Hi,

I was on 400mg and then 800 mg Glivec (I'm in the UK), and I had some
of the side effects you mention, and I do sympathise with you.
Diarrhoea - I used to get it worse late evening/early night-time, and
these bouts lasted for an hour or two. I tried to analyse what I'd
eaten which may have caused it, and the only conclusions I came to
where that it was coffee and anything which contained yeast. I cut out
both and it seemed to ease the situation, but didn't cure it. I then
found that rye bread, and anything with highly refined flour in, made
it worse. Wholewheat soda bread seemed to be OK, but caused flatulence.
It was suggested that a diet where I didn't mix carbohydrate and
protein in the same meal might help and it did, but didn't cure it.
Cramps - I tried quinine, but that didn't seem to do much good and
there were side effects from them, so I tried calcium tablets, and that
did stop the cramps at night; it's a pity you have had to stop taking
calcium. Drinking more water (with nothing in it) might help, and
certainly cutting out coffee will help.
A patient I meet at my hospital also had cramps at night, and she put
used wine bottle corks in a net bag and put them in the bottom of her
bed - sounds strange, but she swears that the cramps went away. Whether
it's the cork, or something in the wine remnants....
Joint and Muscle pain - I started drinking more water (with nothing in
it), and that, with occasional mild pain killers (Ibuprophen - don't
know what the US equivalent is), and whilst the pain didn't go away, it
did ease it. There is a theory that these aches and pains are caused by
changes in the bone marrow brought about by the drug - I guess that
they are something we have to live with.
Hair loss - my hair has got finer and is thinning out quite rapidly;
there is no history of hair loss in my family, so I conclude that it is
the drugs. I have had several courses of chemotherapy where I lost all
my hair, so that may not have helped.
Oedema - I used to get swollen ankles and periorbital edema. Cool pads
on the eyes and resting with my feet up helped.
Insomnia - I too suffer with that and I feel tired all day - short naps
help, but not easy if you are at work!

Eventually Glivec stopped working for me and I'm now on BMS (Bristol
Myers Squibb) (Disatabib), and no longer suffer with the stomach
problems, which I found the most awkward. I have kept on with the
calcium tablets, but I still get the joint and muscle aches and pains,
and the mild oedema around the eyes, although this goes away quite
quickly. I still don't sleep well, and I need to rest during the day.

It is not your fault that you have this awful condition, and I know
that all of us with Leukaemia sometimes we all feel that we are a
burden, but as far as I'm concerned, if those you come into contact
with can't live with you and your problem then they aren't worth
knowing. Your family and co-workers will have to adapt to the way you
have to adapt to your situation, and your health and well being must
come first. It's no use you wearing yourself out to try and do what you
used to be capable of, that only stores up future problems. And yes,
you are getting older and that sure don't help, but life is an ever
changing thing and we all have to go with the flow.

I hope that some of my experiences may help you, and I wish you all the
best for the future.

Ian Portsmouth.
Dx 1989 and still here!!


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