I started with 2 mg in April 2023. My kappa light chains begin increasing in March so we increase the mg to 3. The kappa number did go down but in May we noticed an increase. So we are watching the numbers, if they increase we will begin 4 mg. The leg spasms will occur if I miss a day of tonic water.
I started on 3mg. and went to 2 mg. my white counts are still low. Next week we are going to 1mg. Pomalsyt works with the light chains, but is rough on my white counts. I hoping 1mg. will be the answer.
I didn't have any side effects with the change in dosage.
I was always on 4mg of Pomalyst and never had any side effects.