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Hi, Jackie, and welcome. These days I guess most folks start right off on

Gleevec, although many of our members were diagnosed before there *was* Gleevec.

For a lot of people, the side effects go away or lessen after the first few

months. For those who don't respond to it or who have untenable side effects

that don't subside, there are now altnernative medications. I was diagnosed in

05, took Gleevec and did well on it until recently, and am now switching over to

a second-line drug, Sprycel.

We are very fortunate to have in our group some dynamite folks whose knowledge

is not only very broad but are able to break down the medicalese into easy to

understand terms (I am not one of them!). In this group, you'll find

information, support, camaraderie, compassion, belly laughs and more.

Kind regards,

in San Francisco

From: jbrooks13411@...

Date: Fri, 5 Jun 2009 16:08:22 +0000

Subject: [ ] new to the cml world

i was newly diagnosed with cml may 21st,i had a bone marrow biopsy done on

june 2nd,results will be back june 11th,i am 40 years old,married with 3

children.i havent started any treatment yet,not until after the biopsy results

come back.the doctor is talking about the treatment being gleevec. has anyone

taken this and what are the side effects i should look for?

_________________________________________________________________

found her dream laptop. Find the PC that’s right for you.

http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290

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Hi Jackie,

I was dxed in 2005 at age 38 and I am on 400mg/day of gleevec since. I

am doing really well, most side effects went away in the few first

months. Response to treatment and side effects vary, but the majority

resume a near normal life. Now I just have to take 1 pill a day and

get one blood test a month, and the odds of relapsing are around 1%.

For most the first year is the main hurdle to pass, following the rate

of remission and getting used to the drugs and the new situation. Also

communication with doctors can be difficult as Lottie mentioned in a

previous post, never hesitate to ask questions here. Once your

diagnostic is confirmed and you start taking gleevec the next steps

will be getting into blood remission, which means blood test back to

normal and usually noted CHR. It takes typically around one month.

Then the number of cml cells should go down and it is good to reach

complete cytogenetic remission (CCR) in one year, although this vary

wildly from 3 months to one year for good responses to treatment. At

this point you are pretty much out of the woods and if side effects

aren't too bad life is near normal. About 80% of cml patients reach

that stage in one year. If the response is inadequate or if side

effects are a problem there are now a lot of options with other drugs

that work as well or better than gleevec. There are other stages of

remission, major molecular remission and PCR undectectable (PCRU) you

will see mentioned in our posts and i is good to reach it one day but

it is not essential and you can think about that later.

I wish you a very prompt remission,

Cheers,

Marcos.

On Fri, Jun 5, 2009 at 9:08 AM, jackie<jbrooks13411@...> wrote:

>

>

> i was newly diagnosed with cml may 21st,i had a bone marrow biopsy done on

> june 2nd,results will be back june 11th,i am 40 years old,married with 3

> children.i havent started any treatment yet,not until after the biopsy

> results come back.the doctor is talking about the treatment being gleevec.

> has anyone taken this and what are the side effects i should look for?

>

>

--

Marcos Perreau Guimaraes

Suppes Brain Lab

Ventura Hall - CSLI

Stanford University

220 Panama street

Stanford CA 94305-4101

650 614 2305

650 468 9926 (cell)

marcospg@...

montereyunderwater@...

www.stanford.edu/~marcospg/

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Welcome,there are many on Gleevec Myself 4 years at 600 this dec.What is taking

so long for treatment!!!What is your count mine was 184,000 White count. Good

luck keep posting.    

________________________________

From: jackie <jbrooks13411@...>

Sent: Friday, June 5, 2009 11:08:22 AM

Subject: [ ] new to the cml world

i was newly diagnosed with cml may 21st,i had a bone marrow biopsy done on june

2nd,results will be back june 11th,i am 40 years old,married with 3 children.i

havent started any treatment yet,not until after the biopsy results come

back.the doctor is talking about the treatment being gleevec. has anyone taken

this and what are the side effects i should look for?

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Hi Jackie,

I was diagnosed mid Aug 2007. Been on Gleevec since late Aug. I actually had

my spleen removed in emergency surgery due to it becoming so enlarged it

split. I went to the doc in April, but he didn't catch it.

Side effects: Too many to list. :) No, as you'll see, for most they aren't

too bad. Mainly fatigue.

