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Lenalidomide Capsules

Lenalidomide

Treats multiple myeloma, myelodysplastic syndromes and certain lymphomas by modulating the immune system and directly targeting tumour cells, resulting in reduced cancer cell proliferation.

Active ingredient
Lenalidomide
Route
Oral use
Form
Capsule, hard
Strengths
10mg

The exact manufacturer offered is confirmed by the fulfilment partner before supply.

Prescription and consultation requirements for Lenalidomide Capsules vary by destination and are determined by the fulfilment partner.

Lenalidomide Capsules details

Alternative names
Revlimid
Therapeutic class
Immunosuppressants; Other immunosuppressants
Pharmacological class
Immunomodulatory imide drug; Cereblon e3 ubiquitin ligase modulator
Dosage forms
Capsule, hard
Administration route
Oral use
Supply category
Prescription-only medicine (POM)
Storage instructions
Store below 25°C. Keep in the original blister package to protect from moisture.
Known off-label uses

primary central nervous system lymphoma; systemic light chain amyloidosis; myelofibrosis; myelodysplastic syndromes without del 5q

Contraindications

hypersensitivity to lenalidomide or any excipient; women who are pregnant; women of childbearing potential unless all conditions of the pregnancy prevention programme are met

Precautions and warnings

pregnancy prevention programme mandatory for all patients; haematological toxicity including neutropenia and thrombocytopenia requiring regular monitoring; venous thromboembolism risk particularly in combination with dexamethasone requiring thromboprophylaxis; second primary malignancies including acute myeloid leukaemia and myelodysplastic syndromes; thyroid disorders including hypothyroidism and hyperthyroidism; peripheral neuropathy; tumour flare reaction and tumour lysis syndrome; cardiac disorders including myocardial infarction and cardiac failure; hepatic disorders including hepatic failure; severe cutaneous reactions including stevens-johnson syndrome and toxic epidermal necrolysis; allergic reactions including angioedema; caution in patients with renal impairment requiring dose adjustment; caution in patients with hepatic impairment; contains lactose; contains sodium; males must use condoms during treatment and for 4 weeks after discontinuation

Minor side effects

neutropenia; thrombocytopenia; anaemia; fatigue; diarrhoea; constipation; nausea; vomiting; decreased appetite; pyrexia; peripheral oedema; muscle cramps; muscle spasms; back pain; arthralgia; pain in extremity; headache; dizziness; tremor; dyspnoea; cough; epistaxis; upper respiratory tract infection; pneumonia; rash; pruritus; dry skin; insomnia; depression; anxiety; blurred vision; dysgeusia; asthenia; weight decreased; hypokalaemia; hypocalcaemia

Moderate side effects

febrile neutropenia; severe thrombocytopenia with bleeding; deep vein thrombosis; pulmonary embolism; acute myeloid leukaemia; myelodysplastic syndromes; myocardial infarction; cardiac failure; atrial fibrillation; stevens-johnson syndrome; toxic epidermal necrolysis; angioedema; hepatic failure; tumour lysis syndrome; sepsis; pneumonia; progressive multifocal leukoencephalopathy; pancreatitis; hepatitis b reactivation; acute kidney injury; gastrointestinal perforation

Serious side effects

signs of venous thromboembolism including sudden chest pain, difficulty breathing, swelling or pain in one leg, requires immediate medical attention; signs of severe infection including high fever, chills, confusion, severe cough, requires immediate medical attention; signs of severe cutaneous reactions including widespread rash, blistering, peeling skin, requires immediate medical attention; signs of myocardial infarction including chest pain, shortness of breath, pain radiating to arm or jaw, requires immediate medical attention; signs of tumour lysis syndrome including muscle cramps, irregular heartbeat, decreased urination, requires immediate medical attention; signs of angioedema including swelling of face, lips, tongue or throat, requires immediate medical attention; signs of hepatic failure including jaundice, dark urine, confusion, abdominal swelling, requires immediate medical attention

Patient summary

Treats multiple myeloma, myelodysplastic syndromes and certain lymphomas by modulating the immune system and directly targeting tumour cells, resulting in reduced cancer cell proliferation.

Mechanism of action

Lenalidomide is a medicine related to thalidomide that affects the immune system and directly attacks cancer cells. It works by binding to a protein called cereblon inside cells, which changes how the cell functions. In cancer cells, this triggers their destruction and stops them from multiplying. In immune cells, it helps the body's natural defences recognise and fight the cancer. It also blocks the growth of new blood vessels that tumours need to survive. These combined actions help control cancers of the blood and bone marrow.

Drug interactions

dexamethasone; melphalan; bortezomib; rituximab; warfarin; apixaban; rivaroxaban; dabigatran; heparin; enalapril; ramipril; lisinopril; digoxin; simvastatin; atorvastatin; rosuvastatin; erythropoiesis-stimulating agents; hormonal contraceptives

Age restrictions

Safety and efficacy in children and adolescents below 18 years have not been established.

Pregnancy and breastfeeding

Lenalidomide is contraindicated during pregnancy. It is structurally related to thalidomide and is expected to cause severe life-threatening birth defects. Women of childbearing potential must use effective contraception from at least 4 weeks before treatment, during treatment, and for at least 4 weeks after stopping. Breast-feeding must be discontinued during therapy.

What you will receive

Lenalidomide Capsules is a generic medicine sold under the name of its active ingredient, Lenalidomide, rather than under a brand.

  • The fulfilment partner confirms the offered manufacturer and product before supply.
  • Check the active ingredient, strength, form and pack shown at checkout before confirming an order.

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