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 agent (IMiD) presented as a tablet for oral use. It treats certain blood cancers such as multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma in appropriate patients.

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 used in hematologic malignancies that respond to immunomodulatory therapy.

  • Multiple myeloma: improves progression‑free and overall survival in eligible patients.
  • Myelodysplastic syndromes with del(5q): reduces transfusion dependence and may achieve cytogenetic remission.
  • Mantle cell lymphoma: contributes to disease control when combined with other agents in suitable patients.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4‑CRBN E3 ubiquitin ligase complex, modifying its activity. This triggers ubiquitination and proteasomal degradation of transcription factors Ikaros (IKZF1) and Aiolos (IKZF3), producing anti‑angiogenic, immunomodulatory, and anti‑proliferative effects on malignant plasma cells and other hematologic tumor cells while enhancing T‑cell and NK‑cell immune responses.

Side Effects

Lenalidomide may cause a range of adverse reactions.

Common Side Effects

  • Neutropenia: decreased neutrophil count leading to infection risk.
  • Thrombocytopenia: reduced platelet levels, increasing bleeding tendency.
  • Fatigue: persistent tiredness affecting daily activities.
  • Diarrhea: loose stools that may require supportive care.

Serious or Rare Side Effects

  • Venous thromboembolism: blood clots in deep veins or lungs.
  • Secondary primary malignancies: emergence of new cancers.
  • Severe rash or Stevens‑Johnson syndrome: extensive skin reactions.
  • Hepatic toxicity: elevated liver enzymes or liver injury.

Precautions & Warnings

Before initiating therapy, several safety considerations are required.

  • Pregnancy: contraindicated; Category X, avoid use in pregnant women.
  • Thrombosis risk: assess patient history and consider prophylactic anticoagulation.
  • Hematologic monitoring: perform regular complete blood counts to detect cytopenias.
  • Renal impairment: evaluate kidney function; dose adjustment may be needed.
  • Drug interactions: review concomitant medications for potential interactions.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct light.

Avoid Interactions

Lenalidomide can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce efficacy.
  • Live vaccines: increased risk of infection due to immunomodulation.
  • Immunosuppressants (e.g., cyclosporine): may amplify toxicity.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin): heightened bleeding risk, monitor INR.
  • CYP3A4 inhibitors (e.g., ketoconazole): may increase plasma levels.
  • NSAIDs: additive risk of thrombocytopenia and gastrointestinal bleeding.

Frequently Asked Questions

Lenalidomide Zentiva is indicated for the treatment of multiple myeloma, myelodysplastic syndromes that carry the del(5q) chromosomal abnormality, and mantle cell lymphoma. In each case the drug is used as part of a regimen prescribed by a qualified hematologist or oncologist.

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

The exact dose of Lenalidomide Zentiva is individualized by the prescribing physician based on the specific indication, disease stage, patient’s renal function, and other clinical factors. No universal dosing schedule is provided here; clinicians set the regimen according to approved guidelines and patient needs.

Lenalidomide is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because it can cause fetal harm. It should not be used by breastfeeding mothers, as it may be excreted in milk and pose risks to the infant.

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 needs), and required import documentation.

Lenalidomide shares the same class (immunomodulatory agents) as thalidomide and pomalidomide but generally offers a more favorable safety profile, especially regarding peripheral neuropathy. It is more potent than thalidomide and is often preferred for multiple myeloma and del(5q) MDS, while pomalidomide may be reserved for later‑line therapy after lenalidomide failure.

Store Lenalidomide Zentiva tablets at temperatures below 25 °C (77 °F). Keep the product in its original container, protect it from moisture and direct sunlight, and ensure the packaging remains tightly closed until use.

Lenalidomide Zentiva is taken orally as a tablet, usually with or without food as directed by the prescriber. Patients should swallow the tablet whole with water and follow the dosing schedule provided by their healthcare professional.

The most serious risks include venous thromboembolism (blood clots), severe neutropenia or thrombocytopenia (dangerously low white‑blood‑cell or platelet counts), and the possible development of secondary primary malignancies. Patients should be monitored closely for signs of infection, bleeding, or unexplained pain and report any concerns promptly.

Lenalidomide Zentiva should not be used by pregnant women, individuals with severe renal impairment without dose adjustment, patients with uncontrolled infections, or anyone with known hypersensitivity to lenalidomide or its excipients. Clinicians must evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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