[SPAM][SPAM] Re: prophylactic meds w Rituxan....Dr Furman?

[Guest guest]

Marcia,

There are many variabilities and subtles that would keep me from

being able to answer your questions completely. I recommend you speak

with your physician. It is worth mentioning that the prophylactic

Bactrim and Valtrex do not depend upon neutrophil counts at all.

These prophylactic medications are for lymphocyte dysfunction,

induced by the CLL, steroids, or fludarabine.

Rick Furman,MD

> > >

> > > Dear Dr Furman,

> > >

> > > Having completed my first weekly tx of Rituxan for AIHA, I'm

> > wondering if I should be on any prophylactic meds? I wouldn't

> think

> > so, as it targets only CD20 on lymphocytes, but I believe

several

> > viral infections have been reported in association w Rituxamab.

> My

> > HBV surface antigen was negative prior to treatment, but should

I

> be

> > concerned about other viral infections? I also have taken for

> years

> > acyclovir 400mg qd (for herpes simplex 2). Is this sufficient?

My

> > local onc hasn't said anything about prophylactic meds...

> > >

> > > Many thanks,

> > > Marcia in CA

> > >

> >

>