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Doctor insights on: Revlimid

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Is revlimid (lenalidomide) effective for acute myelogenous leukemia?

Is revlimid (lenalidomide) effective for acute myelogenous leukemia?

Possibly: If the leukemia develops out of a myelodysplasia and has evidence of a 5q-, then possibly. But, the results are mediocre at best. Not curative by any stretch but could possibly slow the leukemia down for a short time. Hope this helps. ...Read more

Dr. Liawaty Ho Dr. Ho
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How much is the cost of revlimid (lenalidomide)?

Dr. Liawaty Ho Dr. Ho
1 doctor agreed:
How much is the cost of revlimid (lenalidomide)?

Depends on insurance: Revlimid (lenalidomide) as one of cancer therapy -is not a low cost medicine. It is approximately in the range of 3000-4000 dollars/month. However, depending on your insurance- the copay would be variable. Also, if you are eligible/qualified, you can also ask the manifacturing company -i.e.-celgene- for patient assistance program. Discuss further with your md. ...Read more

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Peripheral t-cell lymphoma cure: chop induction+ifosfamide/mtx + autologous transplant or romidepsim+brenduximab?

Peripheral t-cell lymphoma cure: chop induction+ifosfamide/mtx + autologous transplant or romidepsim+brenduximab?

Complex problem: Cannot comment with 2 lines of information. Need the entire clinical context. If you seek more detailed information get a formal second opinion. ...Read more

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Are imuran (azathioprine) & betaferon effective treatments for ms?

Are imuran (azathioprine) & betaferon effective treatments for ms?

Yes they can be: The evidence is stronger for beta interferons (avonex, Rebif and betaseron) than it is for immuran. Interferons are fda approved and immuran is not (for ms) they all have a modest but definite effect in reducing the number of attacks in remitting relapsing forms the effect varies from patient to patient. ...Read more

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Glatiramer acetate (copaxone) vs. Interferon?

Glatiramer acetate (copaxone) vs. Interferon?

See answer below: Both are used in rrms with similar efficacy levels. Copaxone (glatiramer) does not need blood monitoring and is administered as a subcutaneous sc injection daily. Side effects include injection site reactions. Interferons need lab work monitoring, can be a weekly injection into a muscle (avonex), every other day sc (betaseron) or three times a week sc (rebif). Most commo side effects include flu-like symptoms. ...Read more

Dr. Liawaty Ho Dr. Ho
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How many patients on revlimid (lenalidomide) may develop atrial fibrilation?

Dr. Liawaty Ho Dr. Ho
1 doctor agreed:
How many patients on revlimid (lenalidomide) may develop atrial fibrilation?

2-3%: From the study that leads the approval of Revlimid (lenalidomide) -the data showed that there were 9/346 (2.6%) patients in the Revlimid (lenalidomide) group who developed grade 3 atrial fibrillation compared to 2/345 (0.6%) patient who developed grade 3 atrial fibrilation in the placebo group. ...Read more

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Is cytoxan (cyclophosphamide) chemotherapy?

Is cytoxan (cyclophosphamide) chemotherapy?

Yes.: Generic name of Cytoxan is cyclophosphamide. It is a drug commonly used to treat a variety of cancers, but may also be used to treat some autoimmune disorders, such as lupus. ...Read more

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Is rituxan (rituximab) considered a chemotherapy drug?

Is rituxan (rituximab) considered a chemotherapy drug?

Not really: Rituxan (rituximab) is used to treat certain cancers as well as other non-cancer conditions. In the oncology world, we don't think of it as "chemotherapy" because it is a monoclonal antibody that is selective. We use the term chemotherapy for drugs that non-specifically kill fast-growing cells. We call Rituxan (rituximab) a biologic therapy, not chemotherapy. Hope that helps! ...Read more

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What are interferon alpha-2a and pegylated interferon alfa-2a (pegasys)?

