Community post
Managing Kd Infusion Speed & Side Effects?
Hi everyone,
I’m on Isa-Kd (isatuximab + carfilzomib + dex 20 mg only week 1) since Oct 2024. Stable VGPR, FLC suppressed.
4–5 weeks ago I shortened carfilzomib infusion (my idea to save time and reduce anxiety in box).
Since then:
Nausea G2 (vomited Thursday night)
Low-grade feverish feeling G1
Headache G2 (taking paracetamol)
Brain fog G2 (worse than my baseline chemo-brain)
KO Friday/Saturday → missed sports which I try to do daily
Labs just spiked:
CRP 1.3 → 6.3 mg/L (+385 %)
Triglycerides 212 → 479 mg/dL (+126 %)
Questions for the group:
Anyone on Isa-Kd / Kd with symptoms + CRP/TG spike after shortening infusion?
1) Did slowing back the infusion fix it?
2) Fenofibrate helped your TG?
3) Any pre-med tricks (montelukast, olanzapine) for delayed IRR?
Thanks!
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