Product image of Lenalidomide Arrow (Lenalidomide) supplied by GNH India

Lenalidomide Arrow

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Arrow (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Arrow, is an immunomodulatory imide drug (IMiD) presented as an oral tablet for oral use. It is indicated for the treatment of multiple myeloma, myelodysplastic syndromes, and mantle cell lymphoma in adult patients.

GNH India supplies Lenalidomide Arrow as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide, adhering to EU quality standards and ensuring batch traceability for each shipment.

Manufacturer / TM Owner

Eugia Pharma (Malta) Ltd

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Indications & Clinical Uses

Lenalidomide is an immunomodulatory agent used in hematologic malignancies and related disorders.

  • Multiple Myeloma: improves progression‑free survival and overall response rates in adult patients.
  • Myelodysplastic Syndromes with del(5q): reduces transfusion dependence and induces cytogenetic remission.
  • Mantle Cell Lymphoma: contributes to disease control when combined with other therapies in adult patients.

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 and Aiolos. This leads to their proteasomal degradation, resulting in anti‑myeloma activity through modulation of the immune response, inhibition of angiogenesis, and direct tumor‑cell apoptosis.

Side Effects

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

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Diarrhea: loose stools that may require fluid replacement.
  • Nausea: feeling of sickness often occurring after dosing.
  • Rash: mild skin eruptions or itching.

Serious or Rare Side Effects

  • Thromboembolic events: deep vein thrombosis or pulmonary embolism.
  • Neutropenia: markedly reduced neutrophil count increasing infection risk.
  • Secondary primary malignancies: emergence of new cancers.
  • Severe cutaneous reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.

Precautions & Warnings

Before prescribing Lenalidomide, clinicians should consider several safety precautions.

  • Pregnancy risk: contraindicated in pregnancy due to teratogenicity; ensure effective contraception.
  • Thrombosis prophylaxis: assess need for anticoagulation in patients with additional risk factors.
  • Renal function: adjust monitoring in patients with impaired kidney function.
  • Hematologic monitoring: perform regular complete blood counts to detect cytopenias.
  • Drug interactions: review concomitant medications for potential interactions.
  • Store at ambient temperature: keep below 25 °C in the original container, protect from moisture and light.

Avoid Interactions

Lenalidomide can interact with other medicines, influencing its efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin): may reduce lenalidomide exposure.
  • Anticoagulants (e.g., warfarin): increased risk of bleeding when combined with lenalidomide‑induced thrombocytopenia.
  • Immunosuppressants (e.g., cyclosporine): may enhance hematologic toxicity.

Moderate Interactions (Monitor Closely)

  • P-glycoprotein inhibitors (e.g., verapamil): may increase plasma levels modestly.
  • Vaccines: live attenuated vaccines should be avoided during treatment.
  • Hormonal contraceptives: effectiveness may be reduced; consider additional barrier methods.

Frequently Asked Questions

Lenalidomide Arrow is prescribed for adult patients with multiple myeloma, myelodysplastic syndromes that carry a del(5q) chromosomal abnormality, and mantle cell lymphoma. In each indication the drug is used to control disease progression, improve response rates, and reduce the need for blood transfusions where applicable.

Lenalidomide binds to cereblon, a component of the CRL4 E3 ubiquitin ligase complex, altering its substrate specificity. This triggers ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos, leading to immune modulation, inhibition of angiogenesis, and direct anti‑tumor effects in malignant plasma cells.

The dose of Lenalidomide Arrow is individualized by the prescribing clinician based on the specific indication, disease stage, renal function, and patient tolerance. No universal dosing schedule is provided here; the prescriber will calculate the appropriate regimen according to current clinical guidelines and patient characteristics.

Lenalidomide is classified as Pregnancy Category X because it is teratogenic and can cause fetal harm. It is contraindicated in pregnant women and should not be used by women who are or may become pregnant without effective contraception. Breastfeeding is also not recommended while receiving lenalidomide.

To place an order, submit an enquiry on the Lenalidomide Arrow 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 necessary import documentation.

Both lenalidomide and thalidomide belong to the immunomodulatory imide drug (IMiD) class, but lenalidomide is generally more potent, has a more favorable safety profile, and exhibits less peripheral neuropathy. Clinical trials have shown higher response rates in multiple myeloma for lenalidomide, while thalidomide remains an option when lenalidomide is not suitable.

Lenalidomide Arrow should be stored at ambient temperature, ideally below 25 °C (77 °F). Keep the product in its original packaging, protect it from moisture and direct light, and avoid storing it in areas with high humidity or temperature fluctuations to maintain potency.

Lenalidomide Arrow is taken orally, usually as a whole tablet swallowed with water. It can be taken with or without food, but patients should follow the specific instructions provided by their healthcare professional regarding timing and any dietary considerations.

The most serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, severe neutropenia that can predispose to infections, secondary primary malignancies, and teratogenic effects that can cause birth defects. Patients should be monitored closely for signs of these complications.

Lenalidomide Arrow should not be used by pregnant women, individuals with known hypersensitivity to lenalidomide or any component of the formulation, patients with uncontrolled infections, or those for whom the risk–benefit assessment is unfavorable. Clinicians must also consider contraindications related to severe renal impairment or concurrent use of certain interacting drugs.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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