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Re: Tasigna vs. Sprycel

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> .

>

> Yesterday I had my yearly appointment with Dr. Kantarjian at MDA.

> Lab results noted a slight increase in creatin, which I told was a

> side effect with those on long-term Gleevec. I've been on it for 10

> 1/2 years. I was given the option of switching to a new trial

> " nil..... " something (Novartis drug) or going to Sprycel. Tasigna

> wasn't mentioned. Can anyone give me a brief summary of Tasigna vs.

> Sprycel side effects, etc. ? I am staying on Gleevec at present,

> but am wondering if I might be better off on a newer drug??? Thanks

> for your help.

Gay Bratton

>

>

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i was on Gleevec for 9 months---had to switch to sprycel because of very

very bad side effects. I was on Sprycel for three years. QofL ws much better

but still had stomach issues and got lots of colds. Then I got plural

effusion and stopped Sprycel and went on Tasigna--been on Tasigna for 2

years and have no side effects except maybe a little weight gain and a

little hair looss that comes and goes. Other then that I feel normal and

sometimes forget I have CML. also PCRU!!

Sharon

_____

From: [mailto: ] On Behalf Of Gay

Bratton

Sent: Wednesday, June 16, 2010 8:23 AM

Subject: Re: [ ] Tasigna vs. Sprycel

> .

>

> Yesterday I had my yearly appointment with Dr. Kantarjian at MDA.

> Lab results noted a slight increase in creatin, which I told was a

> side effect with those on long-term Gleevec. I've been on it for 10

> 1/2 years. I was given the option of switching to a new trial

> " nil..... " something (Novartis drug) or going to Sprycel. Tasigna

> wasn't mentioned. Can anyone give me a brief summary of Tasigna vs.

> Sprycel side effects, etc. ? I am staying on Gleevec at present,

> but am wondering if I might be better off on a newer drug??? Thanks

> for your help.

Gay Bratton

>

>

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There is a great article recently publised by The New England Journal of

Medicine, you can get it on line at there website . It was published June 5

2010 so recent information, and great comparison. When you get to the main page

just type in Chronic Myeloid Leukemia and it should come up.

Sent from my Verizon Wireless BlackBerry

Re: [ ] Tasigna vs. Sprycel

> .

>

> Yesterday I had my yearly appointment with Dr. Kantarjian at MDA.

> Lab results noted a slight increase in creatin, which I told was a

> side effect with those on long-term Gleevec. I've been on it for 10

> 1/2 years. I was given the option of switching to a new trial

> " nil..... " something (Novartis drug) or going to Sprycel. Tasigna

> wasn't mentioned. Can anyone give me a brief summary of Tasigna vs.

> Sprycel side effects, etc. ? I am staying on Gleevec at present,

> but am wondering if I might be better off on a newer drug??? Thanks

> for your help.

Gay Bratton

>

>

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Hi Gay,

The " nil " might be nilotinib which is the same thing as Tasigna.

L

Re: [ ] Tasigna vs. Sprycel

> .

>

> Yesterday I had my yearly appointment with Dr. Kantarjian at MDA.

> Lab results noted a slight increase in creatin, which I told was a

> side effect with those on long-term Gleevec. I've been on it for 10

> 1/2 years. I was given the option of switching to a new trial

> " nil..... " something (Novartis drug) or going to Sprycel. Tasigna

> wasn't mentioned. Can anyone give me a brief summary of Tasigna vs.

> Sprycel side effects, etc. ? I am staying on Gleevec at present,

> but am wondering if I might be better off on a newer drug??? Thanks

> for your help.

Gay Bratton

>

>

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Thank you and I'll bet you're right. I am ashamed that I haven't done

a better job of keeping up with all the new medications. I've been

doing well on Gleevec for 10 + years and just haven't stayed up like I

should.

Gay

On Jun 16, 2010, at 3:10 PM, seloew12 wrote:

> Hi Gay,

>

> The " nil " might be nilotinib which is the same thing as Tasigna.

>

> L

> Re: [ ] Tasigna vs. Sprycel

>

> > .

> >

> > Yesterday I had my yearly appointment with Dr. Kantarjian at MDA.

> > Lab results noted a slight increase in creatin, which I told was a

> > side effect with those on long-term Gleevec. I've been on it for 10

> > 1/2 years. I was given the option of switching to a new trial

> > " nil..... " something (Novartis drug) or going to Sprycel. Tasigna

> > wasn't mentioned. Can anyone give me a brief summary of Tasigna vs.

> > Sprycel side effects, etc. ? I am staying on Gleevec at present,

> > but am wondering if I might be better off on a newer drug??? Thanks

> > for your help.

