Hi Jeanie. I'm doing ok; the Tasigna side effects seem to be fewer and 
further between (I have been an Tasi for almost three years). I hope it is 
still working, we will find out in early January.
The question of whether or not to get Zostavax makes me mighty nervous. I 
could leave a message for my doc and then the nurse would probably call me 
and say 'yes, go ahead", but that would not make me feel any better about 
it. 
I am going to wait until I see the doc in January and have a full 
discussion with him.I am one of those overly picky people who don't believe 
anything or anybody, unless it has been fully explained and I understand it.
There has been a (very small) study on this subject:
http://onlinelibrary.wiley.com/doi/10.1002/ajh.22196/full
I think the key question to answer is, in what shape is my immune system?

Peter

On Wednesday, December 10, 2014 11:34:31 AM UTC-5, Icandoallttc wrote:
>
> Wow!  Thanks for that Peter.  I had considered it.  I get the big dose if 
> flu vaccine every year.  How are you?
> Blessings
> Jeanie🎅
>
> Sent from my iPhone
>
> On Dec 10, 2014, at 11:06 AM, Peter <[email protected] <javascript:>> 
> wrote:
>
> Hi everybody.
> Has anyone here received the shingles vaccine Zostavax?
> The question is whether it is safe for CML patients. The info I have found 
> is not 100% clear. The answers range from "should not" to "not recommended" 
> to "may be given..". (See below)
>
> *Manufacturer (Merck)*
> http://www.merck.com/product/usa/pi_circulars/z/zostavax/zostavax_ppi.pdf
> You should not get ZOSTAVAX if you have a weakened immune system (for 
> example, 
> an immune deficiency, leukemia, lymphoma, or HIV/AIDS). 
>
> *Public Health Canada*
> http://www.phac-aspc.gc.ca/publicat/cig-gci/p04-herp-zona-eng.php
> HZ vaccine is contraindicated in people with immunodeficiency due to acute 
> or chronic leukemia. However, persons with leukemia in remission and who 
> have not received immunosuppressive chemotherapy or radiation for at least 
> 3 months and who do not have defects in T cell function can receive HZ 
> vaccine; consultation with an immunologist may be required.
>
> *Centers for Desease Control*
> http://www.cdc.gov/vaccines/hcp/vis/vis-statements/shingles.pdf
> A person should not get shingles vaccine who cancer affecting the bone 
> marrow or lymphatic 
> system, such as leukemia or lymphoma.
>
> *Mayo Clinic*
>
> http://www.mayoclinic.org/diseases-conditions/shingles/expert-answers/shingles-vaccine/faq-20057859
> The shingles vaccine isn't recommended if you have cancer that affects the 
> bone marrow or lymphatic system, such as leukemia or lymphoma.
>
> *National CML Society*
> http://www.nationalcmlsociety.org/faq/immunizations
> Using the most current infectious disease guidelines, Zostavax (shingles 
> vaccine) may be given to CML patients who are stable and not experiencing 
> any evidence of relapse or progression, and who do not have other immune 
> suppressive issues such as recent requirements for high dose 
> corticosteroids. 
> Individuals with CML who have restored and stable immune systems are 
> eligible to receive the shingles vaccine if APPROVED BY THEIR CML 
> SPECIALIST, since it contains elements of live virus. It is safe, however, 
> for family members or those in close contact with CML patients to receive 
> the vaccination.
>
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