How are you managing Brukinsa side effects?

Posted by sveta25 @sveta25, Feb 6 12:35pm

My husband is taking Brukinsa for 3 weeks now and so far so good, no bad side affects, WBC is lower but so are platelets so minor bruising and also constipation.
Any comments on using it longer than that ?
TYIA

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Profile picture for minnesotajim @minnesotajim

@glueski The initial trial was very small at Mayo--Mayo only was allotted six slots and included people with other blood cancers. I have no idea what happened to the others. It was a worldwide trial. The drug received FDA approval first for Mantle Cell Lymphoma before being approved for other blood cancers including CLL.

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@minnesotajim Thank you

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Profile picture for Lori, Volunteer Mentor @loribmt

Hi @glueski While you’re waiting for a reply from @minnesotajim, I thought I’d drop in to welcome you to Mayo Connect. Have you or a loved one been diagnosied with CLL?

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@loribmt I have been diagnosed with Waldenstroms

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Profile picture for glueski @glueski

@loribmt I have been diagnosed with Waldenstroms

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Hi @glueski
I've been diagnosed with Waldenström's too.
I've been on Brukinsa for just over a year and doing well (labs trending in right direction 😊). The most challenging side effect for me is nightly leg cramps which were super painful 😫 My UCSF hema/onco put me on Magnesium and it worked! I'm on 800 mg of Magnesium Glycinate once daily before bedtime.
Other side effects are manageable so I'm grateful for Brukinsa 🙏

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Profile picture for ranchgal4sure @ranchgal4sure

Hi @glueski
I've been diagnosed with Waldenström's too.
I've been on Brukinsa for just over a year and doing well (labs trending in right direction 😊). The most challenging side effect for me is nightly leg cramps which were super painful 😫 My UCSF hema/onco put me on Magnesium and it worked! I'm on 800 mg of Magnesium Glycinate once daily before bedtime.
Other side effects are manageable so I'm grateful for Brukinsa 🙏

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@ranchgal4sure Thank you for your info.
My biggest issue with W was fatigue.
Would you tell me how long it took to see your number improvement and at what point they reached "normal" ?
I am trying to figure out what to do about travel plans.

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Profile picture for glueski @glueski

@loribmt I have been diagnosed with Waldenstroms

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Hi @glueski There are several members here who also have been diagnosed with Waldenstroms Macroglobulemia. A mouth full for sure so it’s easier to refer to this as WM. From what I’m gathering it looks like your doctor has prescribed Brukinsa for you. Starting any new medication can leave you with a lot of questions about side effects and how the drug will it impact your life…along with the new diagnosis! Being able to talk with others who are walking along that same path can be comforting. So let’s get you started meeting other WM members.

I did a quick search for you for links to member discussions about WM. Here are the results: https://connect.mayoclinic.org/search/

You’ve already met @ranchgal4sure. She’s shared her experience having WM and taking Brukinsa with some positive results of nudging her labs in the right direction. This has been a key medication for people with WM.

You mentioned trying to plan for travel and such. As with any mediation there may be some side effects. It can take a little time to adjust. But generally, over time you’ll be able to predict how your body is responding so you’ll feel comfortable in planning for daily activities, trips, vacations and the like. Just so you’re aware this medication may impact your immune system. Leaving you a bit more vulnerable to infections or illnesses. So just keep that in mind when traveling or even attending any event with crowds or intimate settings. It can be helpful to wear a mask, especially in flu/covid/cold season, or if you’re an avid gardner. It’s important to avoid airborne fungal infections. And of course, it’s helpful to keep up to date on vaccinations.

Have you started taking the Brukinsa yet?

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Profile picture for sveta25 @sveta25

My husband started treatment for CLL with Brukinsa, he was also prescribed Allopurinol once a day to prevent or lower uric acid level due to Brukinsa side effect.
Does anybody else take it for the same purpose?

