Hi Sheila,
I read where they might start giving dasatinib as a first  choice in CML, as 
it works so well.
That might be where they are coming from.
I have just be dx with accelerated phase CML and they are  going to put me on 
dasatinib. I had been on Gleevec for almost 5 years; first at  400 and then 
at 600.
Stay well informed and make the decision.
I would like to stay on Gleevec but it has quit working for  me.
Blessings,
Jeanie<3
In a message dated 9/21/2008 7:27:09 P.M. Pacific Daylight Time,  
[EMAIL PROTECTED] writes:

Hello!  I don't post much, but I really need some help here. To  make a
long story short I was disagnosed 3 years ago in August 2005 with  cml
at Mayo Clinic at first I was diagnosed by a local oncologist   with
myleofibrosis at this time I was a month past my 37th birthday.   That
doc sent me on to Minnesota where they did another bmb and found  that
I had the philly chromosome.  I started gleevec 400 mg right away  and
was monitored by a doc from Indy and he kept in touch with Mayo.  I
responded great at first, at diagnosis I was 98% philly + with in  3
months I was down to lower digits and Mayo was very happy and told  me
they would see me in 6 months, well by December my white count  went
too low so my Indy doc had me taking gleevec everyother day.  This
bounced my white count back up but it also started my phiily's  to
increase and my platelets to rise.  So when I went back to Mayo  in
March 2006 the philly's were on the rise so they increase the  gleevec
to 800 mgs and monitored me very close and I was getting every  other
week shots for the low white count until finally by Sept 2006 I  was
finally zero with my FISH test. So since I have stayed on 800mgs  then
they started doing a pcr test and I have yet to reach zero I am  at
0.05% I have the FISH and the pcr test done every 3 months, I  have
blood drawn and sent up to Mayo then I drive 8  hours from  Indiana to
get my results (crazy!) I have a tendency to go up a little then  3
months later go down then 3 months I go up a little then back  down,
they gave me a graph so I could see this.  I have been zero on  the
FISH since 2006 and they tell me that this is the test that  they
really go by but now the Mayo doc tells me he wants me to switch  from
gleevec to dasatinib.  My Indy doc and me talked about it before  and
we both agreed that "if it ain't broke don't fix it" so Mayo  is
letting me decide what to do but they highly recommend the switch.   I
have very few side affects with the gleevec and the Mayo doc told  me
all the side affects from the dasatinib which totally freaked me  out.
My husband thinks I should stay on the gleevec and so do I, but I  just
don't know if that really is the right decision and that's where  I
need some help here!  Anyone's opinion would be greatly  appreciated.

Thanks!

Sheila


 



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