Low BP after treatment Cladribine/Neulasta for Hairy Cell Leukemia

Posted by shmerdloff @shmerdloff, May 1 10:37am

Can't get bp up after successful hairy cell tx. Dx 1981 splenectomy. 2018 relapse-cladribine Great! April, 2025 relapse. Cladribine/neulasta Great- no fever. No pain. Feel good, BUT cannot get bp up over 90/40 (has gone down much lower usually 140/80 + micardis).
Feel ok, just dizzy and weak. Tried ER. 5 hours xray, elecCardiogram, bloods. Said all ok. Will get echocardiogram soon.
Any known connection between tx and low bp?
ps have long time benign left ventricular arrhythmia. Never been a problem.

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Colleen Young, Connect Director | @colleenyoung | May 14 8:16pm

@shmerdloff, I was wondering if your issues with low blood pressure have been resolved. Did you have the echocardiogram? What are next steps?

shmerdloff | @shmerdloff | May 15 8:12am

In reply to @colleenyoung "@shmerdloff, I was wondering if your issues with low blood pressure have been resolved. Did you..." + (show)

Thank you so much for the follow up. It means a lot. Blood pressure has risen to 124/70 with no meds. (used to be much higher with meds).
Echo shows no changes from my standard baseline (vent arrhythmia enlarged atrium) Cardio doc said see you in Septrmber.
Now terrific except fatigued and a little weak. More Rituxumab next week. We'll see.

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