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15 months on Tasigna, ankle and weird foot problems.


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#1 rcase13

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Posted 26 December 2015 - 07:48 PM

15 months on Tasigna with the regular side effects. A new one has developed lately that is odd. Having weird pains around my ankles that feels like bruising but there are no signs of bruising. I see my OnC in a couple days but I am concerned now and losing sleep over it from worrying about it. I never know what is a side effect of CML and what is something else. I don't have any obvious swelling that I can detect. It seems to feel better when I take my socks off. Is this freaky or what?

Hope everyone had a good holiday. My 13 year old seems to be happy and that is not easy with a teenager.

10/01/2014 100% Diagnosis (WBC 278k, Blasts 6%, Spleen extended 20cm)

01/02/2015 0.06% Tasigna 600mg
04/08/2015 0.01% Tasigna 600mg
07/01/2015 0.01% Tasigna 600mg
10/05/2015 0.02% Tasigna 600mg
01/04/2016 0.01% Tasigna 600mg
04/04/2016 PCRU Tasigna 600mg
07/18/2016 PCRU Tasigna 600mg
10/12/2016 PCRU Tasigna 600mg
01/09/2017 PCRU Tasigna 600mg
04/12/2017 PCRU Tasigna 600mg
10/16/2017 PCRU Tasigna 600mg
01/15/2018 PCRU Tasigna 600mg

 

Cancer Sucks!


#2 Trey

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Posted 27 December 2015 - 10:52 PM

I have had pain just below the lateral malleolus (outside ankle bone) of my right foot for quite a while.  Seems to be a deep tendon.



#3 rcase13

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Posted 27 December 2015 - 11:01 PM

Mine pain is weird it feels like the feet and ankles are painfully swollen but they don't appear to be swollen.

10/01/2014 100% Diagnosis (WBC 278k, Blasts 6%, Spleen extended 20cm)

01/02/2015 0.06% Tasigna 600mg
04/08/2015 0.01% Tasigna 600mg
07/01/2015 0.01% Tasigna 600mg
10/05/2015 0.02% Tasigna 600mg
01/04/2016 0.01% Tasigna 600mg
04/04/2016 PCRU Tasigna 600mg
07/18/2016 PCRU Tasigna 600mg
10/12/2016 PCRU Tasigna 600mg
01/09/2017 PCRU Tasigna 600mg
04/12/2017 PCRU Tasigna 600mg
10/16/2017 PCRU Tasigna 600mg
01/15/2018 PCRU Tasigna 600mg

 

Cancer Sucks!


#4 Harper3994

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Posted 28 December 2015 - 10:58 AM

On Tasigna since July and have had same symptoms on and off. Oncologist did not seem concerned. Right now thigh muscle down to my knee very tender. If your doc does not have a lot of patients on this med. They do not hear about all the different side effects. When I told her about my head itching she looked at me "like oh really". Very frustrating. I am very tried of having to see her every month too. She tells me that is their protocol.

#5 Trey

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Posted 28 December 2015 - 08:25 PM

Tendons and ligaments can injure more easily and take longer to heal.  Muscles can have pain that lasts for quite a while.  Both types of pain appear to be related to mineral imbalances caused by the TKI drugs.  Increased intake of minerals may be helpful to some degree but is probably not going to eliminate all such pain.  Over time the body seems to adapt, but some residual issues will remain.



#6 tiredblood

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Posted 28 December 2015 - 08:30 PM

I was on Tasigna for 22 months. My legs swelled from the knees down, and the skin was very tender to touch.  Now that I'm off the med, I still have swelling, but the tender skin has resolved.  IIRC, the tenderness got a little better before I stopped the TKI.



#7 IGotCML

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Posted 28 December 2015 - 09:07 PM

15 months on Tasigna with the regular side effects. A new one has developed lately that is odd. Having weird pains around my ankles that feels like bruising but there are no signs of bruising. I see my OnC in a couple days but I am concerned now and losing sleep over it from worrying about it. I never know what is a side effect of CML and what is something else. I don't have any obvious swelling that I can detect. It seems to feel better when I take my socks off. Is this freaky or what?

Hope everyone had a good holiday. My 13 year old seems to be happy and that is not easy with a teenager.

