Your specific thalidomide dosage will depend on how much you weigh and the purpose for using the medication, among other factors. If you develop intolerable side effects, you may need to temporarily stop the medicine and restart it at a lower dose. This drug comes in the form of capsules and is usually taken once a day, at the same time each day.
The dosage of thalidomide (Thalomid®) your healthcare provider recommends will vary, depending on a number of factors, including:
- The reason you are taking the medication
- How well you tolerate the medication
- Your weight.
As is always the case, do not adjust your dosage unless your healthcare provider specifically tells you to do so.
The usual recommended dosage of thalidomide for the treatment of multiple myeloma is 200 mg taken once daily, preferably at bedtime. The medication is given in combination with dexamethasone in 28-day treatment cycles. The usual dexamethasone dose is 40 mg taken once daily on days 1 through 4, 9 through 12, and 17 through 20 of each cycle.
If you develop intolerable thalidomide side effects, your healthcare provider may recommend you stop taking the medication, or take a lower dosage. If you temporarily stop the medicine, your healthcare provider will determine if you should restart at the same dose or a lower amount, once your side effects improve.