I was on Sprycel for almost 2 years.  After several months, I
developed PE and my onc reduced the dosage from 100 mg to 80 mg.  At
first the PE was manageable but eventually became quite debilitating.
I had a needle drain, but the PE quickly came back.  I switched to
Tasigna (been on it for about 6 months) and the PE symptoms (shortness
of breath while climbing stairs and even walking) disappeared.
However, I recently had a sonogram (unrelated to the CML) and was told
that it showed some PE.  So at least for me, the PE has gotten much,
much better -- to the extent that I'm not aware of it -- but
apparently there is still some PE in both lungs.  Regards,  Barry

On Mar 16, 10:35 am, janekaye <[email protected]> wrote:
> Just wondering if the PE ever really goes away completely.  I've had
> it for about two months now, not enough to interfere with regular
> activities really, but still noticeable.  I've had two chest x-rays,
> both indicating the PE, and actually I've decreased my Sprycel from
> 140mg to 100mg partially to address that issue.  Everything I read
> tells me that having the fluid drained is a last resort b/c it just
> returns almost immediately.  I'm hoping that over time the body just
> absorbs the fluid, but I imagine once you've had PE, it will return
> from time to time.  What do you think?
> -janeaye
>
> On Mar 15, 12:03 pm, Sean <[email protected]> wrote:
>
> > Hello all,
>
> > Been a long long time since I last wrote to this group. Thought I'd
> > check in.  I was dxd in Oct 2002 when I was 21 years old. My WBC at
> > time of diagnosis was 498,000.  Since that time I've been on Gleevec
> > for the first 6.5 years or so (between 400 - 800mg but mostly the
> > latter), and I've been on Sprycel for the past year, first at 140mg
> > and now at 170mg. I'm young, so I suppose that helps me tolerate the
> > high doses, as I had virtually no problems on Gleevec for all those
> > years other than minor fluid retention in the ankles.  I've been CCR
> > for a long time but guess I forgot to tell Zavie about that :)
>
> > My PCR tests have been hovering between 0.08% (8x10^-4)and lower, the
> > most recent at 0.0012% (1.2x10^-5). The switch to Sprycel was an
> > effort to get to PCRU, but now I've got pleural effusion. It's not
> > particularly noticeable, but chest x-ray confirmed it along with
> > increased shortness of breath climbing stairs, etc. Doc said to switch
> > to 170mg 6 days/week instead of 7. If this doesn't work he may want to
> > switch me to nilotinib, but that doesn't sound like a fun drug to me.
>
> > Question is: Is PCRU really that worth it? I think I'd rather stay on
> > a lower dose of Sprycel, rid myself of the fluid as a result, than
> > switch to yet another drug. The PCR results are already really low.
>
> > Thoughts?
>
> > Hope everyone is doing well,
> > Sean

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