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

Lenalidomide Alkaloid-Int

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Alkaloid-Int (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Alkaloid-Int, is an immunomodulatory drug presented as an oral formulation for oral use. It is indicated for the treatment of multiple myeloma and certain myelodysplastic syndromes in adult patients. The medication works by modulating the immune system and inhibiting tumor growth pathways, offering a targeted therapeutic option in hematologic oncology.

GNH India supplies Lenalidomide Alkaloid-Int as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, clinics and pharmacies worldwide. The company adheres to stringent quality standards and provides regulatory support for cross‑border distribution.

Manufacturer / TM Owner

Alkaloid-Int D.O.O.

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Indications & Clinical Uses

Lenalidomide is used in hematologic malignancies and related bone‑marrow disorders.

  • Multiple Myeloma: improves progression‑free and overall survival in newly diagnosed and relapsed patients.
  • Relapsed/Refractory Multiple Myeloma: provides disease control when prior therapies have failed.
  • Myelodysplastic Syndromes with del(5q): reduces transfusion dependence and improves blood counts.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑E3 ubiquitin ligase complex, altering substrate specificity and promoting the ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos. This leads to reduced cytokine production, inhibition of angiogenesis, enhanced natural killer cell activity, and direct anti‑tumor effects in malignant plasma cells and myelodysplastic clones.

Side Effects

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

Common Side Effects

  • Neutropenia: decreased neutrophil count increasing infection risk.
  • Fatigue: persistent tiredness affecting daily activities.
  • Diarrhea: loose stools that may require supportive care.
  • Rash: mild skin eruptions that are usually self‑limited.

Serious or Rare Side Effects

  • Venous thromboembolism: deep vein thrombosis or pulmonary embolism requiring immediate treatment.
  • Severe neutropenia or thrombocytopenia: markedly low blood counts that can lead to bleeding or infection.
  • Hepatotoxicity: elevated liver enzymes or liver injury.
  • Secondary primary malignancies: emergence of new cancers during therapy.

Precautions & Warnings

Lenalidomide requires careful risk management and monitoring.

  • Pregnancy: contraindicated; teratogenic risk (Category X).
  • Thrombosis risk: assess and consider prophylaxis, especially in patients with additional risk factors.
  • Hematologic monitoring: regular CBC to detect neutropenia or thrombocytopenia.
  • Renal impairment: adjust dose in patients with reduced clearance.
  • Drug interactions: avoid concomitant use with strong CYP3A4 inhibitors.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Lenalidomide can interact with several drug classes, influencing efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase lenalidomide exposure.
  • Anticoagulants (e.g., warfarin): heightened risk of bleeding.
  • Immunosuppressants (e.g., cyclosporine): may amplify immunomodulatory effects.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin): may reduce drug levels.
  • NSAIDs: can increase risk of thrombosis when combined.
  • Live vaccines: reduced efficacy and potential safety concerns.

Frequently Asked Questions

Lenalidomide Alkaloid-Int is indicated for the treatment of multiple myeloma, including newly diagnosed and relapsed/refractory disease, as well as for myelodysplastic syndromes that carry a deletion of chromosome 5q. In these settings, the drug helps control tumor growth, improve blood counts, and extend survival when used as part of an approved therapeutic regimen.

Lenalidomide binds to the cereblon subunit of the CRL4‑E3 ubiquitin ligase complex, altering its activity so that specific transcription factors such as Ikaros and Aiolos are marked for degradation. This results in reduced production of pro‑inflammatory cytokines, inhibition of new blood‑vessel formation, enhanced natural killer cell function, and direct anti‑tumor activity against malignant plasma cells.

The prescribed dose of Lenalidomide Alkaloid-Int is determined by the treating physician based on the specific indication, disease stage, renal function, and patient tolerance. Dosing regimens may differ between multiple myeloma and myelodysplastic syndrome protocols, and adjustments are made according to laboratory monitoring and clinical response.

Lenalidomide is classified as Pregnancy Category X because it is known to cause fetal harm and is contraindicated in pregnancy. Women of childbearing potential must use effective contraception before, during, and after treatment. The safety of lenalidomide during breastfeeding has not been established, and nursing is generally not recommended while on therapy.

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, confirming trade or institutional credentials before providing a formal quotation, availability details, shipping terms, and any necessary import documentation.

Lenalidomide belongs to the immunomodulatory drug (IMiD) class, offering a distinct mechanism from proteasome inhibitors and monoclonal antibodies. Compared with older agents like thalidomide, lenalidomide generally has a more favorable side‑effect profile, especially regarding neuropathy, while providing comparable or superior efficacy when combined with dexamethasone or other backbone therapies.

Lenalidomide Alkaloid-Int should be stored at room temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product away from excessive heat and humidity, and ensure the container is tightly closed when not in use.

The medication is taken orally, usually as a tablet, with or without food as directed by the prescribing clinician. Patients should follow the specific schedule provided, which may involve daily dosing for a set number of days followed by a rest period, depending on the treatment protocol.

The most serious risks include severe neutropenia or thrombocytopenia that can lead to infection or bleeding, venous thromboembolism such as deep‑vein thrombosis or pulmonary embolism, hepatotoxicity, and the potential for secondary primary malignancies. Patients should be monitored closely for these events, and any signs of serious adverse reactions require immediate medical attention.

Lenalidomide is contraindicated in pregnant women, individuals with known hypersensitivity to the drug or its components, and patients who cannot adhere to the required risk‑management program. Caution is also advised for those with severe renal impairment, uncontrolled infections, or a history of thromboembolic events unless appropriate prophylaxis is in place.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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