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Medical Forum / Diseases and Disorders / Lupus / April 2004

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Cytoxan - side effects

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misc - 07 Apr 2004 13:00 GMT
I read a couple of posts the other day about Cytoxan and was wondering about
the severe joint/muscle etc etc pains associated with it.
I took Cytoxan (that is cyclophosphamide right??) IV for 3 months. After the
third month I had a really bad time ... all the
joint/muscle/every-fibre-in-my-body-aches' type pain that you guys speak of.
I was tested and found to have cytomegalovirus ...  and this was blamed.
They also stopped the Cytoxan at this point, saying that the really low
blood count probably caused the 're-activation' of this normally inert
virus.
Anyone else have something like this??

Winny
JDWAT@webtv.net - 07 Apr 2004 19:28 GMT
Hi Winny!

I really can't answer your question as I've never been on this med.  I
just wanted to say "Hi!"  And "Welcome."  Someone will be along who has
some experience with the cyclo, I'm sure.

aHug4u,
Maggie
J - 07 Apr 2004 21:33 GMT
> I read a couple of posts the other day about Cytoxan and was wondering about
> the severe joint/muscle etc etc pains associated with it.
[quoted text clipped - 8 lines]
>
> Winny

Hello Winny and welcome to alt.support.lupus

It's strange but I can't find those in the side effects and I usually look very
hard to see if there's a possible connection.
http://www.rxlist.com/cgi/generic3/cyclophosphamide_ad.htm
It does however say "The degree of neutropenia is particularly important because
it correlates with a reduction in resistance to infections."

http://www.cdc.gov/ncidod/diseases/cmv.htm
GENERAL INFORMATION

Cytomegalovirus, or CMV, is found universally throughout all geographic
locations and socioeconomic groups, and infects between 50% and 85% of adults in
the United States by 40 years of age. CMV is also the virus most frequently
transmitted to a developing child before birth. CMV infection is more widespread
in developing countries and in areas of lower socioeconomic conditions. For most
healthy persons who acquire CMV after birth there are few symptoms and no
long-term health consequences. Some persons with symptoms experience a
mononucleosis-like syndrome with prolonged fever, and a mild hepatitis. Once a
person becomes infected, the virus remains alive, but usually dormant within
that person's body for life. Recurrent disease rarely occurs unless the person's
immune system is suppressed due to therapeutic drugs or disease. Therefore, for
the vast majority of people, CMV infection is not a serious problem.[]

So perhaps you were previously infected and by suppressing your immune system
the infection roared up again?
I know from having another type of infection that infections can cause all kinds
of (severe) aches and pains.

Once you recover, can they not give you something same or similar but lower
doses (if you need it for Lupus)?
Say a maintenance dose daily instead of the big injections every 3 months? and
watch your blood numbers carefully and back off if the numbers start getting too
low?
Just curious, because I'm not a doctor.
J
herbwormwood - 08 Apr 2004 12:00 GMT
Hi,
I was on that a few years ago but I did not get those symtoms. I was on it
for CNS lupus. Intravenous pulses once a month for 6 months.
I felt sick and I was very weak. So weak I could hardly walk. I had to be
helped to the toilet and all that.
As cyclophosphamide is a very strong immonosuppressant I can believe that
would have  caused your infection.
To be frank I don't think cyclophosphamide really helped me.
Anticoagulants were more effective as I had antiphospholipid syndrome too.
Hope you feel better soon.

> I read a couple of posts the other day about Cytoxan and was wondering about
> the severe joint/muscle etc etc pains associated with it.
[quoted text clipped - 8 lines]
>
> Winny

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Komsant Frederick - 18 Apr 2004 16:21 GMT
Hello Threre UK & AU,

I too had the Cytoxan pulse treatment to treat my CNS SLE at my last
major flare-up requiring hospitalization. I experienced weakness,
dizziness, and burning sensations internally...had to pretty much stay
on the john a couple days after the IV pulses! Incidentally, when I
was first diagnsed with SLE back in 1991, I was also treated for
CMV...how many other lupies have CMV I wonder??

>Hi,
>I was on that a few years ago but I did not get those symtoms. I was on it
[quoted text clipped - 19 lines]
>>
>> Winny
 
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