Want to connect with others with Splenic B cell Marginal Zone Lymphoma
There are over 80 different subtypes of lymphoma . This is a slow growing lymphoma.I'd like to know and communicate with any patient if possible.
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Hi, I whole heartedly agree with you. Any med we’re prescribed from our physician, I feel it shouldn’t have to be our responsibility to check with the pharmacist to see if it’s safe to take with our other meds. Though as I understand, there are patients who see several doctors and often aren’t aware of what each has prescribed. So that’s where a pharmacist, if using the same pharmacy for prescriptions, can be invaluable in making sure we’re safe.
However I do understand that with some of the drugs, especially the new antivirals for Covid, not all the facts are in yet. Makes this a grey area, I guess. Paxlovid is only on the market with emergency use approval at this time so maybe that gives them leeway. I did go to the Pfizer site and it has a list of meds which could interact but not very helpful.
But I did find an even better, more comprehensive source on the National Institute of Health site which lists which drugs are absolutely not to be used in conjunction with Paxlovid.
https://www.covid19treatmentguidelines.nih.gov/therapies/antiviral-therapy/ritonavir-boosted-nirmatrelvir--paxlovid-/paxlovid-drug-drug-interactions/
If it would be of help to you, take a look at the tables in this site. They’re broken down as to whether they’re safe to use with Paxlovid. Another for Contraindicated, or Can be used with monitoring, etc. Also, each table is then categorized by type of drug, whether it’s for Cardio, Digestion, Neurological, etc..
I take it you called the doctor yesterday and have a prescription in hand…but now it’s up to you to see if it’s ok for your husband to take? I’d be pretty upset too.
You are fortunate to be aligned with the Mayo group there. I feel fortunate to have been recommended to a cancer doc that used to be with Johns Hopkins and is now director of a cancer clinic within another hospital in Baltimore. I always find it helpful to write down all info and questions ahead of my face time with the people in white coats! Good luck and keep in touch.
Lori
It seems the question re: Paxlovid and blood thinners is one to be
reviewed and decided by cardiologist and oncologists. In some cases, discontinuing the blood thinner for the use of Paxlovid may be indicated. Like everything else definitive answer. I do feel when the antivirals are being promoted for COVID infection responsible information regarding possible contraindications should be included for its use.
Recommendations should not be made for calling a pharmacy for treatment and having a prescription on hand. That is irresponsible advice
Sally I'm in the Minneapolis area and receive care at Mayo in Rochester. I've always been pleased with everything they've done for me. I have tests on Friday and hematology appointment on Monday. We'll see what direction they wish to go, Thanks
Hi Stan, yes I have been blessed. I wondered about the variety of rounds of Rituximab infusions myself. I see my cancer do in Sept & might ask her. I only know she said if it returns then they will put me back on a greater quantity of rounds - so 6 rather than 4 etc. You are right since you had lung cancer surgeries it would certainly be a factor in chest fluid, regardless of the complication of SMZL. What area of the country do you live? Under any insurance you always have the option of a consult and can bring all those questions to that one visit. Stay strong!
Sally, It is great to hear you are in remission. Always nice to hear the positives!
I wonder what determines the quantity of Rituximab infusions. From this forum, I have heard weekly regiments from 4 to 8 and have heard of some "maintenance" infusions added through the year. I suppose everyone responds differently, but is interesting. I think I'm getting closer to this treatment.
As mentioned I was diagnosed with chest fluid (Pleural effusion) and removal ( thoracentesis ) in April and in now again in July. At the moment they are uncertain of the cause for the fluid, but leaning toward SMZL as the cause.
It's complicated because of my lung cancer surgeries in 2019 and 2021, my SMZL since 2019, or fluid is caused by something else. . ......another struggle to deal with.....
Update - as of June I am in remission. I have read up a lot on my type and it appears it will be a course of constant monitoring and tests and possible relapses and then more treatments but my life will be extended. Hope you are doing well. @sally2022
Sally,
Thank you for your response to my inquiry
Judy
Lori,
Thank you for your encouraging words.
Some days are more difficult than others, but I try to remind him of the things we are grateful for.
The challenges are many as a result of wild type and Al cardiac amyloidosis, persistent AFib, pancreatic insufficiency, B cell lymphoma ( MZL)?, diverticulosis, and bilateral severe hearing loss. There are times is truly is overwhelming.
One day at a time and deep breathing
Have a good day and thank you for your response.
Judy
I am not a doctor, and you can certainly Google the two - but I have Splenic MZ lymphoma - which means it is located in the spleen. Hope that helps.