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#1
Thu Oct 26, 2017, 02:24 PM
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Imbruvica/ibrutinib
After 6 yrs post transplant and 5 yrs cgvhd my dr wants me to try this drug. I have been on pred now @ 5 mg daily and methotrexate 10mg 1x a week. Completed 2 yrs of photopheresis. My gvhd is scored 3 in lungs but skin, eyes, muscles and digestive are at 1. I am 70 yrs and dont know if i am dealing with gvhd anymore. I have lost much mobility from steroids. Am concerned over starting new drug with serious side effects. Anyone have experience or knowledge of drug? Thanks so much
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f68 MDS; abmt 1/12. ABO mismatch 11 mos. (70) transf. Ferr 3-5k. 8 phlebot. AGVHD to CGVHD. skin,eyes. lungs as of 10/13. muscle weakness &osteo long term steroids.photopheresis 2x wk as of 3-15.pred 20 eod,acyclovir, mepron, voriconazole, pantropazole, lisinopril, montelukast, anoro, azithromycin. 
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#2
Thu Oct 26, 2017, 03:12 PM
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You are wise to be cautious about any new drug.
Ibrutinib was only recently approved for chronic GVHD, after 2/3 of patients benefited from it in the reported study. The most commonly seen side effects are annoyances like fatigue and nausea, while serious side effects are less common, but of course nobody can tell which side effects you'd experience. The good news is that ibrutinib's side effects cease if you stop taking it, which means that if you're wiling you can try it, then change your mind if it's not helping with GVHD symptoms or if the side effects are worse than the benefit.
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