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#1 tazdad08

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Posted 12 January 2016 - 09:14 AM

What amount of memory issues do we consider par for the course and when we do get concerned?? I have noticed that over the past 4 years my side effects are like a wave pool. Some side effects are worse at times while others are minimal. Then they switch roles as to what side effect is more prevalent. My mind has been very weak for a few weeks now.....To the point that I called the wrong school to tell the teacher that my 7 year old forgot his lunch and someone will bring him one. I don't even know why I googled the school that I did...When do I seek help? This honestly scared the shit outta me. I have known, and talked to my wife, about the fact that I am in a forgetful stage. I am embarrassed and worried. This could be dangerous. I am only 44 years old and am trying to work part time at a job that I could do in my sleep before diagnosis... I had to cut back because of cml and side effects. I was always used to working 50/60 hours a week and then taking care of horses and constantly working on remodeling the house and that type of work. This is really starting to get to me. I had accepted the "new me", but it seems like the "new me" is going away. 


Diagnosed in September 2011. Tried one year of Sprycel. Had great response. Became undetectable in a few months. Changed to Tasigna hoping for less side effects. Self medicated myself down to 20% dose and held for 3 years before becoming detectable again. It has been a journey that has helped me realize what life is about! I am all about a balanced life. I firmly agree with my decision to lower my dose. What is life if you aren't living? Mine will never be the way it was, but it is going to be as good as I can make it! Drs PRACTICE medicine, we can guide our dr to help us with a better life! Don't settle until it's acceptable to you!


#2 kat73

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Posted 12 January 2016 - 01:53 PM

I feel so much the same way.  I'm older than you, so I'm always terrified of Alzheimer's showing up.  It would take bravery, but you could talk to your primary care doctor and ask to get a baseline cognitive workup from a neurologist, in the hope that you pass with flying colors and can relax. 

 

I think two things about the brain fog:  One is, I'm a big believer that heavy stuff that's on our mind doesn't go away just because we're not thinking about it at the moment.  It's an old slumbering bear, still in there, taking up space.  And when part of your mind is working on your problems (moving from the bear analogy to a factory one), even unconsciously, the rest of your mind is having to take up the slack and is overworked, distracted, and tired.  That's when the mind makes mistakes, like calling the wrong school.  The second thing is:  once we start noticing a new symptom, we begin to see it all over the place and all the time, and it takes on a larger dimension, given the food of fear.  As CMLers, I think we're always on hyper-alert, and we can get carried away.

 

So, like all the other stuff we deal with, it's so hard to know whether it's really a real thing, and if it is real, is it a side effect of the TKI or something else - malign/benign, old age, etc.  I wish I knew what a possible scenario might be for TKI-induced brain fog (and ditto for the otherwise unexplained fatigue you also mention) - Trey?  All I can tell you, Tazdad, is you're not alone.  I have about half the capabilities I had before CML - energy, stamina, smarts, speed, strength, accuracy, memory, focus, articulation, you name it.  Half. The looks are gone, too, but you didn't ask about that!


Dx July 2009 on routine physical.  WBC 94.  Started Gleevec 400 mg Sept 2009.  MMR at 2yrs.  Side effects (malaise, depression/anxiety, fatigue, nausea, periorbital edema) never improved.  Kidney issues developed because of Gleevec.  Switched to Sprycel 70 mg in Aug 2011.  Above side effects disappeared or improved.  Have been MR3.5 - 4.5 ever since.  Two untreated pleural effusions followed by one treated by stopping Sprycel Jan 2017.  After 9 weeks, PCR showed loss of MMR; re-started Sprycel at 50 mg and in 3 months was back to <0.01% IS.  Pleural effusion returned within a couple of months, same as before (moderate, left side only).  Stopped Sprycel 50 mg for 12 weeks; pleural effusion resolved.  At about a monthoff the drug, PCR was 0.03; at 11 weeks it was 2.06 - lost CCyR? Have returned to 50 mg Sprycel for 3 weeks, intending to reduce to 20 mg going forward.


