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Side effects of stopping PD1

Forums General Melanoma Community Side effects of stopping PD1

  • Post
    Lisa – Aust
    Participant

    Hello Everyone, 

    Just wondering what kind of side effects those who have stopped PD1 have experienced. 

    My husband has been off treatment for a couple of months (after being on for around 1.5 years) and is experiencing 'tingling' of feet, hands and face – he describes it almost like his body is vibrating at times. While on treatment he also developed tinnitus, but the Drs and specialists are saying it's not related to the drug. Just curious if anyone has experienced similar sensations. He's just been checked out scan wise, and is all clear. 

    Thanks

    Lisa

Viewing 11 reply threads
  • Replies
      ET-SF
      Participant

      I have no idea about the paresthesia (tingling in hands, feet, face).  However, I think it's reasonable to suspect the tinitus has resulted from his treatment.  Some immunotherapy treatments do sometimes (rarely) result in deafness.  Tinitus is one manifestation of hearing loss.

        Lisa – Aust
        Participant

        Hi there

        He has seen a fair few specialists now about the tinnitus, and it's seems there are a few things contributing. He had a neck dissection (altered anatomy), radiation to that side of head/neck and is pretty anxious. His hearing is fine, so it does make sense that all these things in combo, including treatment in my opinion, are having an effect. (Drs aren't as convinced!) 

        Thanks for your reply, the tinnitus is not enjoyable!! 

         

        Lisa 🙂

        Lisa – Aust
        Participant

        Hi there

        He has seen a fair few specialists now about the tinnitus, and it's seems there are a few things contributing. He had a neck dissection (altered anatomy), radiation to that side of head/neck and is pretty anxious. His hearing is fine, so it does make sense that all these things in combo, including treatment in my opinion, are having an effect. (Drs aren't as convinced!) 

        Thanks for your reply, the tinnitus is not enjoyable!! 

         

        Lisa 🙂

        Lisa – Aust
        Participant

        Hi there

        He has seen a fair few specialists now about the tinnitus, and it's seems there are a few things contributing. He had a neck dissection (altered anatomy), radiation to that side of head/neck and is pretty anxious. His hearing is fine, so it does make sense that all these things in combo, including treatment in my opinion, are having an effect. (Drs aren't as convinced!) 

        Thanks for your reply, the tinnitus is not enjoyable!! 

         

        Lisa 🙂

      ET-SF
      Participant

      I have no idea about the paresthesia (tingling in hands, feet, face).  However, I think it's reasonable to suspect the tinitus has resulted from his treatment.  Some immunotherapy treatments do sometimes (rarely) result in deafness.  Tinitus is one manifestation of hearing loss.

      ET-SF
      Participant

      I have no idea about the paresthesia (tingling in hands, feet, face).  However, I think it's reasonable to suspect the tinitus has resulted from his treatment.  Some immunotherapy treatments do sometimes (rarely) result in deafness.  Tinitus is one manifestation of hearing loss.

      Jubes
      Participant

      Hi lisa

      i am in Sydney. I stopped keytruda after my last infusion on 7 August due to increasing poly myalgia. I was almost paralysed and am now on prednisone till I can be weaned off. Was on keytruda for nearly a year. I have noticed tinnitus lately but it seems to be spasmodic.  being a musician I had experienced it before after very loud concerts so I didn't really connect it with my treatment.  I have not had any tingling yet. It is hard to know if these side effects are continuing effects from the drug. My rash has changed several times during the year from a general light rash to nothing to three or four big sores on my legs and chest. My next pet is sept 14 but to me it feels like despite 25 mg prednisone per day that keytruda is still strongly affecting me. 

      All  the best to you and your husband

      anne-Louise 

        Lisa – Aust
        Participant

        Hi Anne Louise

        thanks for your reply. We are in Perth 

        Wow your experience doesn't sound like much fun! My husband Craig has been lucky in that he had no real side effects while on treatment. He went to ED the other night and they suggested that the tingling is likely a result of stopping treatment, so will check in with his onc this week. His tinnitus started while on treatment, but hasn't really changed since stopping. He is on low dose endep for it. 

