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Using melphalan may increase your risk of developing other types of cancer, such as leukemia. Ask your doctor about your specific risk.
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Store melphalan tablets in the refrigerator and protect them from light.
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Call your doctor for instructions if you miss an appointment for your melphalan injection.
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Do not receive a "live" vaccine while using melphalan. The vaccine may not work as well during this time, and may not fully protect you from disease. Live vaccines include measles, mumps, rubella (MMR), rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine.
melphalan can pass into body fluids (urine, feces, vomit). Caregivers should wear rubber gloves while cleaning up a patient's body fluids, handling contaminated trash or laundry or changing diapers. Wash hands before and after removing gloves. Wash soiled clothing and linens separately from other laundry.
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