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

Melphalan Tillomed

Active Ingredient:
Melphalan
Origin:
EU

Melphalan Tillomed (Melphalan)

Melphalan, the active ingredient in Melphalan Tillomed, is an alkylating agent presented as an injection for intravenous use. It treats certain cancers such as multiple myeloma, ovarian cancer, melanoma, and breast cancer in adult patients.

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

Manufacturer / TM Owner

Tillomed Laboratories Ltd

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Indications & Clinical Uses

  • Melphalan is an alkylating agent used in the treatment of several solid tumours and hematologic malignancies.
  • Multiple Myeloma: improves disease control and prolongs survival.
  • Ovarian Cancer: used in combination regimens to reduce tumor burden.
  • Melanoma: employed in advanced disease to achieve tumor regression.
  • Breast Cancer: incorporated into chemotherapy protocols for metastatic disease.

How It Works

  • Melphalan exerts its antineoplastic effect by forming covalent cross‑links between guanine bases in DNA. This alkylation interferes with DNA replication and transcription, leading to impaired cell division and ultimately apoptosis of rapidly proliferating cancer cells.

Side Effects

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

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Vomiting: occasional emesis.
  • Fatigue: general tiredness.
  • Myelosuppression: reduced blood cell counts causing anemia, neutropenia, or thrombocytopenia.

Serious or Rare Side Effects

  • Severe infection: due to profound neutropenia.
  • Acute leukemia: rare secondary malignancy.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis.

Precautions & Warnings

Prior to initiating therapy, several safety considerations should be addressed.

  • Monitor blood counts: perform regular CBC to detect myelosuppression.
  • Assess renal function: adjust therapy if impairment is present.
  • Evaluate hepatic function: liver dysfunction may affect drug handling.
  • Avoid in patients with active infection: risk of worsening infection.
  • Pregnancy: contraindicated unless benefits outweigh risks; discuss with specialist.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Melphalan can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Live vaccines: may cause uncontrolled infection; avoid concurrent use.
  • High-dose radiation therapy: increased risk of tissue damage.
  • Other alkylating agents: additive myelosuppression.

Moderate Interactions (Monitor Closely)

  • Antifungal azoles (e.g., fluconazole): may increase melphalan exposure.
  • CYP450 inducers (e.g., phenobarbital): may reduce efficacy.
  • NSAIDs: may exacerbate renal toxicity.

Frequently Asked Questions

Melphalan Tillomed is an intravenous alkylating chemotherapy used to treat several malignancies, including multiple myeloma, ovarian cancer, melanoma, and breast cancer. It is administered under the supervision of an oncologist as part of a broader treatment regimen.

Melphalan works by alkylating DNA guanine bases, creating cross‑links that block DNA replication and transcription. This damage prevents cancer cells from dividing and triggers programmed cell death, reducing tumor growth.

The dosage of melphalan is individualized and determined by the prescribing oncologist based on the specific cancer type, disease stage, patient weight, renal function, and treatment protocol. No standard dose is provided here.

Melphalan is classified as contraindicated in pregnancy because it can cause fetal harm. It is also not recommended during breastfeeding, as it may be excreted in milk and affect the infant. Consultation with a specialist is essential before any exposure.

To order, 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 needed) and import documentation.

Melphalan shares the DNA‑cross‑linking mechanism of other alkylators such as cyclophosphamide, but it is often preferred for certain hematologic cancers like multiple myeloma due to its potency and pharmacokinetic profile. Choice of agent depends on cancer type, prior therapy, and tolerability.

Melphalan Tillomed must be stored at 2‑8 °C in a refrigerator, protected from light, and should not be frozen or shaken. The product should remain in its original packaging until use to maintain stability.

Melphalan is given as an intravenous injection or infusion by a qualified healthcare professional. The preparation is diluted according to the prescribing information and administered over a controlled period to ensure safety and efficacy.

The most serious risks include severe myelosuppression leading to infection, anemia, or bleeding; secondary acute leukemia; and pulmonary toxicity such as interstitial pneumonitis. Patients should be monitored closely for these complications throughout treatment.

Melphalan should not be used in patients with known hypersensitivity to the drug, active uncontrolled infections, severe bone‑marrow failure, or in pregnant women unless absolutely necessary. Clinicians must evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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