Product image of Leukeran (Chlorambucil) supplied by GNH India

Leukeran

Active Ingredient:
Chlorambucil
Origin:
EU

Leukeran (Chlorambucil)

Chlorambucil, the active ingredient in Leukeran, is an alkylating agent presented as a tablet for oral use. It is used to treat chronic lymphocytic leukemia, Hodgkin's lymphoma and other lymphoid malignancies.

GNH India supplies Leukeran as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

  • Leukeran (chlorambucil) is employed in the management of lymphoid malignancies.
  • Chronic lymphocytic leukemia: helps achieve disease control and prolong remission.
  • Hodgkin's lymphoma: contributes to tumor reduction and symptom relief.
  • Other lymphoid malignancies: provides therapeutic benefit as part of combination regimens.

How It Works

  • Chlorambucil alkylates DNA by forming covalent cross‑links between DNA strands, which blocks DNA replication and transcription. This interference triggers apoptosis in rapidly dividing malignant cells, thereby exerting its antineoplastic effect.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting
  • Loss of appetite
  • Fatigue or weakness
  • Mild leukopenia
  • Alopecia (hair loss)
  • Mild gastrointestinal upset

Serious or Rare Side Effects

  • Severe bone‑marrow suppression leading to pancytopenia
  • Life‑threatening infections due to immunosuppression
  • Secondary malignancies such as acute leukemia
  • Hepatic toxicity with elevated liver enzymes
  • Severe allergic reactions including anaphylaxis
  • Pulmonary fibrosis or interstitial lung disease

Precautions & Warnings

Key safety considerations should be observed before and during therapy.

  • Pregnancy: contraindicated (Category D) due to fetal risk.
  • Breastfeeding: not recommended; drug may be excreted in milk.
  • Monitor blood counts: perform regular CBC to detect myelosuppression.
  • Renal impairment: dose adjustment may be required.
  • Hepatic impairment: use with caution and consider dose modification.
  • Store at ambient temperature: keep below 25°C, retain in original packaging, protect from moisture.

Avoid Interactions

Potential drug interactions may affect efficacy or safety.

Major Interactions (Avoid)

  • Concurrent use with other alkylating agents: additive bone‑marrow toxicity.
  • High‑dose radiation therapy: increased risk of severe tissue damage.
  • Live vaccines: risk of uncontrolled infection.
  • Strong CYP2D6 inhibitors: may raise chlorambucil plasma levels.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may increase gastrointestinal irritation.
  • Azathioprine: additive myelosuppressive effect.
  • Allopurinol: can enhance chlorambucil toxicity.
  • ACE inhibitors: monitor renal function when combined.

Frequently Asked Questions

Leukeran contains chlorambucil, an oral alkylating agent indicated for the treatment of chronic lymphocytic leukemia, Hodgkin's lymphoma, and other lymphoid malignancies. It is prescribed by oncologists as part of a chemotherapy regimen to control disease progression.

Chlorambucil works by alkylating DNA, creating cross‑links that prevent DNA replication and transcription. This disruption leads to apoptosis of rapidly dividing cancer cells, thereby reducing tumor burden in affected patients.

The dosage of Leukeran is individualized by the prescribing physician based on the specific cancer type, disease stage, patient weight, and renal and hepatic function. Patients should follow the dose and schedule provided by their healthcare professional.

Leukeran is classified as Pregnancy Category D, indicating evidence of fetal risk, and it is contraindicated during pregnancy. It is also not recommended for breastfeeding mothers because chlorambucil can be excreted in breast milk and may harm the infant.

To order Leukeran, submit an enquiry on the product page at gnhindia.com with 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, and necessary import documentation.

Leukeran (chlorambucil) is an oral alkylating agent, whereas many alternative therapies for similar indications are administered intravenously (e.g., cyclophosphamide). Oral administration offers convenience, but chlorambucil may have a different toxicity profile, especially regarding bone‑marrow suppression and secondary malignancy risk.

Leukeran tablets should be stored at ambient temperature, preferably below 25 °C, in the original container to protect from moisture and light. Keep the medication out of reach of children and do not use if the packaging is damaged.

Leukeran is taken orally as a tablet, usually with water. The prescribing physician determines the exact dosing schedule, which may involve daily or intermittent dosing depending on the treatment protocol.

The most serious risks include severe bone‑marrow suppression leading to pancytopenia, life‑threatening infections, secondary cancers such as acute leukemia, hepatic toxicity, and rare but serious pulmonary complications. Patients should be monitored closely for these adverse events.

Leukeran should not be used by pregnant women, nursing mothers, or patients with known hypersensitivity to chlorambucil. Caution is advised in individuals with severe renal or hepatic impairment, and it should be avoided in patients receiving other potent alkylating agents without specialist supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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