#3 tazdad08

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Posted 12 January 2016 - 04:35 PM

lol Kat... We have to keep a sense of humor to survive. I am usually very positive, but this scared me. I normally just laugh at myself and say "o well". There is one benefit to chemo brain..... reruns arent as boring!


Diagnosed in September 2011. Tried one year of Sprycel. Had great response. Became undetectable in a few months. Changed to Tasigna hoping for less side effects. Self medicated myself down to 20% dose and held for 3 years before becoming detectable again. It has been a journey that has helped me realize what life is about! I am all about a balanced life. I firmly agree with my decision to lower my dose. What is life if you aren't living? Mine will never be the way it was, but it is going to be as good as I can make it! Drs PRACTICE medicine, we can guide our dr to help us with a better life! Don't settle until it's acceptable to you!


#4 rcase13

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Posted 12 January 2016 - 06:53 PM

Yep I can reread a book a year later and its all new to me. It's wonderful!

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!


#5 dede5

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Posted 12 January 2016 - 11:20 PM

  All I can tell you, Tazdad, is you're not alone.  I have about half the capabilities I had before CML - energy, stamina, smarts, speed, strength, accuracy, memory, focus, articulation, you name it.  Half. The looks are gone, too, but you didn't ask about that!

Kat, you hit all those nails on the head.

 

Also, I truly believe the Reader's Digest quote and column, 'Laughter is the Best Medicine'. Don't know how else I would've made it this far, that and my faith.


Dx: 01 March 2011

Sprycel 100 mg per day since dx 

MMR: July 2013

numerous side effects 

Thankful for the gift of each new day, and try to live it to the fullest  :D


#6 chrissy778

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Posted 14 January 2016 - 05:36 AM

I backed into the garage door with our car because I thought I hit the button to open it and was not paying attention.

Its never to late to live happily ever after/ Do not squander time; for that's the stuff life is made of


#7 kat73

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Posted 14 January 2016 - 12:55 PM

Chrissy - I did the exact same thing - only ten years before I got CML!  I guess that gives me a lower baseline to measure from . . .


Dx July 2009 on routine physical.  WBC 94.  Started Gleevec 400 mg Sept 2009.  MMR at 2yrs.  Side effects (malaise, depression/anxiety, fatigue, nausea, periorbital edema) never improved.  Kidney issues developed because of Gleevec.  Switched to Sprycel 70 mg in Aug 2011.  Above side effects disappeared or improved.  Have been MR3.5 - 4.5 ever since.  Two untreated pleural effusions followed by one treated by stopping Sprycel Jan 2017.  After 9 weeks, PCR showed loss of MMR; re-started Sprycel at 50 mg and in 3 months was back to <0.01% IS.  Pleural effusion returned within a couple of months, same as before (moderate, left side only).  Stopped Sprycel 50 mg for 12 weeks; pleural effusion resolved.  At about a monthoff the drug, PCR was 0.03; at 11 weeks it was 2.06 - lost CCyR? Have returned to 50 mg Sprycel for 3 weeks, intending to reduce to 20 mg going forward.


#8 CML2012

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Posted 14 January 2016 - 09:06 PM

Oh my. My kids keep fussing at me for asking repetitive questions. I definitely need them to read this post. By the way I am a school teacher. (I hope you got lunch to your child). I do ok but when you are tired you do become forgetful. My family says it is my age but I am only 45! I know all of this is not funny but you guys did make me laugh!!
Diagnosed CML December 2012
Gleevec 400 mg
PCR 53%, 41%, 1.69%, 5.63% (Mutation test negative) September 2013
Sprycel 100 mg
PCR 1.1%, 0.2%, 0.2%, 0.6%, .09%, .06%, PCRU June 2015, PCRU Sept 2015, PCRU Dec 2015, 0.042% Mar 2016, 0.122% April 2016, 0.19% June 2016, 0.176% July 2016, .052% Sept 2016, .031% Nov 2016
Diagnosed Basel Skin Cancer December 2012, October 2014 (All cancer removed)
Diagnosed Melanoma April 2015 (All cancer removed)

#9 Frogiegirl

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Posted 15 January 2016 - 10:51 AM

I have a note book I jot things down in when I think of them. ....have note books everywhere even in my car. After waking for my 3a.m tasigna dose I recently wrote "mow front lawn" um there's two feet of snow out there. ....felt good crossing it off the list.

