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

Lenalidomide Eg

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Eg (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Eg, is an immunomodulatory agent presented as a tablet for oral use. Approved in the European Union, it is indicated for the treatment of multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma in adult patients.

GNH India supplies Lenalidomide Eg as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide, adhering to EU quality standards and providing reliable global distribution. The company maintains stringent temperature‑controlled storage and shipment practices to preserve product integrity.

Manufacturer / TM Owner

Eurogenerics N.V./S.A.

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Indications & Clinical Uses

  • Lenalidomide is used in oncology to target malignant plasma cells and related hematologic malignancies.
  • Multiple Myeloma: improves progression‑free survival and overall response when combined with standard regimens.
  • Myelodysplastic Syndromes with del(5q): reduces transfusion dependence and can achieve cytogenetic remission.
  • Mantle Cell Lymphoma: employed in relapsed or refractory disease to obtain disease control.

How It Works

  • Lenalidomide binds to the cereblon subunit of the CRL4 E3 ubiquitin ligase complex, altering substrate specificity. This modulation leads to degradation of transcription factors Ikaros and Aiolos, resulting in anti‑angiogenic activity, enhanced immune cell activation, and direct anti‑tumor effects on malignant plasma cells and related hematologic cancers.

Side Effects

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

Common Side Effects

  • Fatigue or weakness
  • Diarrhea or constipation
  • Nausea and vomiting
  • Rash or pruritus
  • Low blood counts (neutropenia, anemia, thrombocytopenia)

Serious or Rare Side Effects

  • Deep vein thrombosis or pulmonary embolism
  • Severe neutropenia leading to infection
  • Secondary primary malignancies
  • Hepatotoxicity
  • Severe skin reactions such as Stevens‑Johnson syndrome

Precautions & Warnings

  • Before initiating therapy, clinicians should evaluate patient risk factors and monitor for specific safety concerns.
  • Pregnancy: contraindicated (Category X); teratogenic risk requires effective contraception.
  • Thrombosis risk: assess for clotting history; consider prophylactic anticoagulation.
  • Hematologic monitoring: perform regular CBC to detect neutropenia, anemia, or thrombocytopenia.
  • Renal impairment: evaluate kidney function; dose adjustment may be necessary.
  • Store at ambient temperature: keep below 25 °C, protect from moisture and light in the original container.

Avoid Interactions

Lenalidomide can interact with other medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole) – may increase exposure.
  • Anticoagulants (e.g., warfarin) – heightened bleeding risk.
  • Live vaccines – risk of uncontrolled infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin) – may reduce drug levels.
  • Other myelosuppressive agents – additive bone‑marrow toxicity.
  • NSAIDs – potential for increased renal toxicity, especially in compromised patients.

Frequently Asked Questions

Lenalidomide Eg is prescribed for adult patients with multiple myeloma, myelodysplastic syndromes that carry the del(5q) chromosomal abnormality, and mantle cell lymphoma, particularly in relapsed or refractory settings where disease control is needed.

The drug binds to cereblon, a component of the CRL4 E3 ubiquitin ligase complex, changing its substrate profile. This leads to degradation of specific transcription factors, producing anti‑angiogenic effects, enhancing immune cell activity, and directly inhibiting the growth of malignant plasma cells.

The prescribed dose is individualized by the treating physician based on the specific indication, the patient’s renal function, prior therapies, and overall clinical status. No fixed dosing regimen can be provided without a medical assessment.

Lenalidomide is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal harm. It is also not recommended for breastfeeding mothers because it may be excreted in breast milk and affect the infant.

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, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any temperature‑controlled requirements), and necessary import documentation.

Lenalidomide shares the same class as thalidomide but has a more favorable safety profile, especially regarding peripheral neuropathy. It also exhibits stronger anti‑angiogenic and immunomodulatory activity, allowing lower dosing and improved efficacy in the approved hematologic malignancies.

Store the tablets at ambient temperature, preferably below 25 °C (77 °F). Keep them in the original blister pack, protect from moisture and direct light, and ensure the container is tightly closed to maintain product stability.

Lenalidomide Eg is taken orally as a tablet, usually with water. The tablet should be swallowed whole and not crushed or chewed unless otherwise directed by a healthcare professional.

The most critical safety concerns include the risk of deep‑vein thrombosis or pulmonary embolism, severe neutropenia that can predispose to infection, and the potential development of secondary primary malignancies. Patients should be monitored closely for signs of clotting, infection, and any new cancer diagnoses.

Lenalidomide is contraindicated in pregnant women, individuals who cannot use effective contraception, patients with known hypersensitivity to the drug, and those with uncontrolled severe infections. Caution is also advised for patients with significant renal impairment or a history of thromboembolic events.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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