Product image of Melfalán Tarbis (Melphalan) supplied by GNH India

Melfalán Tarbis

Active Ingredient:
Melphalan
Origin:
EU

Melfalán Tarbis (Melphalan)

Melphalan, the active ingredient in Melfalán Tarbis, is an alkylating agent presented as a sterile injectable for intraarterial and intravenous use. It is employed in the treatment of certain hematologic and solid malignancies, including multiple myeloma, ovarian cancer, malignant melanoma, and chronic lymphocytic leukemia.

GNH India supplies Melfalán Tarbis as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches for clinical use across multiple regions.

Manufacturer / TM Owner

Tarbis Farma, S.L.

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Indications & Clinical Uses

Melfalán Tarbis (melphalan) is used in oncology to target rapidly dividing cancer cells across several disease groups.

  • Multiple Myeloma: improves response rates and prolongs survival in eligible patients.
  • Ovarian Cancer: used as part of high‑dose regimens to enhance tumor reduction before surgery.
  • Malignant Melanoma: employed in selected cases where conventional therapies are insufficient.
  • Chronic Lymphocytic Leukemia: incorporated into combination protocols to achieve deeper remissions.

How It Works

  • Melphalan exerts its antineoplastic activity by forming covalent cross‑links between DNA strands. The alkylating action creates interstrand and intrastrand bonds that block DNA replication and transcription, leading to cell‑cycle arrest at the G2/M phase and triggering apoptosis in proliferating malignant cells. Its non‑selective DNA damage underlies its efficacy against a broad spectrum of hematologic and solid tumors.

Side Effects

Administration of melphalan may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea and vomiting: gastrointestinal upset commonly reported during treatment.
  • Myelosuppression: decreased white blood cells, red cells and platelets.
  • Fatigue: generalized tiredness affecting daily activities.
  • Mucositis: inflammation and ulceration of the oral mucosa.
  • Alopecia: temporary hair loss during therapy.

Serious or Rare Side Effects

  • Secondary malignancies: risk of therapy‑related leukemia or other cancers.
  • Severe infection: due to profound neutropenia.
  • Pulmonary fibrosis: rare lung scarring with dyspnea.
  • Renal toxicity: impaired kidney function in susceptible patients.
  • Cardiotoxicity: rare cardiac arrhythmias or dysfunction.

Precautions & Warnings

Prior to prescribing melphalan, clinicians should evaluate patient-specific factors and follow safety guidelines.

  • Baseline blood counts: obtain complete blood count to assess marrow reserve.
  • Renal function: evaluate creatinine clearance before dosing.
  • Hepatic status: monitor liver enzymes in patients with hepatic impairment.
  • Pregnancy risk: avoid use in pregnant women unless benefits outweigh risks.
  • Concomitant myelosuppressive agents: adjust therapy to prevent excessive cytopenia.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Melphalan can interact with other medications, altering its efficacy or toxicity profile.

Major Interactions (Avoid)

  • High‑dose cyclophosphamide: additive bone‑marrow suppression.
  • Live vaccines: increased risk of infection due to immunosuppression.
  • Anticoagulants (warfarin): heightened bleeding risk from mucosal damage.

Moderate Interactions (Monitor Closely)

  • Allopurinol: may increase melphalan plasma levels.
  • Azathioprine: combined immunosuppression may exacerbate cytopenias.
  • NSAIDs: can worsen renal toxicity when used concurrently.

Frequently Asked Questions

Melfalán Tarbis contains melphalan, an alkylating chemotherapy agent used to treat several cancers, including multiple myeloma, ovarian cancer, malignant melanoma, and chronic lymphocytic leukemia. It is administered as part of high‑dose or combination regimens to achieve tumor reduction and improve survival outcomes.

Melphalan works by attaching alkyl groups to DNA bases, creating covalent cross‑links that prevent DNA strands from separating. This blocks replication and transcription, causing cell‑cycle arrest and ultimately leading to programmed cell death (apoptosis) in rapidly dividing cancer cells.

The exact dose of melphalan is individualized and set by the prescribing oncologist based on factors such as the specific cancer type, disease stage, patient weight or body surface area, renal function, and concurrent therapies. No standard dosing can be provided without a medical prescription.

Melphalan is classified as potentially harmful to the fetus and is generally contraindicated during pregnancy unless the therapeutic benefit justifies the risk. It is also excreted in breast milk, so breastfeeding is not recommended while receiving treatment.

To request Melfalán Tarbis, submit an enquiry on the product page at gnhindia.com, specifying 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 required import documentation.

Melphalan shares the DNA‑cross‑linking mechanism common to alkylating agents such as cyclophosphamide and chlorambucil, but it is often preferred for high‑dose regimens in multiple myeloma and certain solid tumours because of its potency and pharmacokinetic profile. Toxicity patterns are similar, with myelosuppression being the dose‑limiting factor.

Melfalán Tarbis should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the product in its original packaging until use and follow aseptic techniques when preparing for intra‑arterial or intravenous administration.

The product is supplied as a sterile injectable solution for intra‑arterial or intravenous infusion. Administration is performed by qualified healthcare professionals in a clinical setting, following institutional protocols for infusion rate, pre‑medication, and monitoring of vital signs and laboratory parameters.

Serious risks include severe myelosuppression leading to infection or bleeding, secondary malignancies such as therapy‑related leukemia, pulmonary fibrosis, renal toxicity, and rare cardiac complications. Patients should be closely monitored with regular blood counts, renal and pulmonary function tests, and clinical assessment for infection signs.

Melphalan is contraindicated in patients with known hypersensitivity to the drug, severe uncontrolled infections, significant bone‑marrow failure, or those who are pregnant unless the benefit outweighs the risk. Caution is also advised for individuals with impaired renal or hepatic function and for patients receiving other myelosuppressive therapies.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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