I am speaking from experience here.  I was diagnosed in August 2005
shortly after my 37th birthday.  My white count was high, I was anemic
and my spleen was pretty big (23cm) according to the docs.  I went on
400 mgs of gleevec and within 2 weeks all was almost "normal" then the
3rd week came my white count and anc count "crashed".  I was taken off
the med until the counts recovered this took about 3 weeks then I went
back on again and after a couple of weeks the same thing happened this
went on for quiet some time on again and off again.  In December I had
been off the med for almost a month and was starting to go a little
crazy(mentally) so he put me back on the med taking 400 mgs every other
day.  I did this up until 3 weeks ago.  My counts were coming back up
slowly and my platelets were up over a million so my local onc got
nervous and called my Mayo doc which I was scheduled to go back and see
just for a check up at the end of March anyways and they sent a kit for
a blood draw so they could repeat a FISH test.  Well, the FISH showed
that my leukemia cells were at 20% up from 3.8%.  I had to have another
very very painful biopsy done.  Mayo figured the increase was because
of the med dosing.  They don't think that I failed the med because I
wasn't on the proper dose.  So I am now back on 400 mgs every day and
am in no way to stop taking that dose.  If my anc gets to 500 or below
I will then start the nuepogen (SP??) shots to try to bring the counts
back up.  Mayo said that I might just have to live with low counts,
some people do.  They also said that it is a very common problem.  So I
go every week for blood work and they keep a close eye on me.  So right
now I'm just "waiting" around to see what happens to make sure that I
will respond to the med again which I'm pretty sure that I am because
my platelets are almost in normal range again.  Mayo said that was the
thing to watch for.  If they came down it means the med is working.  So
now that I've rambled on, in my opinion I would not reduce the dose
because of what happened to me.  Take care!

Sheila


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