Hi Jeanie....I just got home from the hospital today.  Due to taking blood 
thinners,  my levels were way off and I was bleeding internally.  I was also 
very dehydrated and have lost over 20 lbs of weight in the past few weeks.  I 
haven't been eating either as I was so nauseated and having pain in my stomach, 
etc.  I was loosing so much fluid that it was scaring me.  At any rate, I was 
due for a procedure on Tues., but when I went for testing on Monday, my doctor 
called and told me to go over to the emergency room at the hospital, so that's 
what I did and they kept me until today.  They say the levels are good right 
now, but they did cut me  down, and in some cases, did away with some of my 
medications.  I'm now suppose to go to have the scope done on Mon. of next 
week, but am waiting for a call to verify that.  I'm still very weak, but 
feeling better in every other way.  I just have to work at getting 
stronger......and I will.  They gave me vitamin K shots and also 2 units of 
Plasma while in the hospital, and also IV. fluid, so I'm good to go now.  Just 
have to get stronger and I'll do that.

You take care and stay healthy.  I'm still doing well on Tasigna (or hope that  
am)  I see my Onc. the end of this month.  He'll run the blood work then and 
tell me if I'm still in remission.  

I'll talk to you all soon.  Hope that all of my fellow CMLers are doing well.  
It seems like one of us is always fighting the fight somehow.  I know that most 
of us have issues, but we are still able to fight, and that's good news.
Hugs,
Millie
  ----- Original Message ----- 
  From: [email protected] 
  To: [email protected] 
  Sent: Wednesday, May 01, 2013 3:28 PM
  Subject: [CMLHope] Jim and Millie and all


  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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