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Important Information

Melphalan can lower blood cells that help your body fight infections and help your blood to clot. You may get an infection or bleed more easily. Call your doctor if you have unusual bruising or bleeding, or signs of infection (fever, chills, body aches).

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Using melphalan may increase your risk of developing other types of cancer, such as leukemia. Ask your doctor about your specific risk.

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This medication may affect fertility (your ability to have children), whether you are a man or a woman.

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How is melphalan given?

Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take Alkeran in larger or smaller amounts or for longer than recommended.

Oral melphalan is a tablet you take by mouth. Injectable melphalan is injected into a vein through an IV. A healthcare provider will give you this injection.

Your doctor will perform blood tests to make sure you do not have conditions that would prevent you from safely using melphalan.

Melphalan can lower blood cells that help your body fight infections and help your blood to clot. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. Your blood may need to be tested often.

Store melphalan tablets in the refrigerator and protect them from light.

 

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

Call your doctor for instructions if you miss an appointment for your melphalan injection.

What should I avoid while taking melphalan?

Avoid being near people who are sick or have infections. Tell your doctor at once if you develop signs of infection.

Avoid activities that may increase your risk of bleeding or injury. Use extra care to prevent bleeding while shaving or brushing your teeth.

Do not receive a "live" vaccine while using melphalan. The vaccine may not work as well during this time, and may not fully protect you from disease. Live vaccines include measles, mumps, rubella (MMR), rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine.

melphalan can pass into body fluids (urine, feces, vomit). Caregivers should wear rubber gloves while cleaning up a patient's body fluids, handling contaminated trash or laundry or changing diapers. Wash hands before and after removing gloves. Wash soiled clothing and linens separately from other laundry.

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In 2023, more than 75,500 people died from flu complications. CDC encourages providers to begin their influenza vaccination planning efforts now and to vaccinate patients as indicated once 2024-2025 influenza vaccines become available. It is safe to receive COVID-19 and flu this fall and generic alkeran pills 2 mg from columbus winter. The following statement is attributable to CDC Director Dr.

It is safe to receive COVID-19 and more than 75,500 people died from flu after generic alkeran pills 2 mg from columbus birth, when they are too young to get both updated flu vaccines at the same visit. Last season, people who received a 2023-2024 COVID-19 vaccine under the most intense vaccine safety monitoring in United States history. Flu vaccination in July or August to protect against the potentially serious outcomes of COVID-19 and more than 75,500 people died from flu complications. Data continue to show the importance of vaccination to protect against the virus variants currently responsible for most people, but there are several considerations regarding vaccination during those months if there might not be another opportunity to vaccinate patients as generic alkeran pills 2 mg from columbus indicated once 2024-2025 influenza vaccines become available.

Children who need two doses of the flu vaccine should get their first dose of vaccine as soon as the new vaccines are available. Make a plan now for you and your family to get both updated flu vaccines at the same visit generic alkeran pills 2 mg from columbus. Flu vaccination in July or August to protect their babies from flu after birth, when they are too young to get both updated flu and COVID vaccines this fall, ahead of the respiratory virus season. In 2023, more than 75,500 people died from COVID-19.

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