Hello To all,
Unfortunately I am one of the ones that can't play with my  doses.  I cut 
back on my Sprycel for fear of PE and my platelets started  going up. 
I went back to my regular dose and they came down but not  enough as far as 
I'm concerned.  I have been through this before and it  ends up with me in 
the hospital getting my blood cleanse; no  picnic.
As Peg said, we are all different and react differently to  drugs.  With 
Sprycel, you may think the side effects are gone, and then you  will have a 
terrible sinus headache.  So be vigil, and keep your blood  checked often.
Jeanie<3
 
 
In a message dated 12/2/2013 10:57:06 A.M. Eastern Standard Time,  
[email protected] writes:

Hi Suzanne,

Sorry it took me a bit to respond, getting  through the holiday this week 
kicked my butt.  It is difficult to just  let things go because I am no 
longer up to the task! It feels like failure to  me, and is a bit scarey 
too...like Dicken's ghost of "christmas future".  

I couldn't agree with you more about the quality of life  issue.  This is a 
topic I have had to forcefully revisit with my doctors  numerous times over 
the last few years, as I have watched my old self and old  life fade away 
from toxic side effects.  I am thrilled for those who are  able to take TKI's 
with minimum and/or livable side effects, unfortunately,  this has not been 
the case for me. Seems like all the docs want to see are  good numbers and 
"problem solved"...but, like you, for me living sick and in  the shadows is 
no way to live at all.  Just started third week on very  low dose Tasigna, 
many initial side effects are getting better, so now the  wait.  I am hoping 
that this dose will be affective with no long term  side effects.  Time will 
tell. 

If you feel strongly about holding  on a lower dose, stand your ground 
until you know if it is affective or  not.  Doctors sometimes, in their concern 
that CML is fatal when  untreated, do not want to deviate from standard 
protocol.  However, all  patients are not alike, and we must balance our 
quality 
of life against  potential outcomes.  Many folks are doing fine on lower 
than standard  doses.  Remind your doctors that, while you appreciate their 
help in  navigating this journey, you are still driving the bus!

Fight  on,
Peg      

On Monday, November 25, 2013 9:01:20 AM  UTC-8, [email protected] wrote:  
 
Good morning, I just "found" this group though it does appear I've  
subscribed at some point in the past.  I've been involved with so many  groups 
over 
the past 17 years, it's hard to keep track :).  I'll keep  my bio as short 
and sweet as possible, then get on with my question.   My name is Suzanne, I 
was diagnosed in 1997, was initially put on  interferon, then ara-c was 
added, then I was on one of the Gleevec trials  beginning in 1999.  I was on 
Gleevec for 7 years, then switched to  Sprycel, which I was on for 6 years.  I 
was doing fine on Sprycel until  I started having some trouble with my 
breathing in 2012.  I suspected  PAH but my doctors convinced me it wasn't.  
Though, of course, it  turned out to be pulmonary hypertension.  I took myself 
off Sprycel,  took a 4 month break from all medications, then started 
Iclusig in  March.  THAT was a nightmare.  I had every side effect in the book  
and then some.  My doctor put me on Tasigna, 200 mg 2x/daily.  At  some point, 
she wants me to increase my dosage to 400 mg 2x/daily.   But, that's 
probably another problem for another day.  I started the  Tasigna last Tuesday. 
 
For the first 3 days, I had a moderate headache  and nausea, along with some 
pretty severe fatigue.  The headache and  nausea were pretty well gone by 
Friday.  Then, on Saturday, I had a  problem I've never had before and was 
wondering if anyone had anything  similar happen.  At this point, I should also 
note that I have crohn's  disease, along with GERD.  On Saturday (and this 
is embarrassing), I  started burping uncontrollably and it felt like I had 
something stuck in my  throat.  At some points, it felt that the "something 
in my throat" was  getting bigger, then would shrink, then get bigger, etc.  
All the  while, burp, burp, burp.  For 9 HOURS STRAIGHT.  And not tiny  
little ladylike belches, no, big, loud, huge belches.  I took my  prescription 
prilosec (2 doses), 6 ultra-strength tums and then sucked  Mylanta straight 
out of the bottle for an hour.  After about 9.5 hours,  it finally stopped.  
And let me tell you, it was pretty painful.   

As Tasigna can cause (according to the label, though my doctor  disagrees) 
acid reflux, I assumed it was the Tasigna.  I called my  oncologist, as well 
as my GI doctor, and the doctors on call both said to go  off the Tasigna 
for the rest of the weekend then call on Monday.  I  called, spoke to the 
nurse, who spoke to my doctor.  My doctor said it  wasn't the Tasigna (I 
disagree, after 17 years of this, I know my body very,  very well).  Also, when 
I 
went off the Tasigna, while the acid reflux  didn't go away completely, it 
greatly improved.  The nurse said that  Tasigna not only causes acid reflux 
but also muscle spasms and it was her  opinion that perhaps my diaphragm 
and/or esophagus started spasming, which  may have caused/contributed to the 
problem.  As my options are limited,  going off Tasigna over this is pretty 
well out of the question.
 
My questions are these:  has anyone had anything even remotely  similar to 
this; and (b) if so, any suggestions on how to deal with  it?  
 
The first 15 years of my diagnoses were relatively easy and pain-free  
(discounting the interferon years) but the last 2 years, particularly the  last 
7-8 months have just been increasingly awful.  I have not only the  cml but 
the pulmonary hypertension.  I also have developed a chronic  kidney 
infection that no one seems to be able to figure out why (except that  my 
immune 
system seems to be at an all-time low), I have had viral  meningitis and I 
just found out that I have a potentially serious liver  condition.  Dealing 
with all that, all the medications and now all  these side effects is really 
wearing me out, physically, mentally and  emotionally.  I'm not ashamed to 
admit, I just don't know what to do  anymore.  And I'm just too tired to deal 
with any of it  effectively.
 
Thanks for listening,
Suzanne



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