        I hope that you are doing well otherwise and that the weaning goes ok.

        thanks again

        lisa

        Lisa – Aust
        Participant

        Hi Anne Louise

        thanks for your reply. We are in Perth 

        Wow your experience doesn't sound like much fun! My husband Craig has been lucky in that he had no real side effects while on treatment. He went to ED the other night and they suggested that the tingling is likely a result of stopping treatment, so will check in with his onc this week. His tinnitus started while on treatment, but hasn't really changed since stopping. He is on low dose endep for it. 

        I hope that you are doing well otherwise and that the weaning goes ok.

        thanks again

        lisa

        Lisa – Aust
        Participant

        Hi Anne Louise

        thanks for your reply. We are in Perth 

        Wow your experience doesn't sound like much fun! My husband Craig has been lucky in that he had no real side effects while on treatment. He went to ED the other night and they suggested that the tingling is likely a result of stopping treatment, so will check in with his onc this week. His tinnitus started while on treatment, but hasn't really changed since stopping. He is on low dose endep for it. 

        I hope that you are doing well otherwise and that the weaning goes ok.

        thanks again

        lisa

      Jubes
      Participant

      Hi lisa

      i am in Sydney. I stopped keytruda after my last infusion on 7 August due to increasing poly myalgia. I was almost paralysed and am now on prednisone till I can be weaned off. Was on keytruda for nearly a year. I have noticed tinnitus lately but it seems to be spasmodic.  being a musician I had experienced it before after very loud concerts so I didn't really connect it with my treatment.  I have not had any tingling yet. It is hard to know if these side effects are continuing effects from the drug. My rash has changed several times during the year from a general light rash to nothing to three or four big sores on my legs and chest. My next pet is sept 14 but to me it feels like despite 25 mg prednisone per day that keytruda is still strongly affecting me. 

      All  the best to you and your husband

      anne-Louise 

      Jubes
      Participant

      Hi lisa

      i am in Sydney. I stopped keytruda after my last infusion on 7 August due to increasing poly myalgia. I was almost paralysed and am now on prednisone till I can be weaned off. Was on keytruda for nearly a year. I have noticed tinnitus lately but it seems to be spasmodic.  being a musician I had experienced it before after very loud concerts so I didn't really connect it with my treatment.  I have not had any tingling yet. It is hard to know if these side effects are continuing effects from the drug. My rash has changed several times during the year from a general light rash to nothing to three or four big sores on my legs and chest. My next pet is sept 14 but to me it feels like despite 25 mg prednisone per day that keytruda is still strongly affecting me. 

      All  the best to you and your husband

      anne-Louise 

      katie1
      Participant

      Not sure this helps to answer your question but my husband developed "ringing in his ears" while on IPI. He did develop hypophysitis with permanent adrenal insufficiency. Tinitus is now a warnng sign for him that his cortisol is low. Two years after his last dose of IPI he still occasionally has strange tingling sensations in his feet

      Kare

       

        Lisa – Aust
        Participant

        Hi Kare

        Thanks for your reply.

        How interesting about your husband. No one has suggested that yet (the adrenal insufficiency), but I might look into it/ask questions when we next see the onc.

        i have heard of tinnitus being a side effect of ipi, but not so much on the pd1 drugs. It's not fun.  

        Thanks again

        Lisa 

        Lisa – Aust
        Participant

        Hi Kare

        Thanks for your reply.

        How interesting about your husband. No one has suggested that yet (the adrenal insufficiency), but I might look into it/ask questions when we next see the onc.

        i have heard of tinnitus being a side effect of ipi, but not so much on the pd1 drugs. It's not fun.  

        Thanks again

        Lisa 

        Lisa – Aust
        Participant

        Hi Kare

        Thanks for your reply.

        How interesting about your husband. No one has suggested that yet (the adrenal insufficiency), but I might look into it/ask questions when we next see the onc.

        i have heard of tinnitus being a side effect of ipi, but not so much on the pd1 drugs. It's not fun.  

