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Melphalan Tablets BP 4 mg is a chemotherapy drug used to treat certain cancers, such as multiple myeloma, ovarian cancer, and sometimes in conditioning regimens before stem cell transplants. It is an alkylating agent that works by damaging the DNA in cancer cells, preventing them from growing and dividing, which ultimately leads to cell death.

The 4 mg dosage is typically taken orally, either alone or in combination with other medications, depending on the specific cancer and treatment plan. Common side effects of Melphalan include nausea, vomiting, mouth sores, hair loss, and bone marrow suppression (leading to low blood cell counts), which can increase the risk of infections, anemia, and bleeding. Regular monitoring of blood counts, kidney function, and other parameters is important during treatment to manage side effects and ensure the medication is working effectively.