A dropping white blood cell (WBC) count is a common challenge with myeloma and its treatments. When WBCs are low, the immune system has a harder time protecting the body from infection, so it's really important to flag this pattern with your care team.
Some myeloma treatments that can lower WBC counts include:
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A dropping white blood cell (WBC) count is a common challenge with myeloma and its treatments. When WBCs are low, the immune system has a harder time protecting the body from infection, so it's really important to flag this pattern with your care team.
Some myeloma treatments that can lower WBC counts include:
- Chemotherapy drugs like bortezomib (Velcade), carfilzomib (Kyprolis), and melphalan
- Steroids like dexamethasone
- Radiation therapy
- Stem cell transplantation Here are some general steps that may help support your immune health and WBC levels:
- Talk to your oncologist — they may consider adjusting treatment doses or timing, or prescribe growth factor injections (like G-CSF) to stimulate WBC production
- Prevent infections — use a soft toothbrush, avoid excessive nose blowing, and modify your environment to prevent falls or injuries
- Stay well-nourished — proper nutrition supports your body's ability to produce healthy blood cells
- Exercise gently — even light walking can support overall health and energy
- Prioritize sleep — poor sleep can worsen how your body functions overall
The most important step is letting your doctor know about this trend so they can investigate and act quickly if needed.
August 24
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