Thanks Jim for all your support.  You there Millie? Just wondering how  you 
are?
Jeanie<3
 
 
In a message dated 4/30/2013 5:51:30 P.M. Eastern Daylight Time,  
[email protected] writes:

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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