Doctor insights on:
Alkeran Aklylating Agent
What are some words of wisdom for a patient about to endure an "alkylating agent" chemotherapy drug?
For any chemo:: Know about the potential side effects but do not expect to have them. Keep a log of symptoms without getting obsessed by it. Be honest with yourself and your doc regarding side effects. If a chemo is damaging your quality of life significantly, you need to say it. Your doc can't know if you don't tell. ...Read more
L-PAM or: Melphalan is l phenyalanine mustard, one of the oldest alkylating agents. Yes, resistance occurs. Also dns damage can be associated with leukemia. These agents are uncommonly used today, used to be the agent in breast cancer, now never used, and may still be used in blood/lymphatic malignancies. ...Read more
Alkylating agent: Melphalan or Alkeran, (melphalan) is a chemotherapy drug belonging to the class of nitrogen mustard alkylating agents. An alkylating agent adds an alkyl group (CnH2n+1) to DNA. It attaches the alkyl group to the guanine base of DNA, at the number 7 nitrogen atom of the imidazole ring and destroys DNA function of the cell. First recognized by Karnofsky when mustard gas used in World War I, mortality resulted from destroying WBC’s He helped develop nitrogen mustard as a chemotherapeutic agent ...Read more
Not able: For the most part the chemotherapeutic effects of many of the agents is to destroy the structure of the nuclear DNA. The Repairi mechanisms to allow cytotoxic repairs and as such preservation of tumor growth doesn't exist. Rather the malignant stem cells occupying a tumor do contain such enzymes and as such the stem cells are preserved and results in regowth of tumor . ...Read more
Mult.Myeloma relapsed after treatment with velcade (bortezomib), (bortezomib) melphalan&dexamethasone. Melphalan stopped in dec, velcade (bortezomib) in april. Now takes carfilzomib& dexamethasone fever39.5. No infections.What causes fever?
Fever could be side : Effects of the chemotherapeutic agents and steroids considering there's no blood infection. Tylenol (acetaminophen) should help control the fever. Follow up with your oncologist. God bless you! http://www.Livestrong.Com/article/36171-herbs-cancer/. ...Read moreSee 1 more doctor answer
The doctor prescribed melpalan, velcade (bortezomib) and dexamethasone for 78 yrs old male with multiple myeloma. He later increase the dose of melphalan from 10 mg to 14 mg despite the treatment progress. Is this warranted considering high AST and alt?
Speak with physician: The best advice at this point is to speak with the treating physician and ask for an explanation regarding the increase in the medication given the progression of disease on the current treatment. If you are not satisfied with the explanation then by all means seek a second opinion consultation. At times, changes in regimens are easily explained; don't be afraid to ask. ...Read more