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Ireland· IE-PA-EU/1/22/1669/001

Pepaxti 20 mg powder for concentrate for solution for infusion

A melphalan flufenamide product containing melphalan flufenamide hydrochloride, registered in Ireland by Oncopeptides AB. The same ATC class is registered in 8 of our 19 countries.

ATC L01AA10

Checked against HPRA (Ireland) on

Informational only — not a medical device.

SOURCE REGISTER · IEHPRA (Ireland)normalisedPepaxti 20 mg powder for concentrate …ATCL01AA10REGISTER NO.IE-PA-EU/1/22/1669/001PACKS LISTED1CHECKEDSeptember 28, 2026

Where it is registered

Melphalan flufenamide is registered in 8 of 19 countries.

Countries holding a registration under ATC L01AA10 (melphalan flufenamide), each read from that country’s own register.

  • This record: Ireland, from HPRA (Ireland)
  • 5 of them publish a price we can compare per daily dose

Melphalan flufenamide · ATC L01AA10

8 / 19 countries

  • Belgiumprice
  • Czechiaprice
  • Denmark
  • Finlandprice
  • Icelandprice
  • Ireland
  • Netherlands
  • Polandprice
Blue: a registration under this ATC code. The ringed marker is this record’s country. Markets marked price publish a price we can compare per daily dose.

The record

At a glance

HPRA (Ireland)
Active substance
Melphalan Flufenamide Hydrochloride
Manufacturer
Oncopeptides AB
Country
Ireland (IE)
ATC code
L01AA10
ATC class
Melphalan flufenamide
Defined daily dose
1.4 mg, P
Reimbursed
Not published by this register
Source register
HPRA (Ireland)
Last checked
September 28, 2026

Packs & prices · 1

  • ie_pa_number
    EU/1/22/1669/001

Regulatory notes

No shortage, Orange Book or US label notes for this record.

Interactions

10 interactions on record for melphalan flufenamide.

Graded by severity as the source publishes them — 4 moderate. Severity grades are free for everyone; mechanism and management come with Growth.

  • Severity for every pair — free, no plan needed
  • The source, licence and sync date on every record
  • Mechanism and what to do for each pair — Growth plan

Melphalan flufenamide · interactions on record

10 records

  • 4 moderate
  • 6 minor

Most severe, free to view

  • IfosfamideL01AA06moderate
  • DacarbazineL01AX04moderate
  • CytarabineL01BC01moderate
  • VinblastineL01CA01moderate
  • Interaction severity from DDInter 2.0 (Xiong G. et al., Nucleic Acids Res.), licensed CC BY-NC 4.0 — free for non-commercial use only; not covered by the Drug Database commercial licence.
Mechanism and what to do, in the interaction check
Source: DDInter 2.0 · synced 29 Sept 2026. Grades as the source publishes them.

Same medicine, other countries

Melphalan flufenamide in 6 other countries

What each register calls a product with the same active substance — salts and hydrates count as the same.

All melphalan flufenamide products

Authorised across Europe · EMA

The same active substance is authorised in 3 EEA countries. Names it is sold under:

  • Iceland · Pepaxti
  • Liechtenstein · Pepaxti
  • Norway · Pepaxti

Source: European Medicines Agency, Article 57 product data.

Sourced from a public register and reproduced with attribution. Drug Database is not affiliated with, endorsed by, or a partner of HPRA (Ireland). This is an informational data service and not a medical device — verify against the official source of record before any clinical decision.

For developers

The same record over the API, and the raw payload
GET /v1/drugs/dbd78308-4f23-4bd6-883c-92cda6d15c98
GET /v1/drugs/dbd78308-4f23-4bd6-883c-92cda6d15c98?format=fhir

Every response carries last_synced_at, so freshness is a field rather than a promise. Below is exactly what the ingestion wrote, before any presentation — the same JSON the API returns under payload.

{
  "form": "Powder for concentrate for solution for infusion",
  "routes": [
    "Intravenous use"
  ],
  "source": "hpra",
  "atc_all": [
    "L01AA",
    "L01AA10"
  ],
  "strength": null,
  "pa_number": "EU/1/22/1669/001",
  "substances": [
    "Melphalan Flufenamide Hydrochloride"
  ],
  "legal_basis": "Full application (Article 8(3) of Directive No 2001/83/EC)",
  "market_info": "Unknown",
  "authorised_at": "17/08/2022",
  "dispensing_status": "Product subject to prescription which may not be renewed (A)",
  "registration_status": "AU",
  "supply_legal_status": "Supply through pharmacies only",
  "interchangeable_code": null
}

See everything about melphalan flufenamide.

This page is the registration. A free account adds the label text as the regulator wrote it, what it costs per daily dose across the markets that publish a price, a feed of what changes in the registers, and an assistant that answers with its sources. Interaction severity is free; mechanism and management are on the Growth plan. No card, nothing to install.