Post Rituximab guidelines : Hi all I’m just... - CLL Support

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Post Rituximab guidelines

AudeRambler profile image
12 Replies

Hi all

I’m just seeking a bit of guidance for the future months: I’ve recently completed 4 months of oral chemo and am nearly at the end 6 x 4 weekly treatments of Rituximab. Having read that it remains in the system for 6-12 months and that alcohol should be avoided during treatments, does this imply that it should also be avoided for the 6-12 month period afterwards? Can’t seem to find any website information that covers this and the hospital is equally vague……does anyone have any clear guidance from practitioners or sites, from their own experience? The occasional glass of wine is something that I have missed but don’t want to compromise treatment by imbibing too soon!

Many thanks.🌈

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AudeRambler profile image
AudeRambler
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AussieNeil profile image
AussieNeilAdministrator

A much more important factor to keep in mind is your chance of developing what's termed Late Onset Neutropenia, which can occur in this 12 month post treatment period, though it's more likely to happen in the first 6 months. Per this post, the chances are higher if you needed G-CSF injections to boost your neutrophils prior to a treatment cycle.

healthunlocked.com/cllsuppo...

Maintaining precautions to minimise your possibly increased risk of infections is much more important than an occasional glass of wine.

Neil

cajunjeff profile image
cajunjeff

I am not sure what oral drug you are on and how that factors into the equation, but I would not think having completed a rituximab regimen would require you avoid alcohol in moderation. My doctor okayed moderate alcohol for me, even during treatment.

We are all different with our cll, and that's why this type question ultimately is one for our doctors to answer.

The literature is contradictory, with some sites saying no alcohol at all while on rituxan and others saying its ok in moderation.

aoccb.com/wp-content/upload...

nhsaaa.net/media/7421/20190...

LeoPa profile image
LeoPa

What do you mean by oral chemo?

AudeRambler profile image
AudeRambler in reply to LeoPa

Perdura and Endoxan: 3 days each time x 4 rounds. The Rituximab commenced at the start of the second round of oral meds.

LeoPa profile image
LeoPa

I never heard about those but I found that Endoxan is the C in FCR. Is the active substance of Perdura called Fludarabin? Google is stupid and whenever I google Perdura it comes up with translations of the Spanish word "perdurar".🙂

AudeRambler profile image
AudeRambler in reply to LeoPa

Hi LeoPa. Thanks so much for your time: the drugs are the French names, which is where I’m being treated: indeed, fludura is fluradabine and endoxan is a cyclophosamide. Not sure if this helps! 🌈

AussieNeil profile image
AussieNeilAdministrator in reply to AudeRambler

So I gather you had FCR treatment, which makes sense.

LeoPa profile image
LeoPa in reply to AudeRambler

Thank you,yes,all clear. I guess playing it safe would mean that you give up the wine, but if life's not worth living without it, you can folow the doctor's advice 😀 and enjoy a little.

AudeRambler profile image
AudeRambler in reply to LeoPa

Ha ha! Well, I’ve not had any for the last 5 months, so I suppose another 6-12 months won’t make a lot of difference 😏.

bennevisplace profile image
bennevisplace

Moderate alcohol intake has been OK for me following FCR x 6.

AudeRambler profile image
AudeRambler in reply to bennevisplace

Ah, thanks for that info.

Tovtovtov profile image
Tovtovtov

Stay off.

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