Hi Peg, I also have the cramping, I'm on Gleevec since it was approved in the 
USA. I was dxed 4/12,1997. I've experienced many of the known side effects. Eye 
bleeds, cramping in the legs(upper and lower), feet insteps, forearm, hands, I 
inquired abut muscle relaxers and Onc. gave me some and it didn't help. The 
legs and hands respond to hot water, the feet don't! My Pcr test is negative 
that's a plus that we are so happy for. I'm 68 and the side effects aren't bad 
enough for me to want to venture into the unknown with a different med. that 
may not even work for me or the side effects are worse than what I currently 
have. 18s to all my fellow warriors we must never give up research is making 
head way as never before who knows what they ill come up with next. some day 
the big "C' will stand for CURE. I pray every day for that AMEN. God Bless us 
all. Jim Rodeghier 

--- On Mon, 4/29/13, peg <[email protected]> wrote:

From: peg <[email protected]>
Subject: [CMLHope] TKI Spasticity
To: [email protected]
Date: Monday, April 29, 2013, 10:57 AM

Hi all,
Sorry it takes me a while to catch up these days.  Just read Beth's post on 
spasticity and wanted to share.  There are many folks having muscle related 
problems with all of the CML drugs.  The spectrum ranges from the seriousness 
of myopathy to simple muscles spasms, with everything in between.  Gleevec gave 
me myopathy.  Because I was not a good candidate for Tasigna we moved directly 
to Sprycel back in 2010...before it was front line approved.  For me Sprycel 
causes such severe muscle contractions that I have developed contractures in 
several places in my body. At first we just thought it was my arthritis causing 
limited range of motion, but then several months ago finally realized what had 
happened.  I am in physical therapy now to improve my range of motion.  We have 
also had to radically adjust the Sprycel dosing...not just for the 
contractures, but also the crippling fatigue, mind numbing brain fog, bone pain 
and Sprycel induced depression.
  The only time I feel really good now is on Sprycel "holidays".  
After many dose reductions here's where I am at...in 2011 we started dropping 
the daily dose....first 70mg then 50mg.  We also tried 50mg every other day, 
then 20mg daily.  All of these changes still held me at PCRU.  But even at 20mg 
daily it was difficult to have a normal life.  There was also a concern from 
the specialist I see who helped develop Spycel.  He believes that from what he 
is seeing, the way Sprycel affects the CML is more related to the size of each 
dose, rather than the frequency, so he had a concern that 20mg a day would not 
hold the PCRU. Although I have heard of cases where it is.  We also noted that 
for me a "washout" of a few days off Sprycel helped me recover from the side 
effects. Without that washout, the affects would load up.  So this was when we 
started experimenting  last Oct with twice weekly dosing.  Unfortunately 70mg 
still proved to high a single dose for me, so we did a brief five months at 
50mg every third
 day. However, the side effects from each dose are still so severe, it is like 
sticking my finger in a light socket, everything in my body clenches.  This 
starts two hours after each dose and lasts for almost 24 hours.  Every third 
day dosing was just craziness, since I couldn't plan around that well...and 
found myself dragging myself painfully through life every third day...hating 
every minute of it.  We finally realized that the only way I could have any 
quality of life was to drop back to a twice a week dose and take those days out 
of my schedule...just plan on being down for the count on those two same days 
each week. 
So we are now at 50mg two days a week.  I take a muscle relaxer with each dose, 
and again at 12 hours if I need it.  This really helps with the muscle spasms.  
I lose two days out of my week, but the quality of the other five is much 
better now.  We are monitoring my PCR monthly to see if the PCRU still holds.  
I can't recommend experimenting for everyone...it carries a risk of becoming 
resistant.  However, the quality of my life had become so bad that the cost of 
saving my life was no longer worth it. Life in the absence of any quality is 
simply not a life.  
For those of you who's reactions to TKI are not as dramatic as mine, adding a 
muscle relaxer to each dose, even daily, might bring the muscle spasm relief 
you need.  My drug of choice is Robaxin...but to each man his own!
Warmest regards to everyone! 
Peg 



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