My Father was just diagnosed with stage 2 unmutated CLL. He has enlarged nodes on his neck, his spleen is enlarged, and his WBC has gone from 42,000 to 72,000 in less than a month and 91% are lymphocytes so they are rushing to start Ibrutinib. He asked his Dr. about protecting his kidneys and about TLS and at first the Dr. said there is nothing to take, but later after the APRN asked the Dr about it, the Dr said he would prescribe Allopurinol with the Ibrutinib. My main questions for you are:
1) Has anyone used Allopurinol from the start of Ibrutinib?
2) Does anyone notice any red flags here? I am very nervous that he has not seen a CLL specialist but I cannot force him : (
Thank you SO much for your help and community.