>

> Gay Bratton

> >

> >

>

>

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Hi Gay: I remember when we both started on the Gleevec. You started just

before me. I think we used to converse over the old CML at , and somehow

we lost track as years went on with other things going on. You said your

Creatnine was off. I always got my regular blood work, and all of a sudden my

kidney functions were off. They even sent me to a Kidney Specialist. I was

never a water drinker, and my nurse told me to start getting the water into my

system to flush things out. I started to do that, and my numbers all came back

to normal. I might have chronic kidney disease as I was told, but everytime I

go see this doctor he tells me that my numbers are all where they should be and

to come back in 6 months. I actually stopped seeing him, because with all my

other doctors running blood work on me I can see if they go out of range again.

Can I ask you if you get enough liquid in you. I have always been so bad

with water etc. Now I make sure I drink it, even if I am up all night with the

urinating.

Just thought maybe you could try that before switching if its been working

for you all these years.

I will be on Gleevec 10 years this Oct.

>

> > .

> >

> > Yesterday I had my yearly appointment with Dr. Kantarjian at MDA.

> > Lab results noted a slight increase in creatin, which I told was a

> > side effect with those on long-term Gleevec. I've been on it for 10

> > 1/2 years. I was given the option of switching to a new trial

> > " nil..... " something (Novartis drug) or going to Sprycel. Tasigna

> > wasn't mentioned. Can anyone give me a brief summary of Tasigna vs.

> > Sprycel side effects, etc. ? I am staying on Gleevec at present,

> > but am wondering if I might be better off on a newer drug??? Thanks

> > for your help.

>

> Gay Bratton

> >

> >

>

>

>

>

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, I was told that the reading was not a big concern---that they

were watching it, and that the only thing that i could do was drink

lots of water----just what you said. So.....I'm going to leave off

the caffeine (except a cup of coffee in the morning) and start

drinking lots more water and see what happens. It's good to hear from

you and it's great to hear from someone else that's long term on

Gleevec. Are you experiencing other side effects? I have acid reflux

and gastric problems that seem to be pretty normal for Gleevec users.

I also still have the muscle cramps and some joint problems. I wonder

if they're associated with Gleevec or just my age.... Thanks for

responding

Gay

On Jun 16, 2010, at 6:44 PM, A wrote:

> Hi Gay: I remember when we both started on the Gleevec. You started

> just before me. I think we used to converse over the old CML at

> , and somehow we lost track as years went on with other things

> going on. You said your Creatnine was off. I always got my regular

> blood work, and all of a sudden my kidney functions were off. They

> even sent me to a Kidney Specialist. I was never a water drinker,

> and my nurse told me to start getting the water into my system to

> flush things out. I started to do that, and my numbers all came back

> to normal. I might have chronic kidney disease as I was told, but

> everytime I go see this doctor he tells me that my numbers are all

> where they should be and to come back in 6 months. I actually

> stopped seeing him, because with all my other doctors running blood

> work on me I can see if they go out of range again.

> Can I ask you if you get enough liquid in you. I have always been so

> bad with water etc. Now I make sure I drink it, even if I am up all

> night with the urinating.

> Just thought maybe you could try that before switching if its been

> working for you all these years.

> I will be on Gleevec 10 years this Oct.

>

>

> >

> > > .

> > >

> > > Yesterday I had my yearly appointment with Dr. Kantarjian at MDA.

> > > Lab results noted a slight increase in creatin, which I told was a

> > > side effect with those on long-term Gleevec. I've been on it for

> 10

> > > 1/2 years. I was given the option of switching to a new trial

> > > " nil..... " something (Novartis drug) or going to Sprycel. Tasigna

> > > wasn't mentioned. Can anyone give me a brief summary of Tasigna

> vs.

> > > Sprycel side effects, etc. ? I am staying on Gleevec at present,

> > > but am wondering if I might be better off on a newer drug???

> Thanks

> > > for your help.

> >

> > Gay Bratton

> > >

> > >

> >

> >

> >

> >

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Hi Gay:  It is great to see long term Gleevec users still on here and doing

good.

I did get GERD fromt the Gleevec.  I have been on Nexium now for quite awhile,

and no problems.  I do get some gastro problems, but nothing to be concerned

over.  They come and go.  I go for my colonoscopy every 5 years, and everything

is fine there too.  I still get the muscle cramps and joint problems.  I have

bad Arthritis though, and that seems to be my issue right now.  I also have a

overactive bladder, and when I drink all my water I am in the bathroom all

night.  Thats okay, as long as my  kidney functions are doing good.

Take Care.  I think you will be fine.

A.

