Myeloma Product Documentation & Forms

Lenalidomide (Revlimid®)

Please Choose ---------------------------- Example letter to GP (in Word to download) Patient information leaflet REVLIMID Prescription Authorisation Form (UK) REVLIMID Healthcare Professional's Information Pack (UK) REVLIMID Treatment Initiation Form - Male REVLIMID Treatment Initiation Form - Woman of Childbearing Potential REVLIMID Treatment Initiation Form - Woman of Non-childbearing Potential Summary of product characteristics (on eMC website) ePath Pharmacist v3 ePath Prescriber v3

• Lenalidomide Prescribing on the Pathway website.

Thalidomide Celgene

Please Choose ---------------------------- THALIDOMIDE CELGENE(TM) - Prescription Authorisation Form (UK) THALIDOMIDE Healthcare Professional's Information Pack v6 THALIDOMIDE - Treatment Initiation Form - Male THALIDOMIDE - Treatment Initiation Form - Woman of Childbearing Potential THALIDOMIDE - Treatment Initiation Form - Woman of Non-childbearing Potential Summary of product characteristics (on eMC website)

Bone Protection Consent Forms

• The bone protection consent forms may be obtained from the Cancer UK Research site at: https://www.cancerresearchuk.org/health-professional/treatment-and-other-post-diagnosis-issues/consent-forms-for-sact-systemic-anti-cancer-therapy
• You can find the forms under "Supportive medicines" at the bottom (Click on the +)
• We have not linked to them directly because they will change and then the link will break.