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Keytruda side effects?

Forums General Melanoma Community Keytruda side effects?

  • Post
    Jubes
    Participant

      Hi all

      Just an update on my progress. I had to stop keytruda on August 7 after 11 months and stable and reduced tumour in my lung. I have terrible arthritic/myalgic type pain pretty much paralyzing me in the mornings. It takes a few hours to be able to get out of bed. I am on steroids and now oxycodone for it. But this week I saw a rheumatologist who is a scientist and teacher as well at several universities and I was impressed with his dismissal of my presumption that the pain is due to keytruda. He has sent me for a million new blood tests bone scans and spine mris. He is counting everything out one by one and I hope he can get to the bottom of it. I just wanted to let you all know, as I am the only one I have come across with this so it may be interesting for you or someone in the future if he finds that the cause is the immunotherapy, even if it has somehow triggered genetic rheumatoid arthritis which my mother had at a much older age (I am 58). The doctor is a specialist in women with breast cancer who ended up with arthritic disease symptoms from their treatment 

      anne-Louise 

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    • Replies
        Bubbles
        Participant

          Hey Anne-Louise,

          Though many of us have problems with arthralgias on anti-PD1, you certainly have endured ever so much!!!  I am glad your doc is looking into all the possible causes!!!  Here is a link about arthritis on anti-PD1 I posted last year, though I fear it brings up more questions than answers:  http://chaoticallypreciselifeloveandmelanoma.blogspot.com/2014/11/arthritis-associated-with-anti-pd1.html

          Have you tried remicaid (inflixamab)?  At first, folks thought treating side effects with prednisone and meds like inflixamab was a big no, no. Since then researchers have learned that treating sooner rather than late is actually better, and even when these drugs are necessary they do NOT impede a positive response to melanoma.

          It is interesting to note that the patients in the article developed their significant arthralgias many months into their therapies.  Another thing we have been learning.  Side effects to immunotherapy can be cumulative, especially in regard to fatigue and arthralgias.  Here is a post I put together with a link to a webinar by Weber and Agarwala and that addressses these points and others regarding side effects to both immuno and targeted therapies.  From the horses mouths…..

          http://chaoticallypreciselifeloveandmelanoma.blogspot.com/2015/09/side-effects-and-how-to-manage-them-in.html

          Good luck with your work-up.  I hope you find some relief soon!!  Celeste

            Jubes
            Participant

              Thank you so much Celeste. I wonder if my rheumatologist would be offended if I print them out to show him….x

              Bubbles
              Participant

                Offended….schminded!!!  Go ahead.  I like it when I know my patients and their families are trying their best to learn and figure out what is going on with them!!!  It helps!  Hang in there! c

                davekarrie
                Participant

                  Best of luck to you. I am about 1 month into Keytruda and have had 2 doses. I had pretty bad joing pain and especially my right shoulder after the first infusion.  It has seemed to get better, so don't know if my body is adjusting?  Hope you can find some answers, best of luck! Dave

                  davekarrie
                  Participant

                    Best of luck to you. I am about 1 month into Keytruda and have had 2 doses. I had pretty bad joing pain and especially my right shoulder after the first infusion.  It has seemed to get better, so don't know if my body is adjusting?  Hope you can find some answers, best of luck! Dave

                    davekarrie
                    Participant

                      Best of luck to you. I am about 1 month into Keytruda and have had 2 doses. I had pretty bad joing pain and especially my right shoulder after the first infusion.  It has seemed to get better, so don't know if my body is adjusting?  Hope you can find some answers, best of luck! Dave

                      Bubbles
                      Participant

                        Offended….schminded!!!  Go ahead.  I like it when I know my patients and their families are trying their best to learn and figure out what is going on with them!!!  It helps!  Hang in there! c

                        Bubbles
                        Participant

                          Offended….schminded!!!  Go ahead.  I like it when I know my patients and their families are trying their best to learn and figure out what is going on with them!!!  It helps!  Hang in there! c

                          Jubes
                          Participant

                            Thank you so much Celeste. I wonder if my rheumatologist would be offended if I print them out to show him….x

                            Jubes
                            Participant

                              Thank you so much Celeste. I wonder if my rheumatologist would be offended if I print them out to show him….x

                            Bubbles
                            Participant

                              Hey Anne-Louise,

                              Though many of us have problems with arthralgias on anti-PD1, you certainly have endured ever so much!!!  I am glad your doc is looking into all the possible causes!!!  Here is a link about arthritis on anti-PD1 I posted last year, though I fear it brings up more questions than answers:  http://chaoticallypreciselifeloveandmelanoma.blogspot.com/2014/11/arthritis-associated-with-anti-pd1.html

                              Have you tried remicaid (inflixamab)?  At first, folks thought treating side effects with prednisone and meds like inflixamab was a big no, no. Since then researchers have learned that treating sooner rather than late is actually better, and even when these drugs are necessary they do NOT impede a positive response to melanoma.

                              It is interesting to note that the patients in the article developed their significant arthralgias many months into their therapies.  Another thing we have been learning.  Side effects to immunotherapy can be cumulative, especially in regard to fatigue and arthralgias.  Here is a post I put together with a link to a webinar by Weber and Agarwala and that addressses these points and others regarding side effects to both immuno and targeted therapies.  From the horses mouths…..

                              http://chaoticallypreciselifeloveandmelanoma.blogspot.com/2015/09/side-effects-and-how-to-manage-them-in.html

                              Good luck with your work-up.  I hope you find some relief soon!!  Celeste

                              Bubbles
                              Participant

                                Hey Anne-Louise,

                                Though many of us have problems with arthralgias on anti-PD1, you certainly have endured ever so much!!!  I am glad your doc is looking into all the possible causes!!!  Here is a link about arthritis on anti-PD1 I posted last year, though I fear it brings up more questions than answers:  http://chaoticallypreciselifeloveandmelanoma.blogspot.com/2014/11/arthritis-associated-with-anti-pd1.html

                                Have you tried remicaid (inflixamab)?  At first, folks thought treating side effects with prednisone and meds like inflixamab was a big no, no. Since then researchers have learned that treating sooner rather than late is actually better, and even when these drugs are necessary they do NOT impede a positive response to melanoma.

                                It is interesting to note that the patients in the article developed their significant arthralgias many months into their therapies.  Another thing we have been learning.  Side effects to immunotherapy can be cumulative, especially in regard to fatigue and arthralgias.  Here is a post I put together with a link to a webinar by Weber and Agarwala and that addressses these points and others regarding side effects to both immuno and targeted therapies.  From the horses mouths…..

                                http://chaoticallypreciselifeloveandmelanoma.blogspot.com/2015/09/side-effects-and-how-to-manage-them-in.html

                                Good luck with your work-up.  I hope you find some relief soon!!  Celeste

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