Diagnosed Oct 2013 Started 600mg of Tasigna  on Nov 4th. Lowered dose a few months later to 300mg due to side affects stayed here declining PCR until March 2015 small jump from 0.0072 to 0.0083 scarred my doc into full dose of Tasigna again 600mg(been miserable since) but reached PCRU 06/15/2015(next test) and have been there ever since. Hoping to have another little one. I have the support of my doc to go off anytime, just scared to jump. might go two years PCRU but he said it wont make much of a difference. I just figured I could possibly go into a trial while preggers if I got the two years behind me.

Nov 8th 2017 went off Tasigna

Dec 1st PCRU off TKI

Jan 5th PCR Detected .0625

Feb 1st PCR Detected .7815

Added 8-6 grams Curcumin daily in Feb

March 3rd PCR Detected 3.2646 YIKES!

 stopped trying for baby after February reading. will start new TKI march 16th 2017 (Sprycel)

FYI I'm not done trying for my last little one.


#10 tazdad08

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Posted 15 January 2016 - 01:51 PM

WOW.... I actually forgot that I posted this. I did enjoy the laughs and made me feel better. Hope those garage doors and up and the snow got mowed!!!  Thanks to my cml family!


Diagnosed in September 2011. Tried one year of Sprycel. Had great response. Became undetectable in a few months. Changed to Tasigna hoping for less side effects. Self medicated myself down to 20% dose and held for 3 years before becoming detectable again. It has been a journey that has helped me realize what life is about! I am all about a balanced life. I firmly agree with my decision to lower my dose. What is life if you aren't living? Mine will never be the way it was, but it is going to be as good as I can make it! Drs PRACTICE medicine, we can guide our dr to help us with a better life! Don't settle until it's acceptable to you!


#11 tazdad08

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Posted 15 January 2016 - 01:57 PM

Oh my. My kids keep fussing at me for asking repetitive questions. I definitely need them to read this post. By the way I am a school teacher. (I hope you got lunch to your child). I do ok but when you are tired you do become forgetful. My family says it is my age but I am only 45! I know all of this is not funny but you guys did make laugh!!

Yep.... thank God his mom is good to me.. She took it to the right school. lol..


Diagnosed in September 2011. Tried one year of Sprycel. Had great response. Became undetectable in a few months. Changed to Tasigna hoping for less side effects. Self medicated myself down to 20% dose and held for 3 years before becoming detectable again. It has been a journey that has helped me realize what life is about! I am all about a balanced life. I firmly agree with my decision to lower my dose. What is life if you aren't living? Mine will never be the way it was, but it is going to be as good as I can make it! Drs PRACTICE medicine, we can guide our dr to help us with a better life! Don't settle until it's acceptable to you!


#12 winespritzer

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Posted 15 January 2016 - 02:13 PM

So maybe brain fog made me phone the same sprycel funder back to back. And when I heard the same name twice, I thought it was a very popular name. The person was nice and told me I had just called her. In any event I didn't make the income cutoff and was turned down. Yikes, now gotta pay out until I hit $4700, I think and then a percentage of cost. Yuck.
I know I have truly mastered procrastination and napping.
I have also texted many people in error, if they have the same first name. I was forgetful before cml but now, forget it. Blueberries don't help.
I do think about dementia. My husband has it and I know it affects the spouse. Yesterday I went out and left the gas on. Quitting cooking.
Humor though is the super med.
Winespritzer

CML History....

