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Thalidomide, sold under the brand names Contergan and Thalomid among others, is a medication used to treat a number of cancers (including multiple myeloma), graft-versus-host disease, and a number of skin conditions including complications of leprosy.3 While it has been used in a number of HIV-associated conditions, such use is associated with increased levels of the virus.3 It is administered orally. Common side effects include sleepiness, rash, and dizziness.3 Severe side effects include tumor lysis syndrome, blood clots, and peripheral neuropathy.[4 Use in pregnancy may harm the fetus, including resulting in malformation of the limbs.3 In males who are taking the medication, contraception is essential if a partner could become pregnant.4 It is an immunomodulatory medication and works by a number of mechanisms, including stimulating T cells and decreasing TNF-α production.3
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