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@sveta25 I did for three months

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Profile picture for Lori, Volunteer Mentor @loribmt

Hi @glueski There are several members here who also have been diagnosed with Waldenstroms Macroglobulemia. A mouth full for sure so it’s easier to refer to this as WM. From what I’m gathering it looks like your doctor has prescribed Brukinsa for you. Starting any new medication can leave you with a lot of questions about side effects and how the drug will it impact your life…along with the new diagnosis! Being able to talk with others who are walking along that same path can be comforting. So let’s get you started meeting other WM members.

I did a quick search for you for links to member discussions about WM. Here are the results: https://connect.mayoclinic.org/search/

You’ve already met @ranchgal4sure. She’s shared her experience having WM and taking Brukinsa with some positive results of nudging her labs in the right direction. This has been a key medication for people with WM.

You mentioned trying to plan for travel and such. As with any mediation there may be some side effects. It can take a little time to adjust. But generally, over time you’ll be able to predict how your body is responding so you’ll feel comfortable in planning for daily activities, trips, vacations and the like. Just so you’re aware this medication may impact your immune system. Leaving you a bit more vulnerable to infections or illnesses. So just keep that in mind when traveling or even attending any event with crowds or intimate settings. It can be helpful to wear a mask, especially in flu/covid/cold season, or if you’re an avid gardner. It’s important to avoid airborne fungal infections. And of course, it’s helpful to keep up to date on vaccinations.

Have you started taking the Brukinsa yet?

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@loribmt Thank You.
I started Brukinsa about 2 and 1/2 weeks ago.

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Profile picture for Lori, Volunteer Mentor @loribmt

Hi @glueski There are several members here who also have been diagnosed with Waldenstroms Macroglobulemia. A mouth full for sure so it’s easier to refer to this as WM. From what I’m gathering it looks like your doctor has prescribed Brukinsa for you. Starting any new medication can leave you with a lot of questions about side effects and how the drug will it impact your life…along with the new diagnosis! Being able to talk with others who are walking along that same path can be comforting. So let’s get you started meeting other WM members.

I did a quick search for you for links to member discussions about WM. Here are the results: https://connect.mayoclinic.org/search/

You’ve already met @ranchgal4sure. She’s shared her experience having WM and taking Brukinsa with some positive results of nudging her labs in the right direction. This has been a key medication for people with WM.

You mentioned trying to plan for travel and such. As with any mediation there may be some side effects. It can take a little time to adjust. But generally, over time you’ll be able to predict how your body is responding so you’ll feel comfortable in planning for daily activities, trips, vacations and the like. Just so you’re aware this medication may impact your immune system. Leaving you a bit more vulnerable to infections or illnesses. So just keep that in mind when traveling or even attending any event with crowds or intimate settings. It can be helpful to wear a mask, especially in flu/covid/cold season, or if you’re an avid gardner. It’s important to avoid airborne fungal infections. And of course, it’s helpful to keep up to date on vaccinations.

Have you started taking the Brukinsa yet?

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@loribmt I should add that I was originally diagnosed in 2011 (but was misidentified as stage 4 NHL), was treated with Rituxan; WM came back in 2021 and again was treat with Rituxan, was good until 2023; then Bendamustine was added; lasted until late last year.

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Profile picture for minnesotajim @minnesotajim

I’ve been on ZANUBRUTINIB (now Brukinsa) for almost nine years. Minimal side effects.

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been on ruxience

brukinsa, octigam and steroids for thee years. will i ever be free of waldenstroms? and meds?numbers go up and down. eye problems
now😒

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Profile picture for glueski @glueski

@loribmt Thank You.
I started Brukinsa about 2 and 1/2 weeks ago.

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@glueski How are you doing on Brukinsa?
its been 2 1/2 month since my husband started it ( 320 a day)with allopurinol once a day.
His WBC is lower but so are hemoglobin, platelets and RBC ( lower then before treatment ), his legs are swollen and he has bruises. His hematologist told him to stop Brukinsa for a week and do another CBC. Test is today so will see what it will show.

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