Country: United States
Language: English
Source: NLM (National Library of Medicine)
Melphalan Hydrochloride (UNII: 1VXP4V453T) (Melphalan - UNII:Q41OR9510P)
Dr.Reddy's Laboratories Inc
Melphalan Hydrochloride
Melphalan 50 mg in 10 mL
INTRAVENOUS
PRESCRIPTION DRUG
Melphalan hydrochloride for injection is indicated for the palliative treatment of patients with multiple myeloma for whom oral therapy is not appropriate. Melphalan hydrochloride for injection should not be used in patients whose disease has demonstrated prior resistance to this agent. Patients who have demonstrated hypersensitivity to melphalan hydrochloride for injection should not be given the drug.
Melphalan hydrochloride for injection is supplied in a carton (NDC 43598-392-48). containing one single-dose clear glass vial of freeze-dried melphalan hydrochloride equivalent to 50 mg melphalan (NDC 43598-391-50) and one 10 mL clear glass vial of sterile diluent (NDC 43598-393-35). Store at 20°-25°C (68°-77°F); [see USP Controlled Room Temperature] and protect from light.
Abbreviated New Drug Application
MELPHALAN HYDROCHLORIDE- MELPHALAN HYDROCHLORIDE DR.REDDY'S LABORATORIES INC ---------- MELPHALAN HYDROCHLORIDE FOR INJECTION 50 MG BOXED WARNING Melphalan hydrochloride for injection should be administered under the supervision of a qualified physician experienced in the use of cancer chemotherapeutic agents. Severe bone marrow suppression with resulting infection or bleeding may occur. Controlled trials comparing intravenous (IV) to oral melphalan have shown more myelosuppression with the IV formulation. Hypersensitivity reactions, including anaphylaxis, have occurred in approximately 2% of patients who received the IV formulation. Melphalan is leukemogenic in humans. Melphalan produces chromosomal aberrations in vitro and in vivo and, therefore, should be considered potentially mutagenic in humans. DESCRIPTION Melphalan, also known as L-phenylalanine mustard, phenylalanine mustard, L-PAM, or L-sarcolysin, is a phenylalanine derivative of nitrogen mustard. Melphalan is a bifunctional alkylating agent that is active against selected human neoplastic diseases. It is known chemically as 4-[bis(2-chloroethyl)amino]-L- phenylalanine monohydrochloride. The molecular formula is C H C N O . HCl and the molecular weight is 341.67. The structural formula is: Melphalan is practically insoluble in water and has a pKa1 of 2.5. Melphalan salt is practically insoluble in acetone andchlorinated organic solvents. Slightly soluble in methanol andethanol. Soluble in water, 0.1 N HCl and 0.1 N NaOH. Melphalan hydrochloride for injection is supplied as a sterile,nonpyrogenic, freeze-dried powder. Each single-dose vialcontains melphalan hydrochloride equivalent to 50 mgmelphalan and 20 mg povidone. Melphalan hydrochloride forinjection is reconstituted using the sterile diluent provided. Eachvial of sterile diluent contains sodium citrate 0.2 g, propyleneglycol 6 mL, ethanol (96%) 0.52 mL, and Water for Injection toa total of 10 mL. Melphalan hydrochloride for injection isadministered intravenously. CLINICAL PHARMACOLOGY Melphalan is Read the complete document