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    Roy Powell

    Taking this, which is the gold standard for low risk MDS 5q del., can be started at 10mg. But my experience is that your levels will drop and must then go back to 5 mg. Then your levels will improve considerably. This is what happened to me and have stayed at 5mg for about a year. Some fluctuation but not much in the levels…
    82 yrs.

    Andrea Sileo

    Hi Roy,

    My mom was diagnosed with MDS 5q del recently. She has been on Revlimid 10mg for two weeks now. Her hemoglobin was 7.9 last week and down to 7.3 this week. How long does it take for the medicine to kick in?

    Best Regards

    Kathy Stermer

    My experience was that after a year of taking Revlimid my counts never did change much and after 8 months and multiple adjustments in dose ended up needing transfusions almost weekly so taken off and started on Azacitidine which I’ve just finished my first week. I was so hopeful but my anc continued low the whole time hence the dose adjustments. There are so many variables to this disease and everyone’s body reacts differently to drugs that it’s impossible to predict a time other than going by the average for “most” patients. Good luck to your mom and hope it continues and is a successful treatment.


    Andrea : I am 81 and have started my 13 year on Revlimid no side affects. It took four mounts to work. I have been leading a normal life ever since. I have 20q del. I have only one question regarding Revlimid what are your blast? My blast have been a constant 2. A doctor who has worked with Revlimid for years told me You can increase the dose as high as you want as long as the blast remain under 5. This doctor feels it stops working if your blast go higher 5. I hope this helps a little bit.


    Andrea Sileo

    Hi Patrick,

    Thank you for your response. So happy to hear that you have had long term success with Revlimid. My mom currently has 4% blasts and completed her 3rd week of Revlimid today. She started on 10mg, but her levels dropped significantly and her doctor reduced her to 10mg every other day. We are hoping to see the levels start creeping back up.

    Best Regards,


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