Imbruvica (ibrutinib) for Waldenström Macroglobulinemia: “Initially, Imbruvica caused rather severe fatigue in first two months after which it gradually improved. Most noticeable side effect is frequent diarrhea. I take 1 Imodium cap almost every day and 2 after very loose stool. Also considerably raised blood pressure. Added 2 meds for this. I’m about 18 months after diagnosis and basic blood work shows white, red, and platelet count normal, but Igm protein level still elevated, but steadily decreasing. Usually feeling good, but still have unpredictable, but short episodes of fatigue requiring several hours of rest. Manufacturer provides a $30 supplement, a pittance considering monthly cost of $11,000.”
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