> Hi Gay: I remember when we both started on the Gleevec. You started 

> just before me. I think we used to converse over the old CML at 

> , and somehow we lost track as years went on with other things 

> going on. You said your Creatnine was off. I always got my regular 

> blood work, and all of a sudden my kidney functions were off. They 

> even sent me to a Kidney Specialist. I was never a water drinker, 

> and my nurse told me to start getting the water into my system to 

> flush things out. I started to do that, and my numbers all came back 

> to normal. I might have chronic kidney disease as I was told, but 

> everytime I go see this doctor he tells me that my numbers are all 

> where they should be and to come back in 6 months. I actually 

> stopped seeing him, because with all my other doctors running blood 

> work on me I can see if they go out of range again.

> Can I ask you if you get enough liquid in you. I have always been so 

> bad with water etc. Now I make sure I drink it, even if I am up all 

> night with the urinating.

> Just thought maybe you could try that before switching if its been 

> working for you all these years.

> I will be on Gleevec 10 years this Oct.

>

>

> >

> > > .

> > >

> > > Yesterday I had my yearly appointment with Dr. Kantarjian at MDA.

> > > Lab results noted a slight increase in creatin, which I told was a

> > > side effect with those on long-term Gleevec. I've been on it for 

> 10

> > > 1/2 years. I was given the option of switching to a new trial

> > > " nil..... " something (Novartis drug) or going to Sprycel. Tasigna

> > > wasn't mentioned. Can anyone give me a brief summary of Tasigna 

> vs.

> > > Sprycel side effects, etc. ? I am staying on Gleevec at present,

> > > but am wondering if I might be better off on a newer drug??? 

> Thanks

> > > for your help.

> >

> > Gay Bratton

> > >

> > >

> >

> >

> >

> >

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Guest guest

Sounds like our side effects are very similar. Thank you for taking

the time to write. You've made me feel better. I'm going to try

drinking lots of water and see if that will help the kidney issues. I

have pain in my right hip joint at night. it seems to be better when

I can exercise. I like to walk, but it's soooo.... hot here in San

right now. Take care of yourself and keep in touch.

Gay

On Jun 17, 2010, at 4:34 PM, Armour wrote:

> Hi Gay: It is great to see long term Gleevec users still on here

> and doing good.

> I did get GERD fromt the Gleevec. I have been on Nexium now for

> quite awhile, and no problems. I do get some gastro problems, but

> nothing to be concerned over. They come and go. I go for my

> colonoscopy every 5 years, and everything is fine there too. I

> still get the muscle cramps and joint problems. I have bad

> Arthritis though, and that seems to be my issue right now. I also

> have a overactive bladder, and when I drink all my water I am in the

> bathroom all night. Thats okay, as long as my kidney functions are

> doing good.

> Take Care. I think you will be fine.

> A.

>

>

>

> > Hi Gay: I remember when we both started on the Gleevec. You started

> > just before me. I think we used to converse over the old CML at

> > , and somehow we lost track as years went on with other things

> > going on. You said your Creatnine was off. I always got my regular

> > blood work, and all of a sudden my kidney functions were off. They

> > even sent me to a Kidney Specialist. I was never a water drinker,

> > and my nurse told me to start getting the water into my system to

> > flush things out. I started to do that, and my numbers all came back

> > to normal. I might have chronic kidney disease as I was told, but

> > everytime I go see this doctor he tells me that my numbers are all

> > where they should be and to come back in 6 months. I actually

> > stopped seeing him, because with all my other doctors running blood

> > work on me I can see if they go out of range again.

> > Can I ask you if you get enough liquid in you. I have always been so

> > bad with water etc. Now I make sure I drink it, even if I am up all

> > night with the urinating.

> > Just thought maybe you could try that before switching if its been

> > working for you all these years.

> > I will be on Gleevec 10 years this Oct.

> >

> >

> > >

> > > > .

> > > >

> > > > Yesterday I had my yearly appointment with Dr. Kantarjian at

> MDA.

> > > > Lab results noted a slight increase in creatin, which I told

> was a

> > > > side effect with those on long-term Gleevec. I've been on it for

> > 10

> > > > 1/2 years. I was given the option of switching to a new trial

> > > > " nil..... " something (Novartis drug) or going to Sprycel.

> Tasigna

> > > > wasn't mentioned. Can anyone give me a brief summary of Tasigna

> > vs.

> > > > Sprycel side effects, etc. ? I am staying on Gleevec at present,

> > > > but am wondering if I might be better off on a newer drug???

> > Thanks

> > > > for your help.

