Clinical data | |
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Pronunciation | /ˌlɛnəˈlɪdoʊmaɪd/ |
Trade names | Revlimid, Linamide, others |
AHFS/Drugs.com | Monograph |
MedlinePlus | a608001 |
License data |
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Pregnancy category |
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Routes of administration | By mouth (capsules) |
Drug class | Thalidomide analogue[1] |
Legal status | |
Legal status | |
Pharmacokinetic data | |
Bioavailability | Undetermined |
Protein binding | 30% |
Metabolism | Undetermined |
Elimination half-life | 3 hours |
Excretion | Kidney (67% unchanged) |
Identifiers | |
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Chemical and physical data | |
Formula | C13H13N3O3 |
Molar mass | 259.265 g·mol−1 |
3D model (JSmol) | |
Chirality | Racemic mixture |
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Lenalidomide, sold under the trade name Revlimid among others, is a medication used to treat multiple myeloma (MM) and myelodysplastic syndromes (MDS).[2] For MM it is used after at least one other treatment and generally together with dexamethasone.[2] It is taken by mouth.[2]
Common side effects include diarrhea, itchiness, joint pain, fever, headache, and trouble sleeping.[2] Severe side effects may include low blood platelets, low white blood cells, and blood clots.[2] Use during pregnancy may harm the baby.[2] The dose may need to be adjusted in people with kidney problems.[2] It has a chemical structure similar to thalidomide but has a different mechanism of action.[1][2] How it works is not entirely clear as of 2019.[2]
Lenalidomide was approved for medical use in the United States in 2005.[2] It is on the World Health Organization's List of Essential Medicines.[4] In the United States it costs about US$16,000 to US$21,000 per month as of 2019.[5] In the United Kingdom this amount costs the NHS about £3,400 to 4,400.[6]
References edit
- ^ a b "DailyMed - Revlimid- lenalidomide capsule". dailymed.nlm.nih.gov. Archived from the original on 16 February 2020. Retrieved 27 October 2019.
- ^ a b c d e f g h i j k l "Lenalidomide Monograph for Professionals". Drugs.com. Archived from the original on 4 March 2016. Retrieved 27 October 2019.
- ^ "WHOCC - ATC/DDD Index". www.whocc.no. Archived from the original on 9 August 2020. Retrieved 11 September 2020.
- ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
- ^ "Revlimid Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 27 October 2019. Retrieved 27 October 2019.
- ^ British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 935. ISBN 9780857113382.