Category: Myeloma

Myeloma

Revlimid: Possible Side Effects

This is from ePocrates

Common Reactions

thrombocytopenia
neutropenia
diarrhea
pruritus
fatigue
rash
constipation
nausea
nasopharyngitis
arthralgia
pyrexia
back pain
peripheral edema
dizziness
headache
cough
muscle cramps
dyspnea
vomiting
asthenia
epistaxis
dry skin
abdominal pain
anemia
infection
hypokalemia
anorexia
insomnia
peripheral neuropathy

Serious Reactions

severe birth defects
thrombocytopenia
nuetropenia
thromboembolism
leukopenia
anemia
pancytopenia
rash, severe
pneumonia
sepsis
multiple organ failure
syncope

IgA and M-Spike

I got the results of my blood tests yesterday. My IgA and M-spike are the same as last month. There are two m-spikes: 0.1 and 0.2 g/dL. My IgA is 488 mg/dL. Last month it was 493. My WBC is lower than it’s ever been before, but still in the normal range, so nothing to worry about. I’m a little anemic, but nothing to worry about yet. This could be from the Revlimid. Most likely is. I have a week off starting today.

Appointment

Yesterday I was at Dr. P’s office to have some blood drawn. I’ll go back again next week for Zometa and to get the results from yesterday’s labs. I mentioned that, since I went to standard dose dex, I’ve been having a lot more problems with queasiness and nausea. They said they can call in something for me to take when I need it. They use compazine and ativan in combination. However, since I’m still in a trial, they want me to get permission from the doc at Wake Forest first.

Speaking of Wake forest, they were recently in the news. Google this: White blood cells from a strain of cancer-resistant mice cured advanced cancers in ordinary laboratory mice, researchers at Wake Forest University School of Medicine reported. And this: Wake Forest Physician Reports First Human Recipients of Laboratory-Grown Organs.

I’m lucky I live where I do. I’m within a reasonable driving distance of three really great research hospitals: Wake Forest, UNC Chapel Hill and Duke University. The Wake Forest Clinical Cancer Center is my favorite so far. :) It’s shiny & new!

M-spike from test on 5/3

This is the result of my SPEP on May 3.

Hi Beth, Your results from 5/3/06:

M-spike in beta 2 = 0.2, gamma 0.1. Last results I have are on 3/8/06 when M-spike in beta was 0.3 and gamma was 0.2.

Let me know if questions.

Hospital visit

Yesterday when I had my monthly appointment, I was planning on meeting a list friend whom I’ll call B. I called B’s cell phone and the person answering told me that B had been admitted to the hospital! I found the right room and stopped to say hello. It wasn’t the kind of first meeting I hoped for, but I’m sure it wasn’t for B, either. Never-the-less, it made me realize (again) how lucky I’ve been. I did a rare thing and sent up a prayer for B, for a speedy and complete recovery.

End of 4th Cycle

I finished the 4th cycle of rev/dex and am now starting number 5. The good thing about this is that I am now on standard dose of dex. Thank goodness. My IgA is at 468 mg/dL now, too. The lowest yet. IgG: 273 mg/dL and IgM: 36. I remember when my IgM was too low to measure and my IgA was 4,625 mg/dL. Dr. H told me that I am having the best response, with the least side effects of all the pts in the Rev/dex EAP at their clinic.

Revlimid

This is just a note for anyone searching for potential side effects of Revlimid. Revlimid can cause nausea. I notice that I feel ill for a few days while I’m off steroids. The steroids actually help with the nausea. Dr. P. says that they give dexamethasone as an anti-nausea drug, so that explains why I feel ok on the days I’m taking dex. He said that he has had a few patients with MDS on 10 mg Rev/day who have had to quit because of the nausea and GI trouble. He had one pt who lost 30 lbs.

Phosphorus

I saw Dr. P last week and we talked about the low phosphorus problem I have. He considered it very low, and prescribed something called Neutra-Phos-K for me. I dropped it off at my pharmacy, and it STILL hasn’t been filled! They say it’s out of stock. He said the mineral deficiency is due to bone loss from the high dose steroids I’ve been on for the last 4 months. I haven’t researched that yet to better understand the process. I just know that I don’t feel very well sometimes, and I think having this rx would help me. I need to pin the pharmacy down on a delivery date. Thursday I’m supposed to have another blood test!