Karen,
Thank you for sharing your diarrhea story.  I too think it can cause 
problems with drug absorption.  Isn't diesentary(sp?) a disease they 
they take very seriously because of the diarrhea? I would think you 
are not only NOT absorbing your drugs but are also running the 
possibility of dehydration, which is very serious. People stop 
drinking enough fluid when they have diarrhea too which is very bad 
to do. My local cml buddy has FISH+ (after 4 years) showing again and 
has had severe diaherria he would not treat....like for 3 years! I 
have conveyed your story to him and he is finally doing something 
about the problem.  Taking Immodium. I hope your letter to Novartis 
will help other patients to take this seriously, and we thank you.
Hoping so hard your FISH is a good one!
xxx Linda in Ca


--- In [EMAIL PROTECTED], "Karen Andrews" <[EMAIL PROTECTED]> 
wrote:
> Hi Debra. Yup. I can relate well. For the 1st year I was on 
gleevec, I had virtually no diahhria, but after a year it arrived in 
full force. 22 times in 2 days sounds about right. I had to plan 
activities around when I ate (I would ALWAYS be in the bathroom 10 
min after eating anything - and then several times after). My dr told 
me that if it was an inconvenience to take immodium. I started taking 
the immodium (1 or 2 a day - the tablets) about a month ago and it is 
amazing. The diahhria totally stopped! I hope this works for you. I 
only wish I started taking it 18 months ago!
> 
> My dr originally saw diahhria as just an annoyance that aggravated 
me. However, I am convinced that it is much more serious than that. I 
really think it has some impact on how well gleevec is abosorbed into 
your body. Before the diahhria started I had reached PCRU. As soon as 
the diahhria started, over 18 months, I lost my PCRU, lost my 
cytogenetic remisission, became 76% PH pos by fish and wbc started 
rising! During this 18 months, I lost all other gleevec side effects 
and started developing other cml symptoms (enlarged spleen, night 
sweats.). Since taking the immodium a month ago, my wbc is now back 
normal, I now have all of the gleevec side effects that I had during 
that 1st year, and my spleen is normal, no night sweats and I feel 
great! My dr says that it is possible that the gleevec wasn't being 
absorbed (at least not well) because of the diahhria, but I don't 
think he's as convinced as I am (yet). I have a fish and bmb on Nov 
19 and that should show if the gleevec is now working again. I wrote 
a letter to novartis and the customer service people forwarded it on 
to their more technical scientific people, but I havent heard back 
yet.
> 
> Hang in there and I hope the immodium works.
> 
> -karen A





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