Hi all... I'm Sherry and my dh (age 37) was dx just 4 months ago 
with CML - ph+, accelerated phase. He started the "wonder drug" and 
has not done well with neutropenia and thrombocytopenia. All the 
same he has dropped form 88% to 28% leukemic cells present in FISH. 
His second PCR was drawn yesterday. 

I'm just wondering if anyone has had the level of intolerance he is 
experiencing with Gleevec and how low the docs actually dropped the 
dosage? He started on 600mg, and within 2 weeks platelets were at 15 
and neutros at 0.5. Once he recovered, dosage was dropped to 400mg 
and the same thing happened after 18 days. During his last drug 
holiday, with plans for one more shot at 300mgs, my husband asked 
the direct question if 300 causes the same response, can we try 200 
and the doc said NO. 200mg would not have an effect on the cancer, 
so we would then have to discuss moving forward with the bmt (we 
have a related doner, hooray!). This week, Lorne had to stall the 
treatment again because of thrombocytopenia and doc wants him to try 
200mg once his cbc has recovered. ??????? So which is it - I don't 
think we are getting all of the info that is being discussed between 
all of the medical players. They want to try anf build up his 
tolerance to the drug.

I have been doing some research and so far have not found one 
reference to a dosage of less than 300mg. Not only that, but all I 
have read indicates that in the accelerated phase, this course of 
action is not recommended at all. I need to know the rationale 
behind this new plan and my dh is happy to just follow doctors 
orders, no questions asked. I need fuel for my fire - so to speak. I 
can't make him understand that he should be informed of any varying 
opinions among the medical team and then WE can make an informed 
decision. 

Please email me if you have any info to share... thanks

Sherry




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