Kneesrbad....thanks so much for the helpful information.  I don't  think my 
issue is PAH but I will look into it.  Thanks also for the dose  info.  It 
will help in my treatment to know that others have been on a  lower dose.  I 
took Tasigna, then Gleevec...couldn't tolerate either...now  on Sprycel.  
See history below.  Sounds like you are a long term  CMLer....hope you are 
doing ok!  Love your screen name....old basketball  player?  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; 12/14/'11 gradual reduction



In a message dated 12/16/2011 3:07:49 P.M. Eastern Standard Time,  
[email protected] writes:

Tom I am graced with Dr Talpaz one of the doctors who developed and tested  
Sprycel.  I was test today at the U of M for PAH.  I was put on 50  mg of 
sprycel after 7 Years on Gleevec.  After 3 months he moved me to 70  mg but 
due to folliculits, which is a side affect of sprycel, he moved me back  to 
50 mg and is treating the folliculits with an antibiotic.  His  protocol is 
50 mg first.  If it works keep it there.  If it does not  move to 70 mg. See 
how that works.  He was adimat  not to start at  100 mg and work down.  Look 
for Dr Talpaz credentials and awards for  treating CML.  He is one of the 
pioneers for Gleevec , Sprycel,  Tasagnia. 
On Dec 16, 2011 2:21 PM, <[email protected]_ (mailto:[email protected]) > wrote:


Beth...I just had to stop Sprycel because of pleural effusion...when it  
gets back under control, I will go to a lower dose of Sprycel.  How did  you 
arrive at 50mg?  My doc is suggesting 70mg/day...what were your  side effect 
related to effusion if any?
 
Tom in KY
 
 
In a message dated 12/16/2011 1:02:22 P.M. Eastern Standard Time, 
[email protected]_ (mailto:[email protected])  writes:

Great news SuzieQ - you are holding your own beautifully. I  have  
qudestion for all my CMLers out there..is anyone taking sprycel  at 40 mgs or 
less 
successfully? I am on 50 but am having some unmanageable  side effects. I m 
afraid to go less fo rfear of reistance, but it' the  balance between my 
sensitivity to the drugs and problematic side effects  like elevated CPK, 
swelling, and needing to get and stay in  remission. Any input would be 
appreciated. Beth  
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