Alkeran is the brand name for melphalan, a chemotherapy drug used mainly for blood cancers like multiple myeloma and certain ovarian cancers. It's not a pill you take casually—this medicine affects rapidly dividing cells, so doctors use it carefully and monitor you closely. If your team prescribes Alkeran, you should know how it’s given, the common side effects, and simple steps to stay safer during treatment.
Alkeran comes as an oral tablet and as an intravenous (IV) infusion. Your doctor chooses the form and schedule based on the type of cancer, your general health, and previous treatments. Doses are tailored to body size and blood counts. Before each cycle you’ll get blood tests—complete blood count, liver and kidney checks—to make sure it’s safe to continue.
Because Alkeran suppresses bone marrow, your team watches for low white cells, red cells, and platelets. That means higher risk of infection, anemia, and bleeding. If blood counts dip too low, your doctor may delay or reduce the next dose. Keep a record of test dates and ask for clear instructions on what to do if you have a fever or bleeding.
Expect nausea, mouth sores, fatigue, and low blood counts. Nausea can often be managed with prescribed anti-nausea meds—take them when recommended, not after you feel sick. Mouth sores are common; rinse gently with saltwater, avoid spicy or acidic foods, and tell your care team early so they can prescribe topical treatments.
Fever needs fast action. If your temperature goes above 38°C (100.4°F), call your doctor or go to the emergency room—low white blood cells make infections risky. For bleeding or unusual bruising, contact medical staff right away. Keep stronger soaps, dental work, and contact sports on hold while counts are low.
Alkeran can harm a fetus and affect fertility. Use reliable contraception during treatment and for a time afterwards as advised by your doctor. Talk about egg or sperm banking before starting if you may want children later.
Drug interactions matter. Tell your team about all medicines, including vitamins and herbal supplements. Don’t try to buy Alkeran from unverified online sellers—this drug must come from accredited pharmacies and be prescribed by an oncologist.
Finally, keep a simple checklist: track doses and appointment dates, carry a list of side effects and emergency contacts, and ask for written instructions on blood test thresholds that trigger phone calls. Clear, direct questions—like 'When should I call for fever?' or 'What anti-nausea drug should I take and when?'—help you stay in control during treatment.
If you want more specific details about dosing schedules or real-world tips from patients, ask your oncology nurse or pharmacist. They deal with Alkeran every day and can give practical, tailored advice for your situation.
