Melphalan: What It Is, How It Works, and Why It Matters
When working with Melphalan, an oral alkylating chemotherapy agent commonly prescribed for multiple myeloma and ovarian cancer. Also known as L‑PAM, it works by adding alkyl groups to DNA, which stops cancer cells from multiplying. Alkylating agents like Melphalan belong to a larger class of drugs that damage the genetic material of rapidly dividing cells, making them a backbone of many chemotherapy regimens. Because it targets DNA replication, Melphalan requires careful monitoring of blood counts and liver function – a trade‑off many patients accept for its effectiveness against tough cancers. If you’re looking for reliable info on Melphalan, you’re in the right place.
Key Cancer Types and the Hydrea Brand
The most frequent indication for Melphalan is multiple myeloma, a blood‑cell cancer that lives in the bone marrow. In this setting, the drug is often given after a stem‑cell transplant to clean out residual disease and improve long‑term survival. Another major use is in certain ovarian cancers, especially when surgery isn’t an option. Patients sometimes hear the name Hydrea – that’s simply a brand version of Melphalan sold in many countries. The Hydrea guide on our site walks you through storage tips, what to do if you miss a dose, and how to avoid common drug interactions, so you can feel confident handling the medication at home.
Beyond the big‑picture uses, there are several practical details that matter every day. Melphalan dosing is weight‑based and usually split into cycles – a week of pills followed by a rest period. This schedule helps the body recover from the drop in white blood cells that the drug can cause. Common side effects include nausea, low blood counts, and mouth sores, but most patients manage these with anti‑nausea meds, good oral hygiene, and regular blood‑test check‑ins. Important drug interactions involve certain antibiotics and antifungals that can increase toxicity; always flag any new prescription to your oncologist. Finally, lifestyle tweaks like staying hydrated, eating small frequent meals, and avoiding crowded places during low blood‑count periods can make the treatment journey smoother.
Our collection below pulls together practical guides, safety checklists, and patient stories that touch on every aspect of Melphalan therapy – from the chemistry of the drug to real‑world tips for coping with side effects. Whether you’re starting treatment, looking for storage advice for Hydrea, or just want to understand how alkylating agents fit into modern cancer care, the posts ahead have you covered.
Alkeran (Melphalan) vs Other Chemotherapy Options: A Practical Comparison

A clear, side‑by‑side look at Alkeran (Melphalan) versus top chemotherapy alternatives, covering uses, side effects, costs, and how to pick the right drug.
- Sep 28, 2025
- Guy Boertje
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