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@mrgreentea

Hi @monicalu2626, my doc started me with Brukinsa (aka Z) last June. I think my WBCs were around 60,000 at the time. I was dx'd with CLL,WM, and SMZL stage 4... He recently suggested that **I** might consider a BCL2 or a CD20 antibody (like rituximab, though he mentioned obinutuzumab) to "deepen the response". I don't feel I have enough info yet to make that decision myself...I'll discuss it again at my next appt in March.

I was really sorry to read that you had such a bad experience with rituximab!! It feels like we all need to play russian roulette with drugs on this journey. Always hoping for the best.

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Replies to "Hi @monicalu2626, my doc started me with Brukinsa (aka Z) last June. I think my WBCs..."

Hi @mrgreentea,
I’m sorry to hear you have so much going on. Have you obtained a second opinion?My labs have anomalies and crossover between different lymphomas. It’s crazy.
Rituximab appears to be a front line drug for small B cell lymphomas. Most people only have a reaction during their first infusion, if any. I’m going to stick with it. I just need to keep taking the pré-meds (most people don’t need them after the first treatment) and they will slow down the drip.
It is making a difference in my blood counts, and I’m suffering much less fatigue and bone pain. Yippee! Don’t be scared off by the reaction possibilities if you want to give it a try. It has been around for about twenty years.
Sending positive energy!