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What happens if I miss a dose ()?

Call your doctor for instructions if you miss a dose of melphalan.

What happens if I overdose ()?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include severe nausea, vomiting, diarrhea, mouth sores, bloody or black stools, coughing up blood or vomit that looks like coffee grounds.

What should I avoid while taking melphalan ()?

Avoid contact with people who have colds, the flu, or other contagious illnesses. Contact your doctor immediately if you develop signs of infection.

Do not receive a "live" vaccine while you are being treated with melphalan, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you.

What other drugs will affect melphalan ()?

Before taking melphalan, tell your doctor if you are being treated with any other medicines that weaken your immune system, such as:

• cyclosporine (Gengraf, Neoral, Sandimmune);
• radiation therapy;
• steroids (prednisone and others); or
• another chemotherapy medicine.

This list is not complete and there may be other drugs that can interact with melphalan. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about melphalan.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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