Is Rituxan hard on the kidneys?
Noah Mitchell
Published Jan 15, 2026
Rituxan can cause severe kidney problems that lead to death. Your healthcare provider should do blood tests to check how well your kidneys are working.
What does rituximab do for the kidneys?
It reduces the number of white blood cells called B lymphocytes — which are responsible for creating antibodies that cause kidneys to malfunction. This reduction can last between six and nine months.
What are the long term side effects of rituximab?
Does Rituxan cause any long-term side effects?
- heart problems, such as heart attack or ventricular fibrillation (a type of abnormal heart rhythm)
- blockage or tearing of your intestines.
- kidney failure or other serious kidney problems.
- serious infections, such as shingles.
- reactivation of the hepatitis B virus*
What are the most common adverse effects of rituximab?
Common side effects may include:
- low white and red blood cells (fever, chills, body aches, pale skin, unusual tiredness, infections);
- nausea, diarrhea;
- swelling in your hands or feet;
- headache, weakness;
- painful urination;
- muscle spasms;
- depressed mood; or.
- cold symptoms such as stuffy nose, sneezing, sore throat.
How long does rituximab take to work on kidneys?
Rituximab takes about 4-6 weeks to work and depending on your renal disease, your other immunosuppressant drugs need to be continued for 4-8 weeks, or stopped on the first dose.
21 related questions foundIs there medicine to improve kidney function?
Today, the U.S. Food and Drug Administration approved Farxiga (dapagliflozin) oral tablets to reduce the risk of kidney function decline, kidney failure, cardiovascular death and hospitalization for heart failure in adults with chronic kidney disease who are at risk of disease progression.
Does rituximab affect creatinine?
Rituximab was first administered once daily, 2 weeks apart. Urine protein/creatinine ratio decreased to 1.12 mg/mg after 6 months, but the urine protein/creatinine ratio increased to 5.17 mg/mg soon after. A second round of rituximab was administered after 10 months of follow-up.
Is Rituxan considered chemotherapy?
RITUXAN is not chemotherapy. RITUXAN is a type of antibody therapy that can be used alone or with chemotherapy. They work in different ways to find and attack the cells where cancer starts. RITUXAN targets and attaches to the CD20 protein found on the surface of blood cells with cancer and some healthy blood cells.
How long can you take rituximab?
Rituxan can provide up to 6 months of symptom improvement from 1 course of treatment (2 infusions given 2 weeks apart). Be sure to talk with your doctor to find out if starting and continuing treatment with Rituxan is right for you.
Is rituximab an immunotherapy?
Rituximab was approved by the US Food and Drug Administration for use in DLBCL nearly 20 years ago. It was the first immunotherapy approved for specific use in cancer, and it quickly demonstrated a dramatic improvement in outcomes in patients with DLBCL when combined with chemotherapeutic agents.
How many times can rituximab be given?
Administer RITUXAN as a single-agent every 8 weeks for 12 doses. Following completion of 6-8 cycles of CVP chemotherapy, administer once weekly for 4 doses at 6-month intervals to a maximum of 16 doses. Administer on Day 1 of each cycle of chemotherapy for up to 8 infusions.
How long are you immunocompromised after rituximab?
While plasma cells and existing antibody levels are not affected, depletion of B cells following rituximab decreases humoral immune responses to primary antigens; in addition, as a result of prolonged decrease in MBCs, antibody production to recall antigens is decreased even 6-10 months after treatment (6).
Can rituximab raise cholesterol?
Conclusion: Treatment with the biological agent rituximab in RA resulted in an increase in total cholesterol, paralleled by an increase in HDL cholesterol, LDL cholesterol, while triglyceride levels decreased.
How will I feel after Rituxan infusion?
You may lose your body hair, including eyelashes and eyebrows. Skin rashes, dry skin and itching are also common. Weakness or body fatigue, known as asthenia, and tiredness. Swelling, diarrhea, muscle spasms and depression.
Can I eat during Rituxan infusion?
There are no special rules for what you can eat or drink before, during, or after an infusion. Some people like to eat before or bring a snack along.
Does Rituxan cause PML?
People with rheumatoid arthritis who take Rituxan (rituximab) for their symptoms should be aware of the drug's association with progressive multifocal leukoencephalopathy (PML), a rare and often fatal disease of the central nervous system.
Does rituximab lower immune system?
Rituximab suppresses the immune system. Therefore, serious fungal, bacterial, and new or reactivated viral infections (for example, hepatitis B or C, shingles) can occur during or after treatment with rituximab. Generally, rituximab is avoided in the presence of active, significant infections.
What is the success rate of rituximab?
Rituximab with bendamustine (Treanda, Cephalon) was studied in a phase 2 trial in patients with relapsed disease. This combination was found to be very effective, with an ORR of 92%.
How long after Rituxan Do you feel better?
Rituximab works by lowering the number of these B-cells, to reduce inflammation, pain, swelling and joint damage. If rituximab works for you, you'll probably notice an improvement in your symptoms 8-16 weeks after you start treatment.
What is the difference between Rituxan and rituximab?
Rituxan is the trade name for rituximab. In some cases, health care professionals may use the trade name rituxan when referring to the generic drug name rituximab. Drug type: Rituximab is a monoclonal antibody. (For more detail, see "How this drug works" section below).
What diseases is Rituxan used for?
Rituximab injection is used alone or together with other medicines to treat a type of cancer called non-Hodgkin's lymphoma (NHL). It is also used in combination with other cancer medicines to treat mature B-cell non-Hodgkin's lymphoma (NHL) and mature B-cell acute leukemia (B-AL).
Does Rituxan make you gain weight?
Of the people who took Rituxan after chemotherapy, 11% gained weight. In comparison, 4% of people who didn't take medication after chemotherapy gained weight.
What is infusion therapy for kidneys?
Infusion therapy for kidney disease, including autoimmune conditions such as vasculitis of the kidney, anti-rejection drugs for kidney transplant, inflammatory diseases and associated anemia of chronic kidney disease. This, in turn, lowers the risk of inflammation and the pain that comes along with it.
Can IV fluids improve kidney function?
Liberal i.v. fluid administration can negatively impact renal function by creating alveolar- capillary edema, impairing gas exchange, and contributing to acid-base disturbances.
What causes FSGS kidney disease?
Focal segmental glomerulosclerosis can be caused by a variety of conditions, such as diabetes, sickle cell disease, other kidney diseases and obesity. It can also be caused by an infection and drug toxicity. A rare form of FSGS is caused by inherited abnormal genes.