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melphalan, mel-fa-lan, belongs to the group, alkylating agents, treat cancer, the ovaries and a certain type, cancer, bone marrow, melphalan interferes with the growth, cancer cells, which are eventually destroyed, the growth, normal body cells may also be affected by melphalan, other effects will also occur, serious, reported to a physician, other effects may not be serious, some effects may not occur for months, years after the medicine is used, before you begin treatment with melphalan, and a physician should talk about the good this medicine will do as well as the risks, using it, melphalan, dosage form oral, tablets, parenteral, injection, for melphalan, allergic reaction to melphalan, chlorambucil, pregnant, intend to have children, there is a chance that this medicine, birth defects if either the male, female is taking it at the time, conception, taken during pregnancy, many cancer medicines, sterility which could be permanent, sterility has been reported with melphalan, possibility should be kept in mind, best to use some kind, birth control, taking melphalan, if you become pregnant, melphalan, when breast-feeding , breast-feeding, intend to breast-feed during treatment with this medicine, melphalan, serious side effects, when breast-feeding , is not recommended, children although, melphalan in children with use in other age groups, is not expected to cause different side effects, problems in children, in adults, haven't been studied specifically in older people, problems in older people, there is no specific information comparing the use, melphalan, elderly with use in other age groups, an interaction might occur, change the dose, when you are taking melphalan, health care professionals, amphotericin b by injection, fungizone, antithyroid agents, medicine for overactive thyroid, azathioprine, imuran, chloramphenicol, chloromycetin, colchicine, flucytosine, ancobon, ganciclovir, cytovene, interferon, intron a, roferon-a, plicamycin, mithracin, zidovudine, azt, retrovir, been treated with x-rays, cancer medicines within 3 to 4 weeks, melphalan may increase the effects, radiation therapy on the blood, probenecid, benemid, sulfinpyrazone, anturane, melphalan may raise the concentration, uric acid, blood, which these medicines, lower other medical problems, melphalan, any other medical problems, chickenpox, recent exposure, herpes zoster, shingles, risk, severe disease affecting other parts, the body, gout, kidney stones , melphalan may increase levels, a chemical, uric acid, which can cause gout, kidney stones , infection, melphalan decreases my body's ability to fight infection, kidney disease , risk, toxic effects on the blood, increased , take melphalan, don't take less or more, do not take it for a longer time, the exact amount, medicine you need has been carefully worked out, taking too much may increase the chance, side effects, while taking too little may not improve my condition, melphalan, given together with certain other medicines, are using a combination, receive each one at the proper time, by mouth, ask my health care professional to help you plan a way to remember, take my medicine at the right times, using melphalan, drink extra fluids so, will pass more urine, prevent kidney problems and keep my kidneys working well, nausea, vomiting, appetite, continue to receive the medicine, begin to feel ill, ask my health care professional for ways, lessen these effects, vomit shortly after taking a dose, melphalan, will be told whether, take the dose again, to wait until the next scheduled dose, melphalan will be different for different patients, the dose that is used may depend on a number, things, the medicine is being used for, the patient's weight, whether the medicine is being given by mouth, by injection, whether, not other medicines are also being taken, receiving melphalan at home, follow a physician's orders, the directions on the label, any questions about the proper dose, melphalan, if i miss a dose, do not take the missed dose at all and do not double the next one, go back to my regular dosing schedule and check with a physician, keep out of a child's reach, store, original glass container away from heat and direct light, in other damp places, heat, moisture, the medicine to break down, do not keep outdated medicine, medicine no longer needed, discarded medicine is out of a child's reach, precautions, know the side effects, a physician check my progress at regular visits to make sure that this medicine is working properly, for unwanted effects, being treated with melphalan, after you stop treatment with it, do not have any immunizations, vaccinations, without a physician's approval, melphalan may lower my body's resistance and there is a chance you might get the infection the immunization is meant to prevent, other persons living, in my household should not take, should not have taken oral polio vaccine within the last several months since there is a chance they could pass the polio virus on, avoid other persons who have taken oral polio vaccine, do not get close to them and do not stay, same room with them for very long, cannot take these precautions, should consider wearing a protective face mask that covers the nose and mouth, melphalan can lower the number, white blood cells, in my blood temporarily, increasing the chance, getting an infection, it can also lower the number, platelets, which are necessary for proper blood clotting, there are certain precautions you can take, especially when my blood count is low, to reduce the risk, infection, bleeding, can, avoid people with infections, check with a physician immediately, think you are getting an infection, get a fever, chills, cough, hoarseness, lower back, side pain, painful, difficult urination , check with a physician immediately, notice any unusual bleeding, bruising; black, tarry stools , blood in urine , stools, pinpoint red spots on my skin, be careful when using a regular toothbrush, dental floss, toothpick, nurse may recommend other ways to clean my teeth and gums, check with my medical doctor before having any dental work done, do not touch my eyes, the inside, nose unless you have just washed my hands and have not touched anything else, be careful not to cut myself when you are using sharp objects, a safety razor, fingernail, toenail cutters, avoid contact sports, other situations where bruising, injury could occur, side effects, along with their needed effects, medicines like melphalan can sometimes cause unwanted effects, blood problems and other side effects, and others are described below, the way these medicines act on the body, there is a chance that they might cause other unwanted effects that may not occur until months, years after the medicine is used, delayed effects may include certain types, cancer, leukemia, discuss these possible effects with a physician, side effects may occur, may need medical attention, check with a physician immediately, side effects occur, tarry stools , blood in urine , stools, cough, hoarseness, accompanied by fever, chills, fast, irregular heart beat, fever, chills, lower back, side pain, accompanied by fever, chills, painful, difficult urination , accompanied by fever, chills, pinpoint red spots on skin, redness and/or soreness at the infusion site, shortness of breath, skin rash , itching, troubled breathing, unusual bleeding, bruising, side effects occur, diarrhea, difficulty swallowing, joint pain, redness and/or soreness in arm, leg, sores in mouth and on lips, swelling, feet, lower legs, side effects may go away during treatment, body adjusts to the medicine, health care professional, able to tell you about ways to prevent, reduce some, side effects, check with my health care professional if the following side effects continue, bothersome, any questions about them, nausea and vomiting , after you stop taking melphalan, can still produce some side effects that need attention, during this period, check with a physician if you notice, side effects, tarry stools , blood in urine , stools, cough, hoarseness, accompanied by fever, chills, fever, chills, lower back, side pain, accompanied by fever, chills, painful, difficult urination , accompanied by fever, chills, pinpoint red spots on skin, unusual bleeding, bruising, other side effects, additional information once a medicine has been approved for marketing for a certain use, experience may show, also useful for other medical problems, uses are not included in product labeling, melphalan is used in certain patients with the following conditions, cancer, the breast, waldenström's macroglobulinemia, a certain type, cancer, the blood, cancer, the blood and lymph system, cancer, the endometrium, malignant melanoma, a type, skin cancer that has spread to other parts, the body, other than, information, there is no additional information relating to the, side effects, for these uses, brand names, alkeran, alkeran, other commonly used names are l-pam; phenylalanine mustard, category antineoplastic