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 a tablet for oral use. It is indicated for the treatment of multiple myeloma, myelodysplastic syndromes with del(5q), and mantle cell lymphoma in adult patients, and works by modulating immune response and inhibiting tumor cell proliferation.

GNH India supplies Lenalidomide Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. The company ensures quality assurance, regulatory compliance and reliable logistics for global distribution.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

Lenalidomide is used in hematologic malignancies that involve abnormal plasma or lymphoid cells.

  • Multiple Myeloma: reduces disease progression and improves survival in adult patients.
  • Myelodysplastic Syndromes with del(5q): corrects anemia and reduces transfusion dependence.
  • Mantle Cell Lymphoma: induces remission in relapsed or refractory disease.

How It Works

  • Lenalidomide binds to the cereblon component of the CRL4 E3 ubiquitin ligase complex, altering substrate specificity and promoting ubiquitination of transcription factors Ikaros (IKZF1) and Aiolos (IKZF3). Their degradation leads to reduced proliferation of malignant cells, enhanced immune‑mediated tumor cell killing, and inhibition of angiogenesis. Additionally, lenalidomide modulates cytokine production, shifting the tumor microenvironment toward anti‑tumor activity.

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 lead to dehydration.
  • Rash: skin redness or itching.
  • Neutropenia: reduced neutrophil count increasing infection risk.

Serious or Rare Side Effects

  • Thromboembolic events: deep vein thrombosis or pulmonary embolism.
  • Severe cutaneous reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Secondary primary malignancies: emergence of new cancers during therapy.

Precautions & Warnings

Before initiating lenalidomide therapy, several safety considerations should be reviewed.

  • Pregnancy risk: contraindicated in pregnancy (Category X); ensure effective contraception.
  • Thromboembolism: assess risk factors and consider prophylactic anticoagulation.
  • Hematologic monitoring: perform regular complete blood counts to detect cytopenias.
  • Renal impairment: adjust dosing and monitor renal function in patients with reduced clearance.
  • Drug interactions: review concomitant medications for potential interactions.
  • Store at ambient temperature: keep below 25 °C in the original container, protect from moisture and light.

Avoid Interactions

Lenalidomide interacts with several drugs that can alter its efficacy or safety profile.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers: may reduce lenalidomide exposure (e.g., rifampin).
  • Anticoagulants (warfarin, DOACs): increase bleeding risk; close monitoring required.

Moderate Interactions (Monitor Closely)

  • Immunosuppressants (e.g., cyclosporine): may increase toxicity.
  • Live vaccines: reduced efficacy and risk of infection.
  • NSAIDs: may exacerbate renal toxicity.
  • Hormonal contraceptives: may be less effective; use additional non‑hormonal methods.

Frequently Asked Questions

Lenalidomide Zentiva is prescribed for adult patients with multiple myeloma, myelodysplastic syndromes that carry the del(5q) chromosomal abnormality, and mantle cell lymphoma. In each case the drug targets malignant plasma or lymphoid cells to slow disease progression and improve clinical outcomes.

Lenalidomide binds to cereblon, a component of the CRL4‑E3 ubiquitin ligase complex, which changes the complex’s substrate preference. This leads to the ubiquitination and proteasomal degradation of transcription factors Ikaros and Aiolos, reducing tumor‑cell proliferation, enhancing immune‑mediated killing, and inhibiting new blood‑vessel formation.

The specific dose of Lenalidomide Zentiva is determined by the prescribing physician based on the patient’s diagnosis, disease stage, renal function, and other clinical factors. Dosage regimens are individualized and should follow the prescriber’s written instructions and local regulatory guidelines.

Lenalidomide is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because of a high risk of fetal harm. Women of child‑bearing potential must use effective contraception. The safety of lenalidomide during breastfeeding has not been established, and nursing is generally not recommended.

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 requirements) and the necessary import documentation.

Lenalidomide belongs to the immunomodulatory drug class, offering a distinct mechanism from proteasome inhibitors or monoclonal antibodies. It is often used in combination regimens and may provide benefits in patients who have relapsed after other therapies. Choice of therapy depends on disease characteristics, prior treatment exposure, and patient tolerance.

Lenalidomide Zentiva tablets should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct light, and ensure the container is tightly closed to maintain stability throughout its shelf life.

The medication is taken orally, usually as a whole tablet with water. It is typically prescribed on a cyclical schedule (e.g., daily for a set number of days followed by a rest period), but the exact regimen is defined by the treating physician based on the individual treatment plan.

Serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, severe skin reactions like Stevens‑Johnson syndrome, and the potential development of secondary primary malignancies. Patients should be monitored closely for signs of these events and report any unusual symptoms promptly.

Lenalidomide is contraindicated in pregnant women and should not be used by individuals who cannot comply with effective contraception. Patients with uncontrolled infections, severe renal impairment without dose adjustment, or known hypersensitivity to lenalidomide or its excipients should avoid the drug.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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