Hi Peg that sound like a good idea and thanks so much for the info.
How are you?
I am good.
Jeanie<3
 
 
In a message dated 10/9/2010 8:24:32 P.M. Pacific Daylight Time,  
[email protected] writes:

Hi  Jeanie,

You are welcome and....I take a beta blocker...Acebutolol  200mg, once
daily.  It is NOT contraindicated with Sprycel, and  according to what
I could find, neither is Bystolic. The only problem I  have is Sprycel
does drop my blood pressure, and so does Acebutolol.   So I take the
Sprycel in the morning and the beta blocker at bedtime.   peg

On Oct 8, 1:01 pm, [email protected] wrote:
> Hi Peg  and thanks so much.  I started on 150 megs because they  couldn't
> get my platelets and WBC down even after I blood  apherisis.  I  stayed 
on the
> 150 for about 2 months until my  counts were going down too low. I  was 
then
> put on 100 mgs.  I am in PCRU and it was proved by BMA but my onc  still
>  won't let me lower the dose.
> Thanks again this was great!  My  doctor wants me to take Bystolic a  beta
> blocker.  Do any of  you take a beta blocker?
> Thanks
> Jeanie<3
>
> In  a message dated 10/2/2010 1:19:05 P.M. Pacific Daylight Time,  
>
> [email protected] writes:
>
> 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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