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Sprycel 140 mg Side Effects


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#1 pammartin

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Posted 16 January 2012 - 09:27 PM

I hesitated in posting this, there is usually enough negative news lurking around.  But, because I mentioned several times I had little to no side effects on the Sprycel, I believe it is important to update my information, many people, including myself, look for past experiences of others.  It has been almost two months since I began the 140 mg Sprycel after my 3 week break due to blood work results.  Upon restarting I had litlte or no side effects, nothing like the initial beginnings on Sprycel 100 mg.  I noticed about five weeks ago I had a rash of sorts close to both sides of my nose on my cheeks, this ran the entire length of my face and between my eyes and a bit on my forehead.  The beginning of the rash held no discomfort, it was unattractive for personal vanity, but nothing I paid much attention too.  In the past three weeks the rash has become angry and irritated, it does seem to have cycles throughout the day, when it is really red, I feel a bit uncomfortable throughout my body, nothing I could describe in one part, just an odd and unpleasant feeling.  The rash is also very hot, feeling and to the touch, almost like a serious sun burn after a day at the beach.  The interesting part of this is the hot and major redness cycle, (I guess I mentioned this before).  It does not stay hot, nor does it stay sun burn red, the entire cycle lasts between 30 minutes to an hour, but can happen several times a day.  I secured a prescription for MetroGel, I have only had it two days, too early to tell if it seems to be helping or not.

The other side effect, and perhaps the one that is bothering me, again for vanity sake, is hair loss.  It has become serious in the past few weeks, my pillows are full of hair, my clothing and coats are loaded, and I can not see very thin patches, especially on the left side of my head.  I have stopped washing my hair every day, sometimes I go three days but it about drives me insane, I have considerable hair loss in the shower also, lightly scrubbing and using small amounts of a gentle shampoo does not seem to help.  I usually have to clean quite a bit of hair out of the drain, I thought at first it was my imagination, then I thought it would be just a short term side effects, perhaps from just not being completely healthy, but I have had to come to the conclusion it is probably the Sprycel and unless I am able to reduce the dosage quickly (even then it may be too late) I am preparing myself for a bald is beautiful phase.  I have read many stories, facts, and personal experiences with TKI's and hair loss, and the one thing I hold on too, even at the 140 mg dose is, the hair cycle seems to become dormant for about three months, the hair falls out, the follicle remains dormant, and then somehow the body adjusts and the hair begins to grow again.  It will be a long few months I fear, it is funny I have never worried about hair much, mine is natural curl, so if I spent ten minutes on it, I always said it was about 8 minutes too long.  Guess humility is yet another trait I am relearning because of the leukemia.  In the scope of life, overall health, response, and the battles so many face concerning leukemia and other cancers, hair loss is nothing, but for some reason it is bothering me more than I ever thought possible, even though I know it should be insignificant.  I would like to focus on the fact the TKI's seem to be destroying the leukemia cells, and if the latest labs come back as positive as the previous ones, I have had an awesome response after such a rough start, but I mourn the loss of my head of hair like an old friend.  Such a silly thing, but I can't seem to stop the emotions.



#2 GermanGirlxoxo

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Posted 16 January 2012 - 09:57 PM

It's not a silly thing at all, when I found out I was losing hair I cried my eyes out and didn't talk to anyone for about two weeks. No one! It's just part of being human and being a girl, it is vainity but yet our hair is what makes us feel pretty and different from others. I understand your mourning and I experenced the same response and no one understood. I'm glad you postd this and kept us all up to date : ). I wish you well with your battle and hope it starts getting easier for you hun!



#3 pamsouth

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Posted 16 January 2012 - 10:16 PM

PamMartin,  I don't think any of us ladies want to lose our hair. 

