Product image of Melphalan Hikma (Melphalan) supplied by GNH India

Melphalan Hikma

Active Ingredient:
Melphalan
Origin:
EU

Melphalan Hikma (Melphalan)

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

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

Manufacturer / TM Owner

Hikma Farmacêutica (Portugal), S.A.

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Indications & Clinical Uses

  • Melphalan is an alkylating antineoplastic agent used in the treatment of several solid tumours and hematologic malignancies.
  • Multiple myeloma: reduces malignant plasma‑cell proliferation and improves survival.
  • Ovarian cancer: incorporated into combination regimens to achieve tumour reduction.
  • Malignant melanoma: employed in advanced disease to inhibit tumour growth.

How It Works

  • Melphalan exerts its cytotoxic effect by alkylating the N7 position of guanine bases in DNA, creating intra‑ and inter‑strand cross‑links that block DNA replication and transcription, ultimately leading to apoptosis of rapidly dividing cancer cells.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting
  • Myelosuppression (neutropenia, anemia, thrombocytopenia)
  • Alopecia (hair loss)
  • Fatigue

Serious or Rare Side Effects

  • Secondary malignancies (e.g., leukemia)
  • Severe infections due to immunosuppression
  • Pulmonary toxicity (interstitial pneumonitis)
  • Renal toxicity or hemorrhagic cystitis
  • Cardiac toxicity (arrhythmias)
  • Severe mucositis

Precautions & Warnings

  • Careful monitoring and patient assessment are essential when using melphalan.
  • Monitor blood counts: perform regular complete blood count tests to detect myelosuppression.
  • Assess renal function: evaluate serum creatinine and adjust therapy if impairment is present.
  • Evaluate hepatic function: check liver enzymes before and during treatment.
  • Avoid in patients with known hypersensitivity to alkylating agents.
  • Use effective contraception: both male and female patients should employ reliable birth control during therapy and for a defined period after.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Melphalan may interact with other medicines, altering efficacy or toxicity.

Major Interactions (Avoid)

  • Concurrent use with other myelosuppressive agents (e.g., cyclophosphamide) may exacerbate bone‑marrow suppression.
  • Live vaccines: immunosuppression can reduce vaccine effectiveness and increase infection risk.

Moderate Interactions (Monitor Closely)

  • Nephrotoxic drugs (e.g., cisplatin) may increase renal toxicity.
  • Anticoagulants (e.g., warfarin) may heighten bleeding risk.
  • CYP450 inducers or inhibitors (e.g., rifampin, azole antifungals) may affect melphalan metabolism and require dose adjustments.

Frequently Asked Questions

Melphalan Hikma contains the alkylating agent melphalan and is indicated for the treatment of adult patients with multiple myeloma, ovarian cancer and malignant melanoma. It is used as part of chemotherapy protocols prescribed by oncologists to control disease progression.

Melphalan acts by adding alkyl groups to DNA, primarily at the N7 position of guanine. This creates cross‑links that prevent DNA strands from separating, blocking replication and transcription, which triggers apoptosis in rapidly dividing cancer cells.

The dose of melphalan is individualized by the prescribing physician based on the specific indication, patient weight, renal function and treatment protocol. Only a qualified healthcare professional should determine the appropriate dosing schedule.

Melphalan is classified as contraindicated in pregnancy because it can cause fetal harm, and it is excreted in breast milk. Women who are pregnant, planning to become pregnant, or nursing should discuss alternative therapies with their oncologist.

To request Melphalan Hikma, 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 and necessary import documentation.

Compared with agents such as cyclophosphamide, melphalan has a broader spectrum of activity against both hematologic and solid tumours and forms more stable DNA cross‑links. However, its toxicity profile, especially myelosuppression, may be more pronounced, requiring careful monitoring.

Melphalan Hikma should be stored at 2‑8 °C, protected from light, and kept in its original container. It must not be frozen or shaken, and any unused portion should be discarded according to local regulations after the recommended storage period.

Melphalan Hikma is supplied for intravenous infusion. It is administered by a qualified healthcare professional under aseptic conditions, typically diluted in a compatible IV solution and infused over a prescribed period as part of a chemotherapy regimen.

The most serious risks include severe myelosuppression leading to life‑threatening infections, secondary malignancies such as therapy‑related leukemia, pulmonary toxicity, renal impairment and hemorrhagic cystitis. Patients should be monitored closely for these complications throughout treatment.

Melphalan is contraindicated in patients with known hypersensitivity to melphalan or other alkylating agents, in pregnant or nursing women, and in individuals with severe bone‑marrow failure or uncontrolled renal or hepatic dysfunction. A thorough medical assessment is required before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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