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Overview	Photos	How To Use	Side Effects	Precautions	Missed Dose	Drug Interactions

Melphalan Alkeran IV Uses Treats symptoms of plasma cell cancer (multiple myeloma). How To Use APPEARANCE: Injectable. Medicines used to treat cancer are very strong and can have many side effects. Before receiving this medicine, make sure you understand all the risks and benefits. It is important for you to work closely with your doctor during your treatment. You will receive this medicine while you are in a hospital or cancer treatment center. A nurse or other trained health professional will give you this medicine. Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given through a needle placed in one of your veins. It usually takes at least 15 minutes to receive one dose of this medicine. You will then need to wait 2 to 4 weeks before receiving the next dose. Do not get this medicine in your eyes, mouth, or nose or on your skin. Tell your caregiver right away if this happens. This medicine may work slowly over several months. To get the most benefit, keep using it for as long as your doctor tells you to. You may also receive medicines to help prevent nausea and vomiting. Side Effects Call your doctor right away if you notice any of these side effects: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing. Bloody or black, tarry stools. Fast heartbeat. Fever, chills, cough. Lightheadedness or fainting. New lumps or growths under your skin Pain, swelling, blisters, or sores where the IV needle is placed Severe nausea and vomiting, seizure, severe muscle stiffness. Skin rash Trouble breathing. Unusual bleeding, bruising, or weakness Yellowing of your skin or the whites of your eyes. Precautions You should not receive this medicine if you have had an allergic reaction to melphalan or if you are pregnant. Make sure your doctor knows if you have used this medicine before. Missed Dose Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given through a needle placed in one of your veins. Drug Interactions Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away. If you plan to have children, talk with your doctor before using this medicine. Some men and women using this medicine have become infertile (unable to have children). This medicine might make a woman stop having menstrual periods temporarily. Make sure your doctor knows if you are breastfeeding, or if you have kidney disease. This medicine lowers the number of some types of blood cells in your body. Because of this, you may bleed or get infections more easily. To help with these problems, avoid being near people who are sick or have infections. Wash your hands often. Stay away from rough sports or other situations where you could be bruised, cut, or injured. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers. Some people using this medicine have developed a second form of cancer, even years after stopping the medicine. It is not known if this medicine caused the cancer. Talk to your doctor about this risk. Your doctor will need to check your blood at regular visits while you are using this medicine. Be sure to keep all appointments. Cancer medicines can cause nausea and/or vomiting in most people, sometimes even after receiving medicines to prevent it. Ask your doctor or nurse about other ways to control these side effects. Share and Enjoy!

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.