Common use

Alkeran is primarily used in the management of certain types of cancer, specifically multiple myeloma and ovarian cancer. It belongs to a class of anti-cancer medicines known as alkylating agents. In addition, it is also indicated for managing malignant melanoma of the eye that has spread to the liver. It may also be used off-label for other types of cancer as determined by your doctor.

Dosage and direction

Alkeran can be taken orally in the form of tablets. The best time and dosage to take Alkeran depends on your treatment plan and should be determined by your doctor. Always follow the schedule provided by your doctor faithfully.

Precautions

This medicine can cause side effects such as dizziness and tiredness, which may affect your ability to drive or operate heavy machinery. Avoid these activities if you feel unwell.
It is recommended to consult a doctor before using this medicine during pregnancy or breastfeeding as it may harm the baby.
Patients with liver or kidney disease should exercise caution when taking this medicine.
Those with a history of radiation therapy should also be cautious.
Avoiding exposure to sunlight or wearing protective clothing outdoors can help prevent skin reactions to the medicine.

Contraindications

Alkeran is contraindicated in patients with a known allergy to Melphalan.
It should not be given to patients who have severely depressed bone marrow function.

Possible side effect

Side effects of Alkeran: Nausea and vomiting; Diarrhea; Mouth sores; Loss of appetite; Fatigue and weakness; Hair loss (usually reversible).

Drug interaction

It may interact with antibiotics (such as nalidixic acid), immunosuppressants (such as cyclosporine), and antacids (like cimetidine).

Missed dose

If you miss a dose, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose. Do not take a double dose to make up for a missed one.

Overdose

An overdose may cause severe nausea, vomiting, diarrhea, mouth sores, and dangerously low blood cell counts. If you observe these symptoms, inform your doctor immediately.

Storage

Store Alkeran it at a controlled room temperature between 20 C and 25 C. Avoid exposing the medication to excessive heat, humidity, or direct sunlight. Always keep this medicine out of reach of children and pets.