{"id":53122,"date":"2023-09-20T09:42:41","date_gmt":"2023-09-20T09:42:41","guid":{"rendered":"https:\/\/medsname.com\/alphalan\/"},"modified":"2026-04-30T16:30:26","modified_gmt":"2026-04-30T16:30:26","slug":"alphalan","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/alphalan\/","title":{"rendered":"Alphalan"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">R\u0103spuns rapid<\/h3>\n<p style=\"margin-bottom:0;\"><strong>Alphalan<\/strong> \u2014 Melphalan 2\/5 mg (Cipla Inc). Agent alchilant cu mustar de azot pentru mielom multiplu (oral \u0219i condi\u021bionare cu doze mari \u00eenainte de transplant de celule stem), cancer ovarian, neuroblastom. Biodisponibilitate variabil\u0103 \u2014 se ia pe stomac gol.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f7f7f7;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>Ce beneficii ofer\u0103 MedsBase:<\/strong><\/p>\n<ul style=\"margin:6px 0 0 22px;padding:0;list-style:disc;\">\n<li>produc\u0103tor certificat WHO-GMP<\/li>\n<li>Ambalaj discret \u00een plic simplu<\/li>\n<li>Livrare \u00een toat\u0103 lumea<\/li>\n<li>Evaluat de peste 1.400 de clien\u021bi (<a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">cite\u0219te recenziile<\/a>)<\/li>\n<\/ul>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"background:#eef7ee;border-left:4px solid #4caf50;padding:10px 14px;margin:14px 0;border-radius:3px;\">\ud83d\udce6 <strong>Garan\u021bia de retransmitere:<\/strong> dac\u0103 comanda dvs. nu a ajuns \u00een 20 de zile lucr\u0103toare de la expediere, o retransmitem f\u0103r\u0103 costuri suplimentare. <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Cite\u0219te politica<\/a>.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Alphalan este expediat de la un produc\u0103tor certificat WHO-GMP \u00een ambalaj simplu, facturat prin intermediul unui procesor de pl\u0103\u021bi reglementat (descrierea extrasului de cont indic\u0103 un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 MedsBase sau numele medicamentului). Fiecare comand\u0103 beneficiaz\u0103 de Garan\u021bia noastr\u0103 de Reexpediere pe 20 de zile lucr\u0103toare.<\/p>\n<div class=\"medsbase-specialist-strip\" style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>\u26a0\ufe0f Terapie oncologic\u0103 supravegheat\u0103 de specialist<\/strong> \u2014 acest medicament este ini\u021biat, monitorizat \u0219i \u00eentrerupt de un oncolog sau hematolog. Dozarea depinde de tipul tumorii, stadiul, suprafa\u021ba corporal\u0103, func\u021bia organelor \u0219i terapia concomitant\u0103. Autotratamentul nu este adecvat; informa\u021biile de mai jos au scop educa\u021bional \u0219i sus\u021bin conversa\u021biile informate cu specialistul dumneavoastr\u0103.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>Mielosupresie sever\u0103 + malignitate secundar\u0103<\/strong><br \/>Mielosupresie cumulativ\u0103 \u2014 hemogram\u0103 complet\u0103 s\u0103pt\u0103m\u00e2nal\u0103 \u00een timpul induc\u021biei. Opri\u021bi dac\u0103 neutrofilele &lt;1500\/\u03bcL sau trombocitele &lt;100.000\/\u03bcL. Limita de doz\u0103 cumulativ\u0103 este legat\u0103 de riscul de AML\/MDS secundar (~5-10% risc pe via\u021b\u0103 la utilizatorii pe termen lung). Se ia pe stomac gol (alimentele reduc biodisponibilitatea la jum\u0103tate).<\/div>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>C\u00e2nd se utilizeaz\u0103?<\/h3>\n<p>Agent alchilant cu mustar de azot pentru mielom multiplu (oral \u0219i condi\u021bionare cu doze mari \u00eenainte de transplant de celule stem), cancer ovarian, neuroblastom. Biodisponibilitate variabil\u0103 \u2014 se ia pe stomac gol. Protocoalele specifice sunt stabilite de oncolog.<\/p>\n<h3>Efecte secundare?<\/h3>\n<p>Tipic clasei: mielosupresie, grea\u021b\u0103, alopecie, mucozit\u0103, oboseal\u0103. Toxicit\u0103\u021bile specifice depind de medicament \u2014 consulta\u021bi casetele de siguran\u021b\u0103 de mai sus.<\/p>\n<h3>Interac\u021biuni medicamentoase?<\/h3>\n<p>Chimioterapia cancerului are multiple interac\u021biuni critice. Dezv\u0103lui\u021bi \u00eentotdeauna toate medicamentele, inclusiv preparatele erbale \u0219i suplimentele. Anticoagulantele, anticonvulsivantele, antibioticele, antifungicele \u0219i antiviralele necesit\u0103 toate revizuire.<\/p>\n<h3>Sarcin\u0103?