This will be my first post in the forum, but I have been reading since my diagnosis two months ago. I went to see GP because of pain in my abdomen which turned out to be an enlarged spleen. My onc told me the next day what I had and my tests showed WBC of 293K and PCR 85%. Doc put me on Hydrea initially and then doubled the dose after two weeks of not much progress. That did the trick and I started 600 mg of Tasigna two weeks later. After one week of both Hydrea and Tasigna and then 4 weeks of just Tasigna, I had a check up yesterday.
I knew my platelets were going to be low because I've recently developed the petechiae on my feet and legs. The onc said after talking to the other hematologist in the office, they both agreed they had never seen as strong a response to Tasigna in a patient. My WBC was 8K, RBC was a little low around 3.8M, but platelets were only 7K. I have not had any bleeding problems, so he told me to stop taking the Tasigna and prescribed Prednisone and told me to take 100 mg immediately (then apologized because I wouldn't be sleeping last night). I took another 60 mg this morning and went back for a platelet check this afternoon. The level was down to 4K today. Still no bleeding issues other than the petechiae, so I'm continuing the steroids over the weekend and checking in again on Monday. He told me if I see any bleeding to go straight to the emergency room.
My main question is this. Will the end game most likely be eventually platelets restore to a "normal" level and my dose of Tasigna will be lowered? I really don't want to switch to another TKI as my results have been good so far and the side effects other than this one have been very minimal (not even itchy scalp). How paranoid should I be over the next 2-3 days that I might accidentally cut myself in the kitchen and bleed out on the floor? How many others have experienced similar results 1 month into TKI therapy?
I look forward to your answers and the support that this group obviously has for others going through the same things.