Sheila,
FDA still only allows Sprycel and Tasigna to be prescribed after
Gleevec has been tried first.  That will probably change in the near
future, since several studies have shown they would all be effective
as first-line therapies for CML.
http://www.eurekalert.org/pub_releases/2007-12/uotm-dns120707.php

Regarding side effects, there is a recent article that has a good side-
by-side comparison of the 3 drugs:
http://www.hemonctoday.com/article.aspx?rid=30195
This shows that Sprycel does not cause the muscle cramping or rash
problems that Gleevec has as side effects.  But Sprycel can be harder
on the liver, can cause lower phosphate levels (necessary for
electrolyte balance and good bone health), and has worse fluid
retention issues (including fluid build-up in the lungs) compared to
Gleevec for some people.  Gleevec causes worse bone and muscle pain.
Tasigna seems to have the lowest overall side effects unless a person
has some specific heart related issues.  But overall, these side
effects can vary from person to person.  Generally I would not be
afraid of Sprycel, but you should review the comparison for yourself
and let your Onc know what you prefer.
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