However a friend of mine who has breast cancer, went thru severa chemo, and she knew she was going to lose her hair.  So for awhile she had a real short bob, but as it thinned out she just shaved it.  She now has about 1/2 inch of hair coming in.  However she had a mastectomy and is now having radiation. I am not sure if the radiation will effect the hair loss,again.  Well another thing about this friend, she has www.caringbridge.org and she posted a bunch of pictures and made it into a fun game.  Like she started the short hair cut bob, then the shave.  Then she started making all kind of cool hats. Like one for Halloween, Thanksgiving, etc.  She is very talented.  Then she made other crafts for the doctor and staff.  Even though she suffered terribly, she somehow manage to be creative, in a lot of way.  Now I must say she has a husband who is a True Saint, in ever way, who waits on her hand and foot, goes   to her chemo, clean house, grocery shops, etc.

So far 6 1/2 year on Gleevec I have not lost my hair.  There was one time it was falling out a bit much in the shower but I am pretty sure it was this new hair color that I had tried.  I am so hoping I never have to change TKI's as it is scary to me, not knowing how they might effect me down the road.  Of course I don't know that about Gleevec either, but it is going on 7 years and there are still some from trial 1998 that are still doing well on Gleevec, so got my finger crossed.  I am so glad I waited it out, but I didn't have a choice because that was all there was in 2005 Gleevec, So I just had to tuff it out for awhile.  I still have some problems but I can live with them.  Then again at 64 do you think part of it could be old age creeping up.

PamSouth


PamSouth


#4 Tedsey

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Posted 16 January 2012 - 10:50 PM

Please don't minimize your suffering.  Everyone has things to feel fortunate for.  But feeling sad about the things that make you suffer, by no means, dubs you an ingrate.  For crying out loud, leukemia is not the common cold!  It doesn't help to mope around and feel bad 24/7, but life is tough enough without this devastating illness.  Yes, others have it worse, but this is pretty bad.  Vanity, no matter how you slice it, is very important to the majority of females.  Regarding hair loss, from what I read, it appears there is no real support that the TKIs cause it.  But Sprycel hasn't been around that long.  I am on Sprycel too, but 100mg.  I have not noticed hair loss at this dose.  But between my daughter and me, we have long blonde hair all over our house!  I always wonder what it would be like if we had a dog that shed.  We would be buried in hair.  Sometimes stress can make hair fall out.  I know I definitely had hair loss when I was first dx, receding hairline and all.  But it came back.  And sometimes hormones play a roll.  Is it possible your hair loss is not related to the TKIs?  I totally get how horrible your rash is.  Since Sprycel, my beautiful complexion has vanished.  I look like a hormonal teenager most days.  I suffered from unsightly eczema through my childhood.  No one wanted to touch me.  I was a walking scab.  It was the worst in Jr. High...memories...  Oh, humility is often over-rated by those who have it, and especially under-rated by those who need it.  If the CML dx alone doesn't immediately fill one's mouth with a lifetime supply of humble pie, then that person definitely has a serious personality disorder.  Complain away.  The day we were told we have cancer, was the day we earned the right to bitc#.  So, if we of serious, and potentially deadly illness cannot complain, who then is more entitled?

Here is to your hair coming back with a vengeance, beautiful skin, and continued low-numbers,

Teds     



#5 pamsouth

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Posted 16 January 2012 - 11:01 PM

Teds,  Amen to  your post.  I couldn't have said it better, Thanks Pam


PamSouth


#6 Judy2

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Posted 16 January 2012 - 11:41 PM

Hi Pam Martin,

I understand how you feel. I developed seborrhea on Gleevec and such a bad rash on Tasigna that I had swelling. In terms of the hair loss, my hair started to fall out in the fall of 2010, before I was dx with CML or Wegeners. I had to go on prednisone for the Wegeners and when I started to come off the prednisone last fall, I was down to 2½ mg every other day, my hair started to fall out again. I then increased the dose back up it 2½ mg every day and my hair stopped falling out, I mean completely stopped falling out, it doesn't even shed the normal amount anymore. Also, my dermatologist told me I could increase the prednisone dose to 2½ mg and 5 mg, alternating each day. He told me this to help with my Gleevec rash and it did help. This amount of prednisone is a small amount as our body naturally produces 5 mg prednisone. You may want to see a dermatologist about your rash and hair loss and ask him what he thinks about  taking prednisone.

