Doctor insights on:
Alternative Treatments For Multiple Myeloma
I had not heard of "kahler's disease" until seeing multiple questions on healthtap. It is multiple myeloma (mm). "multiple" is from the often seen "multiple" bone lesions (especially in advanced disease). Mm is a cancer of plasma cells [highly specialized b white blood cells (lymphocytes)] that produce antibodies. Sx are crab: hypercalcemia, renal insufficency, anemia, ...Read more
Many: There are many options. One source of updated, risk-stratified treatment are the Mayo Clinic Stratification for Myeloma And Risk-adapted Therapy (mSMART) guidelines: http://www.msmart.org/msmart_mar09_002.htm Treatment depends on disease (MM) and host (patient) characteristics as well as the goals of therapy. ...Read more
Treatable, incurable: Amyloid/multiple myeloma in general are still incurable diseases. It is treatable and there are many different treatment available for amyloid/multiple myeloma which can prolonged survival. Please discuss further with your oncologist re- treatment options for you. See more at : www.Cancer.Gov or www.Cancer.Net or www.Nccn.Com. ...Read moreSee 2 more doctor answers
Has tinospora ever been used to treat multiple myeloma or be used at the same time as other multiple myeloma treatment?
Maybe no data?: Never heard of tinospora until your question. I saw a scattering of mentions on an internet search, but no real data. A recent august 2011 review on tinospora in various conditions (not myeloma) is here: http://www.Lahey.Org/departments_and_locations/departments/cancer_center/ebsco_content/multiple_myeloma.Aspx?Chunkiid=111811. ...Read more
If I need treatment now, what are my options for multiple myeloma and how successful are they likely to be?
It depends...: An international team has put together guidelines on when patients with myeloma should be treated. Your cancer doctor should be aware of them. There are many things now which can predict how well you will do with treatment and what type of treatment you should have. Patients live much longer with this disease than a decade ago..Some over 20 years making this a chronic illness in many ways. ...Read moreSee 1 more doctor answer
"Many": Myeloma and other plasma cell dyscrasia treatments has evolved from standard cytotoxic approaches (eg mp, vad, hypercvad) to "novel" therapies. Immunomodulatory drugs (imids) - eg thalidomide, lenalolidomide, pomalidomide proteasome inhibitors - eg, bortezomib, carfilzomib, etc other: hsp90 inhibitors, hdaci, b-raf, etc. Over the last few years multiple new drugs have been approved for myeloma. ...Read moreSee 1 more doctor answer
Do I need to begin treatment immediately or are you going to monitor my multiple myeloma for now? Why?
It depends: Standard of care for mgus is observation. Standard of care for smoldering/asymptomatic (no crab sx) mm is observation. Ecog e3a06 is evaluting Lenalidomide vs. Observation in smm. The reason to treat symptomatic mm include: improve survival, reduce bone fractures, reduce infections, improve blood counts, etc. The intensity and type of treatment are highly variable and actively evolving... ...Read moreSee 1 more doctor answer
Minimal: It us a fairly well tolerated drug. Its main side effect is neuropathy which can menifest as tingling, numbness of the toes and fingers and lead to weakness in the hands if the drug is continued for long time. But it does recover after stopping or change over to once weekly use. ...Read more
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