ASH Clinical News September 2017 New | Page 48

Literature Scan (morphine = 7%; methadone = 6%; fentanyl patch = 2%). Patients who reported no pain in the past six months appeared to be younger than those who reported acute pain only or any chronic pain (median age = 27.3, 32.9, and 35.3 years, respectively; p values not reported). Employ- ment status did not appear to affect the incidence of chronic drugs (34% and 49%). Many patients also relied on non- pharmacologic strategies, includ- ing ice (65% and 33%) and rest (51% and 33%). Hydrocodone-acetaminophen was the most common opioid used for both acute and chronic pain (27% and 30%, respectively); other long-acting opioids were infrequent- ly used, specifically for chronic pain pain, with similar rates of chronic pain between unemployed and employed participants (31% and 33%, respectively; p value not reported), but did affect the incidence of acute and chronic pain (39% vs. 28%; p value not reported). In addition, patients with both acute and chronic pain were more often married or with a long-term partner and more often lived with others. Compared with those re- porting no pain, only acute pain, or only chronic pain, patients with both acute and chronic pain also were more likely to have (p values not reported): • depression (30% vs. 0-15%) • obesity (35% vs. 20-29%) T:7” • lower health-related quality-of- life scores (mean EQ-5D visual analog scale = 69 vs. 83-86) may cause dizziness or confusional state without adequate medical advice [see Warnings and Precautions (5.7)]. Neuropathy Inform patients of the risk of neuropathy and to report the signs and symptoms associated with these events to their healthcare provider for further evaluation [see Warnings and Precautions (5.8)]. Second Primary Malignancies Inform the patient that the potential risk of developing acute myelogenous leukemia during treatment with POMALYST is unknown [see Warnings and Precautions (5.9)]. Tumor Lysis Syndrome Inform patients of the potential risk of tumor lysis syndrome and to report any signs and symptoms associated with this event to their healthcare provider for evaluation [see Warnings and Precautions (5.10)]. Smoking Tobacco Advise patients that smoking tobacco may reduce the efficacy of POMALYST. Dosing Instructions Inform patients on how to take POMALYST [see Dosage and Administration (2.1)] • POMALYST should be taken once daily at about the same time each day. • Patients on hemodialysis should take POMALYST following hemodialysis, on hemodialysis days. • POMALYST may be taken with or without food. • The capsules should not be opened, broken, or chewed. POMALYST sho