NAMANKERAN 2
Manufacturer: Naman Pharma Drugs
Strength: 2 Mg
Details: Melphalan Tablets 2mg
The single most effective drug in treating Multiple Myeloma. Proven disease-free and an overall survival advantage in Multiple Myeloma patients. Namankeran crosslink DNA strands and prevent cells from replicating and is indicated for:
Orally:
- Palliative treatment of Multiple Myeloma;
- Palliation of Non-resectable Epithelial Carcinoma of the Ovary
Intravenous:
- As a high-dose Conditioning treatment prior to Hematopoietic progenitor (Stem)
- Cell Transplantation in patients with Multiple Myeloma.
- Palliative treatment of patients with Multiple Myeloma for whom oral therapy is not appropriate.
Dosage and Administration:
Multiple Myeloma: The usual oral dose is 6 mg daily x 2-3 weeks; 4 week break then 2 mg/day maintenance.
Epithelial Ovarian Cancer: One commonly employed regimen for the treatment of Ovarian
Carcinoma has been to administer Namankeran at a dose of 0.2 mg/kg daily for 5 days as a single course.
Courses are repeated every 4 to 5 weeks depending upon hematologic tolerance.
For Conditioning Treatment:
- The recommended dose of Namankeran is 100mg/m/day administered over 30 minutes by intravenous
- Infusion for 2 consecutive days (Day -3 and Day -2) prior to Autologous Stem Cell Transplantation
- (ASCT, Day 0). For patients who weigh more than 130% of their ideal body weight, body surface
- Area should be calculated based on adjusted ideal body weight.
For Palliative Treatment:
- The recommended dose of Namankeran is (0.4 mg/kg
- Bodyweight) 16 mg/m administered as a single intravenous infusion over 15-20 minutes at 2-week
- intervals for 4 doses, then, after adequate recovery from toxicity, at 4-week intervals. Dosage reduction of up to 50% should be considered in patients with renal insufficiency (BUN ≥30 mg/dL).