Side Effect Management
Over the past decade, the use of bortezomib, lenalidomide, and thalidomide, with or without autologous stem cell transplant, has significantly im proved outcomes for patients with multiple myeloma (MM). Several of the regimens now listed as category 1 recommendations by the National Comprehensive Cancer Network (NCCN) for the treatment of MM include 1 or more of these agents.1 Category 1 designation refers to uniform NCCN consensus that the intervention is appropriate based on high-level evidence.
Peripheral neuropathy (PN) is a potentially debilitating condition that can lead to significantly decreased quality of life and the interruption of vital therapy.
Myeloma-related bone disease is devastating for patients, and can have a tremendous impact on performance status and quality of life.1 It has also been reported that in patients with certain types of malignancies, including myeloma, pathologic fractures correlate with reduced survival.2 Fortunately, the introduction of potent bisphosphonate therapy, with such agents as zoledronic acid and pamidronate, has revolutionized the treatment of bone disease in patients with multiple myeloma (MM).
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