Essential Thrombocythemia treatment with Besremi
At my last appointment with my haematologist 2 weeks ago, he gave me the choice of starting HU or Besremi injections every two weeks. After we discussed the pros/cons I decided to go with the Besremi but had to get approval from my health fund which I received today.
I am away overseas and will see my family doctor when I return to get referrals for ECG, blood tests etc..
I will have to go to the health fund clinic for the first 2 injections under supervision but after that I do it myself. It will be a bit of a pain travelling with the injections because they need to be kept 2-8°C (36-46°F). I am thinking of investing in this: https://4allfamily.com/products/portable-medical-fridge-usb-insulin-medicines (any better ideas welcomed).
https://pubmed.ncbi.nlm.nih.gov/38438627/
I will report back after I start the Besremi.
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just wanted to share a follow-up update. I have triple negative ET. After HU was not doing much good (platelet count >700000), I switched to Besremi, 200mcg every two weeks this February. Besremi has been working effectively for me. Platelet counts started dropping after 2nd dose. My platelet count has been trending down and in the normal range now. Side effects are limited too. Hgb and WBC level was low and this had some negative on my cycling performance. And now it seems being stabilized. I also have itchy scalp and skin on the legs. The two week interval of self administration under the belly skin works well for me too. Besremi seems tackling the underlying allele mutation by reducing it for which this address the issue from the root. With the data trend, there seems a possibility for reducing the dose soon. In general, Besremi has worked for me pretty well considering the struggles I had with HU. I am very grateful. Please let me know if anyone needs any information.
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7 Reactions@sdduan
Can I ask what is TRIPLE NEGATIVE ET?
@sdduan Thank you and hope you had fun! I could not tolerate anagrelide either so I was referred to an MPN specialist. I started Pegasys 6 weeks ago and of course I have had a variety of side effects, the latest being very high blood pressure, which I have never had. Thankfully no mental health issues. Glad you’re doing well!
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1 Reaction@esperanzam Triple negative means that you do not have one of the three known driver mutations for ET. JAK2 is most common. Also CALR or MPL.
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3 ReactionsI may have missed one side effect. In first a couple of months, I did show lack of interest in a lot of things which I used to be into after I taking Besremi. Now is much improved. I guess it did something on my emotion.
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1 Reaction@sdduan Thanks for logging that response. Pegasys had some pretty bad emotional side effects (depression) for older people, so it's good to know that Besremi has much milder psych side effects.
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1 Reaction@nohrt4me i am curious, what are you doing for nausea? My daughter is experiencing unbelievable nausea, and she has taken ondansetron and a number of different medications, and nothing seems to help. This nausea is debilitating and painful to watch her be so uncomfortable. She is off medication right now because she is allergic to Besremi, and she is the first person in the history of the world to be allergic to Besremi. With Pegasus, her side effects are even worse. We are at a loss over here. This is a desperate mom.
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1 Reaction@dmcj I don't take Besremi. I am on hydroxyurea, but following folks who are on Besremi in case it becomes affordable for me. My doctor prescribed Compazine (prochlorperazine) pills with hydroxyurea in case I needed it, but I didn't.
It is really hard to see your kid sick--harder than being sick yourself.
It sounds like a call to the hemo is in order. If you don't get any traction, can you call your primary doc? The primary might be able to prescribe something or advise you about getting a second opinion if the hemo is not responsive.
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1 Reaction@dmcj have you tried ginger candies?
hi all, today 8/31 FDA just approved Besremi for ET treatment (any ET type). Patients who haven't received any cytoreductive therapy like HU can access too. This will certainly help on insurance side. I encountered a lot of troubles when my hematologist prescribed Besremi. My insurance initially did not authorize it as it was not approved by FDA yet. It took quite documentation and convincing before I got Besremi. The news link: https://www.fiercepharma.com/pharma/cusp-pharmaessentia-gains-fda-label-expansion-besremi
Just wanted to share with the group.
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2 Reactions