I have similar "ghost pains" in my shins. My shins occasionally feel like they have been bruised, similar to the feeling of shin bruises I got from playing football as a youth. However, there is no sign of bruising. This happens 2 or 3 times a month and as I have been on Tasigna for 3 years, I am used to this. It would actually surprise me if I did see any bruising.



#8 jmoorhou

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Posted 29 December 2015 - 06:18 PM

I have this now too, but it is not serious.  I've been swimming and that seems to help.  I had this very bad when I was taking diuretics.  Diuretics are known for flushing minerals out of the body.

 

I had to stop them and it got better for a long time.

 

I also started having smoothies every day with at least one banana, all cramps went away, which shows as Trey said minerals like potassium are affected.


Diagnosed 3/2014 WBC 28 Non detectable within 3 monthsGleevec 400 mg 5/2014 one hour after dinner really improves nausea300 mg 12/15/2016200 mg and 300 mg Gleevec 2/25/2017 (after 3 years on Gleevec) For last four months taking 300 mg per day. Last CMC showed liver enzymes elevated, went to a good Naturopath and he recommended 4 Tumeric, 10,000 mg Vitamen D, and 3 milk thistle (silymarin) daily. Also use One<p>Day Detox Dandeloin tea, and Nettle Tea and a slice of ginger every day...in two months liver tests were below normal.Janis

#9 Terran

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Posted 29 December 2015 - 11:15 PM

Tendons and ligaments can injure more easily and take longer to heal. Muscles can have pain that lasts for quite a while. Both types of pain appear to be related to mineral imbalances caused by the TKI drugs. Increased intake of minerals may be helpful to some degree but is probably not going to eliminate all such pain. Over time the body seems to adapt, but some residual issues will remain.

This must be why I sprained my ankle for the first time in my 45 years this summer and then again last month.

#10 Lucas

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Posted 02 July 2016 - 06:14 AM

Hey, rcase, i'm having the same problems now. Can barely walk. What you did to get better? Cheers.

#11 rcase13

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Posted 02 July 2016 - 08:35 PM

Hey, rcase, i'm having the same problems now. Can barely walk. What you did to get better? Cheers.


It just resolved itself I guess. Honestly I have so many weird things I have learned to just ignore them. Just our wonderful lives on TKI.

10/01/2014 100% Diagnosis (WBC 278k, Blasts 6%, Spleen extended 20cm)

01/02/2015 0.06% Tasigna 600mg
04/08/2015 0.01% Tasigna 600mg
07/01/2015 0.01% Tasigna 600mg
10/05/2015 0.02% Tasigna 600mg
01/04/2016 0.01% Tasigna 600mg
04/04/2016 PCRU Tasigna 600mg
07/18/2016 PCRU Tasigna 600mg
10/12/2016 PCRU Tasigna 600mg
01/09/2017 PCRU Tasigna 600mg
04/12/2017 PCRU Tasigna 600mg
10/16/2017 PCRU Tasigna 600mg
01/15/2018 PCRU Tasigna 600mg

 

Cancer Sucks!


#12 Buzzm1

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Posted 03 July 2016 - 09:12 AM

Hey, rcase, i'm having the same problems now. Can barely walk. What you did to get better? Cheers.

Lucas, I don't know your CML history/TKI dosage but your symptoms could easily be a sign of too much TKI in your system.  TKIs are toxic drugs and it is all too easy to overwhelm our body's ability to contend with this toxicity even if we are on a reduced TKI dosage.  

 

Known Side-effects

Gleevec Imatinib http://bit.ly/1SWEl7W
Tasigna Nilotinib http://bit.ly/1RNVh1i
Sprycel Dasatinib http://bit.ly/1Klbqn3
Bosulif Bosutinib http://bit.ly/1OXC7DL
Iclusig Ponatinib http://bit.ly/1nbKWzI


For the benefit of yourself and others please add your CML history into your Signature

 

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

2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000

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.  

