The product package information shows that paracetamol should not be taken
with Glivic/Gleevec. You can find more information through a Google search
as well. 
Pat in Phoenix
 
Some medicines and Glivec may interfere with each other. These include many
medicines that are eliminated from the body through the liver: 
St. John's wort, a herbal medicine found in many products that you can buy
without a prescription
paracetamol, a medicine found in many common pain relievers and cold
remedies (e.g. PanadolR, PanadeineR, CodralR, TylenolR) 
antibiotic medicines such as rifampicin, ketoconazole, erythromycin,
clarithromycin, itraconazole
antiviral medicines used to treat HIV/AIDS
dexamethasone, a steroid medicine
medicines for high cholesterol, such as simvastatin
medicines used to treat epilepsy, such as phenytoin, carbamazepine,
phenobarbitone
warfarin, a medicine used to prevent blood clots
some medicines used to treat mental disorders and depression
some medicines used to treat high blood pressure and heart problems 
cyclosporin
You may need to take different amounts of these medicines or you may need to
take different medicines. Your doctor and pharmacist have more information. 
If you have not told your doctor about any of these things, tell him/her
before you start taking this medicine.
 
 
  _____  

From: [email protected] [mailto:[email protected]] On Behalf
Of pjgeary
Sent: Sunday, October 03, 2010 3:57 PM
To: [email protected]
Subject: [CMLHope] Anyone aware that Glivic and Panadol pain tablets taken
together will create extensive Liver damage
 
Anyone aware that Glivic and Panadol; or paracetimol pain tablets taken
together will create extensive Liver damage
 
Any data, I am being advised by my Pharmacists to stop immediately as their
syatems are red carding this 
 
Any news anywhere 
 
 
 
  _____  

From: [email protected] [mailto:[email protected]] On Behalf
Of [email protected]
Sent: Sunday, October 03, 2010 11:17 PM
To: Digest Recipients
Subject: [CMLHope] Digest for [email protected] - 1 Message in 1
Topic
 
  Today's Topic Summary
Group: http://groups.google.com/group/cmlhope/topics
*       Optimum Sprycel dose <>  [1 Update]
 Topic: Optimum Sprycel dose
<http://groups.google.com/group/cmlhope/t/607e18111b280f04> 
peg <[email protected]> Oct 02 01:18PM -0700 ^ <> 
 
Okay... for Beth and those waiting for the outcome of my meeting with
the doc that did Sprycel developemental research...here it is:
 
100mg IS the recommended dose. Does he have patients on less?...
Yes...and here is his criteria for reducing the dose:
 
1. Side effects (he says all side effects on this drug are reversible
with reduction or discontinuation)...or...2. Zero achieved and
maintained on PCR...verified at least once with BMB.
 
In regard to starting at a lower dose and "tapering" up to 100mg, he
said he does not understand why MD's would want to advise their
patients to do this, and cautioned against it. He understands that
the thought is that it gives the body a chance to "adjust" however, he
feels that it also gives the chromosomes a chance to become resistant
and could result in Sprycel not being effective. Sort of the same way
that taking less of an antibiotic than you would need to overcome an
infection allows the infection to become resistant to the antibiotic.
 
For those who are changing from Gleevec because of serious GI side
effects and are concerned that Sprycel might be the same... he said
that Gleevec is well recognized as the cause of severe gastritis and
severe diarrhea in many folks. While there have been some incidents of
Colitis with Sprycel, not many, and generally speaking most folks will
not have any serious GI side effects on Sprycel. However, a break
between the two is recommended to allow GI irritation from Gleevec to
settle before introducing Sprycel.
 
In regard to pain medications for headache, etc.... Contrary to
popular belief, with Sprycel, Tylenol is OKAY! However, Aspirin,
Ibuprofen, Advil, Motrin, Aleve, Naproxin Sodium, or narcotics
containing any of these ARE NOT OKAY. They can thin the blood too
much when combined with Sprycel. Caution must be taken when adding
any med to Sprycel that can thin the blood. In my case, I do
occassionally use Celebrex, which can cause the same problem, however,
he said it is probably okay as long as my platelets are normal and I
only use it occassionally.
 
He believes that current research will soon produce something better
than the current TKI's but for now both 2nd gen TKI's, Tasigna and
Sprycel, are stronger than Gleevec and should produce better results
at supressing CML in more people.
 
Hope sharing this is helpful to you.
 
Keep the faith!
peg
 
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