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 agent presented as an oral tablet for systemic use. It is indicated for the treatment of multiple myeloma and myelodysplastic syndromes 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. The product meets EU quality standards and is distributed under strict regulatory compliance.

Manufacturer / TM Owner

G.L. Pharma Gmbh

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Indications & Clinical Uses

Lenalidomide is employed in hematologic malignancies and related bone‑marrow disorders, targeting disease pathways that drive cancer cell growth.

  • Multiple Myeloma: improves progression‑free and overall survival in adult patients.
  • Myelodysplastic Syndromes (del(5q)): reduces transfusion dependence and may achieve cytogenetic remission.
  • Mantle Cell Lymphoma (in combination therapy): enhances response rates when added to standard regimens.

How It Works

  • Lenalidomide modulates the immune system by enhancing T‑cell and natural killer cell activity, inhibits angiogenesis, and directly induces apoptosis of malignant plasma cells. It binds to cereblon, a component of the E3 ubiquitin ligase complex, leading to degradation of transcription factors essential for tumor cell survival and proliferation.

Side Effects

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

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Nausea: mild to moderate upset stomach.
  • Diarrhea: loose stools that may require hydration.
  • Constipation: reduced bowel movements.
  • Rash: skin irritation or erythema.
  • Peripheral neuropathy: tingling or numbness in extremities.

Serious or Rare Side Effects

  • Thromboembolic events: deep‑vein thrombosis or pulmonary embolism.
  • Severe neutropenia or anemia: marked reduction in blood cell counts.
  • Infections: opportunistic or serious bacterial infections.
  • Second primary malignancies: emergence of new cancers.
  • Hepatotoxicity: elevated liver enzymes or liver injury.

Precautions & Warnings

Before initiating therapy, clinicians should assess patient risk factors and monitor laboratory parameters regularly.

  • Pregnancy: contraindicated; avoid use in pregnant women and ensure effective contraception.
  • Thrombosis risk: evaluate history and consider prophylactic anticoagulation when indicated.
  • Hematologic monitoring: perform frequent CBCs to detect neutropenia, anemia, or thrombocytopenia.
  • Renal impairment: adjust dose or increase monitoring in patients with reduced kidney function.
  • Drug interactions: review concomitant medications for potential CYP3A4 or P‑gp interactions.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Lenalidomide can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may markedly lower lenalidomide exposure.
  • Anticoagulants (e.g., warfarin): increased risk of bleeding complications.
  • Live vaccines: heightened risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase plasma concentrations.
  • P‑glycoprotein inhibitors (e.g., verapamil, amiodarone): can raise drug levels.
  • Other immunomodulatory agents (e.g., thalidomide, pomalidomide): additive myelosuppression risk.

Frequently Asked Questions

Lenalidomide G.L. is an oral immunomodulatory medication indicated for the treatment of adult patients with multiple myeloma and myelodysplastic syndromes that have a deletion of chromosome 5q. It may also be used in combination regimens for certain other hematologic cancers, such as mantle cell lymphoma, under specialist supervision.

Lenalidomide binds to the cereblon component of the E3 ubiquitin ligase complex, leading to targeted degradation of transcription factors essential for malignant cell survival. This action enhances immune‑mediated tumor cell killing, inhibits new blood‑vessel formation, and directly triggers apoptosis of cancerous plasma cells.

The dosage of Lenalidomide is individualized and determined by the prescribing physician based on the specific indication, disease stage, renal function, and patient tolerance. Patients should follow the exact dosing schedule provided by their healthcare professional and not adjust the dose on their own.

Lenalidomide is contraindicated during pregnancy because it can cause fetal harm. 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 Lenalidomide G.L. 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 drug class, but Lenalidomide is generally more potent, has a more favorable safety profile, and is associated with lower rates of peripheral neuropathy. Lenalidomide also offers stronger anti‑angiogenic activity and is approved for a broader range of hematologic indications.

Lenalidomide tablets should be stored at temperatures below 25 °C (77 °F) in their original container, protected from moisture and direct sunlight. Keep the product out of reach of children and avoid exposing it to excessive heat or humidity, which could affect its stability.

Lenalidomide is taken orally, usually with or without food, as directed by the prescribing clinician. The tablets should be swallowed whole with a full glass of water and not crushed, chewed, or split unless specifically instructed by a healthcare professional.

Serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, severe neutropenia or anemia that can predispose to infection, opportunistic infections, second primary malignancies, and significant liver toxicity. Patients should be monitored closely for signs of these complications and report any concerning symptoms promptly.

Lenalidomide should not be used by pregnant women, individuals with known hypersensitivity to the drug, or patients with uncontrolled active infections. Caution is also advised for those with severe renal impairment, uncontrolled cardiovascular disease, 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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