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It's Al amyloidosis, starting Darzalex Faspro (daratumumab), Velcade (bortezomib),
Revlimid (lenalidomide), and Decadron (dexamethasone). Heart failure and EV at 54%, which is high. Anyone else on this? He works hard manual labor. What is fatigue and nausea like?

November 1, 2025
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How common is this treatment combination for AL amyloidosis?

Yes, this combination is used for AL amyloidosis. The combination of daratumumab, bortezomib, and dexamethasone is commonly prescribed, and adding Revlimid (lenalidomide) creates a comprehensive treatment approach targeting the abnormal plasma cells from multiple Show Full Answer

How common is this treatment combination for AL amyloidosis?

Yes, this combination is used for AL amyloidosis. The combination of daratumumab, bortezomib, and dexamethasone is commonly prescribed, and adding Revlimid (lenalidomide) creates a comprehensive treatment approach targeting the abnormal plasma cells from multiple angles.

Darzalex Faspro was actually the first FDA-approved treatment specifically for newly diagnosed AL amyloidosis when used in combination with other medications. Most people with a new AL amyloidosis diagnosis receive similar combination therapies. What to expect with fatigue and nausea

Fatigue and nausea are common side effects of these medications. Here's what you should know:

Fatigue considerations:
* All of these medications can contribute to fatigue, especially when used together
* Heart failure itself also causes significant fatigue because cells aren't getting enough oxygen
* For someone doing manual labor, the fatigue may feel more pronounced and could impact work capacity
* Low blood cell counts from treatment can worsen tiredness

Nausea:
* Nausea and vomiting are listed as potential side effects of these targeted therapies
* Severity varies from person to person
* Anti-nausea medications can help manage this symptom

Given the manual labor job, it's really important to have open conversations with the care team about managing these side effects and whether work accommodations might be needed during treatment. Additional side effects to watch for:

Other potential side effects from this combination include:
* Low blood cell counts
* Nerve damage
* Severe constipation
* Dizziness or lightheadedness

The good news is that with close monitoring and support from the care team, many people successfully manage these side effects. Don't hesitate to report any symptoms early so adjustments can be made to keep treatment on track while maintaining quality of life.

November 1, 2025

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