Here is my opinion on the important info: TAKE GLEEVEC WITH FOOD. I prefer

'soaky-uppy' (if that is a word) food. Breads, 100 calorie pack of popcorn,

animal crackers. A steak and salad does NOT work for me. Yeah, I'm full...

but the Gleevec doesn't sit well. Keep a diary of what you eat and how you

feel after you take the meds. You'll be able to track better what works and

what doesn't. I have to remain still for about 1/2 hour to an hour as not to

bounce the meds around in my stomach. Otherwise, I feel very sick.

My second been there done that... make sure, if it is available to you, to

go to a 'real' CML doctor. It made a WORLD of difference between a 'regular'

onocologist with 5 CML patients as compared to the CML specialist as U of M.

He 'gets' it. He understands and knows all the weird side effects. He calls

me just to let me know my blood draw numbers. I highly recommend it!

How old are your children? I have a 15, 14 and 9 yo. Most days they 'forget'

that mom is even sick. :) Which is good. In the beginning though, it was

pretty hectic and probably scary for all of us. It was weird, the docs

saying " Oh, don't worry about it, there is new meds... and looking up

leukemia on the internet! That was scary!

You found a good group, with lots of people who have answers!

Tammy

_____

From: [mailto: ] On Behalf Of jackie

Sent: Friday, June 05, 2009 12:08 PM

Subject: [ ] new to the cml world

i was newly diagnosed with cml may 21st,i had a bone marrow biopsy done on

june 2nd,results will be back june 11th,i am 40 years old,married with 3

children.i havent started any treatment yet,not until after the biopsy

results come back.the doctor is talking about the treatment being gleevec.

has anyone taken this and what are the side effects i should look for?

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Welcome to the club no one wants to join!

Yes, most CML patients immediately go on Gleevec. I have been on Gleevec for six

years now and I am doing fine. Yes, there are side effects for many people. Side

effects can range from the mild to the OMG! Just keep telling your doctor what

is happening with you. Many side effects go away after time and MOST can be

dealt with. If Gleevec does not work for you, it works for about 85% of

patients, there are other, newer, drugs which can do the trick. Do not give up

hope... fight the bastard (CML)! I am 65 and I expect to be around for a long

time.

>

> i was newly diagnosed with cml may 21st,i had a bone marrow biopsy done on

june 2nd,results will be back june 11th,i am 40 years old,married with 3

children.i havent started any treatment yet,not until after the biopsy results

come back.the doctor is talking about the treatment being gleevec. has anyone

taken this and what are the side effects i should look for?

>

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Hi Jackie,

  I am also new to the CML world. I was diagnosed in February and have been on

Gleevec now for 2 months. However, I was started out on 400mg and it wasn't

doing anything for me. I have been on 800mg now for 2 weeks and I go to get more

blood tests on Tuesday to see if it is working. I have had some side effects

from it, headaches, blurred vision, nausea, heavy legs and cramping legs but I

have been able to deal with all of them. I would rather have the side effects

than taking a chance of the CML getting worse. I'm not one to give any advice on

this because like I said, I am brand new to this myself. I wish you all the luck

in the world and hope you have a speedy remission.

Take care,

From: richard_troxel <richard.troxel@...>

Subject: [ ] Re: new to the cml world

Date: Saturday, June 6, 2009, 1:33 AM

Welcome to the club no one wants to join!

Yes, most CML patients immediately go on Gleevec. I have been on Gleevec for six

years now and I am doing fine. Yes, there are side effects for many people. Side

effects can range from the mild to the OMG! Just keep telling your doctor what

is happening with you. Many side effects go away after time and MOST can be

dealt with. If Gleevec does not work for you, it works for about 85% of

patients, there are other, newer, drugs which can do the trick. Do not give up

hope... fight the bastard (CML)! I am 65 and I expect to be around for a long

time.

>

> i was newly diagnosed with cml may 21st,i had a bone marrow biopsy done on

june 2nd,results will be back june 11th,i am 40 years old,married with 3

children.i havent started any treatment yet,not until after the biopsy results

come back.the doctor is talking about the treatment being gleevec. has anyone

taken this and what are the side effects i should look for?

>

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Hi Jackie,

Welcome to the club that nobody really wants to be a member of.

You have lucked in by joining this group. Collectively we are much more

knowledgeable about CML than most doctors.

Gleevec is the first line treatment for CML. Side effects (if any) tend to

go away after a month or two. It is strange how we CMLers tend to blame any

new aches, pains, etc on Gleevec.

