WBC upward trend
Posted 26 October 2015 - 11:02 AM
I was diagnosed with CML 3 months ago. I am on Spyrcel 100mg. My WBC went down the normal range at a Point in time. But for about 6 weeks now, I have noticed that the WBC is moving up. My result this morning indicates that it is 7.16. Two weeks,ago it was 6.56. Is there something wrong?
Posted 26 October 2015 - 12:19 PM
WBC normal is 3.5 - 12.5 K/uL
02/2010 Gleevec 400mg
2011 Two weakly positives, PCRU, weakly positive
2012 PCRU, PCRU, PCRU, PCRU
2013 PCRU, PCRU, PCRU, weakly positive
2014 PCRU, PCRU, PCRU, PCRU (12/07 began dose reduction w/each continuing PCRU)
2015 300, 250, 200, 150
2016 100, 50/100, 100, 10/17 TFR
2018 01/16 TFR 0.0004 ... next quarterly PCR 04/17
At the earliest opportunity, and whenever possible, lower your TKI dosage; TKIs are toxic drugs and the less we take longterm the better off we are going to be ... this is especially true for older adults.
In hindsight I should have started my dosage reduction two years earlier; it might have helped minimize some of the longterm cumulative toxic effects of TKIs that I am beset with.
longterm side-effects Peripheral Artery Disease - legs (it's a bitch); continuing shoulder problems, right elbow inflammation. GFR and creatinine vastly improved after stopping Gleevec.
Cumulative Gleevec dosage estimated at 830 grams
Taking Gleevec 400mg an hour after my largest meal of the day helped eliminate the nausea that Gleevec is notorious for.
Posted 26 October 2015 - 12:24 PM
But that does make me wonder at what PCR percent we will start to see elevated WBC.
10/01/2014 100% Diagnosis (WBC 278k, Blasts 6%, Spleen extended 20cm)
Posted 26 October 2015 - 08:19 PM
WBC is not very useful for determining drug response status. Rely on your FISH and PCR tests to show how you are responding to drug therapy. Many have low counts on TKI drugs, but not all. We are all different.
At 3 months you should have another FISH and PCR. See what those show and report back to us.
Posted 28 October 2015 - 01:43 AM
Forget about your CBC'S now your doing fine.
Your white blood is in normally range.
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