Has anyone on sprycel run into an acne problem?
On Dec 9, 2011 10:49 AM, <[email protected]> wrote:

> **
> 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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