I have been on Gleevec (400 mg) since March 2001. After a while you will

actually understand the gobbledygook that appears in my signature.

Looking forward to assigning you a number in the Zero Club.

Zavie

Zavie (age 70)

67 Shoreham Avenue

Ottawa, Canada, K2G 3X3

dxd AUG/99

INF OCT/99 to FEB/00, CHF

No meds FEB/00 to JAN/01

Gleevec since MAR/27/01 (400 mg)

CCR SEP/01. #102 in Zero Club

2.8 log reduction Sep/05

3.0 log reduction Jan/06

2.9 log reduction Feb/07

3.6 log reduction Apr/08

3.6 log reduction Sep/08

3.7 log reduction Jan/09

3.8 log reduction May/09

e-mail: zmiller@...

Tel: 613-726-1117

Fax: 613-482-4801

Cell: 613-282-0204

ID: zaviem

YM: zaviemiller

Skype: Zavie

_____

From: [mailto: ] On Behalf Of jackie

Sent: June 5, 2009 12:08 PM

Subject: [ ] new to the cml world

i was newly diagnosed with cml may 21st,i had a bone marrow biopsy done on

june 2nd,results will be back june 11th,i am 40 years old,married with 3

children.i havent started any treatment yet,not until after the biopsy

results come back.the doctor is talking about the treatment being gleevec.

has anyone taken this and what are the side effects i should look for?

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Hi Jackie-

Welcome to the group. I was diagnosed with CML just about a year ago 7/08 and i

just recieved the good news that i am in remission (woo hoo). That doesnt mean i

can stop taking my 400 mg of Gleevec, just that its doing its job. Drink lots of

water and definetly eat when you take the pill, i take mine with breakfast.

Check out the LLS website there is really good information and resources there

about CML and all the leukemias. This group has given me a ton of emotional and

spritual support. No question is off limits, we all have lived through it so it

is a different perspective then the medical community.

Take Care & keep in touch

Karyn

>

> i was newly diagnosed with cml may 21st,i had a bone marrow biopsy done on

june 2nd,results will be back june 11th,i am 40 years old,married with 3

children.i havent started any treatment yet,not until after the biopsy results

come back.the doctor is talking about the treatment being gleevec. has anyone

taken this and what are the side effects i should look for?

>

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Hi Jackie, I am no longer on Gleevec, but I do remember a thing or two that

can help you out.

Do not take it on an empty stomach, eat a good meal with it, with milk if

you can. You can split the dose, half with one meal, half with another. do

not lie down directly after taking gleevec, it can make you sick.

Drink plenty of water. side effects could be nausea, diarrhea, rash, but

nothing that cannot be handled.

I'm one of the old timers, 14 years, but there are a lot that have had it

longer than that. CML is no longer a death threat, once you become

accustomed to the idea, you will learn to adjust your life to it and not

even think about it. Fatigue is also a part of it, learn to rest when you

can and don't over task yourself.

Also, NO grapefruit products, AT ALL. Your doctor will give you all this

information, but sometimes, if they are not CML specialists, they do not

know all the little tricks I'm sure everyone will tell you about. Not fun,

but better than most cancers, with lots of pluses, no surgery, no radiation,

just pills. Where do you live and who do you go to? Good luck, Bobby

On Fri, Jun 5, 2009 at 12:08 PM, jackie <jbrooks13411@...> wrote:

>

>

> i was newly diagnosed with cml may 21st,i had a bone marrow biopsy done on

> june 2nd,results will be back june 11th,i am 40 years old,married with 3

> children.i havent started any treatment yet,not until after the biopsy

> results come back.the doctor is talking about the treatment being gleevec.

> has anyone taken this and what are the side effects i should look for?

>

>

>

--

a Doyle/dob 1929

DX /CML/1995/Interferon/hydrea

2/00 - Gleevec Trial, OHSU, Dr. Druker

6/02 - Gleevec/Arsenic Trial, OHSU,Dr. Druker

6/03 - Gleeved/Zarnestra Trial, OHSU, " " " "

7/04 - Sprycel Trial, MDACC, Dr. Talpaz

3/05 - CCR

12/07 - Ended trial due to Pleural Effusion

4/08 - XL228 Trial, U. of Michigan, Dr. Talpaz

4/09 - Ariad Trial, U.of Michigan, Dr. Talpaz

#840 Zavie's Zero Club #840

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