Product image of Melphalan Amarox (Melphalan Hydrochloride) supplied by GNH India

Melphalan Amarox

Active Ingredient:
Melphalan Hydrochloride
Origin:
EU

Melphalan Amarox (Melphalan Hydrochloride)

Melphalan hydrochloride, the active ingredient in Melphalan Amarox, is an alkylating agent presented as a sterile injectable for intraarterial and intravenous use. It treats multiple myeloma, ovarian cancer and malignant melanoma in adult patients.

GNH India supplies Melphalan Amarox as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Amarox Limited

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

  • Melphalan Amarox is an alkylating antineoplastic agent used in the treatment of certain solid tumours and hematologic malignancies.
  • Multiple Myeloma: incorporated into combination regimens to achieve disease control.
  • Ovarian Cancer: employed to target rapidly dividing cancer cells and improve response rates.
  • Malignant Melanoma: applied in selected cases to induce tumour regression.

How It Works

  • Melphalan hydrochloride exerts its antineoplastic activity by alkylating the N7 position of guanine bases in DNA, creating intra‑ and interstrand cross‑links. These cross‑links impede DNA replication and transcription, ultimately triggering apoptosis in rapidly proliferating cancer cells while sparing most normal tissues.

Side Effects

Melphalan Amarox may cause a range of adverse reactions, some of which are expected with cytotoxic chemotherapy.

Common Side Effects

  • Nausea and vomiting: gastrointestinal upset common during infusion.
  • Myelosuppression: reduced white blood cells, platelets, and red cells.
  • Fatigue: generalized tiredness during treatment cycles.
  • Mucositis: inflammation of the oral mucosa.
  • Alopecia: temporary hair loss.
  • Diarrhoea: loose stools may occur.

Serious or Rare Side Effects

  • Secondary leukaemia: rare but documented long‑term risk.
  • Severe infection: due to profound neutropenia.
  • Pulmonary toxicity: interstitial pneumonitis in rare cases.
  • Renal impairment: acute kidney injury with high doses.
  • Cardiotoxicity: rare cardiac arrhythmias or dysfunction.

Precautions & Warnings

  • Before initiating therapy, clinicians should evaluate patient‑specific factors and monitor for toxicity.
  • Renal function: assess baseline creatinine and monitor during treatment.
  • Hematologic status: perform regular complete blood counts.
  • Pregnancy: avoid use unless benefits outweigh potential fetal risk.
  • Concomitant radiation: use with caution as combined toxicity may increase.
  • Drug interactions: review all concomitant medications for potential interactions.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Melphalan Amarox can interact with several drug classes; awareness helps minimise adverse outcomes.

Major Interactions (Avoid)

  • Live vaccines: contraindicated because of immunosuppression.
  • Strong CYP450 inducers (e.g., rifampin): may reduce melphalan exposure.

Moderate Interactions (Monitor Closely)

  • Anticoagulants: increased bleeding risk; monitor INR or PT.
  • Nephrotoxic agents: may exacerbate renal toxicity; monitor kidney function.
  • Other alkylating agents: additive myelosuppression; adjust dosing as needed.

Frequently Asked Questions

Melphalan Amarox is indicated for the treatment of multiple myeloma, ovarian cancer and malignant melanoma. It is used as part of chemotherapy protocols to target rapidly dividing cancer cells in these adult malignancies.

Melphalan hydrochloride alkylates guanine bases in DNA, forming cross‑links that block DNA replication and transcription. This damage triggers programmed cell death, preferentially affecting rapidly proliferating tumour cells while sparing most normal tissues.

The dose of Melphalan Amarox is individualized by the prescribing oncologist based on the specific cancer type, disease stage, patient weight, renal function and treatment protocol. Only a qualified healthcare professional should determine the appropriate regimen.

Melphalan Amarox is classified as contraindicated in pregnancy unless the potential benefit justifies the risk to the fetus. It is also not recommended during breastfeeding because it can be excreted in milk and may harm the infant.

To request Melphalan Amarox, 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 where required) and necessary import documentation.

Melphalan Amarox shares the DNA‑cross‑linking mechanism of other alkylating agents such as cyclophosphamide, but it is often preferred for certain haematologic and solid tumours due to its potency and established efficacy in multiple myeloma and ovarian cancer. Toxicity profiles are similar, with myelosuppression being a common concern.

Melphalan Amarox should be stored at 2‑8 °C in a refrigerator, protected from light and moisture. The product must not be frozen or shaken, and it should remain in its original packaging until ready for reconstitution and administration.

Melphalan Amarox is supplied as a sterile injectable solution and is administered by a qualified healthcare professional via intravenous infusion or intra‑arterial injection, according to the prescribed treatment schedule and infusion rate.

The most serious risks include severe myelosuppression leading to infection or bleeding, secondary leukaemia, renal toxicity, and rare pulmonary complications. Patients should be closely monitored for blood counts, kidney function and any signs of infection throughout therapy.

Melphalan Amarox is contraindicated in patients with known hypersensitivity to melphalan or any component of the formulation, in pregnant women unless absolutely necessary, and in individuals with severe renal impairment where dose adjustment is not feasible. Caution is also advised for patients receiving live vaccines.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.