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

Lenalidomide Zentiva

Active Ingredient:
Lenalidomide
Origin:
EU

Lenalidomide Zentiva (Lenalidomide)

Lenalidomide, the active ingredient in Lenalidomide Zentiva, is an immunomodulatory imide drug (IMiD) presented as a tablet for oral use. It treats multiple myeloma and myelodysplastic syndromes with del(5q) in adult patients, providing anti‑angiogenic and immune‑modulating benefits.
GNH India supplies Lenalidomide Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Zentiva, K.S.

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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 relapsed or refractory disease.
  • Myelodysplastic Syndromes with del(5q): reduces transfusion dependence and can induce cytogenetic remission.
  • Mantle Cell Lymphoma: provides therapeutic benefit in patients with relapsed or refractory disease.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑CRBN E3 ubiquitin ligase complex, altering substrate specificity. This leads to ubiquitination and proteasomal degradation of transcription factors such as Ikaros and Aiolos, resulting in anti‑angiogenic activity, enhanced T‑cell and NK‑cell mediated immunity, and direct inhibition of tumor cell proliferation.

Side Effects

Lenalidomide may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Fatigue: persistent tiredness affecting daily activities.
  • Neutropenia: reduced neutrophil count increasing infection risk.
  • Thrombocytopenia: low platelet levels that may cause bruising.
  • Diarrhea: loose stools that may lead to dehydration.
  • Rash: mild skin irritation or erythema.
  • Constipation: difficulty passing stools.

Serious or Rare Side Effects

  • Venous thromboembolism: deep vein thrombosis or pulmonary embolism.
  • Severe neutropenia: profound immune suppression requiring medical intervention.
  • Severe thrombocytopenia: significant bleeding risk.
  • Secondary primary malignancies: emergence of new cancers.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis: life‑threatening skin reactions.
  • Tumor lysis syndrome: rapid tumor cell breakdown causing metabolic disturbances.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate several safety considerations.

  • Pregnancy: contraindicated; ensure effective contraception due to teratogenic risk.
  • Thrombosis risk: assess patient history and consider prophylactic anticoagulation.
  • Hematologic monitoring: perform regular complete blood counts to detect neutropenia or thrombocytopenia.
  • Renal impairment: adjust dosing and monitor renal function closely.
  • Drug interactions: avoid concomitant use with strong CYP inducers without supervision.
  • Store at ambient temperature: keep below 25°C, retain in original packaging, and protect from moisture.

Avoid Interactions

Lenalidomide can interact with several medicines, requiring careful management.

Major Interactions (Avoid)

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

Moderate Interactions (Monitor Closely)

  • P‑glycoprotein inhibitors (e.g., verapamil): may raise plasma concentrations.
  • CYP3A4 inhibitors (e.g., ketoconazole): can increase drug exposure.
  • Live attenuated vaccines: reduced efficacy; consider timing relative to therapy.

Frequently Asked Questions

Lenalidomide Zentiva is indicated for adult patients with multiple myeloma, myelodysplastic syndromes that have a deletion of chromosome 5q (del(5q)), and mantle cell lymphoma. In each of these hematologic cancers, the drug helps control disease progression and can improve survival outcomes when used as prescribed.

Lenalidomide binds to cereblon, a component of the CRL4‑CRBN E3 ubiquitin ligase complex. This binding changes the complex’s substrate specificity, leading to the ubiquitination and degradation of transcription factors such as Ikaros and Aiolos. The result is reduced tumor cell proliferation, inhibition of new blood‑vessel formation, and enhanced activity of immune cells that target cancer.

The exact dose and schedule are set by the prescribing clinician based on the specific indication, the patient’s overall health, renal function, and any concurrent therapies. Lenalidomide is taken orally, usually once daily, but the prescriber will tailor the regimen to achieve the best therapeutic benefit while minimizing risk.

Lenalidomide is classified as Pregnancy Category X because it is known to cause severe fetal harm. It is contraindicated in pregnant women, and effective contraception must be used during treatment and for at least four weeks after the last dose. Breastfeeding is also not recommended, as the drug can be excreted in milk.

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, and will request verification of trade or institutional credentials. After confirmation, the team provides pricing, availability, shipping details (including any cold‑chain requirements), and assists with import documentation.

Lenalidomide is a second‑generation immunomodulatory imide drug (IMiD). Compared with thalidomide, it has a more favorable side‑effect profile, especially regarding peripheral neuropathy, and offers stronger anti‑angiogenic and immune‑stimulating effects. Pomalidomide, a newer IMiD, may be used after lenalidomide failure and can provide additional potency, but each agent’s choice depends on disease stage and patient tolerance.

Lenalidomide Zentiva tablets should be stored at ambient temperature, below 25 °C (77 °F). Keep the tablets in the original blister pack or container, protect them from moisture and direct sunlight, and ensure the packaging remains tightly closed until use.

The medication is taken orally as a whole tablet, usually with or without food, according to the prescriber’s instructions. Swallow the tablet whole with a glass of water; do not crush, split, or chew unless specifically directed by a healthcare professional.

Serious risks include venous thromboembolism (blood clots), severe neutropenia or thrombocytopenia (dangerously low white‑blood‑cell or platelet counts), and rare but life‑threatening skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored regularly for signs of infection, bleeding, or unexplained skin changes and report any concerns promptly.

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 of its excipients, as well as patients with uncontrolled severe infections or severe renal impairment without dose adjustment, should avoid the drug unless a specialist determines it is appropriate.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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