Yes Ragavan, I too had the same problem. I can only take a small dose of 
Dasatanib because I get the plural effusions and swelling around the heart from 
the medication. It is a known side effect that can creep up any time. Many 
patients  do just fine on a very specific dose, if they raise it, it can cause 
this problem you are describing. These TKi's can also impact the heart in other 
ways, but  I strongly suggest that you see your doc and ask for a 
cardio-oncologist to help you. Those are cardiologists that specialize in how 
these cancer drugs impact the heart. The standard for sprycel patients, is that 
we  do an echo cardiogram at least twice a year to make sure the heart is 
pumping well and there is no sign of PE etc.


I do not know when you next appointment is scheduled, but I would not wait to 
long to get in to see your doc. It could be from the medication increase, it 
could be something else, but knowing is important, because swift action is 
needed so you do not under attend  a potential big problem. If you cannot take 
a deep breath, and this is NOT your baseline, then that's a big problem. 


Sometimes we must push our doctors and fight to advocate for ourselves, to get 
the right testing, etc...


If your doctor chose to push up your dose based upon your BCR-ABl testing, then 
talk with them. There are several TKI's out there and two in trials...


Sending you strength, and peace....go see your doc!!!

Worried about you in Chicago..


Love to all, 


18's Beth.

-----Original Message-----
From: Joyce Mesnarich <[email protected]>
To: cmlhope <[email protected]>
Sent: Sat, Jul 28, 2018 3:22 pm
Subject: Re: [CMLHope] Breathing Difficulties [Dasatinib]


Gopalsamy,
I suggest you make an appointment with your CML specialist right now.  My 
husband had the same experience with Dasatinib.  Turned out it had caused fluid 
around his heart.  Please get this checked out immediately.


             Joyce in Southern Illinois (USA)





On Jul 28, 2018, at 8:26 AM, Gopalsamy Ragavan <[email protected]> wrote:



I was taking 50mg Dasatinib per day. An year back it was increased to 75mg. For 
the last few months breathing difficulty is keep increasing. I am not able to 
take full breath. It is always half breath. I will discuss with my doctor in 
the coming visit.


Did anybody else face the same problem? How did you handle? Please help.


thanks,
Ragavan







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