Greenie...thanks for your response.  I didn't remain on Gleevec at  300mg 
long because the rash worsened.  Started to affect my fingernails,  etc.  
Dr's at MDA took one look and stopped it.  If the Sprycel  doesn't work at a 
lower level I will suggest giving Gleevec another try.   Have a great holiday! 
 Tom in KY
 
 
In a message dated 12/8/2011 5:53:15 P.M. Eastern Standard Time,  
[email protected] writes:

Tom, (1)  when you started Gleevec and you  received the rash how long did 
it last?  (2) when they dropped you from  400 mg to 300mg did the rash start 
to go away.   I started  Gleevec  in Feb. of 2000 with 400 mg, I also got 
the Gleevec rash and  being in a study at Chicago they had no idea what to 
think of it.  They  gave me a cream to apply to the areas put that did not 
help.
 
They then dropped me down to 300 mg and I've been on this  amount all of 
these years.   The rash lasted for about 2 months then  it started to slowly 
go away and never returned.  The rash covered the  bottom of my feet, my 
arms, the top of my hands and all over my chest.   And their were little bumps 
on the palms of hands and the bottom of my  feet.  I don't know if this info 
will help but this is what happened to  me.  Their were only 8 people in my 
study and I don't have any idea what  happened to any of them.  I've asked 
but they won't tell me  anything.   Hope this can help.
 
greenie
 
 
In a message dated 12/8/2011 10:48:38 A.M. Eastern Standard Time,  
[email protected] writes:

I have just found out that I have Pleural Effusion and a little  
Pericardial Effusion apparently from my Sprycel use.  I have been on  Sprycel 
for 
about two years (100mg/day) and noticed some shortness of breath  and chest 
pain.  Xrays confirmed that one lung sack was about 30% full  of fluid and an 
Echo Cardiogram confirmed the heart fluid  buildup.  I have just had a CT exam 
to further define the  problems. A summary of my CML journey is given 
below. 
 
I am fortunate to have great Doctors...one at MD Anderson and one in KY  
who are heavily involved.  
 
I have several questions for those that may have been down this same  
road...
 
1. They put me on 50 mg of Prednisone and stopped my Sprycel  
immediately...suggesting that they will restart it at a lower dose when the  
fluid clears 
up.  Did anyone out there have this same treatment?   How do the lower 
doses do in controlling the CML?  Did anyone have  problems with Prednisone?  I 
am generally adverse to taking lots of  steroids.
2. Sprycel is my 3rd try at a TKI for CML.  I was unable  to take Gleevec 
and Tasigna successfully.  If I can't  tolerate Sprycel, are there any other 
experimental drugs that you are  aware of that are a possibility?  I know 
MDA has several studies going  on in this reguard.  
3. Do any of you have Pericardial Effusion....and if so, what was  done to 
treat it?
 
Thanks for any help you can provide.  I look at this as just  another speed 
bump in the CML journey and feel fortunate that we have so  many options 
available for treatment.
 
Tom in KY  

Tom Dunham, BD: 8/1941

DX CML 12-23-2008
MDA Protocol:  Tasigna-400mg; 2xday-1/09
On Flecainide for AF...still had frequent  episodes
Q PCR bone@ 0.17 on 7/09
Acute Pancreatitis-7/5/09
Stopped  Tasigna-7/13/09
Q PCRU blood-7-29-09 !
Started  Gleevec-400mg/day-7/31/09
Developed rash ~ 8/19/09
Rash treated with  Steroids..improvement
Rash worsens~9/22/09
Stopped  Gleevec-9/28/09
Restarted Gleevec @300mg/day-10/8/09
Stopped  Gleevec-10/13/09-toxic rash\
AF returned infrequently
Q PCR  bone-0.05
Started Sprycel @ 100mg/day-10/20/09
Some AF...increased  FLecainde..1, 2x/day
Q PCR bone..0.07
Stopped Alcohol…no AF, ½  Flecainide 2x/day
Q PCR Blood…Non Detectible-12-13-10
Q PCR  Bone..0.01--2-25-11
Q PCR Blood…Undetectible-5-19-11
Reduced  Flecainide to 1/2 per day
Pleural and pericardial Effusion: stopped  Sprycel-12-6-'11
Prednisone 50mg /day to combat  PE






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