        Thanks again

        Lisa 

      katie1
      Participant

      Not sure this helps to answer your question but my husband developed "ringing in his ears" while on IPI. He did develop hypophysitis with permanent adrenal insufficiency. Tinitus is now a warnng sign for him that his cortisol is low. Two years after his last dose of IPI he still occasionally has strange tingling sensations in his feet

      Kare

       

      katie1
      Participant

      Not sure this helps to answer your question but my husband developed "ringing in his ears" while on IPI. He did develop hypophysitis with permanent adrenal insufficiency. Tinitus is now a warnng sign for him that his cortisol is low. Two years after his last dose of IPI he still occasionally has strange tingling sensations in his feet

      Kare

       

      ed williams
      Participant

      Hi Lisa, happy to hear that the scans are clear. Last summer Bristol Myer Squibb came out with a  consent form update that I had to sign off on. One of the bold print side effects that they changed the wording on was Tingling, burning or numbness in hands and feet. I had one of the other new side effects which was difficulty swallowing( not all the time) . I look at it as just being part of what comes with new experimental science that will help others Melanoma patients. Just think of the people who were part of the phase one trials where they were trying to figure out dose and side effects. If i remember correctly, a couple of people died from pneumonitis until they figured out how to deal with the side effects. I am due to finish in January 2016 and I am looking forward to see what side effects stay with me and which ones will go away. Wishing you and your husband the best!!! Ed

        Lisa – Aust
        Participant

        Hi Ed

        Thanks for your reply. 

        Maybe we should have read more about the side effects when signing those forms! He is on the Merck trial (well, just stopped and doing wait and see). He would have been due to finish late this year, so all up did around 18 months on the drug.

        its just strange as these symptoms developed a couple of months after stopping the drug (the tingling, that is. The tinnitus started about mid way through treatment).

        Its reassuring that the tingling can be explained by the drug. The Drs in ED the other night thought maybe it was a withdrawal type symptom. Will see what his Prof says this week. 

        Good luck for the duration of your treatment – what a fab drug!

        Thanks 

        Lisa 

        Lisa – Aust
        Participant

        Hi Ed

        Thanks for your reply. 

        Maybe we should have read more about the side effects when signing those forms! He is on the Merck trial (well, just stopped and doing wait and see). He would have been due to finish late this year, so all up did around 18 months on the drug.

        its just strange as these symptoms developed a couple of months after stopping the drug (the tingling, that is. The tinnitus started about mid way through treatment).

        Its reassuring that the tingling can be explained by the drug. The Drs in ED the other night thought maybe it was a withdrawal type symptom. Will see what his Prof says this week. 

        Good luck for the duration of your treatment – what a fab drug!

        Thanks 

        Lisa 

        Lisa – Aust
        Participant

        Hi Ed

        Thanks for your reply. 

        Maybe we should have read more about the side effects when signing those forms! He is on the Merck trial (well, just stopped and doing wait and see). He would have been due to finish late this year, so all up did around 18 months on the drug.

        its just strange as these symptoms developed a couple of months after stopping the drug (the tingling, that is. The tinnitus started about mid way through treatment).

        Its reassuring that the tingling can be explained by the drug. The Drs in ED the other night thought maybe it was a withdrawal type symptom. Will see what his Prof says this week. 

        Good luck for the duration of your treatment – what a fab drug!

        Thanks 

        Lisa 

      ed williams
      Participant

      Hi Lisa, happy to hear that the scans are clear. Last summer Bristol Myer Squibb came out with a  consent form update that I had to sign off on. One of the bold print side effects that they changed the wording on was Tingling, burning or numbness in hands and feet. I had one of the other new side effects which was difficulty swallowing( not all the time) . I look at it as just being part of what comes with new experimental science that will help others Melanoma patients. Just think of the people who were part of the phase one trials where they were trying to figure out dose and side effects. If i remember correctly, a couple of people died from pneumonitis until they figured out how to deal with the side effects. I am due to finish in January 2016 and I am looking forward to see what side effects stay with me and which ones will go away. Wishing you and your husband the best!!! Ed

      ed williams
      Participant

      Hi Lisa, happy to hear that the scans are clear. Last summer Bristol Myer Squibb came out with a  consent form update that I had to sign off on. One of the bold print side effects that they changed the wording on was Tingling, burning or numbness in hands and feet. I had one of the other new side effects which was difficulty swallowing( not all the time) . I look at it as just being part of what comes with new experimental science that will help others Melanoma patients. Just think of the people who were part of the phase one trials where they were trying to figure out dose and side effects. If i remember correctly, a couple of people died from pneumonitis until they figured out how to deal with the side effects. I am due to finish in January 2016 and I am looking forward to see what side effects stay with me and which ones will go away. Wishing you and your husband the best!!! Ed

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