Dear Carol, Sorryto hear about your PE with sprycel. Many individuals take less 
than the standard dose and remain pcru. They take what their bodies can 
tolerate and still have the drug be effective. ARe you on 100? That dose is 
toxic for lots of folks. I take 50 currently, will titrate down to 40 in a 
month. For as long as I have been on sprycel I have taken a low dose diuretic 
with it daily. That was to stay ahead of any possible swelling issues per my 
oncologist. I had swelled with gleevec and he did not want me to have a problem 
andthen have to treat it, but rather stay ahead of the possible issues that I 
seem to be prone to. This has worked for me. I don't know whatshape your 
kidneys are in two years off of gleevec, but if they are o.k., you may want to 
ask your doc about dosage, as well as possibly a diuretic to keep symptoms at 
bay. I cannot say how many days off the drug is reasonable post a PE, but your 
own experience with your body gives you a lot of information. The dose may be 
too much for you...many here and in other groups are on anywhere from 20 a day 
to 100 a day of sprycel and doing well.  Good luck to you and keep us posted!
Beth


-----Original Message-----
From: ICANDOALLTTC <icandoall...@aol.com>
To: cmlhope <cmlhope@googlegroups.com>
Sent: Thu, Jun 6, 2013 10:30 am
Subject: Re: [CMLHope] Digest for cmlhope@googlegroups.com - 4 Messages in 1 
Topic



Hi Carol, I have been on Sprycel since 2009 with no PE.  I reached remission on 
Sprycel. Cutting back on the dose makes sense to me.
Good luck,
Jeanie<3
 

In a message dated 6/6/2013 9:35:44 A.M. Eastern Daylight Time, sion...@aol.com 
writes:

What is your dose and your PCR results? 

On Jun 6, 2013, at 7:46 AM, cak...@aol.com wrote:



I haven't posted in a while, but always read everyone else's...now i have a 
question for everyone on Sprycel. I was switched to Sprycel 2 years ago due to 
kidney issues with the Gleevec. I was diagnosed in July of 2001.Have been 
undetectable for years...now I am getting pluerral effusions.   I just had the 
second one drained yesterday....The onc has taken me off Sprycel for 2 
weeks.....In everyone else's experience does that seem long enough.   I took an 
8 day break a month ago but the effusion was back in 5 days....probably was 
going to happen anyway....I think he is being very cautious, but just wondering 
what everyone else has done...went into the archives and learned a lot....but 
need a little more advice to argue my point of a longer 
break....thanks....Carol Kalat
 

In a message dated 6/5/2013 7:43:23 A.M. Eastern Daylight Time, 
cmlhope@googlegroups.com writes:

  Today's Topic Summary
Group: http://groups.google.com/group/cmlhope/topics

Taking a break from gleevec after over 12 years [4 Updates] 

 Taking a break from gleevec after over 12 years
Marty Gartenberg <wa2...@gmail.com> Jun 04 08:59AM -0400  

Hi Sylvia,
 
First, welcome back to the group. How well I remember those "good" olden
days of when gleevec first came out. Unfortunately it wasn't around when I
was diagnoised with CML in 1989. The only thing at the time was interferon
but for me it would have a blind study case weather I would get it or just
a placebo.
 
Since my WBC was well over 480K (480,000+) at the time and I wasn't sure if
I would get it or not I opted for a bone marrow transplant. Not much choice
in the matter.
 
Anyway, since you were on gleevec for so many years do you know if you are
PCRU now? I would imagine that you are but you still need to be tested to
see if you are just as your doctor suggests.
 
I actually don't blame you for wanting to stop the gleevec but you must be
aware of the mutations that could come about. However since your doctor
wants to test you for if you are PCRU within four months I think that is a
wise choice.
 
Nice to see you on Zavies Zero List. I hold the number one place on the
list. I sure do miss him and Mommy Lottie as well. (from the
c...@yahoogroups.com)
 
Sylvia you just take one day at a time just as I do. After all, neither of
us would still be hear if there were nothing in the arsenal to fight CML
 
18's (symbol for life)
 
Marty
 
 

 

Darlene <seces...@yahoo.com> Jun 04 08:09AM -0700  

Two years ago I insisted on a break from gleevec as well although my oncologist 
wasn't keen. My counts immediately began to creep up after being undetectable 
for almost 10 years. I couldn't feel the difference in the counts--in fact I 
felt great -but after 2 BCR-abl tests which showed the upward trend, my doctor 
( and my family) insisted I resume Gleevec. Within 6 months I was undetectable 
again. The muscle cramps had been pretty bad before the break but stopped 
completely for awhile. Now they're back but not as bad as before. I think your 
doctor is wise to monitor you closely but I also think a break can do your body 
some good if you're careful. I may be wrong but I got the idea somewhere that 
some people are able to stay off longer. Maybe you' will be one of the lucky 
ones. Good luck!

 

ANGELYN ESDERS <esd...@rogers.com> Jun 04 08:13PM -0700  

I started Gleevec at McMaster University Medical Centre in Hamilton, Canada, on 
Jan. 22, 2001. My tests in June 2001 confirmed that I had reached cytogenic 
remission. I think I was #69 in Zavie's Zero Club.
I am planning to discuss a holiday from Gleevec next time I see Dr. Walker, my 
hematologist at Juravinski in Hamilton. We shall see....12 years is a long 
time....
 
 
What lies behind us and what lies before us are tiny matters compared to what 
lies within us....
Angie
 
 
________________________________
From: Richard H <richard1huff...@comcast.net>
To: cmlhope@googlegroups.com 
Cc: "CMLHope@googlegroups.com" <CMLHope@googlegroups.com> 
Sent: Monday, June 3, 2013 11:25:59 PM
Subject: [CMLHope] Re: Taking a break from gleevec after over 12 years

 
 
That's great news.  When I went off Gleevec 5 years ago. I was tested every 
month for a while then as I progressed with excellent results to 3 months and 
then 6 months.  The body also responded nicely, I gained energy, lost 30 pounds 
and my leg edema went away.  I am glad your ONC is willing to work with you.
 
Richard H.
 
On Monday, June 3, 2013 9:35:22 PM UTC-5, Sylvia wrote:
Hello everyone 
>It has been many years since I have written to this group. I was diagnosed 
>with CML in June 1998 at 37 years old and many friends I met through this 
>group are no longer with us.  Those were the days of interferon and ara-c, 
>procrit etc (all via injection).  I was one of the first to start Gleevec in 
>Canada in April 2001.  I am number 80 in Zavies Zero club! Gleevec has given 
>me back my life and I am very thankful for it.  That being said the last few 
>months I have had swelling in my legs and stiff knees and I have taken myself 
>off the Gleevec.  In 12 years I have barely missed any days, but now I am 
>feeling my body need a rest.  I am worried about my liver and Millie's email 
>reinforces my feelings that I need a break from the Gleevec.  I told my dr and 
>he wants me to come in for a PCR in a month and not wait until my 4 mos check 
>up in Aug. I am very interested in what everyone in this community thinks and 
>if they can offer me some advice. 
>My prayers to Millie and all those with challenges. Thanks to everyone for 
>their support all these years. 
 
>Sylvia 
 
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Marty Gartenberg <wa2...@gmail.com> Jun 05 06:12AM -0400  

Hi Angie, I wish you the very best of luck on your Gleevec "holiday" Yes,
12 years is a long time.
 
18's
 
Marty
 
Number 1 on Zavies Zero List. I sure do miss him.
Disgnosed July 1989
Bone Marrow Transplant May 21St 1990 (23 years ago)
 
 

 

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