Hi Beth.
I developed insomnia soon after I started Tasigna about two years ago.
For me the answer was 0.5mg Lorazepam (Ativan) before bed time. 
If you haven't tried this already, it may be worth a shot.

Peter

On Friday, October 10, 2014 12:15:01 AM UTC-4, Beth wrote:
>
> Hi Jeannie. I hope your pain gets better..Glad you too do well 
> otherwise..with the sprycel. I also want to say hi to Marty and just 
> letting you know that I am continuing to pray for you daily for a 
> transplant to come through. Your home in Penn. is beautiful..so 
> peaceful...hope you and your sweetie can get back there post successful 
> transplant. fingers crossed..
>  
> A question I have for the group. I am struggling with really really bad 
> insomnia. I don't know the causes..probably multi factorial but whatever it 
> is..it's putting great stress on my body and I just cannot get good 
> rest..which, as we all know affects everything else negatively. Do any of 
> you know something I could try that would not be contra indicated with the 
> sprycel that might help? I have tried the usual suspects..to no avail. 
>  
> Seeing Dr. Druker two weeks from today...see how close we all are to a 
> cure.......:) always hoping...
> Goign to Wash U in November to a neuro muscular specialist to try and 
> define what is going on with my muscle loss, elevated CPK, and other pieces 
> that test positive in my blood and muscle biopsy. I have yet to know anyone 
> who has these issues...so hopefully it's not the sprycel..but a concurrent 
> thing that has come up that can finally be diagnosed successfully so it can 
> be treated..so I can get stronger...this will also help my spine and neck 
> to heal post surgeries...hard to heal when you are always deteriorating- 
> burning muscle..
>  
> Saying positve and counting my blessings each and every day.. just thought 
> I would report in ...the warm water PT is my saving grace..feel so much 
> better in there... three times a week...working part time....old pooch 
> Gracie now 15.5    lost her hearing int he last few months...still plugging 
> along..great role model..hs lots of health stuff...older age mostly...but 
> wants to walk and play and snooze every day..still eats well..and loves her 
> treats.....I love her so. 
>  
> love and prayers to all my colleagues and friends here...too many names to 
> list by now!!!!
>  
> Beth 
>
>
>  -----Original Message-----
> From: ICANDOALLTTC via CMLHope <[email protected] <javascript:>>
> To: cmlhope <[email protected] <javascript:>>
> Sent: Thu, Oct 9, 2014 5:54 am
> Subject: Re: [CMLHope] Re: Sprycel side effects Beth
>
>  Hi Beth and so glad to hear from you and that you are doing well.  It is 
> good to hear that you are still on Sprycel and doing good.  I am on 100 mgs 
> daily and so far, no PE.
> Blessings and keep fighting!
> Jeanie<3
>  
>  In a message dated 9/21/2014 11:17:31 P.M. Eastern Daylight Time, 
> [email protected] <javascript:> writes:
>
> 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] <javascript:>>
> To: cmlhope <[email protected] <javascript:>>; pkshaub <
> [email protected] <javascript:>>
> 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] <javascript:>> 
> 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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>
>
>
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