HI all. Just wanted to offer my experiece to the mix. I have been on sprycel 
for 4 years in November, with some breaks for back/neck surgeries unrelated. In 
the beginning, I did get very mild PE which showed up on a chest xray that was 
done as a pre-surgery clearance test. It was not major. My doc did but me on 
furosimide 20 mgs plus potassium daily..and stated I needed to stay ahead of 
any possible swelling side effects if possible. I eat a low sodium diet and 
take this med religiously in the a.m....sprycel before bedtime. I am blessed to 
have no further issues with any PE for the last 3.5 years. So, in my 
experience, I believe a daily diuretic with the sprycel has truly helped me. I 
am also on a low dose which maintains me at barely detectable to 
undetectable......40 mgs. I am truly blessed. Hope all is well with everyone. I 
miss you all. Still navigating back issues so not on line much at all these 
days...but keep everyone in my thoughts and prayers. My CML is in good control 
and I count my blessings....including all of you...take good care. warm 
regards, a 18
s.....to all of you.... ( marty still prayng for a transplant..for you..) Beth  



-----Original Message-----
From: LearnToBallroomDanceOnline.com <[email protected]>
To: cmlhope <[email protected]>; pkshaub <[email protected]>
Sent: Fri, Sep 19, 2014 11:23 am
Subject: Re: [CMLHope] Re: Sprycel side effects


Hi Peter,


While it is true that many develop PE while on Sprycel; the upside is that the 
PE often coincides with PCRU!


And unfortunately diuretics do not reduce the fluid that actually is in the sac 
that surrounds your lungs. For me it usually takes a break from Sprycel; I know 
that many people avoid Sprycel because of this risk, but to me, the risk of 
pleural effusion is less of a risk that the ones that come with Tasigna's Black 
Box Warning.


My PE's have been more of an inconvenience at this point and fortunately clear 
quickly.


Best to you all,
Michele



On Fri, Sep 19, 2014 at 4:54 AM, Peter <[email protected]> wrote:

>From what I have read here and elsewhere, it seems to me that Sprycel will 
>definitely cause PE, it is only a question of WHEN, not IF.
For this reason, I have avoided this drug like the plague. Currently, Tasigna 
is keeping at a 3.2 log reduction, which is a sub-optimal response.
My doctor keeps telling me, that PE is "easily controlled with diuretics". 
However, I have not heard this from anybody else.
Does anyone here know anything about the use of diuretics to control PE?

Peter


On Monday, September 8, 2014 11:33:33 PM UTC-4, grammie wrote:
Have been reading the reports of various CMLers having side effects from the 
various TKIs.  Jut wanted to weigh in with my husband's latest experiences.  He 
was short-winded and family doc ordered a chest X-ray which revealed some 
effusion.  We reported this to Dr Talpaz (his CML specialist) and Dr T wanted 
him to have an echogram which we were able to do locally with his regular 
cardiologist.  Dr T said to quit taking Sprycel immediately and not to continue 
until he and the cardio conferred.  As of now, he will have another echo in a 
week to see if there is any change one way or the other.  He has an appointment 
with Dr Talpaz in Michigan the middle of October and it sounds like they are 
going to have him stay off Sprycel until at least then.  It's kind of scary 
being off the medication that you know is saving your life.  But Dr T is not 
concerned.  Don't know where this is going next.  All part of the journey.  
Continue to pray for all the warriors out there. 
Thank you for your input. 
       Joyce in IL



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