Product image of Melfalan Teva (Melphalan Hydrochloride) supplied by GNH India

Melfalan Teva

Active Ingredient:
Melphalan Hydrochloride
Origin:
EU

Melfalan Teva (Melphalan Hydrochloride)

Melphalan, the active ingredient in Melfalan Teva, is an alkylating agent presented as an injection solution for intravenous use. It is employed in the treatment of multiple myeloma, ovarian cancer, melanoma and neuroblastoma, targeting rapidly dividing malignant cells in adult patients. It is indicated for adult patients with these malignancies and is administered under the supervision of a qualified oncologist.

GNH India supplies Melfalan Teva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide, with distribution networks across multiple regions.

Manufacturer / TM Owner

Teva B.V

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Indications & Clinical Uses

Melphalan is an alkylating chemotherapy agent used in the treatment of certain solid tumors and hematologic malignancies.

  • Multiple myeloma: prolongs survival and reduces disease burden.
  • Ovarian cancer: used in combination regimens to improve response rates.
  • Melanoma: employed in high‑dose protocols for advanced disease.
  • Neuroblastoma: part of intensive chemotherapy for high‑risk disease.

How It Works

  • Melphalan exerts its antineoplastic effect by alkylating DNA bases, primarily at the N7 position of guanine. This creates intra‑ and interstrand cross‑links that obstruct DNA replication and transcription, ultimately triggering apoptosis in rapidly proliferating cancer cells. The drug does not require metabolic activation and acts directly upon cellular DNA.

Side Effects

Melphalan may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea and vomiting: gastrointestinal upset occurring shortly after infusion.
  • Myelosuppression: decreased white blood cells, red cells, and platelets.
  • Mucositis: inflammation of the oral and gastrointestinal mucosa.
  • Alopecia: temporary hair loss during treatment.
  • Fatigue: generalized weakness and reduced stamina.

Serious or Rare Side Effects

  • Secondary malignancies: risk of therapy‑related cancers.
  • Severe infection: due to profound neutropenia.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis.
  • Renal impairment: acute kidney injury in susceptible patients.
  • Cardiotoxicity: rare arrhythmias or myocardial depression.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient-specific risk factors and monitor for toxicity throughout treatment.

  • Renal function: assess baseline creatinine and monitor during therapy.
  • Hepatic function: check liver enzymes as melphalan is partially metabolized hepatically.
  • Hematologic status: perform complete blood counts before each cycle.
  • Pregnancy and lactation: avoid use; teratogenic potential is unknown.
  • Concomitant immunosuppression: assess infection risk and vaccinate appropriately.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Melphalan can interact with other medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Live vaccines: contraindicated due to immunosuppression.
  • Other alkylating agents: additive bone‑marrow toxicity.
  • Strong CYP inducers: may reduce plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Antiemetics: may affect tolerability and dosing schedule.
  • Anticoagulants: increased bleeding risk; monitor coagulation parameters.
  • Nephrotoxic drugs: heightened risk of renal impairment; adjust dosing as needed.

Frequently Asked Questions

Melfalan Teva contains melphalan, an alkylating chemotherapy drug indicated for the treatment of multiple myeloma, ovarian cancer, melanoma and high‑risk neuroblastoma in adult patients. It works by damaging the DNA of rapidly dividing cancer cells, helping to control disease progression.

Melphalan directly alkylates DNA bases, forming cross‑links that block DNA replication and transcription. This interference triggers programmed cell death (apoptosis) in malignant cells, reducing tumor burden while sparing most normal tissues.

The dosing regimen for Melfalan Teva is individualized by the prescribing oncologist based on the specific indication, patient weight, renal function and treatment protocol. Only a qualified healthcare professional should determine the appropriate dose and schedule.

Melphalan is classified as having unknown safety in pregnancy and is considered contraindicated for pregnant or nursing women because of its potential teratogenic and cytotoxic effects. Women of child‑bearing potential should use effective contraception during treatment and for a period thereafter as advised by their physician.

To request Melfalan Teva, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed) and import documentation.

Melfalan (melphalan) is a nitrogen mustard alkylating agent similar to cyclophosphamide but is administered intravenously as an injection solution. Compared with oral alkylators, melphalan offers more predictable pharmacokinetics but requires careful monitoring for myelosuppression and organ toxicity.

Melfalan Teva should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. Prior to administration, the solution should be inspected for particulate matter and used within the time frame specified by the manufacturer.

Melfalan Teva is supplied as an injectable solution for intravenous infusion. It is administered by a qualified healthcare professional in a clinical setting, typically over a defined period according to the treatment protocol, with appropriate pre‑medication to manage nausea and other infusion‑related reactions.

The most serious risks include severe myelosuppression leading to infection or bleeding, secondary malignancies, renal impairment, pulmonary toxicity, and rare but life‑threatening cardiac events. Patients should be monitored closely for signs of infection, organ dysfunction and unexpected laboratory abnormalities.

Melfalan Teva is contraindicated in patients with known hypersensitivity to melphalan or any component of the formulation, in pregnant or nursing women, and in individuals with severe renal or hepatic impairment where the risk outweighs benefit. It should also be avoided in patients receiving live vaccines.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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