Lenalidomide is used to treat various types of cancers.
It works by slowing or stopping the growth of cancer cells. It is also used
to treat anemia in patients with certain blood/bone marrow disorders
(myelodysplastic syndromes-MDS). Lenalidomide may lessen the need for blood
transfusions.
Lenalidomide is not recommended for the treatment of a
certain type of cancer (chronic lymphocytic leukemia) because of the
increased risk of serious heart-related side effects and death. If you have
this type of cancer, talk to your doctor about the risks of using this
medication.
This section contains uses of this drug that are not
listed in the approved professional labeling for the drug but that may be
prescribed by your health care professional. Use this drug for a condition
that is listed in this section only if it has been so prescribed by your
health care professional.
This drug may also be used for lupus.
Read the Medication Guide provided by your pharmacist
before you start taking lenalidomide and each time you get a refill. If you
have any questions, ask your doctor or pharmacist.
Take this medication by mouth with or without food as
directed by your doctor, usually once daily. Swallow this medication whole
with water. For treatment of certain conditions, you may be instructed to
take this medication in cycles (once daily for 21 days, then stopping the
medication for 7 days). The dosage is based on your medical condition,
response to treatment, and lab test results. Be sure to follow your
doctor's directions carefully.
Do not open, chew, or break the capsules, or handle them
any more than needed. If any of the powder from the capsule gets on your
skin, wash the area with soap and water.
Since this drug can be absorbed through the skin and
lungs and may harm an unborn baby, women who are pregnant or who may become
pregnant should not handle this medication or breathe the dust from broken
capsules. All people should wash their hands thoroughly after handling this
drug.
Use this medication regularly to get the most benefit
from it. Remember to take it at the same time each day.
Do not increase your dose or use this drug more often or
for longer than prescribed. Your condition will not improve any faster, and
your risk of side effects will increase.
See also Warning section.
Diarrhea, stomach/abdominal pain, nausea/vomiting, loss
of appetite, constipation, dizziness, dry skin, dry mouth, or trouble
sleeping may occur. If any of these effects last or get worse, tell your
doctor or pharmacist promptly.
People using this medication may have serious side
effects. However, you have been prescribed this drug because your doctor
has judged that the benefit to you is greater than the risk of side
effects. Careful monitoring by your doctor may decrease your
risk.
Tell your doctor right away if you have any serious side
effects, including:
- mental/mood changes (such as depression)
- increased thirst/urination
- shaking (tremor)
- numbness/tingling of arms/legs
- fast/slow/irregular heartbeat
- symptoms of heart failure (such as shortness of breath,
swelling ankles/feet, unusual tiredness, unusual/sudden weight
gain)
Some people treated with this medication may rarely get
other cancers. Consult your doctor for more details.
Lenalidomide sometimes causes side effects due to the
rapid destruction of cancer cells (tumor lysis syndrome). To lower your
risk, your doctor may add a medication and tell you to drink plenty of
fluids. Tell your doctor right away if you have symptoms such
as:
- low back/side pain (flank pain)
- signs of kidney problems (such as painful urination,
pink/bloody urine, change in the amount of urine)
- muscle spasms/weakness
People taking lenalidomide may have worsening of their
symptoms (tumor flare reaction). If you have tender/swollen lymph nodes,
fever, pain, or rash, contact your doctor right away.
This drug helps many people live longer. However, some
people who have used lenalidomide have died sooner than expected,
especially if they had high white blood cell or tumor cell counts. Talk
with your doctor about the risks and benefits of using this
medication.
Lenalidomide may rarely cause serious (possibly fatal)
liver disease. Get medical help right away if you have any symptoms of
liver damage, such as:
- nausea/vomiting that doesn't stop
- loss of appetite
- severe stomach/abdominal pain
- yellowing eyes/skin
- dark urine
Lenalidomide can commonly cause a rash that is usually
not serious. However, you may not be able to tell it apart from a rare rash
that could be a sign of a severe reaction. Get medical help right away if
you develop any rash.
A very serious allergic reaction to this drug is rare.
