Kyprolis (Carfilzomib)

For relapsed Multiple Myeloma

Most common side effects affecting nutrition:

• SOB
• Headaches/confusion
• Low RBC
• Low WBC
• Fatigue
• Decreased potassium levels

Serious side effects:

• Heart problems
• Kidney problems
• Tumor Lysis Syndrome
• Lung Damage, Pulmonary Hypertension, other Lung Complications
• High blood pressure
• Blood clots

Kisqali (Ribociclib)

A new option for postmenopausal women with HR+ (ER+ and/or PR+) HER2- metastatic breast cancer in combination with hormone therapy.

Most common side effects affecting nutrition:

• Nausea/Vomiting
• Fatigue
• Diarrhea/Constipation

Serious side effects:

• QT prolongation (abnormal heartbeat)
• Hepatobiliary toxicity (loss of appetite, fatigue)
• Neutropenia (low WBC, increased risk of infection)
• 
  

Ibrance (Palbocicilib)

Oral therapy for women with hormone-receptor Positive (ER+ and/or PR+) HER2- Metastatic Breast Cancer.

When used in combination with a hormone therapy, may delay disease progression.

• Letrozole
• Fulvestrant

Common Side Effects that affect nutrition:

• Fatigue
• SOB
• Low RBC/Low Platelets (contributes to fatigue)
• Other less common: nausea, sore mouth, diarrhea/constipation, loss of appetite

Serious Side Effects:

• Neutropenia (low white blood cell counts)
• Blood clots

Opdivo (Nivolumab)

Immunotherapy for adults with advanced NSCLC previously treated with platinum-based chemotherapy. (Bristol-Myers Squibb)

Most common side effects that interfere with nutrition:

• Fatigue
• Pain in muscles/joints
• Diarrhea or Constipation
• nausea
• Decreased appetite

Serious Side effects may include:

• Colitis - signs and symptoms may include diarrhea or more bowel movements than usual, blood in stools and severe abdominal pain or tenderness.
• Hepatitis - severe N/V, dark urine, feeling less hungry than usual
• Hormone gland problems - may contribute to weight loss or weight gain, extreme fatigue, forgetfulness, excessive thirst
• Kidney Problems - decrease in urine, loss of appetite
• Skin problems - mouth ulcers

IV over 60 minutes every two weeks