Side effects of Epo injections for the elderly with MDS

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Hi,

My 86 year old Dad has just been diagnosed with MDS. The 'immature' cells are low (5%), his haemoglobin levels are ok (he had a graph which showed that they did drop really low around the time when he first started complaining about breathlessness) and his platelets are also low (but not worryingly so).

The Dr said he could consider Epo injections but due to the side effects (esp strokes and blood clots) it's up to my Dad to make the decision as to whether he wants to have the treatment or not. He is not ill at the moment, just weak, tired and breathless (he also takes pills for high blood pressure). He would love to have more energy so he could get out in the garden again but it just seems very risky with all the possible side effects - and as he would have to do about 6 weeks before there would be any benefit. 

I know you can't say one way or the other but if you had any experience of how elderly people tend to cope with the injections and we also wondered why a blood transfusion wasn't offered, as that would be much less risky.

I appreciate any advice you can offer.

Many thanks,

Jan

  • Hi Jazz13,

    Thank you for contacting the online community. I’m Lorna one of the cancer information nurse specialists on the support line.

    I’m sorry to hear that your dad has been experiencing symptoms from myelodysplastic syndrome (MDS).

    It can feel overwhelming with all the information your dad has been given and can make decision making very difficult.

    Erythropoietin is a type of protein that stimulates the bone marrow to make red blood cells. Red blood cells contain a protein called haemoglobin (Hb), because Hb carries oxygen around the body, if they are depleted or damaged, it can make you feel very tired, pale, and breathless.

    Your dad’s consultant would have looked at all the treatment possibilities and may have decided, the injections would be a better option for him.

    A blood transfusion is not without risk, it can cause an allergic reaction to donor blood or cause a problem with the heart and lungs. It’s time consuming (taking 3/4 hours to transfuse one unit of blood) and would require an admission to hospital.

    As we don’t have access to your dads’ medical notes, it would not be possible to say how your dad would cope with erythropoietin injections. Everyone’s reaction to medications is different, and every drug has the potential to cause a reaction regardless of age.

     It might help to talk to your dad’s consultant again or his clinical nurse specialist (if he has one) they will be able to offer further advice. You might find a Boots Macmillan information pharmacist helpful too, they are specially trained to give advice on all medications used in cancer care.

    I hope this is helpful. If there is anything else, we can help you with please feel free to get back in touch.

    Best wishes

    Lorna- Cancer Information Nurse Specialist

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email.

     

     

     

     

     

     

    Lorna-Macmillan (Cancer Information Nurse Specialist)