Thanks Beth!
Apparently diuretics do not work on that type of water retention.

Guess we will see. I danced last night and after an extremely strenuous
Waltz, I realized that my husband
was more winded that I was and this made me REALLY happy!

Hope you have a great day!
Michele


On Tue, Sep 17, 2013 at 4:55 PM, <[email protected]> wrote:

>
> Thanks for the explanation of the 140 mgs. Very helpful. I wonder if you
> can absorb it well, if you can be on less of dose, achieve the drugs
> benefits for the cml and avoid the toxicity potentials that significantly
> increase on higher dosages...also, can you get ahead of the swelling issues
> by taking a daily diuretic of some kind, natural or otherwise??? Keep us
> posted.....your energy and attitude is great...
>
> -----Original Message-----
> From: LearnToBallroomDanceOnline.com <[email protected]>
> To: cmlhope <[email protected]>; peg.hss <[email protected]>
> Sent: Tue, Sep 17, 2013 1:52 pm
> Subject: Re: [CMLHope] Re: Taking a Poll!
>
>  Hi Peg,
>
>  Thank you so much for your reply! How long have you had CML?
> I so agree with what you say about these drugs not being around long
> enough to really know what they do to us,
> but I guess they will keep us around long enough for us to see!
>
>  Your response is not the only one wondering why I was on such a high
> dosage , so I wrote a post in response explaining it! Thanks for the nudge!
> 140mg; Here is the 
> Why<http://www.leukemiasurvivor.co/2013/09/why-140mg-of-sprycel-explanation.html>
>
>  Thanks again for your response,
> Michele
>
>
> On Tue, Sep 17, 2013 at 6:53 AM, peg <[email protected]> wrote:
>
>> Michelle,  I am curious why your doctor would want you on more than the
>> manufacturer's recommended dose?  The higher the dose the more likely that
>> side effects will occur, and with Sprycel having the risk of Pulmonary
>> Arterial Hypertension (PAH), a potentially fatal side effect, it seems
>> reckless to exceed the recommended dose unless absolutely necessary.    The
>> recommended dose is 100mg a day...140 is only recommended for patients with
>> AML or CML is blast crisis, which, with a zero PCR you are light years away
>> from either of those!  Even with the recommended dose at 100mg there are
>> plenty of folks taking far less.  I have seen dosing as little as 20mg
>> daily or 70 - 100mg 2-3 times weekly.  I consult with one of the research
>> docs who helped develop Sprycel and he believes that the current data shows
>> that CML response to the level of each dose better, as opposed to the
>> quantity of doses, so with patients with severe side effects he will drop
>> the number of doses per week before dropping the amount of each dose.  But
>> a dose higher than 100mg is still never recommended as a maintenance dose,
>> that is just risking plural effusions and PAH.  Not clear why your doctor
>> would risk that, especially with your history!
>>
>> Personally, I have been on Sprycel for two years now and am thinking I am
>> going to ask for a change to  a low dose of Tasigna.  I have been mostly
>> PCRU for that entire time but have never found a dose of Sprycel low enough
>> that will work but not put me in bed for the entire day each time I take
>> it, not just fluish, but *severe* headache and body pain.  At 50mg twice
>> a week my PCR went up to trace, and when we upped it to 70mg twice a week a
>> few weeks ago the side effects started escalating...don't know yet if that
>> dose is even effective, but the longer I am on it the worse the side
>> effects are with each dose.  I think I am done with Sprycel.
>>
>> I personally don't think any of these drugs have been around long enough
>> for doctors to realize that no one should be on a larger dose than
>> absolutely necessary, and that each person's dose will be different.  Don't
>> let your doc OD you on Sprycel...PAH can be deadly, and most Sprycel
>> patients who develop PAH don't even know they have it until it is nearly
>> too late...patients are not screened nearly enough. I have a CML friend who
>> almost died!  Even on the low dose I have been on my cardiologist did a
>> baseline angiogram and does an Echo Cardiogram every six months.
>>
>> Only you know your body, do what works for you, and question everything!
>>
>> Peg
>>
>>
>> On Monday, September 16, 2013 12:36:57 PM UTC-7, Michele, Loves to Dance!
>> wrote:
>>>
>>> Hi All,
>>> So, I began taking Sprycel again after pleural effusion. Taking a poll
>>> of what YOU think my dosage should be! Here are the facts: http://www.**
>>> leukemiasurvivor.co/2013/09/ba**ck-on-sprycel-side-effects-ret**urn.html<http://www.leukemiasurvivor.co/2013/09/back-on-sprycel-side-effects-return.html>
>>>
>>>  Thanks, hope you all are having a great day,
>>> Michele
>>>
>>>  --
>>> Michele@**LearntoBallroomDanceOnline.com
>>> www.**LearntoBallroomDanceOnline.com<http://www.learntoballroomdanceonline.com/>
>>>
>>   --
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>
>
>
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www.LearntoBallroomDanceOnline.com

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