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

Lenalidomide Ratiopharm

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Ratiopharm (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Ratiopharm, is an immunomodulatory agent presented as a tablet for oral use. It treats certain blood cancers, including multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma in adult patients, and is classified as an antineoplastic (hematologic oncology) drug available only by prescription.

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

Manufacturer / TM Owner

Teva B.V

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Indications & Clinical Uses

Lenalidomide is used in hematologic oncology to target malignant plasma cells and dysplastic marrow clones.

  • Multiple Myeloma: reduces disease progression and improves survival in adult patients.
  • Myelodysplastic Syndromes with del(5q): induces transfusion independence and cytogenetic response.
  • Mantle Cell Lymphoma: contributes to disease control in relapsed or refractory cases.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4CRBN E3 ubiquitin ligase complex, altering substrate specificity and promoting degradation of transcription factors Ikaros and Aiolos. This leads to anti‑angiogenic, immunomodulatory, and anti‑proliferative effects that inhibit growth of malignant hematologic cells.

Side Effects

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

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Diarrhea: loose stools that may lead to dehydration.
  • Rash: skin redness or itching.
  • Nausea: upset stomach and possible vomiting.

Serious or Rare Side Effects

  • Thromboembolic events: deep vein thrombosis or pulmonary embolism.
  • Severe neutropenia: markedly reduced neutrophil count increasing infection risk.
  • Secondary primary malignancies: emergence of new cancers during treatment.

Precautions & Warnings

Before prescribing Lenalidomide, clinicians should consider several safety precautions.

  • Pregnancy risk: contraindicated in pregnancy (Category X); ensure effective contraception.
  • Thrombosis risk: assess for history of clotting disorders and consider prophylaxis.
  • Hematologic monitoring: perform regular blood counts to detect neutropenia or anemia.
  • Renal impairment: adjust use in patients with severe kidney dysfunction.
  • Drug interactions: review concomitant medications for major interaction potential.
  • Store at ambient temperature: keep below 25°C in original packaging, protect from moisture.

Avoid Interactions

Lenalidomide can interact with other medicines, affecting 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.
  • Immunosuppressants (e.g., cyclosporine): heightened toxicity risk.

Moderate Interactions (Monitor Closely)

  • P-glycoprotein inhibitors (e.g., quinidine): may increase plasma levels.
  • NSAIDs: potential for additive renal toxicity.
  • Live attenuated vaccines: reduced vaccine efficacy, consider timing.

Frequently Asked Questions

Lenalidomide Ratiopharm is prescribed for adult patients with certain hematologic cancers. It is indicated for treating multiple myeloma, myelodysplastic syndromes that carry the del(5q) cytogenetic abnormality, and mantle cell lymphoma, particularly in relapsed or refractory disease settings.

Lenalidomide binds to cereblon, a component of the CRL4CRBN E3 ubiquitin ligase complex, altering its activity. This triggers degradation of transcription factors Ikaros and Aiolos, which suppresses angiogenesis, modulates immune responses, and inhibits proliferation of malignant hematologic cells.

The specific dose and schedule of Lenalidomide Ratiopharm are determined by the treating physician based on the patient’s diagnosis, disease stage, renal function, and other clinical factors. Prescribers follow approved labeling and clinical guidelines to individualize therapy.

Lenalidomide is classified as Pregnancy Category X, meaning it is contraindicated during pregnancy because of a high risk of fetal harm. Women of childbearing potential must use effective contraception. The drug is also not recommended while breastfeeding, as it may pass into milk and affect the infant.

To request Lenalidomide Ratiopharm, 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 ask for trade or institutional credentials before providing pricing, availability, shipping details and any necessary import documentation.

Lenalidomide belongs to the immunomodulatory drug (IMiD) class, sharing a similar mechanism with thalidomide and pomalidomide. Compared with thalidomide, lenalidomide generally offers a more favorable safety profile, especially regarding peripheral neuropathy, while providing comparable efficacy. Pomalidomide is a newer IMiD used after lenalidomide failure, offering activity in some resistant cases.

Store Lenalidomide Ratiopharm tablets at ambient temperature, below 25 °C, in the original container to protect from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged.

Lenalidomide Ratiopharm is taken orally as a tablet, usually once daily. It may be taken with or without food, but patients should follow the prescribing physician’s instructions regarding timing and any required dose adjustments.

The most serious adverse events include thromboembolic complications such as deep‑vein thrombosis or pulmonary embolism, severe neutropenia that can predispose to infections, and the potential development of secondary primary malignancies. Patients should be monitored closely for these events throughout therapy.

Lenalidomide should not be used by pregnant women, individuals with known hypersensitivity to lenalidomide or any component of the formulation, and patients with uncontrolled severe infections. Caution is also advised for those with significant renal impairment or a history of thrombotic events.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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