I've noticed the same thing.  However, I think it makes sense to
change when side effects start affecting quality of life.  I spent
only 8 months on Gleevec before switching to Sprycel, which I'm still
taking 10 months later.  While both drugs have their own side effects,
I have found the Sprycel to be FAR more tolerable than the Gleevec
(even at 400 mg).  If you haven't obtained PCRU (I am close, but not
there yet), maybe a different drug would make that difference.
Although I'm not sure there's much research that shows that PCRU or
just consistently low PCRs are really any different in the long term.
My onc was certainly not pushing a different drug - I was the one who
wanted to change, and he eventually agreed.  I just don't see any
sense in enduring unnecessary side effects if you can get the same
results with a different drug.  Just my thought...........
Good luck,
-janekaye

On Mar 17, 10:15 am, CottonCammy <[email protected]> wrote:
> I'm wondering...is it just me or does it seem that more CMLers are
> going 'quickly' on to the 2nd and 3rd (4th?)generation drugs? I
> understand that some folks have had such horrible side effects and/or
> they became Gleevic-resistant but are doctors 'pushing' patients to
> these new drugs?
>
> After 6 1/2 years on Gleevic I have only been undetectable once. That
> was after Dr. Soiffer at Dana Farber  increased my dose from 400 to
> 600mg. The side effects were HORRIBLE. Right back down to the
> 400mg...my counts fluctuate but stay consistently within range. He is
> happy with it and my side-effects are tolerable.
>
> I'm VERY curious as to this...

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