Product image of Lenalidomidă Alkaloid-Int (Lenalidomide) supplied by GNH India

Lenalidomidă Alkaloid-Int

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomidă Alkaloid-Int (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomidă Alkaloid-Int, is an immunomodulatory drug (IMiD) presented as an oral formulation for oral use. It treats multiple myeloma and myelodysplastic syndromes in adult patients, including those with relapsed or refractory disease, and is administered under specialist supervision.

GNH India supplies Lenalidomidă Alkaloid-Int as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, transplant units and pharmacies worldwide, ensuring quality‑assured product delivery and regulatory compliance. The company adheres to Good Distribution Practice and provides comprehensive support for regulatory documentation, customs clearance and temperature‑controlled logistics where required.

Manufacturer / TM Owner

Alkaloid-Int D.O.O.

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Indications & Clinical Uses

  • Lenalidomide is employed in hematologic oncology to target malignant plasma cells and dysplastic bone‑marrow clones, improving disease outcomes.
  • Multiple myeloma: used in combination regimens to prolong progression‑free survival and overall survival in patients with newly diagnosed or relapsed disease.
  • Myelodysplastic syndromes (MDS) with del(5q): administered to reduce transfusion dependence and improve hematologic parameters in adult patients with this cytogenetic abnormality.
  • Multiple myeloma maintenance: continued after induction and consolidation to maintain remission and delay disease progression in patients who have responded to prior therapy.

How It Works

  • Lenalidomide binds to the cereblon subunit of the CRL4‑E3 ubiquitin ligase complex, altering its substrate specificity. This leads to ubiquitination and proteasomal degradation of transcription factors Ikaros (IKZF1) and Aiolos (IKZF3), resulting in reduced survival signals for malignant plasma cells, enhanced T‑cell and natural‑killer cell activity, and inhibition of angiogenesis within the bone‑marrow microenvironment. The combined immunomodulatory and anti‑angiogenic actions contribute to its antineoplastic efficacy.

Side Effects

Lenalidomide is associated with a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Neutropenia: reduction in neutrophil count that may increase susceptibility to bacterial infections.
  • Fatigue: persistent tiredness that can affect daily activities and quality of life.
  • Diarrhea: frequent loose stools that may lead to dehydration if severe.
  • Nausea: sensation of queasiness often accompanied by vomiting.

Serious or Rare Side Effects

  • Thromboembolic events: formation of blood clots such as deep‑vein thrombosis or pulmonary embolism, requiring immediate medical attention.
  • Severe neutropenia or leukopenia: profound decrease in white‑blood‑cell counts, markedly raising infection risk.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis: rare, life‑threatening skin reactions characterized by blistering and detachment.

Precautions & Warnings

When using Lenalidomidă Alkaloid-Int, careful monitoring and risk mitigation are essential.

  • Monitor blood counts: perform regular complete blood count tests to detect neutropenia or anemia.
  • Assess thrombotic risk: evaluate patient history for clotting disorders and consider prophylactic anticoagulation.
  • Avoid pregnancy: women of childbearing potential must use effective contraception during treatment and for a defined period after cessation.
  • Adjust for renal impairment: dose may need modification in patients with reduced kidney function.
  • Review concomitant medications: check for drugs that may interact and affect safety.
  • Store at below 25°C: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Lenalidomide can interact with several 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): increased risk of bleeding or altered anticoagulant effect.
  • Live vaccines: immunosuppression may diminish vaccine efficacy and increase infection risk.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): may increase lenalidomide plasma levels.
  • NSAIDs (e.g., ibuprofen): combined use can raise the chance of gastrointestinal toxicity.
  • Digoxin: potential for altered digoxin concentrations requiring level monitoring.

Frequently Asked Questions

Lenalidomidă Alkaloid-Int, containing lenalidomide, is indicated for the treatment of adult patients with multiple myeloma and for myelodysplastic syndromes that carry the del(5q) cytogenetic abnormality. In multiple myeloma it is used in combination with other agents to improve survival outcomes, while in MDS it helps reduce transfusion needs and improve blood counts.

Lenalidomide exerts its effect by binding to the cereblon component of the CRL4‑E3 ubiquitin ligase complex. This binding changes the complex’s substrate preference, leading to the ubiquitination and subsequent proteasomal degradation of transcription factors Ikaros and Aiolos. The loss of these factors suppresses malignant plasma‑cell growth, enhances immune‑cell activity, and inhibits new blood‑vessel formation within the bone marrow.

The dose of Lenalidomidă Alkaloid-Int is individualized by the prescribing clinician based on the specific indication, disease stage, patient weight, renal function, and concomitant therapies. No universal dosing regimen can be provided here; the treating physician will calculate the appropriate amount and schedule according to current clinical guidelines and the patient’s overall health status.

Lenalidomidă Alkaloid-Int is classified as contraindicated in pregnancy because it can cause fetal harm. Women of childbearing potential should use effective contraception during treatment and for a defined period after the last dose. Breastfeeding is not recommended, as the drug may be excreted in milk and affect the infant. Consultation with a healthcare professional is essential before any decision.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity of Lenalidomidă Alkaloid-Int. GNH India works with hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. After validation, the sales team will provide pricing, availability, shipping details (including any temperature‑controlled requirements) and assist with import documentation.

Lenalidomidă Alkaloid-Int belongs to the immunomodulatory drug class, offering a distinct mechanism compared with proteasome inhibitors or monoclonal antibodies. It is often combined with dexamethasone or other agents to achieve synergistic effects. While proteasome inhibitors target protein degradation pathways, lenalidomide modulates the immune environment and angiogenesis, providing an alternative or complementary option depending on disease characteristics and prior therapy.

Lenalidomidă Alkaloid-Int should be stored at temperatures below 25 °C. Keep the product in its original packaging, protect it from moisture and direct light, and ensure the container is tightly closed when not in use. These conditions help maintain the drug’s stability and potency throughout its shelf life.

Lenalidomidă Alkaloid-Int is administered orally, typically as a tablet or capsule taken with water. The exact dosing schedule—such as daily or on specific days of a treatment cycle—is determined by the prescribing physician based on the patient’s condition, response, and tolerance. Patients should follow the healthcare provider’s instructions and not alter the regimen without medical advice.

The most serious risks include thromboembolic events (deep‑vein thrombosis or pulmonary embolism), severe neutropenia or leukopenia that can lead to life‑threatening infections, and rare but severe skin reactions such as Stevens‑Johnson syndrome or toxic epidermal necrolysis. Prompt medical attention is required if symptoms such as unexplained swelling, fever, severe skin rash, or signs of infection develop.

Lenalidomidă Alkaloid-Int should be avoided in patients with known hypersensitivity to lenalidomide or any of its excipients, in pregnant women, and in individuals with uncontrolled active infections or severe renal impairment without dose adjustment. Additionally, patients taking certain contraindicated medications, such as strong CYP3A4 inducers, should not use this product unless a suitable alternative regimen is selected by the clinician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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