Before Using

Drug information provided by: Merative, Micromedex®

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of melphalan injection in the pediatric population. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of melphalan injection in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution in patients receiving this medicine.

Breastfeeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug Interactions

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Measles Virus Vaccine, Live
  • Mumps Virus Vaccine, Live
  • Rotavirus Vaccine, Live
  • Rubella Virus Vaccine, Live
  • Varicella Virus Vaccine, Live
  • Zoster Vaccine, Live

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Abciximab
  • Aceclofenac
  • Acemetacin
  • Adenovirus Vaccine, Live
  • Alfuzosin
  • Amlodipine
  • Amtolmetin Guacil
  • Anagrelide
  • Apixaban
  • Aranidipine
  • Aspirin
  • Bacillus of Calmette and Guerin Vaccine, Live
  • Benazepril
  • Bepridil
  • Bromfenac
  • Bufexamac
  • Bunazosin
  • Captopril
  • Celecoxib
  • Cholera Vaccine, Live
  • Choline Salicylate
  • Cilnidipine
  • Cilostazol
  • Clevidipine
  • Clonixin
  • Clopidogrel
  • Cyclosporine
  • Dabigatran Etexilate
  • Dapiprazole
  • Dengue Tetravalent Vaccine, Live
  • Dexibuprofen
  • Dexketoprofen
  • Diclofenac
  • Diflunisal
  • Diltiazem
  • Dipyridamole
  • Dipyrone
  • Doxazosin
  • Droxicam
  • Ebola Zaire Vaccine, Live
  • Edoxaban
  • Enalapril
  • Enalaprilat
  • Eptifibatide
  • Etodolac
  • Etofenamate
  • Etoricoxib
  • Felbinac
  • Felodipine
  • Fenoprofen
  • Fepradinol
  • Feprazone
  • Floctafenine
  • Flufenamic Acid
  • Flurbiprofen
  • Fosinopril
  • Ibuprofen
  • Indomethacin
  • Influenza Virus Vaccine, Live
  • Isradipine
  • Ketoprofen
  • Ketorolac
  • Lercanidipine
  • Lisinopril
  • Lornoxicam
  • Loxoprofen
  • Lumiracoxib
  • Manidipine
  • Meclofenamate
  • Mefenamic Acid
  • Meloxicam
  • Moexipril
  • Morniflumate
  • Moxisylyte
  • Nabumetone
  • Naproxen
  • Nepafenac
  • Nicardipine
  • Nifedipine
  • Niflumic Acid
  • Nimesulide
  • Nimesulide Beta Cyclodextrin
  • Nimodipine
  • Nisoldipine
  • Nitrendipine
  • Oxaprozin
  • Oxyphenbutazone
  • Parecoxib
  • Perindopril
  • Phenoxybenzamine
  • Phentolamine
  • Phenylbutazone
  • Piketoprofen
  • Piroxicam
  • Poliovirus Vaccine, Live
  • Pranoprofen
  • Prasugrel
  • Prazosin
  • Proglumetacin
  • Propyphenazone
  • Proquazone
  • Quinapril
  • Ramipril
  • Rivaroxaban
  • Rofecoxib
  • Salicylic Acid
  • Salsalate
  • Silodosin
  • Smallpox Monkeypox Vaccine, Live Non-Replicating
  • Smallpox Vaccine
  • Sodium Salicylate
  • Sulfinpyrazone
  • Sulindac
  • Tamsulosin
  • Tenoxicam
  • Terazosin
  • Tiaprofenic Acid
  • Ticagrelor
  • Ticlopidine
  • Tirofiban
  • Tolfenamic Acid
  • Tolmetin
  • Trandolapril
  • Treprostinil
  • Trimazosin
  • Typhoid Vaccine, Live
  • Urapidil
  • Valdecoxib
  • Verapamil
  • Vorapaxar
  • Warfarin
  • Yellow Fever Vaccine

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Buthionine Sulfoximine
  • Nalidixic Acid

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Allergy to heparin, history of or
  • Allergy to iodinated contrast agents not controlled by allergy medicine or steroids, history of or
  • Allergy to latex, history of or
  • Angina (chest pain) or
  • Bleeding problems or
  • Blood clotting problems (eg, uncorrectable coagulopathy) or
  • Brain cancer, active or
  • Heart attack or
  • Heart disease or
  • Heart failure, new or worsening or
  • Heart rhythm problems or
  • Liver failure or
  • Liver treatment or surgery within the past 4 weeks or
  • Portal hypertension (high blood pressure in the liver portal vein) or
  • Thrombocytopenia (low number of platelets), heparin-induced—Should not be used in patients with these conditions.
  • Anemia or
  • Bone marrow suppression or
  • Leukopenia (low white blood cells) or
  • Liver disease or
  • Thrombocytopenia (low platelets in the blood)—Use with caution. May make these conditions worse.
  • Infection—May decrease your ability to fight an infection.
  • Kidney disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Portions of this document last updated: April 01, 2024

Copyright: © Merative US L.P. 1973, 2024. All rights reserved. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.