Product image of Lenalidomide Sandoz 25 Mg Hard Capsules (Lenalidomide) supplied by GNH India

Lenalidomide Sandoz 25 Mg Hard Capsules

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Sandoz 25 Mg Hard Capsules (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Sandoz 25 Mg Hard Capsules, is an immunomodulatory drug (IMiD) presented as a 25 mg hard capsule for oral use. It treats multiple myeloma, mantle cell lymphoma and myelodysplastic syndromes with del(5q) in adult patients.

GNH India supplies Lenalidomide Sandoz 25 Mg Hard Capsules as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and specialized clinics 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 rates in patients with relapsed or refractory disease.
  • Mantle Cell Lymphoma: used in combination therapy to achieve tumor control in adult patients.
  • Myelodysplastic Syndromes with del(5q): reduces transfusion dependence and can lead to cytogenetic remission.

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 and Aiolos, resulting in anti‑proliferative, anti‑angiogenic, and immunomodulatory effects that inhibit malignant plasma cells and related tumor cells.

Side Effects

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

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Diarrhea: loose stools that may require fluid replacement.
  • Nausea: mild to moderate stomach upset.
  • Rash: skin redness or itching.

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 unrelated to the original disease.

Precautions & Warnings

Before prescribing Lenalidomide, clinicians should consider several safety and handling precautions.

  • Pregnancy risk: contraindicated in pregnancy (Category X); effective contraception required.
  • Thrombosis risk: assess for prior clotting events and consider prophylactic anticoagulation.
  • Renal impairment: dose adjustment may be needed in patients with reduced kidney function.
  • Hepatic impairment: monitor liver enzymes and adjust therapy if necessary.
  • Infection monitoring: watch for signs of infection due to neutropenia.
  • Store at ambient temperature: keep below 25 °C, retain in original container, protect from moisture.

Avoid Interactions

Lenalidomide can interact with other medicines, affecting its efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers: may reduce lenalidomide exposure (e.g., rifampin).
  • Anticoagulants: increased risk of bleeding when combined with warfarin or DOACs.

Moderate Interactions (Monitor Closely)

  • Immunosuppressants: may enhance infection risk (e.g., cyclosporine).
  • Vaccines: live vaccines should be avoided during therapy.
  • NSAIDs: may increase risk of renal toxicity when used together.

Frequently Asked Questions

Lenalidomide Sandoz 25 mg hard capsules are indicated for the treatment of adult patients with multiple myeloma, mantle cell lymphoma, and myelodysplastic syndromes that carry the del(5q) chromosomal abnormality. These indications reflect its role as an immunomodulatory antineoplastic agent in hematologic cancers.

Lenalidomide binds to cereblon, a component of the CRL4‑CRBN E3 ubiquitin ligase complex. This binding changes the ligase’s substrate specificity, leading to the ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos. The resulting anti‑proliferative, anti‑angiogenic, and immunomodulatory actions suppress malignant cell growth and modify the tumor microenvironment.

The dosing regimen for lenalidomide is individualized and determined by the prescribing clinician based on the specific indication, disease stage, renal function, and patient tolerance. Physicians may start with a dose ranging from 10 mg to 25 mg taken orally once daily on a schedule that aligns with treatment protocols, but the exact regimen should always follow the prescriber’s order.

Lenalidomide is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because it can cause fetal harm. Women of childbearing potential must use effective contraception during treatment and for a defined period after the last dose. Breastfeeding is not recommended, as the drug may be excreted in milk and could affect the infant.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Lenalidomide Sandoz 25 mg hard capsules. GNH India works with hospitals, pharmacies, and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the team provides pricing, availability, shipping details (including any required temperature control), and assists with import documentation.

Both lenalidomide and thalidomide belong to the immunomodulatory drug (IMiD) class, but lenalidomide is more potent and has a different safety profile. Lenalidomide generally shows higher response rates in multiple myeloma and a lower incidence of peripheral neuropathy compared with thalidomide, while still carrying risks such as thrombosis and neutropenia. Choice of therapy depends on individual patient factors and physician judgment.

Lenalidomide Sandoz 25 mg hard capsules should be stored at ambient temperature, preferably below 25 °C (77 °F). Keep the capsules in the original blister pack or container, protect them from moisture and direct sunlight, and ensure the packaging remains sealed until use to maintain product stability.

The medication is administered orally. Patients should swallow the hard capsule whole with a glass of water, preferably on an empty stomach or as directed by the prescriber. Dosing schedules (e.g., daily or on specific days of a cycle) are defined by the treating physician based on the therapeutic indication and patient tolerance.

Serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, severe neutropenia that can predispose to life‑threatening infections, and the potential development of secondary primary malignancies. Patients should be monitored regularly for signs of clotting, infection, and any new cancerous lesions, and should report concerning symptoms promptly to their healthcare provider.

Lenalidomide should not be used by individuals who are pregnant or breastfeeding, those with known hypersensitivity to lenalidomide or any component of the formulation, and patients with uncontrolled active infections. Caution is also advised for patients with severe renal or hepatic impairment, and those with a history of thromboembolic disease unless appropriate prophylaxis is in place.

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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