Calquence and decreased hemoglobin: Hi Everyone... - CLL Support

CLL Support

23,631 members40,355 posts

Calquence and decreased hemoglobin

albie58 profile image
10 Replies

Hi Everyone!

I have been on Calquence for just about a month and had my first labs yesterday. Neuts were normal. Platelets were steady at 120. My absolute WBC was 106,000 from 43,000, but that was to be expected. However, my hemoglobin was 10.3 from 11.2. I know it's just a slight decrease, but has anyone else run into this, and if so, did it return to normal?

Thank you!

Written by
albie58 profile image
albie58
To view profiles and participate in discussions please or .
Read more about...
10 Replies
AussieNeil profile image
AussieNeilPartnerAdministrator

This is entirely expected and is why it is important to start treatment within an optimum treatment window. All CLL treatment drugs are capable of suppressing your bone marrow, so when your bone marrow is already CLL infiltrated, it's not unusual to see a temporary further drop in haemoglobin, platelets and or neutrophils while Calquence slowly begins clearing out your bone marrow. You can anticipate seeing your haemoglobin begin to improve in the near future.

Neil

albie58 profile image
albie58 in reply toAussieNeil

Thank you, Neil!

Msjay60 profile image
Msjay60

I experience the same been on calquence for 9 months and my hemoglobin did the same as well as my other levels but wbc was 178.000 now down to 22,000. Stay positive much love and blessings

albie58 profile image
albie58 in reply toMsjay60

Thank you! Your experience helps me a lot!

Poodle2 profile image
Poodle2

I was on a different treatment but my Hb was dipping and going up and down for the first two months...it has been fine since then.

albie58 profile image
albie58 in reply toPoodle2

Thank you!

uide3095 profile image
uide3095

Hi, I have been on Acalabrutinib, Aciclovir and Dapsone (was Co-trimoxazole) since January 2022 (diagnosed SLL / CLL December 2020), usual headaches at the start but all good after 3L water and coffee, now 2L a day. I had slight Lymphadenopathy in September last year that resolved itself within a month amongst other changes but they were at the start as expected.

I also have high risk variants, LEU and ATM genes.

Current situation after 18 Months the latest report from my Hematologist to my doctor was:

There was no evidence of leukemia. I advised Mr Brown to continue on Acalabrutinib 100mg twice daily and prophylactic Aciclovir 400mg twice daily and Dapsone 100mg daily

Calquence is working well for me and hopefully should with you as well, there are always a few changes in all the blood results. I have been lucky with no actual symptoms apart from very large Lymph nodes in my Neck and Groin which started the visit to the doctor in August 2020.

I also keep fit and the gym and have been on a CLL HIT programme with Surrey University and try and eat a healthy diet which all contributes to a good balance.

I hope all goes well for you, I manage to get on with things and continue to work but I am 63 so a few years to go before retirement

safe journey

SERVrider profile image
SERVrider in reply touide3095

I note you are on the HIT research programme at Surrey University, I live in Guildford and use the Surrey Sports Park (part of the University) for my fitness classes. I wonder whether I would be of any use to the HIT study. Could you give me a contact in the study to apprach, please?

albie58 profile image
albie58 in reply touide3095

Thank you so much for sharing!

craterlake profile image
craterlake

Hi albie58 , so far you are doing better than i did on the calquence but i would still keep an eye on the hemoglobin especially ... when i started taking calquence my platelets were 100... my hemoglobin was 8.1 .. lymphocytes 16,000 . . my G.P. checked my iron and it was low so i had a couple of iron infusions the second month after i started calquence and with in a couple of months after that my hemoglobin was up to 11.6 ... but my platelets kept steadily dropping . after taking calquence for 9 months i had to stop taking it .. my hemoglobin was 6.4 my lymphocytes were 2.1 ... my platelets were 19 . i started gazyva -plus blood transfusions etc. ... my neutrophils went down to .15 ... so i had to have a shot of neulasta . which worked very rapidly with in 4 days my neutrophils were 11 an increase of 73 times the starting amount . so be vigilant the calquence worked TO WELL for me ....causing cytopenia ---- the venetoclax is working much better with less side effects ... blessings , keep looking up .. james

Not what you're looking for?

You may also like...

Imbruvica and low Hemoglobin

I started on Imbruvica April 13. After some weeks needed blood transfusion 3 bags to improve my...
Kmegood profile image

Calquence Bleeding?

Has anyone had bleeding on Calquence? My platelets recently (a week ago) were 275 — up from before...
schmooth97 profile image

Calquence and headaches

Hi All - I just started Calquence - day 5 - and I am waking up with solid headaches - I read that...
Brucex100 profile image

Hemoglobin

Dx in 2013 and have been treated with Ibrutinib then Venetoclax. Overall I have done well but over...
Fant1924 profile image

2 months on Calquence

Did it take longer than 2 months on Calquence for any of you to start seeing your ALC decline and...
lpac profile image

Moderation team

See all
AussieNeil profile image
AussieNeilAdministrator
CLLerinOz profile image
CLLerinOzAdministrator
Newdawn profile image
NewdawnAdministrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.