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Is it the meds or that Im lazy that...


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#1 JPD

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Posted 15 September 2016 - 03:47 PM

Im soooo damn tired in the middle of the day.  47y/o male, decent diet.  Zero exercise.  Just cant manage it.  Sooooooooo tired through the middle of the day especially.  I cant tell if its the meds that are keeping me from exercising or if Im just a middle aged man who needs to exercise and that would give me more energy.  I likely know the answer to this (or what responses Ill get) but thought Id throw it out there anyway.

 

Its just so terribly depressing not having any energy.  I am too young to feel this shitty.  #sadface


January 15: .53%

April 15:       .78%

July 15:      1.1% - upped dosage to 400mg after this test

Oct 15:       .85%

December 15:  .28%

March 16: .29%

July 16: .34%

October 16: .11%

January 17: .081%

April 17: .055%

July 17: .135%

Oct 17: .008%


#2 tiredblood

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Posted 15 September 2016 - 07:04 PM

I feel the same JPD. I have to really push myself to stay up at night, going to bed earlier than I used to. Just as tired on 1/2 the dose.

#3 Floa7

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Posted 15 September 2016 - 07:12 PM

You guys had your Thyroid checked? I get mine checked every 6 months while on Tasigna.  But I am not tired, the more I do the more I have to find to do, just a bit hyper here. And I will be 66 next month.


1 2012 CML detected Started Gleevec 400 mg

In nov 2014 my pcr started to rise by Feb I stopped Gleevec and went onto

2 2015 Tasigna 600 mg/day

I have been PCRU for 2 years and stopped Tasigna 4 7 2017

5 8 2017 results 0.008

5 30 2017 results 0.028 

6 30 2017 results 0.3, I have restarted the Tasigna because it went above 0.1 

 

My son

11 2011 CML detected Started Gleevec 400 mg

He went 2 1/2 years on gleevec and lost PCRU

Started Sprycel went PCRU for 2 years and stopped the Sprycel, went back for 3 month checkup and PCR was 8.0

He went back onto Sprycel and now is PCRU again

3 16 2017 results 0.008

6 1 2017 results 0.002


#4 Trey

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Posted 15 September 2016 - 08:37 PM

A sentiment aptly expressed by that great philosopher Garth Brooks (with a little help from Chris LeDoux):

https://www.youtube.com/watch?v=n2qypaUPvPs

https://www.youtube.com/watch?v=OF-pyWeMLZs


Edited by Trey, 16 September 2016 - 07:32 PM.


#5 pammartin

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Posted 16 September 2016 - 06:15 AM

Garth & Chris LeDoux?  Now that is a way to start the day.



#6 snowbear

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Posted 16 September 2016 - 10:45 AM

A sentiment aptly expressed by that great philosopher Garth Brooks (with a little help from Chris LaDoux):

https://www.youtube.com/watch?v=n2qypaUPvPs

https://www.youtube.com/watch?v=OF-pyWeMLZs

The theme song of my life, lol



#7 kat73

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Posted 16 September 2016 - 02:42 PM

JPD - I couldn't agree more.  I can't understand why fatigue went unaddressed by the European LeukemiaNet summary of adverse effects/events (that Trey provided in another thread).  Although I read about it often here, and my onc agrees that he hears it a lot from his CML patients, it still gets the run-around from everybody in the medical/scientific community.  "Exercise - you'll get energy."  First of all, that's like saying, "Oh, you're blind? What you need to do is see."  Would if I could!  But can't.  Secondly, I've tried it and it's wrong.  I feel worse and even more tired.  Keeping at it doesn't help.  No progress is seen.  A flight of stairs at Day 20 feels just like a flight of stairs at Day 0.  "Get more rest."  Feels good, but doesn't make any difference.  "Pace yourself."  That means:  don't do anything you did in your former life - become a rutabaga - take up jigsaw puzzles and daytime TV.  "It could be depression."  Wow - ya think?  It's kind of a vicious circle, though, isn't it?

 

My onc has told me more than once (and I think he feels he is reassuring me somehow) that the fatigue is due to the TKI and not the CML.  Okay, I say, nodding my head.  So?  What do I do?  What do I do to get rid of it?  What's a treatment?  And, as long as I'm ranting, why is nobody studying this? 


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 jmoorhou

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Posted 16 September 2016 - 05:39 PM

You're lazy, start exercising.
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 tiredblood

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Posted 16 September 2016 - 05:57 PM

You guys had your Thyroid checked? I get mine checked every 6 months while on Tasigna. But I am not tired, the more I do the more I have to find to do, just a bit hyper here. And I will be 66 next month.


Yes, and so far it has been within normal limits.

#10 Trey

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Posted 16 September 2016 - 07:34 PM

JPD is lazy, but it is within normal limits.



#11 JPD

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Posted 17 September 2016 - 12:39 PM

You're lazy, start exercising.

