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Drug reference

mechlorethamine

nitrogen mustard, alkylating agent · anticancer, cytotoxic agent (topical for CTCL), vesicant (systemic toxicities noted for general class but not for mechlorethamine itself specifically with topical use, but strong vesicant properties described for the drug itself, p1348.) This is a bit ambiguous as to whether it applies to topical or systemic, but the text implies it's an inherent property of the drug class, and also specifically notes that

nitrogen mustard, alkylating agentanticancer, cytotoxic agent (topical for CTCL), vesicant (systemic toxicities noted for general class but not for mechlorethamine itself specifically with topical use, but strong vesicant properties described for the drug itself, p1348.) This is a bit ambiguous as to whether it applies to topical or systemic, but the text implies it's an inherent property of the drug class, and also specifically notes that
CDSCO approved
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • AdalimumabSevereDatabaseDDInter
  • BaricitinibSevereDatabaseDDInter
  • CertolizumabSevereDatabaseDDInter
  • CladribineSevereDatabaseDDInter

Mechanism

Not yet extracted

Indications

Hodgkin lymphomaNon-Hodgkin lymphoma

Side effects

Common
NauseaVomitingHaemodynamic changes
Serious
  • Extravasation may cause sloughing

Drug interactions

Adalimumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Baricitinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Certolizumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cladribine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Clozapine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Deferiprone
Severe
Database

Clinical effect not specified

Source: DDInter

Etanercept
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Fingolimod
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Golimumab
Severe
Database

Clinical effect not specified

Source: DDInter

Infliximab
Severe
Database

Clinical effect not specified

Source: DDInter

Leflunomide
Severe
Database

Clinical effect not specified

Source: DDInter

Measles Virus Vaccine Live Attenuated
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Ask House about mechlorethamine

Continue into a citation-backed clinical answer with the drug context already attached.

Sources: KD Tripathi 7e, Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team