Written by:
Dr. Sophie Reynolds
Dr. Sophie Reynolds is a board-certified medical doctor specializing in internal medicine. With over a decade of experience in patient care and medical writing
Alkacel 5 mg Tablet
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Description
Alkacel 5 mg Tablet contains Melphalan, an oral chemotherapy medicine used to treat multiple myeloma and certain ovarian cancers. It works by slowing the growth of cancer cells under oncologist supervision.
Benefits
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Slows or stops cancer cell multiplication
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Helps reduce tumor burden
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Improves treatment outcomes in multiple myeloma
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Effective oral chemotherapy option in certain cancers
Indications and Usage
Alkacel 5 mg Tablet is indicated for:
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Multiple Myeloma
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Advanced Ovarian Cancer
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May be used as part of conditioning therapy before stem cell transplant (as clinically advised)
Treatment should be initiated and supervised by an oncologist.
How it Works
Melphalan is an alkylating chemotherapy agent that binds to DNA inside cancer cells, preventing replication and triggering cell death. This helps slow or stop tumor growth in susceptible cancers.
Dosage & Administration
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Dose is individualized based on cancer type, body weight, and treatment plan
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Swallow tablets whole with water — do not crush or chew
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Can be taken with or without food, as advised
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Do not skip, double, or stop dosing without medical guidance
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Frequent blood tests are required to monitor blood counts and organ function
Use only under oncologist direction.
Side Effects
Common side effects:
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Nausea or vomiting
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Fatigue or weakness
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Mouth sores
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Hair thinning
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Low blood cell counts (anemia, neutropenia, thrombocytopenia)
Serious side effects (seek urgent care):
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Severe infection or fever
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Unusual bleeding or bruising
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Allergic reactions
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Liver or kidney dysfunction
Warning and Precaution
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Not recommended during pregnancy or breastfeeding
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May cause severe bone marrow suppression—regular monitoring required
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Inform doctor if you have kidney or liver disease
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Increased infection and bleeding risk — avoid contact with sick individuals
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Avoid live vaccines during treatment
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Report persistent fever, bleeding, or breathing difficulty immediately
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