Jeanie...hope you are doing well!  Tom
 
 
In a message dated 3/12/2013 6:02:06 P.M. Eastern Daylight Time,  
[email protected] writes:

Good to hear from you Ted. 
Jeanie

Sent from my iPhone

On Mar 12, 2013, at 1:11 PM, [email protected]_ (mailto:[email protected])  
wrote:



 
Myl...
 
Don't be too nervous about switching drugs...as you can see from my  
history below, I have been on 3 TKI's and Sprycel was the answer for  me.  In 
fact 
they had to drop the dossage level from the standard of  100mg/day to 
20mg/day because of pleural effusion issues.  So far it  seems to be keep the 
CML 
under control and the side effects are much less  than on Gleevec and 
Tasigna.  You might want to start a brief history  of your journey as some of 
us 
do so that you can communicate the highlight  of your journey easily with 
other CMLers (see below).
 
I have found that each of us seems to react differently to these wonder  
drugs so you just have to keep experimenting until you find one that works  
with livable side effects.
 
All the Best!  Tom in KY
 
 

Tom, BD: 8/1941 Updated:8-27-12
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
Pleural Effusion clear 12-21-11
Started Sprycel  70mg/day..12-23-11
QPR bone <0.01...2-16-12
Started Sprycel  50mg/day..3-10-12
Chest pains...slightly more PL Eff 4-19-12
Steroid  Dose pack to alleaviate..still on 50mgs
Change to 20 mgs/day  Sprycel..4-26-12
Chest clear, effusion gone-5-14-12
Q-PCR  Blood-Undetectible-6-13-12
Neuropathy moving up legs, weakness noted  ~7-12
Q-PCR Blood MDA-<0.01…8-21-12

 
 
In a message dated 3/11/2013 2:55:44 P.M. Eastern Daylight Time, 
[email protected]_ (mailto:[email protected])  writes:

It seems Gleevec is the first line of defense for CML and is used for  
other cancers as well. I experienced most the side effects everyone else  does 
but also had severe skin irritations and rashes all over my body.  While it 
brought my WBC counts to a normal range, I just couldn't stand it  any more. 
My onc put me on Sprycel (dasatinib) and I maintained good blood  cell 
counts without all the side effects. I still have minor skin  irritations but I 
can control that with topical lotions and continue  to work. No cramps, bone 
aches, nausia, or diarhea and not the fatigue  I had on Gleevec. There are 
new drugs approved now but Gleevec has  been around the longest and is known 
to work so they usually turn to it  first. You will learn to live with CML 
and get to where it does not take  such a toll on your body. 
  
On Wednesday, March 6, 2013 11:12:35 PM UTC-6,  myli...@_yahoo.ca_ 
(http://yahoo.ca/)   wrote:

I was diagnosed with CML in Oct 2012.  It was funny, I thought  what I was 
feeling was stress related due to my job and/or perhaps early  onset of the 
change of life.  Symptoms were extreme fatigue, waking  up tired after a 
full nights sleep, night sweats and fever, weight loss  and discomfort when 
sitting.  Finally went to a doctor and asked  them to check my hormone levels 
and do a complete physical.   Dr sent me for an ultra sound too because of a 
hard lump in my  side.  Turns out my spleen was twice the size it should 
have been  and my blood test came back with really high white cells, low red 
cells  and high platelets.  Dr referred me to an Oncologist who has  put me on 
Gleevec.  Today, my white cells are within normal, my red  cells are still 
a little low and my platelets remain higher than they  should be.  Had to go 
on a disability leave from work due to the  pain from trying to sit - from 
the enlarged spleen and joint pain.   Have been off work since late Nov 
2012.  I currently have been  experiencing pain in my hip and knee joints, as 
well as excruciating  pain in my shin bones.  Is this normal?  Is it the 
Gleevec  causing it, or the leukemia?
 
Also having really weird muscle cramps - charlie horses in my legs  that 
hurt bad enough to make me cry and cramping in my fingers and  toes.  Feels 
like my hands and feet will never be warm again....am  really looking forward 
to summer.  Anyone else experiencing  this?
 
The Oncologist says I might have to try a different drug which  is scaring 
me, as Gleevec has brought down my white counts...what if  nothing else 
works?  Has anyone found anything that relieves  the pain?  I've tried A535 and 
hot baths, heating pads etc   Have been told I can't take aspirin, tylenol 
or advil as they interact  with Gleevec.  GP recommended trying massage 
therapy, but when  certain spots on my knees and legs are touched I can't bear 
it.   Would be really interested to hear if anyone else has found something  
that helps.... 

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