Evermide 25mg Capsule belongs to the group of medicines called immunomodulatory agents used to treat multiple myeloma, myelodysplastic syndromes, mantle cell lymphoma, and follicular lymphoma. Evermide 25mg Capsule is used to treat a type of myelodysplastic syndromes (MDS) known as deletion 5q MDS where part of chromosome 5 is missing.
 
Evermide 25mg Capsule contains ‘lenalidomide’, which works by helping the body’s immune system and directly attacks cancer. It stops the development of cancer cells, stops the blood vessels growing in cancer, and stimulates the part of the immune system to attack the cancer cells. Evermide 25mg Capsule kills the abnormal cells in the bone marrow and helps the bone marrow to produce normal blood cells.
 
You are advised to take Evermide 25mg Capsule for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side-effects such as fatigue, constipation, diarrhoea, muscle cramps, nausea, headache, upper respiratory tract infection, dizziness, shortness of breath, and weakness. Talk with your doctor if you experience any of these side effects persistently.
 
Avoid taking Evermide 25mg Capsule if you are pregnant or breastfeeding. Evermide 25mg Capsule may cause dizziness, sleepiness, tiredness, and blurred vision, so drive only if you are alert. Evermide 25mg Capsule is not recommended for children below 18 years as safety and effectiveness have not been established. Men and women taking Evermide 25mg Capsule must use effective contraception. Inform your doctor regarding your health condition and medications before taking Evermide 25mg Capsule to rule out any interactions.

Evermide 25mg Capsule belongs to the group of medicines called immunomodulatory agents. Evermide 25mg Capsule is used to treat multiple myeloma, myelodysplastic syndromes, mantle cell lymphoma, and follicular lymphoma. Evermide 25mg Capsule works by helping the body’s immune system and directly attacks cancer. It stops the development of cancer cells, stops the blood vessels growing in cancer, and stimulates the part of the immune system to attack the cancer cells. Evermide 25mg Capsule kills the abnormal cells in the bone marrow and helps the bone marrow to produce normal blood cells. Evermide 25mg Capsule is used to treat a type of myelodysplastic syndromes (MDS) known as deletion 5q MDS, where part of chromosome 5 is missing.

• Weakness
• Constipation
• Diarrhoea
• Nausea
• Vomiting
• Stomach pain
• Heartburn
• Shortness of breath
• Headache
• Muscle/bone/back pain
• Decrease in red blood cell count
• Fever and flu-like symptoms
• Decreased appetite
• Blurred vision
• Upper respiratory tract infection
• Dry mouth

Do not take Evermide 25mg Capsule if you are allergic to any of its components. Inform your doctor if you have/had blood clots, heart attack, neuropathy, slow heart rate, high blood pressure, low blood pressure, high cholesterol levels, infections/signs of infections, viral infection, HIV, hepatitis B, epilepsy, liver or kidney problems. Do not take Evermide 25mg Capsule if you are pregnant, as it might cause severe birth defects or the death of the unborn baby. Avoid taking Evermide 25mg Capsule if you are breastfeeding as it is not unknown if it passes into breastmilk. Evermide 25mg Capsule may cause dizziness, sleepiness and blurred vision, so drive only if you are alert. Evermide 25mg Capsule is not recommended for use in children. Avoid consuming alcohol along with Evermide 25mg Capsule as it could lead to increased dizziness and sleepiness. Let your doctor know regarding your health condition and medications you are taking, including over the counter and herbal products.

Drug-Drug Interactions: Evermide 25mg Capsule may interact with digitalis glycosides (digoxin), blood thinner (warfarin), and hormone (erythropoietin).

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions: Inform your doctor if you have anaemia, blood clots, infections, heart, kidney, or liver problems.

• DIGOXIN
• WARFARIN
• ERYTHROPOIETIN

• Eat a healthy diet and exercise regularly to maintain proper weight.
• Avoid smoking and alcohol consumption.
• Include food rich in iron, such as lean red meat, raisins, bell peppers, Brussel sprouts, and broccoli.
• To prevent constipation, consume fibre-rich foods such as whole grains, broccoli, dried fruits, nuts, beans, apples, oranges, and pears. 

• Do not take Evermide 25mg Capsule if you are pregnant as it might cause severe birth defects or death of the unborn baby.
• Male patients taking Evermide 25mg Capsule must not donate semen and should use effective contraception during sexual activity even though they have undergone vasectomy.
• You must not donate blood while taking Evermide 25mg Capsule and for 4weeks after discontinuing Evermide 25mg Capsule.
• Evermide 25mg Capsule might increase the risk of blood clots. Inform your doctor if you notice any symptoms such as chest pain, shortness of breath, swelling of the arm or leg.
• Evermide 25mg Capsule might cause abnormal/increase in liver test results, inform the person doing the test that you are taking Evermide 25mg Capsule.
• Evermide 25mg Capsule might increase/decrease your blood sugar levels. Regularly monitor blood glucose levels while taking Evermide 25mg Capsule. Consult your doctor if you are diabetic.
• Inform your doctor if you have any kidney dysfunction as Evermide 25mg Capsule might cause kidney problems.
• Regular blood tests are advised before and during treatment with Evermide 25mg Capsule.

Multiple myeloma: Multiple myeloma is a type of cancer that affects a type of white blood cells called a plasma cell. These cells collect in the bone marrow and divide uncontrollably, leading to kidney and bone damage. Symptoms include bone pain, loss of appetite, fever, and frequent infections.

Myelodysplastic syndromes: It is a group of disorders that occur due to abnormal functioning of blood cells. Symptoms include shortness of breath, anaemia, fatigue, need for blood transfusion, and risk of infections.

Mantle cell lymphoma: It is the cancer of the lymph tissue where the B-cells or B lymphocytes (a type of white blood cells) grow in an uncontrolled manner and build up in the lymph tissue, blood or bone marrow.

Follicular lymphoma: It is slow-growing cancer that affects B lymphocytes, a type of white blood cells that help fight infection. Incase of follicular lymphoma, too many B lymphocytes build up in the blood, lymph nodes, bone marrow, and spleen.