Hi Joyce, I am so glad that your husband's CML numbers are going in the right 
direction. The cml journey is often a balancing act, between the right dosage 
and side effects...Maybe your husband could be on 150 of busutinif with time??? 
It seems that 200 put him close to remission. I had to go off tasigna because 
of elevated liver enzymes, 10 X normal. Going off the med for a short time to 
give the liver a rest, and then using  the lowest possible successful 
dosage...seems to work for some people. I hope your husband's liver calms down. 
I will keep my fingers crossed. 18's Beth


-----Original Message-----
From: Joyce Mesnarich <[email protected]>
To: cmlhope <[email protected]>
Sent: Fri, Jul 24, 2015 7:50 pm
Subject: Re: [CMLHope] New results


Jeanie, 
I know you have been dealing with that pain for a long time.  Medicine has come 
so far and yet the Good Lord holds some secrets from us.  I hope in Sept they 
will get a clue as to the pain's cause. 
 
         Joyce in IL 
 
  
 
 
  
  
   
On Jul 24, 2015, at 11:20 AM, 'Icandoallttc' via CMLHope wrote:   
   
   
    
     
Just wanted to say that I take OTC pain killers and have tried prescription 
ones. I have a right side pain that won't go away and they can't find out what 
it is. Nothing seems to help the pain.        
     
They are doing a ct scan in Sept to see if they can find it but they have 
already done that with no luck.  Blessings       
      
My Motto: Faith and Pills      
Jeanie \uD83D\uDC1F\uD83D\uDC1F18,s        
Dx 1/2004. CML Leukemia       
       
Started Gleevec 2/2004       
       
Started Tasigna  9/2009       
       
Started Sprycel 11/2009       
       
Started Ponatinib January 2015       
       
Dr Balducci Moffitt Cancer Center       
      
     
     
      
On Jul 24, 2015, at 12:14 PM, "'Icandoallttc' via CMLHope" <      
[email protected]> wrote:      
      
     
     
      
       
Hi Joyce.        
       
It looks like your liver counts are 1-10% common to increase on that drug.  
Read the information that comes with the meds.   Read the whole document 
through.        
       
They will stabilize as well as other side effects.         
       
It seems I will go from one side effect to another as time passes.        
       
Fight on.  Good luck.        
       
        
My Motto: Faith and Pills        
Jeanie \uD83D\uDC1F\uD83D\uDC1F18,s          
Dx 1/2004. CML Leukemia         
         
Started Gleevec 2/2004         
         
Started Tasigna  9/2009         
         
Started Sprycel 11/2009         
         
Started Ponatinib January 2015         
         
Dr Balducci Moffitt Cancer Center         
        
       
       
        
On Jul 23, 2015, at 11:43 PM, Joyce Mesnarich <        [email protected]> wrote:   
     
        
       
       
        
Jeanie,         
Thanks for your interest and suggestion.  We have gone over all his other meds 
with doctors and nothing should affect the liver.  He doesn't take any OVC pain 
meds, or any pain meds.  And he does not drink alcohol.  The primary doctor 
says that the drug information for bosulif says it can cause liver problems, 
but Dr Talpaz is less certain of that and he is the specialist.  He says he is 
watching it closely and I guess we will just trust him.  Wayne is getting blood 
tests every other week locally and they are sent to Dr Talpaz.  The liver 
enzyme levels seem to have stabilized, although they are elevated.  As you say, 
faith and pills.  One of Wayne's mottos is "Better living through chemistry".  
LOL  I think that used to be part of a TV ad for a large chemical company, 
maybe Du Pont or Monsanto.         
         
          
         
         
              Joyce in IL         
         
          
         
         
          
          
           
On Jul 23, 2015, at 11:32 AM, 'Icandoallttc' via CMLHope wrote:           
           
           
            
             
Be careful with his diet.  Ovc pain pills hurt the liver as well as other drugs 
we take.  Ask your pharmacy if any other drugs he take are hurting his liver.  
It's hard but maybe they can figure out something.              
             
Good luck.               
              
My Motto: Faith and Pills              
Jeanie \uD83D\uDC1F\uD83D\uDC1F18,s                
Dx 1/2004. CML Leukemia               
               
Started Gleevec 2/2004               
               
Started Tasigna  9/2009               
               
Started Sprycel 11/2009               
               
Started Ponatinib January 2015               
               
Dr Balducci Moffitt Cancer Center               
              
             
             
              
On Jul 22, 2015, at 2:01 PM, lrc lrc <              [email protected]> 
wrote:              
              
             
             
              
               
Joyce does he drink alcohol?
                
On Jul 22, 2015 1:43 PM, "margood18 via CMLHope" <                
[email protected]> wrote:                
                
                 Joyce, so glad to hear that your husband's PCR is lower and I 
hope that his liver function will steady.  Best wishes to both of you.          
         
                   
                   
                   
Marcie                   
                    
                    
                    
-----Original Message-----                    
 From: Joyce Mesnarich <                    [email protected]>                    
 To: cmlhope <                    [email protected]>                    
 Sent: Wed, Jul 22, 2015 12:16 pm                    
 Subject: [CMLHope] New results                    
                     
                     
                      
Hello everyone.  I have not had time to contribute for awhile.  But I must let
you all know the results of my husband's PCR at his last visit to Dr Talpaz.  He
was taken off Sprycel due to pleural effusion and we were hoping his
undetectable would hold....but it did not.  He was subsequently put on bosulif
and not showing much improvement after 3 months.  So his dosage was changed from
100 mg to 200 mg.  And now, after 3 more months, his PCR went from 8.7 to
0.127!!  Hopefully in another 3 months he will once again reach
undetectable.

The downside of his test results is that the liver function
tests have increased a lot.  The doctor will not really say that bosulif is to
blame, but nothing else has changed.  Has anyone of you CML warriors had any
problems with the liver while on TKI's?  Was there any treatment to help the
liver?

God bless you all.

            Joyce in IL


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