Steroids are often used as part of the treatment as they can help the other drugs to destroy the abnormal B-cells and make chemotherapy more effective.

They are usually given as tablets but can also be given by injection into a vein (intravenously). Steroids are usually given for one to five days per month depending on the chemotherapy schedule.

Side effects can include fluid retention, weight gain, restlessness, agitation and sleep disturbance, and a tendency to high blood sugar and high blood pressure. These are temporary and usually go away when the treatment has stopped.

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