Lovely Beth!

18's,

Marty

On Sun, Jan 28, 2018 at 11:47 PM, bkbarney via CMLHope <
cmlhope@googlegroups.com> wrote:

> HI Choi,
>
> This sounds very difficult. While your friend is not in molecular
> remission his blood work is stable..it has not spiked while on less
> sprycel. Is it possible he could go on 40 mgs or 40 five days a week and 60
> two days a week? Sometimes just enough medication will keep the plural
> effusions at bay, while still keeping the cancer at bay as well. The risk
> is getting resistant, which he has already done with the Gleevec. But there
> are other options and another in trials that works in a different area than
> the other TKI's that is showing promise. So hopefully your friend can find
> the right med at the right dose to keep his disease in check. He may not
> tolerate full doses of the more recent and more potent meds..but there are
> several left to try.
> I can only tolerate 40 a day. Keeps me in check. I cannot go off med as I
> cannot take a high enough dose to get into that level of remission..but it
> works for me.
>
> Others who did not tolerate Sprycel have gone on bosutinib and it has
> worked for them...
>
> Take good care..
>
> 18's hope and love,
>
>
> Beth
>
>
> -----Original Message-----
> From: Jamie Tufariello <gex6...@gmail.com>
> To: cmlhope <cmlhope@googlegroups.com>
> Sent: Thu, Jan 25, 2018 10:44 am
> Subject: Re: [CMLHope] off Sprycel
>
>
>
> On Tuesday, June 9, 2015, Choi <saehyun...@naver.com> wrote:
>
> Hi, this is Choi from South Korea. One of my CML friends had some problems
> and I just wonder who had a similar experience.
>
> He was diagnosed with CML chronic phase on july 2012 and started Gleevec
> 400mg for 16 months and switched to Sprycel due to E355G mutation.
> At that time his PCR was 1.89. He started Sprycel  and E355G mutaiton was
> disappered. He was on Sprycel for 12 months.
> He developed pleural effusions after 12 months of Sprycel at that time his
> dose was 100mg. His doctor stopped Sprycel for 2 weeks and restarted
> Sprycel 80mg for 3 months.
> Once again he developed pleural effusions so he was off Sprycel for 4
> weeks and restarted Sprycel 60mg until now and still had minor pleural
> effusions.
> PCR count was 0.37, 0.47, 0.45 and never drop to under 0.1% so his doctor
> was considering to switch to other drugs but hesitated to switch because of
> he had E355G mutation.
> Is there any one who had a similar experience?
>
> Choi.
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