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Back pain and TKI's


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#1 tazdad08

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Posted 20 October 2016 - 08:02 AM

What does everyone do for severe pain relief? I am on Tasigna, been on Sprycel, and am battling severe back pain. I have been on Hydros for almost 2 years now. They do knock the edge off a little but not enough. I have RFA (radio frequency ablassion) every 6 months to a year. That process uses radio waves via 16 gauge needles to burn nerves. I started Cymbalta 6 weeks ago.... havent really noticed any help yet. My back is to the point of having to have the RFA again so I'm not sure if I am giving it a fair evaluation. Insurance will only pay for 4 discs to be done. That helps that particular spot tremendously but does nothing for the rest of my back.


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 r06ue1

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Posted 20 October 2016 - 11:27 AM

Have you tried the McKenzie Method?  

 

My family doctor sent me to a doctor that specialized in this for a slipped disc in my lower back (improper sitting position at work) and while it took a long time (four months) eventually it paid off big, no more slipped disc and no more pain and they teach you how to "self medicate" so you never have to go back and see them in the future (unless it is a totally new problem).  


08/2015 Initial PCR: 66.392%

12/2015 PCR: 1.573%

03/2016 PCR: 0.153%

06/2016 PCR: 0.070%

09/2016 PCR: 0.052%

12/2016 PCR: 0.036%

03/2017 PCR: 0.029%

06/2017 PCR: 0.028%

09/2017 PCR: 0.025%

12/2017 PCR: 0.018%

 

 

Taking Imatinib 400 mg


#3 tazdad08

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Posted 20 October 2016 - 11:31 AM

Have you tried the McKenzie Method?  

 

My family doctor sent me to a doctor that specialized in this for a slipped disc in my lower back (improper sitting position at work) and while it took a long time (four months) eventually it paid off big, no more slipped disc and no more pain and they teach you how to "self medicate" so you never have to go back and see them in the future (unless it is a totally new problem).  

I have not but I will research it right now. I do not want to go to stronger pain meds knowing that I will be in some amount of pain caused by the TKI's for the rest of my life.


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 Billie Murawski

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Posted 21 October 2016 - 12:49 AM

Hi Taz,

 I'm on Cymbalta 90mg  and I swear by it. If I miss a dose the next day I really feel it all over. Maybe you need to give it a little bit more time.I was originally put on it for depression and then I learned it was an anti-inflammatory too. After 9 years I think it's a better anti-inflammatory but anti-depressants take a good 8 weeks to really start working. Good Luck Billie



#5 tazdad08

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Posted 21 October 2016 - 07:26 AM

Hi Taz,

 I'm on Cymbalta 90mg  and I swear by it. If I miss a dose the next day I really feel it all over. Maybe you need to give it a little bit more time.I was originally put on it for depression and then I learned it was an anti-inflammatory too. After 9 years I think it's a better anti-inflammatory but anti-depressants take a good 8 weeks to really start working. Good Luck Billie

I am only taking 30mg. I have upped it 60 two different times and each time it seems effect my bladder. The dr says there is no known link to that the first time it happened and asked me to try 60 again. Within two days i felt the same again. Slow urine flow and the feel of needing to pee all the time. 2 minutes of using restroom i felt like my bladder was full again. Did you experience anything like that Billie? I assume that 30mg may be too low a dose to help much with the pain. A little TMI but this whats this board is all about. lol. And I did have the good ole prostate test and all was well.


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!


#6 Alajazz

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Posted 21 October 2016 - 11:43 AM

Taz, your bio statement struck a chord with me: "What is life if you aren't living". My experience over many years with doctors addressing pain and suffering (in contrast to their approach to a specific disease like CML) is to send you off to take a prescription drug like you are apparently doing. In the past year I changed course and decided to try medical marijuana. Now I'm a believer though was skeptical at first. It takes some studying and experimenting to find what works for you but in my own experience - so worthwhile. Hoping you find the relief you are looking for ..... Jim

#7 tazdad08

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Posted 21 October 2016 - 12:04 PM

Taz, your bio statement struck a chord with me: "What is life if you aren't living". My experience over many years with doctors addressing pain and suffering (in contrast to their approach to a specific disease like CML) is to send you off to take a prescription drug like you are apparently doing. In the past year I changed course and decided to try medical marijuana. Now I'm a believer though was skeptical at first. It takes some studying and experimenting to find what works for you but in my own experience - so worthwhile. Hoping you find the relief you are looking for ..... Jim

I guess my bio statement wasnt as positive as I meant it to be. I'm a very upbeat person and love my life.... I have taken some criticism from a couple people on these boards for refusing to take my Tasigna per dr orders. I adjust my dose to improve my life. I am on one pill a day instead of two. Was on 3 pills a week but became detectable and had to increase again. I would definitely try medical marijuana if was legal in TN. 