DX-1/14....wbc....55....100mg Sprycel-1 wk after DX....periorbital edema, fatigue,

.385-4/14

.365-7/14

.13-10/14

.11-1/15

.045-4/15

.07-7/15

.06-10/15

.04-1/16

0.00- 4/16-10/17

 

70mg Sprycel...11/4/17....40 mg prednisone (7 days)....thoracentisis...10/26/17

tremendous reduction w periorbital edema and fatigue


#13 Buzzm1

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Posted 15 January 2016 - 02:19 PM

So maybe brain fog made me phone the same sprycel funder back to back. And when I heard the same name twice, I thought it was a very popular name. The person was nice and told me I had just called her. In any event I didn't make the income cutoff and was turned down. Yikes, now gotta pay out until I hit $4700, I think and then a percentage of cost. Yuck.
I know I have truly mastered procrastination and napping.
I have also texted many people in error, if they have the same first name. I was forgetful before cml but now, forget it. Blueberries don't help.
I do think about dementia. My husband has it and I know it affects the spouse. Yesterday I went out and left the gas on. Quitting cooking.
Humor though is the super med.
Winespritzer

While In the Donut Hole, Medicare Consumers pay:

2016: 45% for brand-names and 58% for generics
For 2016, the Medicare Donut Hole will be $3,310 to $4,850.


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


#14 winespritzer

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Posted 15 January 2016 - 03:43 PM

Thanks Buzz,
I forgot that pricing would be different in 2016. Does all of this mean that once I pay out $4850, my next bills will be 45per cent of about $11,000? I think that's the cost of sprycel, unless it increased.
I sure will hate getting a 3 month supply and having something go awry that would force me to discontinue the med. What a waste of money that would be. Will ask onc for a month prescription. If I could get 2 weeks, I would even do that.
Praying to be one of those cessationists!!!
Winespritzer

CML History....

DX-1/14....wbc....55....100mg Sprycel-1 wk after DX....periorbital edema, fatigue,

.385-4/14

.365-7/14

.13-10/14

.11-1/15

.045-4/15

.07-7/15

.06-10/15

.04-1/16

0.00- 4/16-10/17

 

70mg Sprycel...11/4/17....40 mg prednisone (7 days)....thoracentisis...10/26/17

tremendous reduction w periorbital edema and fatigue


#15 Buzzm1

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Posted 15 January 2016 - 03:55 PM

Thanks Buzz,
I forgot that pricing would be different in 2016. Does all of this mean that once I pay out $4850, my next bills will be 45per cent of about $11,000? I think that's the cost of sprycel, unless it increased.
I sure will hate getting a 3 month supply and having something go awry that would force me to discontinue the med. What a waste of money that would be. Will ask onc for a month prescription. If I could get 2 weeks, I would even do that.
Praying to be one of those cessationists!!!
Winespritzer

Winespritzer, with most Medicare supplement plans, once you have entered catastrophic coverage (beyond the donut hole), you pay 5% of the cost of the drugs; $11,000 x .05 = $550/mo. ... with Kaiser Senior Advantage, when I enter catastrophic coverage, it's only a $12 co-pay for one month of TKI (I don't know if that has increased for 2016).


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


#16 winespritzer

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Posted 15 January 2016 - 10:57 PM

Thank you Buzz,
I guess for next year I should shop for a better plan such as yours. Am going to seek help from my union.
Winespritzer

CML History....

DX-1/14....wbc....55....100mg Sprycel-1 wk after DX....periorbital edema, fatigue,

.385-4/14

.365-7/14

.13-10/14

.11-1/15

.045-4/15

.07-7/15

.06-10/15

.04-1/16

0.00- 4/16-10/17

 

70mg Sprycel...11/4/17....40 mg prednisone (7 days)....thoracentisis...10/26/17

tremendous reduction w periorbital edema and fatigue


#17 Gail's

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Posted 16 January 2016 - 03:09 PM

