Melpispal 50 50 mg Powder and solvent for solution for injection
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of multiple myeloma and ovarian cancer.
Dosage (summary)
IV doses vary; 0.4 mg/kg (16 mg/mu00b2) every 4 weeks for myeloma; 1 mg/kg (40 mg/mu00b2) every 4 weeks for ovarian cancer.
Special Populations
- Elderly
- Renal impairment
- Paediatric population
Pregnancy & Breastfeeding
Contraindicated in pregnancy and breastfeeding.
Key Drug Interactions
- Live organism vaccines
- Nalidixic acid
- Busulfan
- Ciclosporin
Contraindications
- Hypersensitivity to melphalan
- Pregnancy and lactation
- Immunisation with live vaccines
Common side effects
- Bone marrow depression
- Leucopaenia
- Thrombocytopaenia
- Nausea
- Vomiting
Counselling Points
- Avoid live vaccines during treatment.
- Discuss fertility preservation options.
- Monitor for signs of infection and bleeding.
Serious warnings
- Myelosuppressive effects
- Risk of secondary malignancies
- Use only under experienced medical supervision
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