For me, the answer has been Cholestyramine. It is a powder that reacts on the gallbladder and inhibits the release of acid that causes the diarrhea. It is working great. I take a half dose dissolved in water daily. It was prescribed by my oncologist. I also watch what I eat as far as less fat and very little fried food. I try not to overdo the fruit and eat rice when you can. It's hard to be out and about when you never know when trouble will strike. I hope that this helps. π§π»ββοΈ
June 22
Dealing with Revlimid-related diarrhea is a real challenge β and you're definitely not alone in this. It's one of the most common side effects, and it can sometimes show up quite late, even 17 to 24 months after starting treatment. The most important first step is to talk to your oncologist before trying anything new, even Show Full Answer
Dealing with Revlimid-related diarrhea is a real challenge β and you're definitely not alone in this. It's one of the most common side effects, and it can sometimes show up quite late, even 17 to 24 months after starting treatment. The most important first step is to talk to your oncologist before trying anything new, even over-the-counter remedies. Here are some strategies that may help, always with your doctor's guidance:
Medications
- Loperamide (Imodium) has helped some MyMyelomaTeam members
- Cholestyramine (a bile acid sequestrant) has also worked for some
- One MyMyelomaTeam member shared that Pepto-Bismol unexpectedly did the trick for them
Dietary Changes
- Eat smaller, more frequent meals
- Choose foods like white rice, well-cooked vegetables, yogurt, lean meats, and smooth peanut butter
- Reduce fatty foods
- Eat foods rich in sodium and potassium to replace lost nutrients
Stay Hydrated
- Aim for 8β12 cups of water or clear fluids daily
- Broth and clear liquids can help after a bout of diarrhea If diarrhea becomes severe, your doctor may consider adjusting or pausing your Revlimid dose. Never make that call on your own β always loop in your care team first.
June 20