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Ask The Pharmacist

January 17, 2022

Where verapamil or diltiazem would be contraindicated with ibrutinib, amlodipine would be okay?

Ask the Pharmacist Question: I just listened to the multi dis perspective BTK inhibitors webinar. I thought I heard calcium channel blockers are contraindicated with ibrutinib. Wondering if this is true? Whether 2.5 mg of norvasc would be contraindicated with 420 mg of ibrutinib? I may have found the

January 17, 2022

Do you have any thoughts regarding the connection of imbruvica with emotional lows or anxiety?

Ask the Pharmacist Question: I am presently using imbruvica for CLL and have had great success in my blood counts. I am experiencing very minor side-effects that have been very tolerable. However, I seem to have heightened anxiety and possibly some depression. I have issues being motivated to do certain tasks.

January 17, 2022

Can acalabrutinib be taken in a different form – suppository, under the tongue, or some other way?

Ask the Pharmacist Question: What steps can I take to improve absorption of acalabrutinib. I had a total gastrectomy in 1974 and a Roux en Y in 2005, so my compromised stomach is not absorbing that 100mg oral medication I have been taking twice a day since late June.

January 17, 2022

Is it a good idea to take 750mg of OTC Betaine HCL with Calquence to provide a temporary increase in acid?

Ask the Pharmacist Question: I’m going into my fifth month of Calquence. For some 30 years I had taken 15mg of Prevacid twice a day for reflux. I stopped the Prevacid initially because it reduces the effectiveness of Calquence, and tried to get by with Famotinine and tums, but

January 16, 2022

If IVIG plasma now contains the COVID plasma from patients that have donated plasma? If so, is it possible that I don’t need the booster vaccine?

Ask the Pharmacist Question: I get my IVIG every 38 days and have had the two vaccines for COVID. My question is to ask if the IVIG plasma now contains the COVID plasma from patients that have donated plasma? If so, is it possible that I don’t need the

January 13, 2022

Someone suggested D Mannose for UTIs. Is it safe? Do you know if it is effective?

Ask the Pharmacist Question: I have frequent UTIs and have been thoroughly examined and tested by a urologist. No matter what, I just keep getting them. I am currently on some heart meds and blood thinners for AFib but am not on any meds for my CLL. Someone suggested

January 12, 2022

Ask the Pharmacist: Should I be concerned about getting five different doses of COVID-19 vaccines within a 12-month period?

Question: My oncologist is a CLL specialist and just recommended that I “start over” with COVID vaccines, as two Moderna doses plus the booster have shown no antibody production. Should I be concerned about getting 5 doses of vaccines within a 12-month period? He says I should get two

January 12, 2022

Are there any side effects of dysphasia or esophageal spasm when taking acalabrutinib?

Ask the Pharmacist Question: Are there any side effects of dysphasia or esophageal spasm when taking acalabrutinib? I began this treatment 9/1/2021 and these effects began 2-3 weeks ago. I have found no mention of this in Epocrates or previous CLL society posts. Answer: There are many potential side effects

January 12, 2022

What is the cost of ibrutinib 420 mg dosage?

Ask the Pharmacist Question: What is the cost of ibrutinib 420 mg dosage? Answer: We cannot answer the end cost to the patient because it is so dependent on multiple factors like dosage, insurance coverage, pharmacy, and geographic location. However, the current estimated monthly average wholesale cash price (with no

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