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The most important thing you can do is be alert for signs of myelosuppression. If you notice these symptoms, tell your doctor immediately.
Types of Myelosuppression | Possible signs and symptoms | What can be done? |
Anemia – decrease in the number of red blood cells | - Feeling tired and weak
- Shortness of breath
- Lightheadedness
| - Injections may be given to help boost the bone marrow production of red blood cells
- Red blood cell transfusions might be required for severe anemia
|
Neutropenia – decrease in the number of neutrophils, a type of white blood cell that fights infections | - More frequent and/or serious infections or the recurrence of old viruses, like shingles
- Fever; sore throat; rash; diarrhea; redness, pain or swelling around a wound
| - Chemotherapy might be delayed or the dose reduced
- Antibiotics may be prescribed
- Injections might be given to boost the bone marrow production of neutrophils (G-CSF)
|
Thrombocytopenia – decrease in the number of platelets | - Increased bruising
- Excessive bleeding from cuts, nosebleeds and bleeding gums
| - Avoid blood-thinning medications, such as aspirin, might be recommended
- Platelet transfusion might be necessary in severe cases
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