I will be starting 50 mg Sprycel tomorrow, probably today by the time you read this. I am also very concerned about side effects. It is totally understandable how you feel, it is not a silly thing. You have CML and need to take med to stay alive, med. that is having these awful side effects. It would be abnormal if you didn't have the feelings you have.  It is such an awful feeling to have these side effects, I know it makes me feel like I have no control of the situation and for me this leads to anxiety. I'm hoping if you can cut down on the mg the side effects will diminish. When are you seeing the specialist?

Hang in there, Pam. We are all  here for you.

Hugs,

Judy



#7 pammartin

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Posted 17 January 2012 - 11:34 AM

Hi PamSouth,

I tried to blame the hair loss on everything, including health and nerves, easy fixes compared to the med option, but unfortunately, it is probably the Sprycel.  The rash arrived almost exactly the same time as the hair loss began, it is just such a strong dose for any body, including mine.  Changing meds is a scary prospect, we never know how each one is going to affect us, our individual response, and the possible side effects that may become a way of life.  I wish you the best on your Gleevec, and am glad you have kept your hair!  Every plus we can find is another positive in our lives!

Pam (Martin variety)



#8 pammartin

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Posted 17 January 2012 - 11:37 AM

Thanks Teds, stress is one thing I have quite a bit of these days.  In reference to the hair, we have seven dogs in the house, only one does not shed, the rest......well they loose more hair than I ever had, is why I have two sweepers and one is an industrial type model.  I have a cup and bowl that states everything tastes better with dog hair in it, LOL.  Hopefully I do not have to find out as long as my sweepers are running.

Pam



#9 pammartin

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Posted 17 January 2012 - 11:43 AM

Hi Judy,

I have thought on this for a while now, and although it may be hard to understand, if my latest results are as positive as the ones three weeks ago (I should find out by Friday) I will not be heading to see a specialist at this time.  If my response is positive, my Sprycel dosage is lowered, there is not much another doctor, even a great one, can do for me.  The nice thought behind the referral is, if I need to see someone I will.  I mentioned to my husband on Friday, I do not seem to be nearly as interesting to the transplant doctor as I once was since my response seems to be moving forward.  Under different circumstances, I might find that very funny, instead I am just happy with my results.  I will keep you posted, as soon as I know what my latest labs are, I will pass them along.  I hope you are feeling well and enjoying some nice weather, it was warm yesterday and today, but tomorrow snow again.  Yuk, did you get those boots yet?

Pam



#10 CallMeLucky

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Posted 17 January 2012 - 12:54 PM

What a wonderful thing to have lost the interest of the BMT specialist.

As I said to my doctor during our first appointment - "my goal is to be your most boring patient".

I hope you get more positive results..


Date  -  Lab  -  Scale  -  Drug  -  Dosage MG  - PCR
2010/Jul -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 1.2%
2010/Oct -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.25%
2010/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.367%
2011/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.0081%
2011/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2011/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.00084%
2011/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.004%
2012/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Dec -  MSKCC  -  Non-IS  -  Sprycel  - 100 - 0%
2013/Jan -  Quest  -  IS  -  Sprycel  -  50-60-70  - 0%
2013/Mar -  Quest  -  IS  -  Sprycel  -  60-70  - 0%
2013/Apr -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.036%
2013/May -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.046%
2013/Jun -  Genoptix  -  IS  -  Sprycel  - 50 - 0.0239%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0192%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0034%
2013/Oct -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0054%
2014/Jan -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0093%
2014/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.013%
2014/Apr -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0048%
2014/Jul -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2014/Nov -  Genoptix  -  IS  -  Sprycel  - 100 - 0.047%
2014/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0228%
2016/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Dec - Genoptix  -  IS  -  Sprycel  -  100 - 0%
 

 


#11 Judy2

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Posted 17 January 2012 - 01:29 PM

Hi Pam Martin,

I am glad you are feeling better about your care and that you are finally getting positive results. Are you lowering your Sprycel dosage now or is that in the future? I took my first Sprycel pill today, so far I haven't imploded.

