Țară: Malaezia
Limbă: engleză
Sursă: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
MELPHALAN
Aspen Medical Products Malaysia Sdn Bhd
MELPHALAN
25Tablet Tablets
Excella GmbH & Co.KG
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ 1 ALKERAN TABLETS Melphalan (2mg) WHAT IS IN THE LEAFLET 1. What Alkeran Tablet is used for 2. How Alkeran Tablet works 3. Before you use Alkeran Tablet 4. How to use Alkeran Tablet 5. While you are using it 6. Side effects 7. Storage and Disposal of Alkeran Tablet 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of Revision WHAT ALKERAN TABLET IS USED FOR Alkeran Tablet is used for: • Multiple myeloma – a type of cancer that develops from cells in the bone marrow called plasma cells. Plasma cells help to fight infection and disease by producing antibodies • Advanced cancer of the ovaries • Advanced breast cancer • Polycythaemia rubra vera – a disease which increases the number of red cells in your blood. This makes the blood thicken and causes blood clots. This leads to headaches, dizziness and shortness of breath HOW ALKERAN TABLET WORKS Alkeran Tablet contains a medicine called melphalan. This belongs to a group of medicines called cytotoxics (also called chemotherapy). Alkeran Tablet is used to treat cancer. It works by reducing the number of abnormal cells your body makes. Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed it for another reason. BEFORE YOU USE ALKERAN TABLET - _When you must not take it _ Do not take this medicine if: • you have an allergy to Melphalan, or any of the other ingredients listed at the end of this leaflet • You are breastfeeding Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal. If you are not sure whether you should start taking this medicine, talk to your doctor. - _Before you start to use it _ Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes. Before you take Alkeran Tablet, tell your doctor or pharmacist if: • you Citiți documentul complet
1 ALKERAN TABLETS MELPHALAN QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet contains 2 mg melphalan. PHARMACEUTICAL FORM Film-coated tablets. CLINICAL PARTICULARS THERAPEUTIC INDICATIONS Melphalan tablets are indicated in the treatment of: multiple myeloma; advanced ovarian adenocarcinoma; Melphalan tablets may be used in the treatment of: breast carcinoma: melphalan either alone or in combination with other drugs has a significant therapeutic effect in a proportion of patients suffering from advanced breast carcinoma; polycythaemia rubra vera: melphalan is effective in the treatment of a proportion of patients suffering from polycythaemia vera. POSOLOGY AND METHOD OF ADMINISTRATION GENERAL Melphalan is a cytotoxic drug which falls into the general class of alkylating agents. It should be prescribed only by physicians experienced in the management of malignant disease with such agents. Since melphalan is myelosuppressive, frequent blood counts are essential during therapy and the dosage should be delayed or adjusted if necessary (_see _ _Special _ _Warnings _ _and _ _Precautions for Use_). The absorption of melphalan after oral administration is variable. Dosage may need to be cautiously increased until myelosuppression is seen, in order to ensure that potentially therapeutic levels have been reached. THROMBOEMBOLIC EVENTS Melphalan in combination with lenalidomide and prednisone or in combination with thalidomide and prednisone or dexamethasone is associated with an increased risk of venous thromboembolism. Thromboprophylaxis should be administered for at least the first 5 months of treatment especially in patients with additional thrombotic risk factors. The decision to take 2 antithrombotic prophylactic measures should be made after careful assessment of an individual patient's underlying risk factors (see _Special Warnings and Precautions for Use _and_ _ _Undesirable Effects_). If the patient experiences any thromboembolic events, treatment must be discontinued and standard anticoagulation therapy starte Citiți documentul complet