However, get medical help right away if you notice any symptoms of a
serious allergic reaction, including:
- rash
- itching/swelling (especially of the face/tongue/throat)
- severe dizziness
- trouble breathing
This is not a complete list of possible side effects. If
you notice other effects not listed above, contact your doctor or
pharmacist.
In the US - Call your doctor for medical advice about side effects.
You may report side effects to FDA at 1-800-FDA-1088 or at
www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about
side effects. You may report side effects to Health Canada at
1-866-234-2345.
See also Warning section.
Before taking lenalidomide, tell your doctor or
pharmacist if you are allergic to it; or to thalidomide; or if you have any
other allergies. This product may contain inactive ingredients (such as
lactose), which can cause allergic reactions or other problems. Talk to
your pharmacist for more details.
Before using this medication, tell your doctor or
pharmacist your medical history, especially of:
- kidney disease
- liver disease (such as hepatitis B)
- thyroid disease
- chicken pox and shingles (herpes zoster infection)
- organ transplant
This drug may make you dizzy. Alcohol or marijuana
(cannabis) can make you more dizzy. Do not drive, use machinery, or do
anything that needs alertness until you can do it safely. Limit alcoholic
beverages. Talk to your doctor if you are using marijuana
(cannabis).
Lenalidomide can make you more likely to get infections
or may make current infections worse. Stay away from anyone who has an
infection that may easily spread (such as chickenpox, COVID-19, measles,
flu). Talk to your doctor if you have been exposed to an infection or for
more details.
Tell your health care professional that you are using
lenalidomide before having any immunizations/vaccinations. Avoid contact
with people who have recently received live vaccines (such as flu vaccine
inhaled through the nose).
To lower the chance of getting cut, bruised, or injured,
use caution with sharp objects like razors and nail cutters, and avoid
activities such as contact sports.
Do not donate blood or sperm while using lenalidomide
and for 4 weeks after stopping this drug.
Older adults may be more sensitive to the side effects
of this drug.
Since this drug can be absorbed through the skin and
lungs and may harm an unborn baby, women who are pregnant or who may become
pregnant should not handle this medication or breathe the dust from broken
capsules.
Lenalidomide must not be used during pregnancy. It may
harm an unborn baby. If you become pregnant or think you may be pregnant,
stop taking lenalidomide and tell your doctor right away. If you are male
and have had unprotected sex with a woman who is or can become pregnant, or
if you think your sexual partner may be pregnant, tell both of your doctors
right away.
It is unknown if lenalidomide passes into breast milk.
Because of the possible risk to the infant, breastfeeding is not
recommended while using this medication. Consult your doctor before
breastfeeding.
Drug interactions may change how your medications work
or increase your risk for serious side effects. This document does not
contain all possible drug interactions. Keep a list of all the products you
use (including prescription/nonprescription drugs and herbal products) and
share it with your doctor and pharmacist. Do not start, stop, or change the
dosage of any medicines without your doctor's approval.
If someone has overdosed and has serious symptoms such
as passing out or trouble breathing, call 911. Otherwise, call a poison
control center right away. US residents can call 1-800-222-1222. Canada
residents can call 1-844-764-7669.
Do not share this medication with others.
Lab and/or medical tests (such as complete blood count,
kidney/liver/thyroid function, blood mineral levels, pregnancy test) should
be done while you are taking this medication. Keep all medical and lab
appointments. Consult your doctor for more details.
If you miss a dose, take it as soon as you remember. If
it is more than 12 hours after the missed dose, skip the missed dose. Take
your next dose at the regular time. Do not double the dose to catch
up.
Store at room temperature away from light and moisture.
Do not store in the bathroom. Keep all medications away from children and
pets.
Do not flush medications down the toilet or pour them
into a drain unless instructed to do so. Properly discard this product when
it is expired or no longer needed. Consult your pharmacist or local waste
disposal company.
Your condition can cause complications in a medical
emergency. For information about enrolling in MedicAlert, call
1-888-633-4298 (US) or 1-800-668-1507 (Canada).