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!


#8 Buzzm1

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Posted 21 October 2016 - 12:05 PM

Taz, your bio statement struck a chord with me: "What is life if you aren't living". My experience over many years with doctors addressing pain and suffering (in contrast to their approach to a specific disease like CML) is to send you off to take a prescription drug like you are apparently doing. In the past year I changed course and decided to try medical marijuana. Now I'm a believer though was skeptical at first. It takes some studying and experimenting to find what works for you but in my own experience - so worthwhile. Hoping you find the relief you are looking for ..... Jim

Good to see you posting Alajazz/Jim.  Was wondering how you were doing on Gleevec 300mg.  There is a Medical Marijuana thread if you would care to add your experience: http://community.lls...arijuana/page-3


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


#9 kat73

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Posted 24 October 2016 - 04:59 PM

Tazdad - Read Healing Back Pain, by Dr. John Sarno.  You will think it's hooey.  Everybody does, until they buy in to it, and then they realize it works.


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.


#10 Billie Murawski

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Posted 25 October 2016 - 03:57 AM

I am only taking 30mg. I have upped it 60 two different times and each time it seems effect my bladder. The dr says there is no known link to that the first time it happened and asked me to try 60 again. Within two days i felt the same again. Slow urine flow and the feel of needing to pee all the time. 2 minutes of using restroom i felt like my bladder was full again. Did you experience anything like that Billie? I assume that 30mg may be too low a dose to help much with the pain. A little TMI but this whats this board is all about. lol. And I did have the good ole prostate test and all was well.

Hi Taz, I do get frequent uti's but not as bad as when I was on Gleevac. I never thought about it being cymbalta. If it gets bad I call my pcp and she prescribes an antibiotic for me which starts working right away. After nine years I am sick and tired of cml and all the side-effects of Sprycel, I take 20mg of Sprycel and I still get pe's I think I have one right now, this morning I really had trouble

breathing so I'll lay off the Sprycel for a few days and make sure I take my water pills. I had a chest x-ray about 3 weeks ago and I had a small pe. So I'm told to watch it and if it gets worse call onc. So if I'm gasping for breath call them, which is how I ended up going to the hospital by ambulance I needed oxygen. I was in the er several hours they did a bunch of tests, told me I had a large pe. A couple hours later I guess they found a lung specialist who wanted overtime and he drained 2 liters of fluid from my right lung. So I was off Sprycel for 6 weeks, my onc even sent me to Pittsburg to see another onc. They both agreed the 6 week break from S would be what I needed.I have been undetectable for 6 years so I have just learned to listen to my body. I took a water pill and drank cranberry juice and took my blood pressure pills and I feel much better now. I have to have surgery on my leg Monday so I sure as hell don't need a pe right now. I can't take Gleevac and I'm not a candidate for Tasigna so I just work with what I got. But I do see my Onc and cardiologist on a regular basis.  Good luck Billie 



#11 beno

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Posted 25 October 2016 - 07:05 AM

I am only taking 30mg. I have upped it 60 two different times and each time it seems effect my bladder. The dr says there is no known link to that the first time it happened and asked me to try 60 again. Within two days i felt the same again. Slow urine flow and the feel of needing to pee all the time. 2 minutes of using restroom i felt like my bladder was full again. Did you experience anything like that Billie? I assume that 30mg may be too low a dose to help much with the pain. A little TMI but this whats this board is all about. lol. And I did have the good ole prostate test and all was well.

My wife had bladder issues while taking Cymbalta also.


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


#12 Billie Murawski

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Posted 25 October 2016 - 11:29 PM

My wife had bladder issues while taking Cymbalta also.

Hi beno, well that's interesting I went on Cymbalta 3 weeks after my dx, I was on Gleevac then. The utis were a lot worse on Gleevac and when I switched to Sprycel I went for about 2 years without one but now I'm starting to get them again. Crap, it seems that we're damed if we do and damned if we don't. I think I'll go cleanse my body with wine. I take 2 bp pills a day and a water pill so I feel the urge quite frequently. I was pretty sick a couple times and the doc said I could only get out of bed to go to the rest room, as the nurse was putting an IV of saline in my arm. I just looked at them both and I said you got to be kidding me. Just remove my bladder right now. They had no sense of humor at all.



#13 Gail's

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Posted 26 October 2016 - 01:32 PM

Geez, Billie. What a pain to have frequent utis. I had the worst one of my life while on gleevec but haven't had a repeat since I'm now on sprycel. When we're given ridiculous advice (like you're going to get any rest at all with a uti!), I just want to give them my pain for about an hour so they understand how it really works. Glad you figured out how to handle the PE. Hope your leg surgery goes well.
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




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