Product image of Lenalidomide Sandoz 2.5 Mg Hard Capsules (Lenalidomide) supplied by GNH India

Lenalidomide Sandoz 2.5 Mg Hard Capsules

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Sandoz 2.5 Mg Hard Capsules (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Sandoz 2.5 Mg Hard Capsules, is an immunomodulatory drug (IMiD) presented as a 2.5 mg hard capsule for oral use. It is indicated for the treatment of multiple myeloma and myelodysplastic syndromes in adult patients and is classified under ATC code L01XAB.

GNH India supplies Lenalidomide Sandoz 2.5 Mg Hard Capsules as a licensed, GDP‑compliant international pharmaceutical supplier serving oncology centres, hospitals, pharmacies and transplant centres worldwide. The company adheres to stringent quality standards and provides reliable global logistics.

Manufacturer / TM Owner

Sandoz Ltd

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Indications & Clinical Uses

Lenalidomide is an immunomodulatory agent used in specific hematologic malignancies.

  • Multiple Myeloma: improves progression‑free and overall survival in patients with relapsed or refractory disease.
  • Myelodysplastic Syndromes (del(5q) cytogenetic abnormality): reduces transfusion dependence and can lead to cytogenetic remission.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑E3 ubiquitin ligase complex, triggering ubiquitination and proteasomal degradation of the transcription factors Ikaros and Aiolos. This results in modulation of the immune micro‑environment, inhibition of angiogenesis, and direct anti‑proliferative effects on malignant plasma cells.

Side Effects

Lenalidomide may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Neutropenia
  • Fatigue
  • Nausea
  • Diarrhea

Serious or Rare Side Effects

  • Venous thromboembolism
  • Severe cutaneous reactions (e.g., Stevens‑Johnson syndrome)
  • Secondary primary malignancies

Precautions & Warnings

When prescribing Lenalidomide, clinicians should observe several safety considerations.

  • Blood count monitoring: perform complete blood counts regularly to detect cytopenias.
  • Thrombotic risk assessment: evaluate patient history and consider prophylactic anticoagulation.
  • Renal and hepatic function: adjust therapy based on renal/hepatic impairment.
  • Pregnancy avoidance: the drug is contraindicated in pregnancy; ensure effective contraception.
  • Contraception requirement: both male and female patients of reproductive potential must use reliable contraception during treatment and for a defined period after discontinuation.
  • Store at below 25°C: keep in the original container, protect from moisture and light.

Avoid Interactions

Lenalidomide has several clinically relevant drug interactions that require attention.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin): may markedly lower lenalidomide exposure.
  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Immunosuppressants (e.g., cyclosporine): may enhance toxicity.

Moderate Interactions (Monitor Closely)

  • P‑glycoprotein inhibitors (e.g., verapamil): can raise plasma concentrations.
  • CYP3A4 inhibitors (e.g., ketoconazole): may increase drug exposure.

Frequently Asked Questions

Lenalidomide Sandoz 2.5 Mg Hard Capsules contain the immunomodulatory agent lenalidomide and are prescribed for adult patients with multiple myeloma or myelodysplastic syndromes that carry a del(5q) cytogenetic abnormality. The drug works as part of a disease‑modifying regimen to improve survival outcomes and reduce transfusion requirements in these hematologic cancers.

Lenalidomide binds to the cereblon component of the CRL4‑E3 ubiquitin ligase complex, leading to targeted degradation of the transcription factors Ikaros and Aiolos. This action modifies the immune micro‑environment, suppresses angiogenesis, and directly inhibits the proliferation of malignant plasma cells, thereby exerting its antineoplastic effect.

The specific dose of lenalidomide is individualized by the treating physician based on the patient’s diagnosis, disease stage, renal function, and prior therapies. Prescribers select the appropriate strength and schedule, which may be adjusted over the course of treatment according to clinical response and laboratory monitoring.

Lenalidomide is classified as contraindicated in pregnancy because of the potential for fetal harm, and its safety during breastfeeding has not been established. Women of childbearing potential must use effective contraception before, during, and after therapy, and the drug should not be used by nursing mothers.

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 cold‑chain requirements) and assistance with import documentation.

Lenalidomide is a second‑generation immunomodulatory drug that generally offers a more favorable safety profile than thalidomide, with lower rates of peripheral neuropathy and constipation. Compared with pomalidomide, lenalidomide is often used earlier in therapy and at lower potency, while pomalidomide may be reserved for patients who have progressed after lenalidomide‑based regimens.

Store the capsules at temperatures below 25 °C in their original blister pack, protecting them from moisture, heat and direct sunlight. Keep the product out of reach of children and do not use if the packaging is damaged or the capsules appear discoloured.

Lenalidomide is taken orally as a hard capsule, usually with or without food as directed by the prescriber. The capsule should be swallowed whole with a glass of water and not crushed, chewed, or opened, to ensure consistent absorption.

The most serious adverse events include venous thromboembolism, severe cutaneous reactions such as Stevens‑Johnson syndrome, and the development of secondary primary malignancies. Patients should be monitored closely for signs of blood clots, skin rash, or unexplained symptoms and report them promptly to their healthcare provider.

Lenalidomide should not be used by individuals who are pregnant, have uncontrolled infections, or have a known hypersensitivity to lenalidomide or any component of the formulation. Caution is also advised in patients with severe renal impairment, uncontrolled cardiovascular disease, or a history of thromboembolic events.

Reviewed by

Dr. Shweta Ashok More

M.Pharm (Quality Assurance), Ph.D. (Medicinal Chemistry)

Content approved 25 Aug 2026

Last updated:

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