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

Melphalan Zentiva

Active Ingredient:
Melphalan Hydrochloride
Origin:
EU

Melphalan Zentiva (Melphalan Hydrochloride)

Melphalan Hydrochloride, the active ingredient in Melphalan Zentiva, is an alkylating agent (nitrogen mustard) presented as an intravenous solution for injection use. It treats multiple myeloma, ovarian cancer, malignant melanoma, and neuroblastoma in adult patients.

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

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

Melphalan Zentiva is an alkylating chemotherapy used for several solid‑tumour and haematologic malignancies.

  • Multiple myeloma: provides cytoreductive activity to reduce malignant plasma cells.
  • Ovarian cancer: used in combination regimens to achieve tumour shrinkage.
  • Malignant melanoma: employed in advanced disease to induce tumour cell death.
  • Neuroblastoma: administered in high‑risk cases to improve remission rates.

How It Works

  • Melphalan Hydrochloride alkylates DNA by forming covalent cross‑links between guanine bases, which blocks DNA replication and transcription. The resulting DNA damage triggers cell‑cycle arrest and apoptosis, preferentially affecting rapidly dividing cancer cells while sparing most normal tissues.

Side Effects

Melphalan may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting: gastrointestinal upset common during treatment.
  • Alopecia: reversible hair loss affecting scalp and body hair.
  • Myelosuppression: reduced white blood cells, red cells, and platelets.
  • Fatigue: generalized tiredness often reported.
  • Mucositis: inflammation of the mouth and gastrointestinal lining.

Serious or Rare Side Effects

  • Severe neutropenia: markedly low neutrophil count increasing infection risk.
  • Thrombocytopenia: low platelet count leading to bleeding complications.
  • Secondary malignancies: rare development of new cancers after therapy.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis.
  • Renal toxicity: impaired kidney function in susceptible patients.

Precautions & Warnings

Careful monitoring and patient assessment are essential when using Melphalan Zentiva.

  • Monitor blood counts: perform regular CBC to detect myelosuppression.
  • Assess renal function: check serum creatinine and adjust dosing if needed.
  • Evaluate hepatic function: liver impairment may affect drug clearance.
  • Avoid in hypersensitivity: discontinue if allergic reactions occur.
  • Use contraception: advise both male and female patients to use effective birth control during treatment and for a defined period after.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

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

Major Interactions (Avoid)

  • Concurrent myelosuppressive agents: increase risk of severe bone‑marrow suppression.
  • High‑dose radiation therapy: synergistic toxicity to normal tissues.
  • Live attenuated vaccines: may cause uncontrolled infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may exacerbate gastrointestinal irritation.
  • ACE inhibitors or ARBs: potential additive renal toxicity.
  • Antacids: could affect the stability of the intravenous solution if mixed improperly.

Frequently Asked Questions

Melphalan Zentiva is indicated for the treatment of multiple myeloma, ovarian cancer, malignant melanoma, and high‑risk neuroblastoma. It is used as part of chemotherapy regimens to reduce tumour burden and improve disease control in these malignancies.

Melphalan hydrochloride is an alkylating agent that forms covalent bonds with DNA, creating cross‑links that prevent DNA replication and transcription. This DNA damage triggers cell‑cycle arrest and apoptosis, especially in rapidly dividing cancer cells, leading to tumour cell death.

The dose of Melphalan Zentiva 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 dosing schedule.

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. Women of child‑bearing potential should use effective contraception throughout treatment and for a period afterward.

To place an 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 required), and necessary import documentation.

Melphalan shares the DNA‑cross‑linking mechanism common to alkylating agents but differs in its pharmacokinetic profile and spectrum of activity. Compared with agents like cyclophosphamide, melphalan is often preferred for certain solid tumours and haematologic cancers due to its higher potency, though it may also present a distinct toxicity profile requiring careful monitoring.

Melphalan Zentiva should be stored at 2‑8 °C in a refrigerator. Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. Do not store at room temperature for extended periods.

Melphalan Zentiva is supplied as an intravenous solution and is administered by a qualified healthcare professional through a controlled IV infusion. The infusion rate and duration are determined by the treating physician according to the prescribed regimen and patient tolerance.

The most serious risks include severe myelosuppression leading to infections or bleeding, secondary malignancies, pulmonary toxicity, and renal impairment. Patients should be closely monitored for signs of infection, bleeding, respiratory symptoms, and changes in kidney function throughout therapy.

Melphalan Zentiva is contraindicated in patients with known hypersensitivity to melphalan or any component of the formulation, in those with severe bone‑marrow failure, and in pregnant or nursing women. Caution is also advised for patients with significant renal or hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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