I found a page oat Medicare.gov that compares supplemental insurance coverage. You plug in all the drugs you take and it gives you the annual out of pocket cost for a years' worth of your drugs. It even listed alternate drugs you might take to compare with expensive brand names. My annual costs ranged from 8900 to 11000. That doesn't include dr visit or lab copays. The plan that was 8900 out of pocket is $50/mo premium and has some vision and dental too. I checked on Kaiser supplemental plans and the one that seemed the best was $239/mo. Still with about $6000/year out of pocket prescription cost just for imatinib. I didn't ask them about the costs for the diabetes and depression meds I take. I honestly don't know how I'm going to make it $ wise. I think even with pension and retirement as well as SS I'll still be poor enough to get food stamps and maybe housing assistance if those programs are still around in 2 years. Or I may wheel my walker to work till I die!
Diagnosed 1/15/15
FISH 92%
BMB 9:22 translocation
1/19/15 began 400 mg gleevec
1/22/15 bcr 37.2 IS
2/6/15 bcr 12.5 IS
3/26/15 bcr 10.3 IS
6/29/15 bcr 7.5 IS
9/24/15 bcr 0.8 IS
1/4/16 bcr 0.3 IS
Started 100 mg dasatinib, mutation analysis negative
4/20/16 bcr 0.03 IS
8/8/16 bcr 0.007 IS
12/6/16 bcr 0.002 IS
Lowered dasatinib to 70 mg
4/10/17 bcr 0.001 IS
Lowered dasatinib to 50 mg
7/5/17 bcr 0.004 IS
8/10/17 bcr 0.001. Stopped TKI in prep for September surgery.
9/10/17 bcr 0.006
10/10/17 bcr 0.088

#18 winespritzer

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Posted 17 January 2016 - 08:41 PM

Dear Gail,
Thank you for the lead. What a life we now lead! Am just telling myself to be happy there's a drug for cml. I too will be broke down the rd with probable need for my other conditions and my husband's...even w my pension and ss.
It is kind of crazy that our drugs ain't covered by Medicare because we take them orally, not via infusion.
But I know we have much to be grateful for...including this site.
Young friend of mixed ancestry needs bone marrow trans for her aml by April.

CML History....

DX-1/14....wbc....55....100mg Sprycel-1 wk after DX....periorbital edema, fatigue,

.385-4/14

.365-7/14

.13-10/14

.11-1/15

.045-4/15

.07-7/15

.06-10/15

.04-1/16

0.00- 4/16-10/17

 

70mg Sprycel...11/4/17....40 mg prednisone (7 days)....thoracentisis...10/26/17

tremendous reduction w periorbital edema and fatigue


#19 winespritzer

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Posted 17 January 2016 - 08:43 PM

Try walking for the depression. That seems to help me...plus chocolstes, lots!!!But don't skip the meds either.
Be well,
Winespritzer

CML History....

DX-1/14....wbc....55....100mg Sprycel-1 wk after DX....periorbital edema, fatigue,

.385-4/14

.365-7/14

.13-10/14

.11-1/15

.045-4/15

.07-7/15

.06-10/15

.04-1/16

0.00- 4/16-10/17

 

70mg Sprycel...11/4/17....40 mg prednisone (7 days)....thoracentisis...10/26/17

tremendous reduction w periorbital edema and fatigue


#20 Buzzm1

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Posted 17 January 2016 - 08:56 PM

I found a page oat Medicare.gov that compares supplemental insurance coverage. You plug in all the drugs you take and it gives you the annual out of pocket cost for a years' worth of your drugs. It even listed alternate drugs you might take to compare with expensive brand names. My annual costs ranged from 8900 to 11000. That doesn't include dr visit or lab copays. The plan that was 8900 out of pocket is $50/mo premium and has some vision and dental too. I checked on Kaiser supplemental plans and the one that seemed the best was $239/mo. Still with about $6000/year out of pocket prescription cost just for imatinib. I didn't ask them about the costs for the diabetes and depression meds I take. I honestly don't know how I'm going to make it $ wise. I think even with pension and retirement as well as SS I'll still be poor enough to get food stamps and maybe housing assistance if those programs are still around in 2 years. Or I may wheel my walker to work till I die!

Gail, can you post the link for the page you cited ... tia


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





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