Just stated on VTD treatment

Dear one of the things about myeloma patients is they are all unique in how they react to treatment. Velcade is usually well tolerated but occasionally can give you a bit of peripheral neuropathy but it goes away once treatment is finished. Thalidomide is also usually taken without to many problems. Dexamethasone is the thing I found to be troublesome, it’s can cause insomnia and make you a bit tetchy and teary eyed. The other is the dreaded constipation, so keep well hydrated and eat fibre and if necessary use a laxative that is suitable for you. Overall the treatment is very doable and boredom soon takes over so make sure you carry on doing things you enjoy so your life doesn’t become all about treatment. It’s important to pace yourself as you may have the odd bad day when you should just relax and let it pass by. Are you being lined up for a stem cell transplant, if so you must try to stay fit, eat well as part of your preparation, it will help in your recovery.