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Bosulif Rash

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#1 xxgirl


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Posted 23 April 2017 - 08:51 AM

Good morning everyone. Day 10 of bosulif 500mg and I seem to have developed a pretty extensive rash. Arms chest and torso with a little bit on my legs as well. Not terribly itchy but not pretty either. Do I need to call my Dr? Will they be able to do anything more than I can do for it at home? (Benadryl and hydrocortisone.) Do I need to pause Bosulif until it resolves?

I need bosulif to work for me so hoping I can get through it and continue. Any shared experiences, advice or tips welcome.

#2 mscl


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Posted 23 April 2017 - 01:29 PM

This was my skin rash last fall from Sprycel. It started out looking like hives. This developed to this stage in just one week. Is yours anything like this? Attached File  image.jpeg   85.5KB   45 downloads
Dx 2/10/12.
Sprycel 100. mg.
10/2015, Pleural effusions, both sides, about a 3-4 week break in Rx, reduced to 70 mg.
PEs, weren't completely gone, started building back up, about a 6-8 week break in Rx.
01/2016, Reduced to sprycel 50 mg.
10/2016, developed severe skin rash, mainly upper arms and upper legs, smaller rashes on lower arms, lower legs, upper back/neck. Rx break of about 6 weeks.
1/25/17, reduced to Sprycel 20 mg.
7/19/17, still at 20 mg Sprycel, undetectable.
11/9/17, 20 mg Sprycel, undetectable.

#3 xxgirl


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Posted 23 April 2017 - 05:43 PM

Yikes mscl. That looks painful. Mine doesn't look like that yet. Mine is more widespread. It's everywhere now except face feet and hands. Have a call into Dr but no response yet. I've never had a rash/hives before so not really sure of the protocol. Will continue to take Benadryl, skip bosulif tonight, and try to get ahold of someone in the am.

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#4 jmoorhou


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Posted 23 April 2017 - 07:53 PM

If you've got the benefits I would actually consider going to the ER, I had a rash and did, and they gave me a cortisone shot and it went away.

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

#5 chriskuo


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Posted 24 April 2017 - 02:12 AM

My Bosulif rash showed up a month or two after I started.  My rash is almost entirely limited to a dozen or so areas on my left calf.


I have been prescribed clobetasol ointment to put on the affected areas.  The ointment has reduced the severity of the rashes.  Several of them have largely disappeared but some of them are still highly noticeable and somewhat bothersome.


Bosulif has been working well for me compared to other TKIs so for now I am resigned to living with the rashes.

#6 Buzzm1


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Posted 24 April 2017 - 03:52 PM

With the exception of "thatguy" few seem to be able to tolerate Bosulif 500mg.  Perhaps a reduced dose is in order.  For those with images to share, it would be beneficial to others if they added those images into their signature, as part of their CML history.  

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


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

#7 xxgirl


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Posted 24 April 2017 - 06:53 PM

Thanks to everyone for the advice. As I mentioned I've never had a reaction like this before, and with it happening on the weekend I wasn't sure what to do. It wasn't an emergency per say, as my breathing wasn't affected and I wasn't running a fever, just uncomfortable and alarming to look at.

Saw PCP this morning who gave me a solu medrol shot and a prescription for a Prednisone taper. Hives are much less inflamed and beginning to fade.

Onc advised to let rash clear, wait a week, and then resume bosulif. Hopefully problem will not reoccur. (Fingers crossed.)

#8 survenant


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Posted 25 June 2017 - 09:05 PM

The most common adverse events (>50%) reported were diarrhea (95%), nasopharyngitis (57%), and rash (57%).

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