2 versions 1 drug: They are the same drug except that the pegylation makes that drug longer acting, so it can be given less often. ...Read more

Dr. Liawaty Ho Dr. Ho
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Zytiga (abiraterone acetate) or xtandi for pre-chemo castration resistant prostate cancer? Thoughts?

Dr. Liawaty Ho Dr. Ho
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Zytiga (abiraterone acetate) or xtandi for pre-chemo castration resistant prostate cancer? Thoughts?

Good options: Both are good options. It will depend on safety profiles and the need of using steroid with zytiga (abiraterone acetate) but not for extandi. Discuss further with your oncologist to select which one is the best for you. ...Read more

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How effective are Filgrastim (filgrastin) injections for treating leukemia?

How effective are Filgrastim (filgrastin) injections for treating leukemia?

Filgrastim (filgrastin): "Filgrastim is used to decrease the chance of infection in people who have certain types of cancer and are receiving chemotherapy medications that may decrease the number of neutrophils (a type of blood cell needed to fight infection), in people who are undergoing bone marrow transplants, and in people who have severe chronic neutropenia (condition in which there are a low number of neutrophils > ...Read more

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Is revlimid (lenalidomide) effective for acute myelogenous leukemia?

Possibly: If the leukemia develops out of a myelodysplasia and has evidence of a 5q-, then possibly. But, the results are mediocre at best. Not curative by any stretch but could possibly slow the leukemia down for a short time. Hope this helps. ...Read more

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Is revlimid (lenalidomide) effective in the use for treatment for acute myelogenous leukemia?

Is revlimid (lenalidomide) effective in the use for treatment for acute myelogenous leukemia?

Possibly: We do use it if they have chromosomal changes that predict response. However, not the standard of care. Mainly used if the person is not in the best of shape and looking for alternative, non aggressive options. Hope this helps. ...Read more

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Effects of leukemia drugs: mylotarg and cytosine arabinoside?

Effects of leukemia drugs: mylotarg and cytosine arabinoside?

Mylotarg-cytarabine: Open these links: http://www.Drugs.Com/mtm/mylotarg.Html http://www.Drugs.Com/mtm/cytarabine.Html.

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Mult.Myeloma relapsed after treatment with velcade (bortezomib), (bortezomib) melphalan&dexamethasone. Melphalan stopped in dec, velcade (bortezomib) in april. Now takes carfilzomib& dexamethasone fever39.5. No infections.What causes fever?

Mult.Myeloma relapsed  after treatment with velcade (bortezomib), (bortezomib) melphalan&dexamethasone. Melphalan stopped in dec, velcade (bortezomib) in april. Now takes carfilzomib& dexamethasone fever39.5. No infections.What causes fever?

Fever could be side : Effects of the chemotherapeutic agents and steroids considering there's no blood infection. Tylenol (acetaminophen) should help control the fever. Follow up with your oncologist. God bless you! http://www.Livestrong.Com/article/36171-herbs-cancer/. ...Read more

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Can doxil (liposomal doxorubicin) treat multiple myeloma?

Dr. Liawaty Ho Dr. Ho
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Can doxil (liposomal doxorubicin) treat multiple myeloma?

Yes: Yes, Doxil (liposomal doxorubicin) can be used to treat multiple myeloma. Discuss further in detail with your oncologist -whether the chemotherapy would be appropriate for your case. ...Read more

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How safe is revlimid (lenalidomide) tx in a patient with atrial fib?

How safe is revlimid (lenalidomide) tx in a patient with atrial fib?

It depends...: Revlimid (lenalidomide) is an important treatment for myelodysplastic syndromes. Not treating these syndromes may be more dangerous than being on revlimid (lenalidomide). That said, i would be particulary concerned about blood clot formation. Both a. Fib and Revlimid (lenalidomide) increase your tendency to form blood clots in your heart. Talk to your doc about whether or not you need to be on anticoagulants w/ revlimid (lenalidomide). ...Read more