Good explanation.   Sounds like your Oncologist is on the ball.
Sometimes they are not and that was the reason for the previous posts
suggesting finding a new doc.

Sounds like Jim is INTOLERANT to Gleevec.  This subject can be
perceived differently by Oncologists.  Some seem to think the patient
needs to get by the side effects.  Others will change therapy.

Two FDA approved options.  Sprycel and Tasigna.  Sprycel is a really
different drug molecule and Tasigna is a modified form of Gleevec.
Even though they both work similar to Gleevec, they very rarely cause
the same serious side effect as Gleevec in that person (Cross-
intolerant).  Now they may cause a new side effect but its hard to
predict.

I would say both may cause a side effect that can exacerbate Jim's
cardiac problem.  The FDA has put a warning on Tasigna to be careful
for sudden cardiac deaths.  Sprycel can cause fluid build-up around
the heart or lungs.  Consult with your Oncolgist and Cardiologist.

These two drugs are more powerful than Gleevec some perhaps they can
start Jim out on lower doses and try to move up.
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