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 drug (IMiD) presented as an oral tablet for oral use. It is indicated for the treatment of multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma in combination therapy.

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 and related disorders, targeting abnormal plasma‑cell proliferation and dysplastic marrow.

  • Multiple myeloma: improves response rates and progression‑free survival when combined with standard regimens.
  • Myelodysplastic syndromes with del(5q): reduces transfusion dependence and can induce cytogenetic remission.
  • Mantle cell lymphoma (in combination therapy): contributes to disease control as part of multi‑agent treatment.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4CRBN E3 ubiquitin ligase complex, altering its substrate specificity. This leads to ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos, resulting in anti‑proliferative, pro‑apoptotic, anti‑angiogenic, and immunomodulatory effects on malignant cells.

Side Effects

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

Common Side Effects

  • Neutropenia: decreased neutrophil count increasing infection risk.
  • Thrombocytopenia: reduced platelet count leading to bleeding tendencies.
  • Fatigue: persistent tiredness affecting daily activities.
  • Diarrhea: loose stools that may require supportive care.
  • Rash: skin irritation or erythema.
  • Nausea: upset stomach often mild to moderate.

Serious or Rare Side Effects

  • Venous thromboembolism: blood clots in deep veins or lungs.
  • Severe neutropenia: profound immune suppression.
  • Severe thrombocytopenia: high bleeding risk.
  • Secondary primary malignancies: emergence of new cancers.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis: severe skin reactions.
  • Hepatic failure: marked liver enzyme elevations or dysfunction.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient‑specific risk factors and monitor laboratory parameters.

  • Blood count monitoring: perform complete blood counts regularly to detect cytopenias.
  • Thromboembolic risk assessment: consider prophylactic anticoagulation in high‑risk patients.
  • Pregnancy avoidance: Lenalidomide is contraindicated in pregnancy; enforce strict contraception.
  • Renal function adjustment: dose may need modification in patients with impaired renal clearance.
  • Store at room temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Lenalidomide can interact with several drug classes; awareness helps prevent adverse outcomes.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase lenalidomide exposure.
  • Anticoagulants (e.g., warfarin): heightened risk of bleeding.
  • Live vaccines: reduced efficacy and potential infection risk.
  • Thalidomide or pomalidomide: additive teratogenicity and overlapping toxicity.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin): may lower drug levels.
  • NSAIDs: increase risk of gastrointestinal bleeding when combined with anticoagulation.
  • CYP2C19 inhibitors (e.g., fluoxetine): modest effect on metabolism requiring observation.

Frequently Asked Questions

Lenalidomide Zentiva is a generic formulation of lenalidomide indicated for the treatment of multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma (used in combination with other anticancer agents). It is prescribed by oncologists and hematologists to control disease progression and improve patient outcomes.

Lenalidomide binds to the cereblon protein within the CRL4CRBN E3 ubiquitin ligase complex, changing the complex’s substrate specificity. This triggers ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos, leading to reduced proliferation, increased apoptosis of malignant cells, inhibition of angiogenesis, and modulation of the immune response.

The prescribed dose of Lenalidomide Zentiva is set by the treating physician based on the specific indication, disease stage, patient weight, renal function, and prior therapy. Dosing regimens differ between multiple myeloma, MDS with del(5q), and mantle cell lymphoma, and the clinician tailors the schedule to balance efficacy with safety.

Lenalidomide is classified as Pregnancy Category X, meaning it is contraindicated during pregnancy because of a high risk of fetal harm and teratogenicity. Women of childbearing potential must use effective contraception before, during, and after treatment. Breastfeeding is not recommended, as the drug can be excreted in milk and may affect the infant.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Lenalidomide Zentiva. 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 requirements) and the necessary import documentation.

Both lenalidomide and thalidomide belong to the immunomodulatory drug (IMiD) class, but lenalidomide is more potent, has a different toxicity profile, and generally causes fewer peripheral neuropathy events. Lenalidomide also offers greater efficacy in myelodysplastic syndromes with del(5q) and is often preferred when a stronger anti‑angiogenic and immunomodulatory effect is needed.

Lenalidomide Zentiva tablets should be stored at room temperature, below 25 °C, in the original blister pack or bottle. Keep the product away from moisture, direct sunlight, and excessive heat to maintain stability and potency throughout its shelf life.

Lenalidomide Zentiva is taken orally, usually with a glass of water. The tablet can be swallowed whole and may be taken with or without food, depending on the prescriber’s instructions. Patients should follow the dosing schedule provided by their healthcare professional and not alter the regimen without medical advice.

Serious risks include severe neutropenia and thrombocytopenia, which can lead to infections or bleeding, and venous thromboembolism such as deep‑vein thrombosis or pulmonary embolism. Rare but critical events include secondary primary malignancies, severe skin reactions like Stevens‑Johnson syndrome, and hepatic failure. Prompt medical attention is required if any of these occur.

Lenalidomide Zentiva should not be used by pregnant women, individuals with known hypersensitivity to lenalidomide or any component of the formulation, and patients with severe renal impairment unless dose‑adjusted by a physician. It is also contraindicated in patients receiving live vaccines or in those with uncontrolled thromboembolic risk without appropriate prophylaxis.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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