Drug not used for multiple myeloma is –
Correct Answer: Methotrexate
Description: Drugs used in multiple myeloma include boezomib(proteasome inhibitor) & lenalidomide( a derivative of thalidomide ) as first line treatment .In older patients ,thalidomide combined with melphalan & prednisolone is used. Thalidomide has both anti-angiogenic effects against tumour blood vessels & immunomodulatory effects.Reference :Davidson's principles & practice of medicine 22nd edition pg no 1047.
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