We had a dusting of snow last night, but so far this has been a mild winter. Sorry you may have snow tomorrow, I think it's my fault as I did not buy the boots. I'm on my way to buy them.......

Judy



#12 pammartin

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Posted 17 January 2012 - 05:44 PM

May we all have those same boring results for all our oncologist and hematologists Lucky!



#13 pammartin

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Posted 17 January 2012 - 05:47 PM

Crossing my fingers Judy, if my results are as low as the ones three weeks ago, I am back to 100 mg.  A bit nervous (mentioned this before) because of my initial non-response to the 100 mg dosage, but I sure won't miss the side effects that have begun, that is, if they return to their 'next to nothing' state.  Here's hoping!  I don't know if I feel better about the care, or because I seem to be responding there is no need to be speaking of transplants.  If I see my numbers start to go up significantly, you bet those new boots you are going to buy this evening my arse will be headed for Cleveland!



#14 Pin

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Posted 17 January 2012 - 05:54 PM

Haha - Martin variety! Too funny

The side effects really do suck don't they - I seem to have a new one every few weeks or so. It is really great to hear that your latest test results are much better though - I think I read in another post that they were 87% down to 1%? That is truly wonderful news! Especially given how interested the transplant doctor *was* in you...


Diagnosed 9 June 2011, Glivec 400mg June 2011-July 2017, Tasigna 600mg July 2017-present (switched due to intolerable side effects, and desire for future cessation attempt).

Commenced monthly testing when MR4.0 lost during 2012.

 

2017: <0.01, <0.01, 0.005 (200mg Glivec, Adelaide) <0.01, 0.001 (new test sensitivity)

2016: <0.01, <0.01, PCRU, 0.002 (Adelaide)

2015: <0.01, <0.01, <0.01, 0.013

2014: PCRU, <0.01, <0.01, <0.01, <0.01

2013: 0.01, 0.014, 0.016, 0.026, 0.041, <0.01, <0.01 

2012: <0.01, <0.01, 0.013, 0.032, 0.021

2011: 38.00, 12.00, 0.14


#15 Pin

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Posted 17 January 2012 - 05:56 PM

Lucky, you always say the best quotes to your doctor! I also liked the one about thinking about the appointment for the next 3 months - I can't remember how you put it but it was very eloquent :)


Diagnosed 9 June 2011, Glivec 400mg June 2011-July 2017, Tasigna 600mg July 2017-present (switched due to intolerable side effects, and desire for future cessation attempt).

Commenced monthly testing when MR4.0 lost during 2012.

 

2017: <0.01, <0.01, 0.005 (200mg Glivec, Adelaide) <0.01, 0.001 (new test sensitivity)

2016: <0.01, <0.01, PCRU, 0.002 (Adelaide)

2015: <0.01, <0.01, <0.01, 0.013

2014: PCRU, <0.01, <0.01, <0.01, <0.01

2013: 0.01, 0.014, 0.016, 0.026, 0.041, <0.01, <0.01 

2012: <0.01, <0.01, 0.013, 0.032, 0.021

2011: 38.00, 12.00, 0.14


#16 Judy2

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Posted 17 January 2012 - 05:57 PM

....and you can borrow my new boots for the trip.

Judy



#17 pammartin

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Posted 17 January 2012 - 08:07 PM

Pin,

Side effects suck, at the risk of being totally crass and without couth (once again) I tell my family constantly it is very difficult to discern if I am experiencing a leukemia shart, or it is just a plain ole ordinary shart.  Yes, that is what I was told last Friday, but am waiting for the new labs, I should have them by Friday. 

Pam (Martin variety)






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