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ENFISV

Ferulinor

Ferulinor contains lenalidomide, a medicine that works by affecting the immune system and cancer cells to treat certain blood cancers and bone marrow conditions in adults.

Form
kapseli, kova
Strength
7.5 mg
Active Ingredient
Lenalidomide
Manufacturer
STADA Nordic ApS

How to Use

Dosage

Your doctor will determine your exact dose.

Method

Swallow the capsules whole with water. Do not break, open, or chew them. You can take the medicine with or without food, around the same time each day.

Important

Your doctor will determine your maximum daily dose based on your condition and treatment schedule.

Possible Side Effects

COMMON
  • •Decreased red blood cells (anemia), which can cause tiredness and weakness.
  • •Rash, itching.
  • •Muscle cramps, muscle weakness, muscle aches and pains, bone pain, joint pain, back pain, limb pain.
  • •Generalized swelling, including swelling in arms and legs.
  • •Weakness, fatigue.
  • •Fever and flu-like symptoms, including fever, muscle aches, headache, ear pain, cough, and chills.
  • •Numbness, tingling or burning sensation on the skin, pain in hands or feet, dizziness, tremor.
  • •Reduced appetite, changes in taste.
  • •Increased pain, tumor size, or redness around the tumor.
  • •Weight loss.
  • •Constipation, diarrhea, nausea, vomiting, stomach pain, heartburn.
  • •Low potassium, calcium, and/or sodium levels in the blood.
  • •Underactive thyroid.
  • •Leg pain, chest pain, or shortness of breath (possible symptoms of a blood clot in the lungs).
  • •All types of infections, including sinus, lung, and upper respiratory infections.
  • •Shortness of breath.
  • •Blurred or impaired vision.
  • •Cloudy vision (cataract).
  • •Kidney dysfunction.
  • •Abnormal or elevated liver function test results.
  • •Changes in blood proteins that can cause blood vessel swelling (vasculitis).
  • •Increased (diabetes) or decreased blood sugar levels.
  • •Headache.
  • •Nosebleed.
  • •Dry skin.
  • •Depression, mood changes, sleep difficulties.
  • •Cough.
  • •Low blood pressure.
  • •General feeling of unwellness.
  • •Sore, inflamed mouth, dry mouth.
  • •Dehydration.
  • •Red blood cell destruction (hemolytic anemia).
  • •Certain types of skin cancers.
  • •Bleeding from gums, stomach, or intestines.
  • •High blood pressure, slow, fast, or irregular heartbeat.
  • •Increased substance from normal and abnormal red blood cell breakdown.
  • •Increased protein levels indicating inflammation in the body.
  • •Darkening of skin, skin discoloration from bleeding under the skin (usually bruising), skin swelling from bruising.
  • •Increased uric acid in the blood.
  • •Skin symptoms such as redness, cracking, scaling or peeling skin, hives.
  • •Increased sweating, night sweats.
  • •Difficulty swallowing, sore throat, difficulty speaking or voice changes.
  • •Nasal discharge.
  • •Urinating much more or less than usual, or inability to control urination.
  • •Blood in urine.
  • •Erectile dysfunction.
  • •Stroke, fainting, vertigo (inner ear problem causing sensation of spinning), temporary loss of consciousness.
  • •Chest pain radiating to arms, neck, jaw, back or stomach, sweating, shortness of breath, nausea or vomiting (symptoms of heart attack).
  • •Neck pain, chest pain.
  • •Joint swelling.
  • •Slowed or blocked bile flow from the liver.
  • •Low phosphate or magnesium levels in the blood.
  • •Speech difficulties.
  • •Liver damage.
  • •Balance problems, difficulty moving.
  • •Deafness, ringing in ears (tinnitus).
  • •Nerve pain, unpleasant or unusual sensations, especially when touched.
  • •Too much iron in the body.
  • •Thirst.
  • •Confusion.
  • •Toothache.
  • •Falls that can lead to injury.
RARE
  • •Bleeding inside the skull.
  • •Circulation problems.
  • •Vision loss.
  • •Decreased sex drive (libido).
  • •Large amount of urine with bone pain and weakness (symptoms of Fanconi syndrome, a kidney disorder).
  • •Yellowing of skin, mucous membranes, or eyes (jaundice), pale stools, dark urine, skin itching, rash, stomach pain or swelling (symptoms of liver damage).
  • •Stomach pain, swelling or diarrhea (symptoms of colon or appendix inflammation).
  • •Kidney cell damage (renal tubular necrosis).
  • •Skin color changes, sensitivity to sunlight.
  • •Tumor lysis syndrome (metabolic complications from dying cancer cells, leading to changes in blood chemistry, kidney/heart problems, seizures, and sometimes death).
  • •High blood pressure in the blood vessels supplying the lungs (pulmonary hypertension).
  • •Sudden or mild but worsening upper abdominal and/or back pain, possibly with nausea, vomiting, fever, and rapid heart rate (symptoms of pancreatitis).
  • •Wheezing, shortness of breath, or dry cough (symptoms of lung inflammation).
  • •Muscle breakdown (muscle pain, weakness, or swelling) that can lead to kidney problems (rhabdomyolysis).
  • •Skin disease caused by small blood vessel inflammation, with joint pain and fever (leukocytoclastic vasculitis).
  • •Rupture of the stomach or intestinal wall.
  • •Viral infections, including shingles and recurrence of Hepatitis B infection.
  • •Rejection of a solid organ transplant (e.g., kidney, heart).

Important Warnings

  • Do not use if you are pregnant, think you might be pregnant, or are planning to become pregnant, as Ferulinor can harm the unborn baby.
  • If you can become pregnant, you must use effective contraception before, during, and after treatment.
  • Do not take if you are allergic to lenalidomide or any other ingredients in the medicine.
  • Tell your doctor if you have had blood clots, as Ferulinor increases the risk of new clots.
  • Tell your doctor if you have symptoms of infection (e.g., cough, fever) or a history of viral infections (e.g., Hepatitis B, shingles, HIV).
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  • Inform your doctor about any kidney problems, as your dose may need adjustment.
  • Tell your doctor if you have had a heart attack, blood clot, smoke, or have high blood pressure or cholesterol.
  • Seek immediate medical attention if you develop severe skin reactions, such as a widespread rash, fever, swelling, or breathing difficulties.
  • Report any changes in vision, speech, balance, or memory immediately to your doctor, as these could be signs of a rare brain disease (PML).
  • Tell your doctor if you experience shortness of breath, fatigue, chest pain, or leg swelling, as these could be signs of pulmonary hypertension.
  • Do not donate blood during treatment or for at least 7 days after treatment ends.
  • Do not drive or operate machinery if you feel dizzy, tired, drowsy, or have blurred vision after taking the medicine.

Additional Information

ATC Code: L04AX04
→ View Professional Information (PDF)→ View Patient Leaflet (PDF)