Product image of Lenalidomide Sandoz 5 Mg Hard Capsules (Lenalidomide) supplied by GNH India

Lenalidomide Sandoz 5 Mg Hard Capsules

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Sandoz 5 Mg Hard Capsules (Lenalidomide)

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

GNH India supplies Lenalidomide Sandoz 5 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.

  • Multiple Myeloma: improves progression‑free survival and overall response when combined with dexamethasone or other agents.
  • Myelodysplastic Syndromes (with del(5q) abnormality): reduces transfusion dependence and can induce cytogenetic remission.
  • Mantle Cell Lymphoma: enhances response rates in relapsed or refractory disease when used with rituximab.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4 E3 ubiquitin ligase complex, leading to selective degradation of transcription factors Ikaros and Aiolos. This modulates cytokine production, inhibits angiogenesis, and triggers apoptosis of malignant plasma cells, thereby exerting antineoplastic activity in hematologic cancers.

Side Effects

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

Common Side Effects

  • Fatigue: persistent tiredness.
  • Nausea: mild to moderate upset stomach.
  • Diarrhea: loose stools.
  • Rash: skin redness or itching.

Serious or Rare Side Effects

  • Venous thromboembolism: deep‑vein thrombosis or pulmonary embolism.
  • Severe neutropenia: markedly low white‑blood‑cell count increasing infection risk.
  • Secondary primary malignancies: development of new cancers during treatment.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Pregnancy: contraindicated; teratogenic risk (Category X) – avoid use in pregnant women.
  • Thrombosis risk: assess patient history and consider prophylactic anticoagulation.
  • Renal impairment: use caution and monitor renal function closely.
  • Hepatic impairment: monitor liver function tests regularly.
  • Store at ambient temperature: keep below 25 °C, retain in original container, protect from moisture and light.

Avoid Interactions

Lenalidomide can interact with several drug classes; careful review is required.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce lenalidomide exposure.
  • Anticoagulants (warfarin, DOACs): increased risk of thromboembolic events when combined.
  • Live vaccines: immunosuppression may diminish vaccine efficacy.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole): may increase lenalidomide levels.
  • Immunosuppressants (e.g., cyclosporine): may enhance hematologic toxicity.
  • NSAIDs: may increase risk of renal impairment.

Frequently Asked Questions

Lenalidomide Sandoz 5 mg hard capsules are indicated for the treatment of adult patients with multiple myeloma, myelodysplastic syndromes that have a del(5q) cytogenetic abnormality, and mantle cell lymphoma, particularly in relapsed or refractory settings.

Lenalidomide binds to cereblon, a component of the CRL4‑E3 ubiquitin ligase complex, leading to targeted degradation of transcription factors Ikaros and Aiolos. This results in altered cytokine production, inhibition of angiogenesis, and induction of apoptosis in malignant plasma cells.

The dose of Lenalidomide Sandoz 5 mg capsules is individualized by the prescribing clinician based on the specific indication, disease stage, renal function, and patient tolerance. No fixed regimen is provided here; the prescriber sets the appropriate dosing schedule.

Lenalidomide is classified as Pregnancy Category X because it is teratogenic and can cause fetal harm. It should not be used by pregnant women, and effective contraception is required during treatment and for a defined period after discontinuation. Breastfeeding is also contraindicated.

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, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Lenalidomide is more potent and has a different safety profile than thalidomide, offering higher response rates and lower neuropathy risk. Compared with pomalidomide, it is generally used earlier in therapy and has a broader indication set, while pomalidomide is reserved for later‑line treatment in certain refractory cases.

Store Lenalidomide Sandoz 5 mg hard capsules at ambient temperature, preferably below 25 °C. Keep them in the original blister pack, protect from moisture and direct light, and ensure the container is tightly closed to maintain product stability.

Lenalidomide is taken orally, usually with a glass of water. The capsule can be swallowed whole with or without food, unless the prescriber advises otherwise. Patients should follow the dosing schedule provided by their healthcare professional.

Serious risks include venous thromboembolism (deep‑vein thrombosis or pulmonary embolism), severe neutropenia leading to infection, severe thrombocytopenia causing bleeding, and the potential development of secondary primary malignancies. Prompt medical attention is required if any of these events are suspected.

Lenalidomide should not be used by pregnant women, individuals with known hypersensitivity to lenalidomide or its excipients, and patients with uncontrolled severe renal or hepatic impairment unless specifically directed by a specialist. It is also contraindicated in patients who cannot comply with the required risk‑evaluation and mitigation strategies.

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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