Product image of Lenalidomide G.L. (Lenalidomide) supplied by GNH India

Lenalidomide G.L.

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide G.L. (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide G.L., is an immunomodulatory drug presented as an oral tablet for oral use. It treats multiple myeloma, myelodysplastic syndromes and mantle cell lymphoma in adult patients.

GNH India supplies Lenalidomide G.L. as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

G.L. Pharma Gmbh

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Indications & Clinical Uses

Lenalidomide is used in hematologic malignancies that involve abnormal plasma or lymphoid cells.

  • Multiple Myeloma: improves progression‑free survival and overall response rates in adult patients.
  • Myelodysplastic Syndromes: reduces transfusion dependence and delays progression to acute leukemia.
  • Mantle Cell Lymphoma: contributes to disease control in relapsed or refractory settings.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4 E3 ubiquitin ligase complex, promoting ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos. This leads to modulation of cytokine production, inhibition of angiogenesis, and direct anti‑myeloma activity through apoptosis and cell‑cycle arrest in malignant plasma cells.

Side Effects

Lenalidomide may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Fatigue: persistent tiredness reported by many patients.
  • Neutropenia: reduced neutrophil counts increasing infection risk.
  • Diarrhea: loose stools that may affect hydration.
  • Nausea: feeling of sickness often occurring after dosing.

Serious or Rare Side Effects

  • Venous thromboembolism: blood clots in deep veins or lungs.
  • Severe neutropenia: markedly low neutrophil levels requiring medical intervention.
  • Secondary primary malignancies: emergence of new cancers unrelated to the original disease.
  • Hepatic injury: significant liver enzyme elevations or failure.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate several safety considerations.

  • Monitor blood counts: perform regular CBCs to detect cytopenias.
  • Assess thromboembolic risk: consider prophylactic anticoagulation in high‑risk patients.
  • Avoid in pregnancy: teratogenic; ensure effective contraception.
  • Adjust for renal impairment: dose modifications may be needed based on creatinine clearance.
  • Contraception required: both male and female patients must use reliable methods.
  • Store at room temperature: keep in the original pack, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin): may reduce lenalidomide exposure.
  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Live vaccines: heightened infection risk due to immunomodulation.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole): may raise lenalidomide levels.
  • NSAIDs: additive risk of thrombocytopenia.
  • Digoxin: possible alteration of serum concentrations.

Frequently Asked Questions

Lenalidomide G.L. is indicated for the treatment of adult patients with multiple myeloma, myelodysplastic syndromes that have a deletion 5q chromosome abnormality, and mantle cell lymphoma, typically in relapsed or refractory disease settings.

Lenalidomide binds to cereblon, a component of the CRL4 E3 ubiquitin ligase complex, leading to degradation of transcription factors Ikaros and Aiolos. This results in immunomodulation, anti‑angiogenic activity, and direct anti‑myeloma effects through apoptosis and cell‑cycle arrest.

The prescribed dose of Lenalidomide G.L. is determined by the treating physician based on the specific indication, disease stage, renal function, and individual patient factors. Patients should follow the dosing instructions provided by their healthcare professional.

Lenalidomide is classified as pregnancy category X because it is teratogenic and can cause fetal harm. It is contraindicated in pregnancy, and effective contraception is required for both male and female patients. Use during breastfeeding is not recommended.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

The primary alternative to lenalidomide is thalidomide, another immunomodulatory agent. Lenalidomide generally offers a more favorable safety profile, with lower rates of peripheral neuropathy, while maintaining comparable anti‑myeloma efficacy. Choice of therapy depends on individual patient characteristics and physician judgment.

Lenalidomide G.L. should be stored at room temperature, below 25 °C, in its original packaging to protect from moisture and light. Keep the product out of reach of children and avoid storing in humid environments such as bathrooms.

Lenalidomide G.L. is taken orally, usually once daily on a schedule prescribed by the clinician. The tablets should be swallowed whole with water and taken at the same time each day, unless otherwise directed by a healthcare provider.

Serious risks include venous thromboembolism, severe neutropenia or thrombocytopenia, secondary primary malignancies, and significant hepatic injury. Patients should be monitored closely for signs of infection, clotting events, and liver dysfunction throughout therapy.

Lenalidomide G.L. is contraindicated in pregnant women, patients with known hypersensitivity to lenalidomide or its excipients, and individuals who cannot adhere to required contraception measures. Caution is also advised for patients with severe renal impairment or uncontrolled infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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