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Neutropenia-Eva

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Hi Eva,

Don't panic, this is very common in the early months of Gleevec

treatment. Your neutrophils aren't really that low, many members

have had lower than that.

Ideally they want your count to be 1 or above so you see, you're just

barely below that. Many of the top CML doctors will let the counts

drop below the 1 without doing anything because they've found that

it's not such a big deal afterall. It's a bigger problem when your

count gets around 0.5.

In the early days of treatment, the Gleevec is killing off many

leukemic cells (which are mostly neutrophils) and it takes some time

to generate a new population of good healthy cells so that's why your

count is low. Give it some time and your count should bounce back up

nicely.

For a few patients who have problems with chronically low counts,

there's a drug called Neupogen which can grow neutrophils so there

are other options besides Sprycel if you happen to have an ongoing

problem with low neutrophils but you're not even close to crossing

that bridge yet so please try not to worry.

Take care,

Tracey

>

> Hi gang; I just got home from the doctors and my Gleevec is working

too well or something. My wbc is 2.8 . The doctor says my Neutrophils

are too low 0.9. She said this leaves me vulnerable to infection so

just when I was settling in quite nicely I have to go off Gleevec for

a week and if my counts don't improve I may have to switch to

Sprycel. I know nothing about Sprycel and now I am very nervous about

what will happen next. Anyone that has experienced the same thing ,

could you please help me understand what this is all about. My doc

just kept on saying , I think it will be ok, or it should come back

up!! Thanks Eva B

>

>

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