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On Maintenance Therapy With Darvalex Fast Pro, Dexamethazone, Revlimed And Acyclovir. Having Issues With Hand Tremors. Suggestions

A MyMyelomaTeam Member asked a question 💭
Cantonment, FL
December 1
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A MyMyelomaTeam Member

I had tremors a lot when I was on the initial 4 cycles of treatment prior to my SCT. I am now on 10 mg lenalidomide and have mild tremors. I suspect this is the cause.

December 15
A MyMyelomaTeam Member

Thank you Laurie. My doctor said they are probably caused by the dexamethasone but I can’t stop taking it at this point.

December 8
A MyMyelomaTeam Member

I have bad hand tremors! Originally brought on by anti-anxiety and depression meds. Got worse after stem cell transplant. Adjusted other medications. Tremors kept getting worse. I am now on 600mg morning and night of Gabapentin. It has helped immensely.

December 6
A MyMyelomaTeam Member

Shelly, hand tremors can be related to a few things with this illness... It is vital to keep a baseline of nutrients in your system at all times, because there is a lot going on in your body right now. A complete Multivitamin with minerals will be a good start that include amino acids. Magnesium, vitamin B12, and your complex B vitamins might be low or depleted... At this stage I don't recommend taking just one of any nutrients, that can be more dangerous to your system. Nutrients work synergistically and by the time you're experiencing symptoms, there's usually more than one that's needed. Is it possible to ask your doctor or nutritionist for a Micronutrients test. This will give your doctor a complete nutritional analysis of what you are missing or have too, much of. The only mineral I will suggest that can be taken safely right now is magnesium in divided doses at 200mg. (Magnesium glycinate or biglycinate, same thing) would be excellent to start with. You can't really go wrong with magnesium, but they have different functions, but all will help with tremors... avoid Magnesium Oxide for long periods alone, it only has 0.4% absorption. However, in a blend with one or two others is fine. Just make sure it's listed last on the label (lowest amount). Amazon is a good place to by magnesium for a good price, there are a lot of choices... I personally use the Pure, brand, and I love Andrew Lessman's Intensive Magnesium, but it has calcium in it... so if you need added calcium his is excellent. Ingredients listed are (citrate, malate, and oxide). You will also most likely need a complete B complex, vitamin B12, and R-alpha lipoic acid. These nutrients are safe to take together and excellent for nerve damage. There are others, but hopefully you can get a Micronutrients test, before we add anything else. These are your water-soluble nutrients, which is usually safe to take. Alpha lipoic acid is both water/fat soluble... so wait on that one.
I truly hope you find relief for your tremors! 😊

December 2 (edited)
A MyMyelomaTeam Member

Hand tremors can be a concerning side effect. Here are some suggestions based on my knowledge base:

1. Consult Your Doctor: Always the first step. They can assess whether the tremors are related to your medications or another underlying issue
2. Medication Review: Your doctor might adjust the dosages or switch medications Show Full Answer

Hand tremors can be a concerning side effect. Here are some suggestions based on my knowledge base:

1. Consult Your Doctor: Always the first step. They can assess whether the tremors are related to your medications or another underlying issue.
2. Medication Review: Your doctor might adjust the dosages or switch medications if they suspect one is causing the tremors.
3. Manage Stress: Stress can exacerbate tremors. Techniques like deep breathing, meditation, or gentle exercise might help.
4. Physical Therapy: A therapist can provide exercises to improve hand control and reduce tremors.
5. Monitor Symptoms: Keep a diary of when the tremors occur and any potential triggers to discuss with your healthcare provider.

For more detailed information, always refer to your healthcare provider.

December 1

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