Generic Name : MELPHALAN
Pronunciation : (mel' fa lan)
Trade Name(s) : Alkeran.
Why it is prescribed: Your doctor has ordered the drug
melphalan to help your illness. In addition to melphalan, your
doctor may have ordered other cancer-fighting drugs; this treatment
is called combination therapy. Your doctor may measure the effectiveness
of your treatment using laboratory tests and physical examinations.
In general, the length of treatment depends on the types of drugs
you are taking, how well your body responds to them, and the type
of cancer you have.
When it is to be taken: The drug comes in tablet form.
Melphalan slows or stops the growth of cancer cells in your body.
How it should be taken: The purpose of chemotherapy is
to control your illness so that your own body can aid in your
recovery. It is important to build up your body's defense system,
and a balanced diet is needed to build a healthy body. Ask your
doctor for advice on your diet.
Special Instruction :
1. It is especially important to prevent infection and injuries.
Avoid people with contagious diseases such as the flu.
2. Keep all cuts and scratches clean.
3. Maintain good personal hygiene, including hand washing and
mouth care. To avoid injuries, shave with an electric razor instead
of blades and wear protective clothing when working in the yard
and garden.
4. Do not take any medications, especially those containing aspirin,
without doctor's advice.
5. Avoid drinking alcoholic beverages.
Side Effects :
1. Although not everyone experiences side effects during chemotherapy,
some people do. If any of the effects becomes intolerable, let
your doctor know.
2. In a small number of patients, nausea and vomiting occur, but
these problems generally are mild and do not last long. Your doctor
may have ordered antinausea medications for you to take if you
feel sick. Follow your doctor's instructions.
3. Melphalan may decrease the number of blood cells. These cells
include white blood cells that fight infection, red blood cells
that carry oxygen and energy, and platelets that help clot blood
and promote healing. Your doctor may order tests before, during
and after your treatment to see if your blood cells are affected
by the drug.
4. If you develop any of the following symptoms, tell your doctor
as soon as possible: fever, chills, cough, sore throat, bruising,
unusual bleeding or rash, fatigue, dizziness, persistent nausea,
severe vomiting, weight loss, and missed menstrual periods.
Other Precautions :
1. Try to maintain your normal activity schedule, but avoid stressful
situations and be careful not to overexert yourself.
2. Remember to take a break and rest whenever you feel tired.
3. You should not assume that you cannot get pregnant just because
you are on chemotherapy.
4. You should not plan to have children while receiving chemotherapy
or for a while after treatments.
5. Use a reliable method of birth control to prevent pregnancy.
Storage Conditions : Keep it in a safe place, away from
children.