Thalidomide: Indication, Dosage, Side Effect
Indication:
Thalidomide is primarily used to treat multiple myeloma, a type of blood cancer, especially in newly diagnosed patients who cannot undergo stem cell transplant. It is also used for certain skin conditions linked to leprosy (erythema nodosum leprosum). Thalidomide works by slowing the growth of cancer cells, reducing inflammation, and modulating the immune system. In multiple myeloma, it is usually combined with other medications like dexamethasone for better results.
Dosage:
Thalidomide is mainly used to treat multiple myeloma and certain inflammatory or skin conditions. The usual starting dose for multiple myeloma is 100 to 200 mg once daily, taken at bedtime to reduce side effects like drowsiness. The dose may be adjusted based on how well the patient tolerates it and whether it is combined with other medications like dexamethasone. It should be taken on an empty stomach, and swallowed whole with water.
Extra Notes:
Highly teratogenic—strict pregnancy prevention measures are mandatory.
Can cause side effects like fatigue, constipation, and nerve damage (neuropathy).
Blood tests are needed regularly to check blood counts and monitor for clots.
Often given with blood thinners to reduce the risk of deep vein thrombosis (DVT).
Side Effect:
The most common side effects of THALIDOMIDE are:
Drowsiness, dizziness, lightheadedness, constipation, weakness. Tell your doctor or pharmacist right away if any of these side effects persist or worsen.
Remember that your doctor has prescribed this medication because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any serious side effects, including: mental/mood changes (such as confusion, anxiety), shaking (tremor), shortness of breath, arm/leg swelling, fast/slow heartbeat, easy bruising/bleeding, black/bloody stools, vomit that contains blood or looks like coffee grounds.
Take this medication regularly to get the most benefit from it. To help you remember, take it at the same times on the days your doctor directs.
This is not a complete list of possible side effects. Contact your doctor or pharmacist if you have any other side effects not listed above.
FAQ:
Frequently Asked Questions Regarding (THALIDOMIDE) / Generic THALOMID THALIDOMIDE:
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THALIDOMIDE has different brand names depending on the manufacturer. Some of the brand names are: