Thanks..that is the plan once I get rid of the fluid....T
 
 
In a message dated 12/11/2011 11:06:19 A.M. Eastern Standard Time,  
[email protected] writes:

Try to  decrease the dose of the medicine (sprycil 100mg to 70mg od) in 
consultation  with your doctor to aviod this side effect of the medicine.  


On Sat, Dec 10, 2011 at 8:04 PM, <[email protected]_ 
(mailto:[email protected]) > wrote:


Group, The cream the Doctor gave me was blue in color and  the name was 
Triamcinolone 0.1% and Moditied Eucerin Cream 1:1.  And to  use sparingly and 
rub in well to all affected areas.  My spelling could  be off a little on the 
name of this cream. 
 
 

greenie
 
 
In a message dated 12/9/2011 1:11:54 P.M. Eastern Standard Time, 
[email protected]_ (mailto:[email protected])  writes:

Did u use anything on them? 
On Dec 9, 2011 1:09 PM, <[email protected]_ (mailto:[email protected]) > wrote:


Yep....and took a long time to heal.  They see to go.  In  one case, the 
site of the bump is still "scabby" and seems not to have  healed properly.  
 
 
In a message dated 12/9/2011 12:08:17 P.M. Eastern Standard Time,  
[email protected]_ (mailto:[email protected])  writes:

Were they like large red pumps that stayed around for a Few weeks  and they 
hurt to touch? 
On Dec 9, 2011 10:53 AM, <[email protected]_ (mailto:[email protected]) > wrote:


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]_ (mailto:[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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