Product image of Lenalidomide Sandoz 20 Mg Hard Capsules (Lenalidomide) supplied by GNH India

Lenalidomide Sandoz 20 Mg Hard Capsules

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Sandoz 20 Mg Hard Capsules (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Sandoz 20 Mg Hard Capsules, is an immunomodulatory drug (IMiD) presented as a 20 mg hard capsule for oral use. It treats multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma in adult patients.

GNH India supplies Lenalidomide Sandoz 20 Mg Hard Capsules as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide.

Manufacturer / TM Owner

Sandoz Ltd

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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 combined with dexamethasone or other agents.
  • Myelodysplastic syndromes with del(5q): reduces transfusion dependence and can induce cytogenetic remission.
  • Mantle cell lymphoma: contributes to disease control as part of combination therapy in relapsed or refractory cases.

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 leads to modulation of the immune micro‑environment, inhibition of angiogenesis, and direct antiproliferative effects on malignant plasma cells and other tumor 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.
  • Diarrhea: loose stools of mild to moderate severity.
  • Rash: skin eruptions ranging from mild erythema to pruritic lesions.
  • Nausea: occasional upset stomach or vomiting.

Serious or Rare Side Effects

  • Thromboembolic events: deep vein thrombosis or pulmonary embolism.
  • Severe neutropenia: marked reduction in neutrophil count increasing infection risk.
  • Secondary primary malignancies: emergence of new cancers unrelated to the original disease.

Precautions & Warnings

Before initiating therapy, several safety considerations should be reviewed.

  • Pregnancy risk: contraindicated in pregnancy (Category X); ensure effective contraception.
  • Thromboembolic prophylaxis: assess need for anticoagulation in patients with additional risk factors.
  • Renal impairment: monitor renal function closely and consider dose modification in severe dysfunction.
  • Hepatic impairment: regular liver‑function testing is advised.
  • Infection monitoring: watch for signs of infection due to neutropenia.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging, protect from moisture.

Avoid Interactions

Lenalidomide can interact with several drug classes, requiring attention to avoid reduced efficacy or increased toxicity.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may lower lenalidomide exposure.
  • Anticoagulants (e.g., warfarin): concurrent use can increase thrombotic risk and requires careful monitoring.

Moderate Interactions (Monitor Closely)

  • P‑glycoprotein inhibitors (e.g., verapamil): may raise plasma concentrations.
  • Immunosuppressants (e.g., cyclosporine): may enhance immunomodulatory effects.
  • Live vaccines: should be avoided because lenalidomide alters immune response.

Frequently Asked Questions

Lenalidomide Sandoz 20 mg Hard Capsules are indicated for the treatment of adult patients with multiple myeloma, myelodysplastic syndromes that have a del(5q) chromosomal abnormality, and mantle cell lymphoma, typically as part of combination therapy prescribed by a qualified oncologist.

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

The specific dose of lenalidomide is determined by the prescribing clinician based on the patient’s diagnosis, disease stage, renal function, and concomitant therapies. Dosing regimens can differ between multiple myeloma, myelodysplastic syndromes, and mantle cell lymphoma, and should always follow the prescriber’s instructions.

Lenalidomide is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal harm. Women of childbearing potential must use effective contraception, and breastfeeding is not recommended because the drug may be excreted in milk and affect the infant.

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, and will request verification of trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

Lenalidomide is a second‑generation immunomodulatory drug, offering greater potency and a more favorable safety profile than thalidomide, while being less myelosuppressive than pomalidomide. It retains the core mechanism of cereblon binding but provides improved efficacy in certain hematologic malignancies, making it a preferred option in many treatment protocols.

Store the capsules at ambient temperature, preferably below 25 °C, in their original blister pack or container to protect them from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged or the capsules appear discolored.

Lenalidomide is taken orally, usually once daily, with or without food, and the capsule should be swallowed whole with a glass of water. Patients should follow the dosing schedule prescribed by their healthcare provider and avoid crushing or opening the capsule.

The most serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, severe neutropenia that can predispose to infections, secondary primary malignancies, and teratogenic effects that can cause fetal harm. Prompt medical attention is required if any of these events are suspected.

Lenalidomide should not be used by pregnant women or women who could become pregnant without reliable contraception, individuals with known hypersensitivity to lenalidomide or any component of the formulation, and patients with severe renal impairment who have not had appropriate dose adjustments. Clinicians must evaluate each patient’s suitability before initiating therapy.

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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