Daaaaaamn.  Tough love  :huh:


January 15: .53%

April 15:       .78%

July 15:      1.1% - upped dosage to 400mg after this test

Oct 15:       .85%

December 15:  .28%

March 16: .29%

July 16: .34%

October 16: .11%

January 17: .081%

April 17: .055%

July 17: .135%

Oct 17: .008%


#12 Gail's

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Posted 17 September 2016 - 03:16 PM

I'm with ya jpd. A little harsh to say just plain lazy. Although sleeping doesn't always help, my afternoon naps are helpful if I want to stay awake past 8 pm. And yes, exercise does make me more tired. But I have to get out and walk to blow away depression, even if it's just around the block.
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

#13 jmoorhou

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Posted 18 September 2016 - 02:38 PM

I had and have what JPD is talking about and I know exercising helped with me. The rowing machine is fun and easy and hits most of the muscles. Swimming is also good. Join a gym. I had paralytic polio when I was a kid and have a bad leg, if I can force myself to exercise so can you! Tough love, yes.
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

#14 IGotCML

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Posted 18 September 2016 - 06:40 PM

JPD - it is the meds that make you soooo tired during the day. I am also 47 y/o male and my energy level is materially less than before CML. I am exercising as much as I can without wiping myself out and it does give me extra energy, however it does not eliminate the tiredness that comes with the TKI.

 

I do encourage you to have a consistent daily or weekly exercise program, it will make you feel better.



#15 PhilB

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Posted 19 September 2016 - 10:45 AM

Hi JPD.  There is an ENORMOUS difference between dealing with fatigue when you're a couch potato, and dealing with fatigue when you're as fit as a butcher's dog.  I took up cycling as my main means of local transport and it was damn hard at first, but now I'm fitter than I've been in decades and as a result the TKI fatigue is just a mild irritant to be pushed on through rather than something which used to seriously impact my quality of life.

Maybe Janis could drop by and be your personal trainer?



#16 SunNsand

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Posted 19 September 2016 - 03:05 PM

Im soooo damn tired in the middle of the day. 47y/o male, decent diet. Zero exercise. Just cant manage it. Sooooooooo tired through the middle of the day especially. I cant tell if its the meds that are keeping me from exercising or if Im just a middle aged man who needs to exercise and that would give me more energy. I likely know the answer to this (or what responses Ill get) but thought Id throw it out there anyway.

Its just so terribly depressing not having any energy. I am too young to feel this shitty. #sadface

I get it, I'm 58 and I'm too young to feel this shitty too. Earlier this year I made up my mind I was going to walk outside on a regular schedule. I love being outdoors but found walking alone was kinda boring. My son suggested I try listening to podcasts with earbuds while I walk, I did and I love it! I listen to true storytelling and I'm hooked. I can be seen walking and laughing at the voices in my ears Ha! You can find anything you're interested in on podcasts. It's not always easy to get out and move, but when I'm finished I feel so much better mentally. Scometimes I'm in worse pain, but mentally it really gives me a boost. On days I can't find the energy to get out the door, I think about how I feel after the walk and that is the carrot I'm chasing!

#17 beno

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Posted 21 September 2016 - 05:20 PM

I have found mental exercise more taxing to me than physical exercise.  After my initial anemia, I've been able to work myself back up to walking 5 miles per day and lifting weights or playing tennis twice a week, but if I'm reading something technical or analyzing data, I get totally wiped out and need a nap after a few hours.  I feel like I'm too broke to pay attention any more.


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


#18 Marnie

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Posted 21 September 2016 - 06:45 PM

Hey, JPD. . .

 

What dosage are you on?  Any chance that you can reduce?  For me, the difference between 50 mg Sprycel and 25 (I'm now cutting my pills in half with doc's blessing) is interesting.  50 mg gives me lumpy head (annoying rash), elbow joint pain, fatigue.  25 mg = no lumpy head, no joint pain. 

 

I'm always tired, darn it.  I push through the fatigue because I can't stand not being active (new sport. . .stand-up paddle boards on the river, what a hoot. . .hopefully not as dangerous as trials motorcycles). 

 

Don't call yourself lazy, the TKIs definitely have an impact on fatigue.  But try to get out there and do something.  Try a paddle board.  It's always entertaining when someone falls in. . . especially my husband. 

 

Marnie



#19 tiredblood

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Posted 22 September 2016 - 08:24 PM

I'm tired all the time, but remain active. But every evening it is like my energy switch suddenly cuts completely off. I push through it too,Marnie.

#20 JPD

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Posted 22 September 2016 - 09:10 PM

Hey, JPD. . .

 

What dosage are you on?  Any chance that you can reduce?  For me, the difference between 50 mg Sprycel and 25 (I'm now cutting my pills in half with doc's blessing) is interesting.  50 mg gives me lumpy head (annoying rash), elbow joint pain, fatigue.  25 mg = no lumpy head, no joint pain. 

 

I'm always tired, darn it.  I push through the fatigue because I can't stand not being active (new sport. . .stand-up paddle boards on the river, what a hoot. . .hopefully not as dangerous as trials motorcycles). 

 

Don't call yourself lazy, the TKIs definitely have an impact on fatigue.  But try to get out there and do something.  Try a paddle board.  It's always entertaining when someone falls in. . . especially my husband. 

 

Marnie

Thanks Marnie.  Sadly, no.  Im taking 400mg dosage & still not having an optimal response.  I am recovering from a broken leg, but Im gonna give getting in GOOD shape one more shot. 


January 15: .53%

April 15:       .78%

July 15:      1.1% - upped dosage to 400mg after this test

Oct 15:       .85%

December 15:  .28%

March 16: .29%

July 16: .34%

October 16: .11%

January 17: .081%

April 17: .055%

July 17: .135%

Oct 17: .008%





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