<\/h3>\n<p>Chimioterapia citotoxic\u0103 este teratogen\u0103. Contraceptie eficient\u0103 \u00een timpul \u0219i timp de 6 luni dup\u0103 pentru ambii parteneri.<\/p>\n<h3>Monitorizare?<\/h3>\n<p>Stabilit de specialist \u2014 de obicei hemogram\u0103 complet\u0103, func\u021bie renal\u0103\/hepatic\u0103, electroli\u021bi \u00eenainte de fiecare ciclu. Teste specifice medicamentului (ecocardiogram\u0103 pentru antracicline, audiometrie pentru cisplatin, etc.).<\/p>\n<h3>Ce fac dac\u0103 uit o doz\u0103?<\/h3>\n<p>Citotoxice orale: omite\u021bi doza ratat\u0103, nu dubla\u021bi, contacta\u021bi echipa dumneavoastr\u0103 de oncologie. IV: dozarea este strict programat\u0103 \u2014 discuta\u021bi orice \u00eent\u00e2rziere sau ciclu ratat cu specialistul.<\/p>\n<h3>Depozitare?<\/h3>\n<p>Citotoxice orale: la temperatura camerei, departe de copii, \u00een blisterul original. Sp\u0103larea m\u00e2inilor dup\u0103 manipularea tabletelor. Membrii casei gravide nu ar trebui s\u0103 manipuleze tabletele sparte.<\/p>\n<h3>Vaccinuri?<\/h3>\n<p>Vaccinurile cu virus viu sunt contraindicate \u00een timpul chimioterapiei. Vaccinurile inactivate (grip\u0103 anual\u0103, pneumococ) sunt recomandate. Coordona\u021bi cu oncologul pentru momentul potrivit.<\/p>\n<h3>Complica\u021bii pe termen lung?<\/h3>\n<p>Dependent de clas\u0103: malignitate secundar\u0103, infertilitate, cardiotoxicitate, neuropatie. Discuta\u021bi cu oncologul \u2014 prezervarea fertilit\u0103\u021bii poate fi relevant\u0103 \u00eenainte de \u00eenceperea tratamentului.<\/p>\n<h3>C\u00e2nd se termin\u0103 tratamentul?<\/h3>\n<p>Determinat de r\u0103spunsul tumorii, inten\u021bia tratamentului (curativ vs paliativ) \u0219i toxicitatea. Imagistica \u0219i evaluarea clinic\u0103 ghideaz\u0103 terapia continu\u0103.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Alte Medicamente Anticanceroase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/xeloda\/\">Xeloda<\/a> \u2014 capecitabin\u0103 500 mg \u2014 prodrog oral de 5-FU pentru cancerul de s\u00e2n\/colorectal\/gastric<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/altraz\/\">Altraz<\/a> \u2014 anastrozol 1 mg \u2014 inhibitor de aromataz\u0103 pentru cancerul de s\u00e2n la femei postmenopauzale<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/xbira\/\">Xbira<\/a> \u2014 abirateron\u0103 250 mg \u2014 inhibitor CYP17 pentru cancerul metastatic de prostat\u0103<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zoldria\/\">Zoldria<\/a> \u2014 acid zoledronic IV \u2014 pentru metastaze osoase \u0219i hipercalcemie<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/actorise\/\">Actorise<\/a> \u2014 darbepoetin alfa \u2014 pentru anemie indus\u0103 de chimioterapie<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:18px 0;border-radius:3px;font-size:.95em;\"><strong>Disclaimer medical:<\/strong> Tratamentul cancerului este foarte individualizat. Medicamentul specific, doza, programul, monitorizarea \u0219i \u00eengrijirea de sus\u021binere trebuie stabilite de un oncolog sau hematolog calificat, pe baza biologiei tumorii, stadializ\u0103rii, comorbidit\u0103\u021bilor \u0219i obiectivelor terapiei. Aceast\u0103 informa\u021bie are caracter educa\u021bional; nu \u00eenlocuie\u0219te sfatul medical profesionist.<\/div>","protected":false},"excerpt":{"rendered":"<p>Alphalan (Melphalan 2\/5 mg) \u2014 agent alchilant cu mustar de azot de la Cipla pentru mielom multiplu \u0219i cancer ovarian. Administrare pe stomac gol; mielosupresie cumulativ\u0103.<\/p>","protected":false},"featured_media":53123,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[],"class_list":{"0":"post-53122","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-cancer-medication","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","10":"first","11":"outofstock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/53122","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=53122"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/53123"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=53122"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=53122"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=53122"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=53122"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}