 

Trey's CML BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

Big PhRMA - Medicare Status - Social Security Status - Deficit/Debt


#13 Lucas

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Posted 03 July 2016 - 11:55 AM

Thanks, guys. I was on a trip and fell and hurt my back and arms. I was on ketoprofen for 7 days. Maybe there's some interaction between those drugs. I was dx with cml in 2013. Spent 9 months on gleevec, had a change to nilotonib 800mg due lack of response and now i'm pcru - two tests in a rolê from different Labs. Cheers

#14 Buzzm1

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Posted 03 July 2016 - 12:13 PM

Thanks, guys. I was on a trip and fell and hurt my back and arms. I was on ketoprofen for 7 days. Maybe there's some interaction between those drugs. I was dx with cml in 2013. Spent 9 months on gleevec, had a change to nilotonib 800mg due lack of response and now i'm pcru - two tests in a rolê from different Labs. Cheers

Lucas you might want to add your history into your Signature ... Nilotinib 800mg is a very heavy dose and you should consider beginning to gradually lower your dose lest you suffer even more symptoms of too much TKI in your system, especially since you are already PCRU and have been for roughly six months.  While it is true that younger patients can more easily tolerate the toxicity of TKIs, better than those of us who are older, there is still the likelihood of a longterm price to be paid for having an unnecessary level of TKI in your body.  


For the benefit of yourself and others please add your CML history into your Signature

 

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

2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000

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.  

 

Trey's CML BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

Big PhRMA - Medicare Status - Social Security Status - Deficit/Debt


#15 Lucas

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Posted 03 July 2016 - 12:37 PM

Thanks for the reply, buzz. I live in brazil and the dose for resistants is 800mg. I started to talk to my doctors about a reduction to 600mg and they told me to wait 2 more years. I had a response on nilotonib. Achived mmr in 3 months and had a 4 log response at 6 month's result have few side effects.

#16 gerry

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Posted 03 July 2016 - 05:20 PM

Gleevec caused me a few issues with muscles and tendons, worst was when some GPs would just say to me you're getting older. Apparently in late 40s was all downhill. After suffering months of pain I found a good acupuncturist who helped with one lot of unexplained swelling in my foot and returned the feeling to three toes in the other foot on another occasion. I even started to get major clicking in the top of my neck. Xray said a bit of deteriation and specialist told me I was getting older. This had started around the time I was stopping the Gleevec. After a couple of months it disappeared, still think it was Gleevec related.

#17 tiredblood

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Posted 03 July 2016 - 08:56 PM

IMO, what I think is tendon and/or ligament pain is different from the aches and pains of getting older. Seems like the shoulders are the place where the pain recurs most often. Also, at times, it has felt like the arches in my feet are drawing up.



#18 Red Cross Kirk

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Posted 03 July 2016 - 10:01 PM

Also, at times, it has felt like the arches in my feet are drawing up.

 

That's a very good description of what it feels like when I get a Gleevec foot cramp!


Kirk

 

9/25/2012  p210 transcript 118.7% IS @ Dx, begin Gleevec 400mg/day
12/2012  3.59% & bone marrow biopsy - no residual myeloproliferative features but detected 1/20 metaphases containing the Philadelphia chromosome
2013  0.914%, 0.434%, 0.412%
10/2013  0.360% & bone marrow biopsy - normal male karyotype with no evidence of a clonal cytogenetic abnormaltiy
2014  0.174%, 0.088%, 0.064%

2015  0.049%, decrease to Gleevec 200mg/day, 0.035%, 0.061%, 0.028%

2016  0.041%, 0.039%, 0.025%

2017  0.029%, 0.039%, switched to generic imatinib 200mg/day, 0.070%, 0.088%

2018  0.233%


#19 beno

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Posted 06 July 2016 - 04:01 PM

I have had pretty regular foot pain since my diagnosis.  It's not unbearable.  My onc first said it was probably bruising due to low platelet count, but the pain has persisted even though platelet counts are better.


DX 3/30/2016 WBC 484.2 FISH 95.3

took Hydrea 3/30-4/11

taking Sprycel 100 mg since 4/5

10 day break from Sprycel for platelet count of 12 4/26-5/8

7/07/2016 1.47% (IS)

9/30/16 BMB PCR .1259 switched to new onc

12/30/16 PCR .1569

4/7/17 PCR .0904 MMR

7/14/17 PCR .0520

12/1/17 PCR .0148





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