and dysplastic hematopoietic clones.

  • Multiple myeloma: improves progression‑free survival and overall response rates in adult patients with relapsed or refractory disease.
  • Myelodysplastic syndromes (with del(5q) cytogenetic abnormality): reduces transfusion dependence and induces cytogenetic remission in adult patients.

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 enhanced T‑cell and natural killer cell activation, inhibition of pro‑angiogenic factors, and direct induction of apoptosis in malignant plasma cells and dysplastic progenitors. Additionally, it modulates cytokine production, decreasing interleukin‑6 and tumor necrosis factor‑α, further contributing to its antitumor activity.

Side Effects

Lenalidomid Zentiva may be associated with 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.
  • Thrombocytopenia: low platelet count leading to easy bruising.
  • Diarrhea: loose stools that may cause dehydration.
  • Nausea: feeling of sickness that may lead to vomiting.

Serious or Rare Side Effects

  • Deep vein thrombosis or pulmonary embolism: blood clots that can be life‑threatening.
  • Secondary primary malignancies: emergence of new cancers during therapy.
  • Severe cutaneous reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.

Precautions & Warnings

Before initiating Lenalidomid Zentiva, healthcare professionals should consider several precautionary measures to minimize risks.

  • Pregnancy risk: drug may cause fetal harm; avoid use in pregnant women and ensure effective contraception.
  • Thromboembolic risk: assess patient history and consider prophylactic anticoagulation when risk factors are present.
  • Renal impairment: adjust monitoring and dosage in patients with reduced kidney function.
  • Hepatic impairment: evaluate liver function and monitor for increased toxicity.
  • Immunosuppression: monitor blood counts regularly to detect neutropenia or thrombocytopenia.
  • Store at ambient temperature: keep below 25 °C in the original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may markedly reduce lenalidomide exposure.
  • Anticoagulants (e.g., warfarin, direct oral anticoagulants): increased risk of thromboembolic events when combined.

Moderate Interactions (Monitor Closely)

  • Immunosuppressants (e.g., cyclosporine, tacrolimus): may enhance immunosuppression and infection risk.
  • Vaccines (live attenuated): reduced efficacy; avoid concurrent administration.
  • P-glycoprotein substrates (e.g., digoxin): possible altered plasma levels requiring monitoring.

Frequently Asked Questions

Lenalidomid Zentiva contains the active ingredient lenalidomide and is approved for the treatment of adult patients with multiple myeloma and for myelodysplastic syndromes that carry the del(5q) cytogenetic abnormality. In these conditions it helps control disease progression, reduces the need for blood transfusions, and can improve overall response rates when used as directed by a qualified prescriber.

Lenalidomide binds to the cereblon component of the CRL4‑E3 ubiquitin ligase complex, causing selective degradation of transcription factors such as Ikaros and Aiolos. This triggers enhanced activity of T‑cells and natural killer cells, suppresses angiogenesis, and directly induces apoptosis in malignant plasma cells and dysplastic hematopoietic progenitors, thereby exerting its antitumor effect.

The dose of Lenalidomid Zentiva is individualized by the treating physician based on the specific indication, disease stage, renal and hepatic function, and other patient‑specific factors. Prescribers determine the appropriate strength, frequency, and duration of therapy, and patients should follow the exact regimen provided in their prescription without deviation.

Lenalidomid Zentiva is classified as having an unknown pregnancy category, and animal studies suggest potential fetal risk. It is generally contraindicated in pregnant women, and effective contraception is required for both male and female patients of reproductive potential. Limited data exist for breastfeeding, so the drug should be avoided unless the benefits clearly outweigh the potential risks.

To request 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, and will ask for trade or institutional credentials. After verification, the sales team provides pricing, availability, shipping details (including any cold‑chain requirements), and assists with import documentation.

The primary alternative to lenalidomide is thalidomide, another immunomodulatory agent. Compared with thalidomide, lenalidomide generally offers a more favorable safety profile, with lower rates of peripheral neuropathy and constipation, while maintaining similar anti‑myeloma efficacy. Both drugs share mechanisms of immune modulation and anti‑angiogenesis, but lenalidomide’s enhanced potency and reduced toxicity make it a preferred option for many clinicians.

Lenalidomid Zentiva tablets should be stored at ambient temperature, preferably below 25 °C, in the original blister pack or container. Protect the product from excess moisture, direct sunlight, and extreme heat. Keep out of reach of children and do not use if the packaging is damaged or the tablets appear discolored.

Lenalidomid Zentiva is taken orally, usually with or without food, as directed by the prescribing physician. The tablets should be swallowed whole with a full glass of water and not crushed or chewed unless specifically instructed. Patients should adhere to the dosing schedule and attend regular follow‑up appointments for laboratory monitoring.

The most serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, severe neutropenia or thrombocytopenia that can predispose to infections and bleeding, and the possible development of secondary primary malignancies. Patients should promptly report symptoms like unexplained swelling, shortness of breath, fever, or unusual bruising to their healthcare provider.

Lenalidomid Zentiva should be avoided in patients who are pregnant, have known hypersensitivity to lenalidomide or any excipients, or have severe renal or hepatic impairment without appropriate monitoring. Additionally, individuals with a history of uncontrolled thromboembolic disease should not receive the drug unless anticoagulation is carefully managed under specialist supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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