Hi Fran,
Gere is a blog post that expresses my dosage dilemma...I have been on
Sprycel 100 mg, six days a week for approximately 9 months.
I do suffer from some fatigue and overall yuckiness!
http://www.leukemiasurvivor.co/2011/04/dasatinib-sprycel-my-dosage-dilemma.html


Hope this is helpful,
Michele

On Tue, Feb 28, 2012 at 5:26 PM, <[email protected]> wrote:

> **
> Beth...my journey is outlined below....Good to hear that you are doing
> well on 50 mg.  I am going to try to go to that level and see if it helps
> with the tiredness.  Keep in touch!  Tom in KY
> Tom Dunham, BD: 8/1941
> DX CML 12-23-2008
> MDA Protocol: Tasigna-400 mg, 2xday-1/09
> On FLecainide for Atrial Fibrillation...episodes
> Q PCR bone @ 0.17 on 7/09
> Acute Pancreatitis-7-5-09; Stopped Tasigna
> Q PCR Blood; 7-29-09 Undetectable
> Started Gleevec-400 mg/day--7-31-09
> Developed rash-8-19-09..worsens 9-22-09
> Stopped Gleevec-9-28-09
> Restarted Gleevec 300 mg/day 10-8-09
> Stopped Gleevec..toxic rash..10-13-09
> Q PCR Bone: 0.05
> Started Sprycel @ 100 mg/day-10-20-09
> Some AF, Increased Flecainide (1&1/2 per day)
> Q PCR Bone; 0.07 (ZM's Club #1292) 2-4-10
> Stopped Alcohol/Caffeine ..AF stopped
> Q PCR Blood 0.01-- 7-27-10
> Q PCR Bone 0.01...1-25-11
> Q PCR Blood-Undetectible: 5-19-11
> Pleural Effusion, CE, 12-7-11..Stopped Sprycel
> Prednisone 50 mg/day..gradual reduction
> Pleural Effusion clear 12-21 11
> Started Sprycel 70mg/day 12-23-11
>
>  In a message dated 2/28/2012 5:16:15 P.M. Eastern Standard Time,
> [email protected] writes:
>
> Yes, 50 daily is a half dose, which I have been on successfully for my
> blood labs for 15 months. I am going down to 40 a day next Month to see
> if it helps with some elevated CPK or muscle enzymes that cause a lot
> of fatigue for me. I know many people on 50 sprycel in complete
> remission. Just as a word of reassurance regarding potential side
> effects, I had very bad headaches in the beginning which do go away in
> a few weeks, but needed to pre- medicate for them to keep them from
> getting too bad. If your son has a hx of swelling, then they may put
> him on a diuretic to ensure that he doesn't have this issue. I wish him
> and you lots of good luck and well wishes. May he find a low dose of
> sprycel very effectivie and not need to ever go up on his dose.  Warm
> regards, Beth in Chicago.
>
>
> -----Original Message-----
> From: Tom Dunham <[email protected]>
> To: cmlhope <[email protected]>
> Cc: cmlhope <[email protected]>
> Sent: Tue, Feb 28, 2012 12:57 pm
> Subject: Re: [CMLHope] Young and Strong
>
>
> Hi...have been on 100 mg Sprycel for 18 months.  Developed pleural
> effusion...now on 70 mg....will keep u posted.  Hang in there!  Tom in
> KY
>
>
> T.E.D.---Sent from my iPad
>
>
> On Feb 27, 2012, at 11:51 PM, Joyce Mesnarich <[email protected]> wrote:
>
>
>
>
> My husband (72) was put on Sprycel about 2 years ago---50 mg,  the
> lowest dose according to Dr. Talpaz, a great CML specialist.  It has
> worked well for him and he has less side effects than when he was on
> Gleevec, which he could not take, as it turns out.  Hope your son does
> well on Sprycel.  We think it is a great drug.
>       Joyce in IL
>
> On Feb 27, 2012, at 9:21 AM, David Stroud wrote:
>
>
> Hi Group
> I have kept up with this group now for almost 9 yrs. My son Jonathan
> was dx in 2003 at the age of 9. Many I know will remember him.
> Zavie was a great encourager for us. I know he is missed.
>
> Jonathan recently has had difficulties with his counts bouncing
> around..  84/100k  47/100k  28/100k
> Use to continue at 3-5/100k
> He is now loosing weight also but was never a big guy.. 5'9 at 109lbs.
> Alittle concerned. Doc thinking of taking him off the gleevec of 400mg
> daily to the new Sprycel.  I want to statr at a low dosage if so.
>
> Depression has set in also.  But alot has to do with teenage life.
> For those that have switched to Sprycel.. what is the "low Dosage"
> isn't it 50 daily?
>
> Each One Take care
> Fran
> Mom
>
>
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