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 imide drug (IMiD) presented as an oral tablet for oral use. It is indicated for the treatment of certain blood cancers, including multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma, and is prescribed for adult patients under specialist supervision.

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

  • Lenalidomide is used in hematologic malignancies, targeting abnormal plasma cells and dysplastic bone‑marrow clones.
  • Multiple Myeloma: reduces disease progression and improves survival in patients with relapsed or refractory disease.
  • Myelodysplastic Syndromes with del(5q): induces transfusion independence and cytogenetic remission.
  • Mantle Cell Lymphoma: provides disease control in patients who have received prior therapies.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑E3 ubiquitin ligase complex, altering substrate specificity and promoting ubiquitination of transcription factors Ikaros (IKZF1) and Aiolos (IKZF3). Their degradation disrupts survival signals in malignant plasma cells, reduces angiogenic cytokine production, and enhances T‑cell and natural‑killer cell mediated immune responses, collectively exerting anti‑proliferative, immunomodulatory and anti‑angiogenic effects.

Side Effects

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

Common Side Effects

  • Fatigue: feeling of tiredness or lack of energy.
  • Diarrhea: loose, watery stools.
  • Nausea: sensation of queasiness.
  • Rash: skin redness or irritation.

Serious or Rare Side Effects

  • Thromboembolic events: deep vein thrombosis or pulmonary embolism.
  • Severe neutropenia: marked reduction in neutrophil count increasing infection risk.
  • Secondary primary malignancies: emergence of new cancers unrelated to the original disease.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient‑specific risk factors and monitor for potential complications.

  • Monitor blood counts: regular CBC testing to detect cytopenias.
  • Assess thrombotic risk: evaluate need for prophylactic anticoagulation.
  • Avoid in pregnancy: teratogenic; ensure effective contraception.
  • Adjust for renal impairment: dose modifications may be required based on kidney function.
  • Counsel on infection signs: report fevers or infections promptly.
  • Store at ambient temperature: keep below 25 °C, in original container, protect from moisture and light.

Avoid Interactions

Lenalidomid Zentiva can interact with several medicines, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce lenalidomide exposure.
  • Anticoagulants (warfarin, DOACs): increased risk of thrombosis or bleeding when combined with lenalidomide.
  • Live vaccines: heightened risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • P‑glycoprotein inhibitors (e.g., verapamil): may increase plasma levels.
  • NSAIDs: additive risk of renal impairment and gastrointestinal bleeding.

Frequently Asked Questions

Lenalidomid Zentiva contains lenalidomide, an immunomodulatory agent approved for adult patients with multiple myeloma, myelodysplastic syndromes that carry the del(5q) chromosomal abnormality, and mantle cell lymphoma. It is used under specialist supervision to control disease progression, improve survival outcomes, and in some cases achieve transfusion independence.

Lenalidomide binds to cereblon, a component of the CRL4‑E3 ubiquitin ligase complex, changing the complex’s substrate specificity. This leads to ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos, which are essential for malignant plasma‑cell survival. The result is reduced tumor growth, decreased angiogenesis, and enhanced immune‑mediated tumor cell killing.

The specific dose of Lenalidomid Zentiva is determined by the prescribing clinician based on the patient’s diagnosis, disease stage, renal function, and prior therapies. Dosing regimens are individualized and may be adjusted during treatment; patients should follow the exact instructions provided by their healthcare professional.

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 place an order, visit the product page on gnhindia.com, submit an enquiry with the required quantity, and provide institutional or trade credentials. GNH India supplies hospitals, pharmacies, and procurement teams worldwide, then confirms pricing, availability, shipping conditions, and any necessary import documentation before finalising the transaction.

The primary alternatives to lenalidomide are thalidomide and pomalidomide, which belong to the same immunomodulatory imide drug (IMiD) class. Lenalidomide generally offers a more favorable safety profile than thalidomide, especially regarding peripheral neuropathy, while providing stronger anti‑myeloma activity than thalidomide. Compared with pomalidomide, lenalidomide is often used earlier in therapy and has a longer history of clinical use.

Store Lenalidomid Zentiva at ambient temperature, below 25 °C (77 °F). Keep the tablets in the original blister pack or container, protect them from moisture, light, and excessive heat. Do not store in the bathroom or near a kitchen sink. Ensure the product is kept out of reach of children.

Lenalidomid Zentiva is taken orally, usually with a glass of water. It may be taken with or without food, but patients should follow the specific instructions of their prescriber. The tablets are swallowed whole and not crushed or chewed unless directed by a healthcare professional.

Serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, severe neutropenia that can predispose to infections, and the rare possibility of secondary primary malignancies. Patients should promptly report any signs of unexplained swelling, pain, fever, or unusual bleeding to their physician.

Lenalidomid Zentiva should not be used by individuals who are pregnant, planning to become pregnant, or who are not using reliable contraception. It is also contraindicated in patients with known hypersensitivity to lenalidomide or any component of the formulation, and caution is advised in those with severe renal impairment unless dose‑adjusted by a specialist.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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