Yes...off and on.  Not a real problem though.  Tom in KY
 
 
In a message dated 12/9/2011 10:52:02 A.M. Eastern Standard Time,  
[email protected] writes:

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