Myleran 2mg Tablet

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Prescription Required

Complete your checkout to get your prescription approved. A doctor will contact you within 30 minute(s) after payment.

Overview

Myleran 2mg Tablet is a prescription-only medicine (POM) presented as a tablet, with Busulfan 2mg as its active ingredient content.

This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.

Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.

Directions for Use

Take the tablet exactly as directed by your specialist, at consistent times; do not adjust the dose yourself, as both underdosing and overdosing carry serious risks with this medicine.

Dosage

The dose depends heavily on the indication – lower daily doses are used to control CML blood counts, while much higher doses are used short-term for transplant conditioning – and is individualised and closely monitored by the treating specialist based on blood counts.

Shelf Life

Refer to the expiry date printed on the packaging.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children; handle only as directed by your pharmacist, as this is a cytotoxic medicine.

Side Effects

  • Severe suppression of bone marrow function (low white cells, red cells, and platelets)
  • Pulmonary fibrosis (“busulfan lung”) with long-term use – report persistent cough or breathlessness
  • Skin darkening (hyperpigmentation)
  • Nausea and vomiting
  • Reduced fertility and, in women, amenorrhoea (absent periods)

Contraindications

  • Known hypersensitivity to busulfan
  • Pregnancy, due to the risk of serious harm to the developing baby
  • Pre-existing severe bone marrow failure not related to the condition being treated

Drug / Food Interactions

  • Other bone-marrow-suppressing medicines increase the risk of severe low blood counts when combined with busulfan.
  • Paracetamol taken close to high-dose busulfan (in transplant conditioning) can alter its clearance and is managed carefully by the specialist team.
  • Inform your treating specialist of all medicines and supplements you are taking.

Quick Tips

  • Attend every scheduled blood count check, as this medicine requires close monitoring, especially at the start of treatment.
  • Report any new persistent cough, breathlessness, fever, or unusual bruising to your specialist promptly.
  • Discuss fertility concerns with your specialist before starting treatment, as busulfan can affect fertility.
  • Never adjust your dose on your own; contact your specialist team with any concerns first.

Frequently Asked Questions

Is Myleran 2mg Tablet a prescription medicine?

Yes. Myleran 2mg Tablet is a prescription-only medicine (POM). It can only be supplied against a valid prescription written by a registered doctor, and it should be used only by the person named on the prescription label.

What does Myleran 2mg Tablet contain?

Myleran 2mg Tablet is supplied as a tablet and contains Busulfan 2mg. The full composition is listed in the Composition section on this page and on the product packaging.

Why is there no information here about what Myleran 2mg Tablet is for?

Malaysian rules for prescription medicines limit public product pages to product, safety and handling information. Your doctor decides whether this medicine is appropriate for you and will explain it during your consultation, and your pharmacist can answer further questions when the medicine is dispensed.

How should I take Myleran 2mg Tablet?

Follow your doctor’s instructions and the directions on the dispensing label without changing them. If anything on the label is unclear, check with your pharmacist before taking the first dose, and read the Directions for Use section on this page.

What should I do if I miss a dose?

Take it as soon as you remember, unless your next dose is nearly due. In that case skip the missed dose and carry on with your usual schedule. Never take two doses together to make up for a missed one. If you miss doses often, tell your doctor or pharmacist.

How should I store Myleran 2mg Tablet?

Store below 30°C in a dry place, away from direct sunlight and out of reach of children; handle only as directed by your pharmacist, as this is a cytotoxic medicine. Keep it in the original pack until use, and do not use it after the expiry date printed on the packaging.

What should I do if I notice side effects?

Tell your doctor or pharmacist about any reaction that concerns you, and seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.

Can I stop taking Myleran 2mg Tablet on my own?

No. Speak to your doctor before stopping, pausing or changing the dose, even if you feel well or think you no longer need the medicine.

How do I get a prescription for Myleran 2mg Tablet?

Customers in Malaysia can complete an online consultation with a DoctorOnCall doctor, who decides whether a prescription is appropriate, or upload a valid prescription already issued by their own doctor.

Orders going to Singapore are dispatched from Malaysia as an international delivery, so you need to hold a valid prescription or doctor’s letter for the medicine. Check the consultation and prescription upload options shown at checkout for your delivery address before placing the order.

How long will delivery take?

Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.

Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.

What payment methods can I use?

Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.

FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.

Can Myleran 2mg Tablet be delivered to Singapore?

Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.

Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.

Is Myleran 2mg Tablet registered with the authorities?

Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.

An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.

Who do I contact if there is a problem with my order?

DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.

For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.

Ingredients / Active Ingredients

  • Busulfan 2mg

Medical Review

Written by:

Dr. Chong Zhan Pong

Doctor of Medicine (MD), International Medical University (IMU)

Reviewed by:

Dr. Mohd Izzat Amir Bin Awang

Doctor of Medicine (MD), University of Mansoura - Manchester

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