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

Lenalidomide Grindeks

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Grindeks (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Grindeks, is an immunomodulatory imide drug presented as an oral tablet for oral use. It treats multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma in combination therapy.

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

Manufacturer / TM Owner

Grindeks

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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 when used in approved regimens.
  • Myelodysplastic Syndromes with del(5q): induces transfusion independence and cytogenetic remission.
  • Mantle Cell Lymphoma (in combination therapy): enhances response rates when combined with other antineoplastic agents.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4^CRBN E3 ubiquitin ligase complex, altering its substrate specificity. This triggers ubiquitination and proteasomal degradation of transcription factors Ikaros (IKZF1) and Aiolos (IKZF3), producing anti‑angiogenic, immunomodulatory, and anti‑proliferative effects that suppress malignant plasma cells and other hematologic cancer cells.

Side Effects

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

Common Side Effects

  • Neutropenia: reduced neutrophil count increasing infection risk.
  • Thrombocytopenia: low platelet levels causing bleeding tendency.
  • Fatigue: persistent tiredness affecting daily activities.
  • Diarrhea: loose stools that may lead to dehydration.
  • Rash: skin eruptions that are usually mild.

Serious or Rare Side Effects

  • Venous thromboembolism: blood clots in deep veins or lungs.
  • Severe cutaneous reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Secondary primary malignancies: emergence of new cancers.
  • Hepatotoxicity: significant liver enzyme elevations or failure.

Precautions & Warnings

When prescribing Lenalidomide, clinicians should observe several safety precautions.

  • Pregnancy: contraindicated; classified as Category X due to teratogenic risk.
  • Thrombosis risk: assess for clotting disorders and consider prophylactic anticoagulation.
  • Renal impairment: adjust monitoring in patients with reduced kidney function.
  • Hematologic monitoring: perform regular blood counts to detect neutropenia or thrombocytopenia.
  • Drug interactions: avoid concomitant use with strong CYP inducers without supervision.
  • 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 efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may markedly reduce lenalidomide exposure.
  • Anticoagulants (e.g., warfarin) combined with high‑dose lenalidomide: increased bleeding risk.

Moderate Interactions (Monitor Closely)

  • P-glycoprotein inhibitors (e.g., verapamil): may raise plasma levels.
  • Immunosuppressants (e.g., cyclosporine): may enhance hematologic toxicity.
  • Live vaccines: reduced efficacy due to immunomodulation.
  • NSAIDs: may increase risk of renal dysfunction when combined with lenalidomide.

Frequently Asked Questions

Lenalidomide Grindeks is a prescription oral medication indicated for the treatment of multiple myeloma, myelodysplastic syndromes with deletion 5q, and mantle‑cell lymphoma when used in combination with other antineoplastic agents. It belongs to the immunomodulatory imide drug class and works by targeting malignant plasma cells and related hematologic disorders.

Lenalidomide binds to cereblon, a component of the CRL4^CRBN E3 ubiquitin ligase complex, changing its substrate specificity. This triggers ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos, leading to anti‑angiogenic, immunomodulatory, and anti‑proliferative effects that suppress growth of malignant cells in the bone marrow and lymphoid tissue.

The specific dose of Lenalidomide Grindeks is determined by the treating physician based on the patient’s diagnosis, disease stage, renal function, and concomitant therapies. Prescribers follow approved dosing guidelines for each indication and adjust the regimen as needed; patients should follow the written prescription exactly.

Lenalidomide is classified as Pregnancy Category X because it is teratogenic and can cause fetal harm. It must not be used by pregnant women or women who may become pregnant without effective contraception. Breastfeeding is also contraindicated, as the drug can be excreted in milk and may affect the infant.

To order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the sales team provides pricing, availability, shipping details (including any cold‑chain requirements) and assists with import documentation.

Both lenalidomide and thalidomide belong to the IMiD class, but lenalidomide has a more favorable safety profile, with lower rates of peripheral neuropathy and constipation. Lenalidomide also demonstrates stronger anti‑angiogenic and immunomodulatory activity, leading to higher response rates in multiple myeloma and related disorders, while retaining teratogenic risk.

Lenalidomide Grindeks should be stored at ambient temperature, below 25 °C, in its original packaging to protect from moisture and light. Keep the product out of reach of children and do not use it after the expiry date printed on the label.

The medication is taken orally, usually once daily, with or without food, as directed by the prescribing clinician. Tablets should be swallowed whole with a glass of water and not crushed or chewed unless specifically instructed. Adherence to the prescribed schedule is important for therapeutic effectiveness.

The most serious risks include severe neutropenia and thrombocytopenia, which can lead to life‑threatening infections or bleeding; venous thromboembolism such as deep‑vein thrombosis or pulmonary embolism; and rare but severe cutaneous reactions like Stevens‑Johnson syndrome. Patients should be monitored closely for these events and report any concerning symptoms promptly.

Lenalidomide is contraindicated in pregnant women, women of childbearing potential not using effective contraception, and individuals with known hypersensitivity to lenalidomide or any component of the formulation. Caution is also advised for patients with severe renal impairment, uncontrolled infections, or active thrombotic disorders, where the drug may be unsuitable.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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