> > >

> > > Gay Bratton

> > > >

> > > >

> > >

> > >

> > >

> > >

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Guest guest

I am wondering the exact same thing? Should I stay on Gleevec or go onto the

Tasigna, which supposedly has fewer side-effects. I have suffered like crazy

with diarrhea 10+ times a day, and fatigue that is so awful--and just feeling

" yucky " sometimes. What is the deal with switching over. I think my CML is

under pretty good control, but not perfect--and my counts bounce up and down so

I never feel really secure in my control of it.

Vicki

> > >

> > > > .

> > > >

> > > > Yesterday I had my yearly appointment with Dr. Kantarjian at MDA.

> > > > Lab results noted a slight increase in creatin, which I told was a

> > > > side effect with those on long-term Gleevec. I've been on it for

> > 10

> > > > 1/2 years. I was given the option of switching to a new trial

> > > > " nil..... " something (Novartis drug) or going to Sprycel. Tasigna

> > > > wasn't mentioned. Can anyone give me a brief summary of Tasigna

> > vs.

> > > > Sprycel side effects, etc. ? I am staying on Gleevec at present,

> > > > but am wondering if I might be better off on a newer drug???

> > Thanks

> > > > for your help.

> > >

> > > Gay Bratton

> > > >

> > > >

> > >

> > >

> > >

> > >

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Guest guest

Hi VIcki:  It depends on how your counts are, and are you in a cytogenetic

remission.  Then how bad are the side effects is another issue.  Also, how

long have you been on the Gleevec and what dose.  Myself and others have been

on Gleevec for 9 years and more.  Gleevec has been doing its job for me, and I

have mentioned that I live with the side effects as long as it keeps working. I

have been on my 400 mg. since day one in Oct. of 2000.

     I would not just switch to another drug, and risk it maybe not working

for me at all.

     Everyone is different in how they handle the way they feel, and their

quality of life.

     I just Thank God Everyday That I am still here living with CML since

1998.

    You would have to discuss this with your Oncologist.

     Hope that helps you a little bit.

     Take Care

     A.

From: Vicki <vickistu@...>

Subject: Re: [ ] Tasigna vs. Sprycel

Date: Friday, June 18, 2010, 4:09 AM

 

I am wondering the exact same thing? Should I stay on Gleevec or go onto the

Tasigna, which supposedly has fewer side-effects. I have suffered like crazy

with diarrhea 10+ times a day, and fatigue that is so awful--and just feeling

" yucky " sometimes. What is the deal with switching over. I think my CML is under

pretty good control, but not perfect--and my counts bounce up and down so I

never feel really secure in my control of it.

Vicki

> > >

> > > > .

> > > >

> > > > Yesterday I had my yearly appointment with Dr. Kantarjian at MDA.

> > > > Lab results noted a slight increase in creatin, which I told was a

> > > > side effect with those on long-term Gleevec. I've been on it for

> > 10

> > > > 1/2 years. I was given the option of switching to a new trial

> > > > " nil..... " something (Novartis drug) or going to Sprycel. Tasigna

> > > > wasn't mentioned. Can anyone give me a brief summary of Tasigna

> > vs.

> > > > Sprycel side effects, etc. ? I am staying on Gleevec at present,

> > > > but am wondering if I might be better off on a newer drug???

> > Thanks

> > > > for your help.

> > >

> > > Gay Bratton

> > > >

> > > >

> > >

> > >

> > >

> > >

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Guest guest

Vicki,

My diarrhea problems are not nearly as bad as yours. I have had it in

the past, but not that bad, and now it only occurs every month or so

and last for part of a day. I think if I were you, I'd definitely ask

about switching. I was told that there is a a trial open for people

with problems on Gleevec and that the medicine on it would be free

until it was approved for new CMLers...How long have you been on

Gleevec?

Gay

On Jun 18, 2010, at 3:09 AM, Vicki wrote:

> I am wondering the exact same thing? Should I stay on Gleevec or go

> onto the Tasigna, which supposedly has fewer side-effects. I have

> suffered like crazy with diarrhea 10+ times a day, and fatigue that

> is so awful--and just feeling " yucky " sometimes. What is the deal

> with switching over. I think my CML is under pretty good control,

> but not perfect--and my counts bounce up and down so I never feel

> really secure in my control of it.

>

> Vicki

>

>

> > > >

> > > > > .

> > > > >

> > > > > Yesterday I had my yearly appointment with Dr. Kantarjian at

> MDA.

> > > > > Lab results noted a slight increase in creatin, which I told

> was a

> > > > > side effect with those on long-term Gleevec. I've been on it

> for

> > > 10

> > > > > 1/2 years. I was given the option of switching to a new trial

> > > > > " nil..... " something (Novartis drug) or going to Sprycel.

> Tasigna

> > > > > wasn't mentioned. Can anyone give me a brief summary of

> Tasigna

> > > vs.

> > > > > Sprycel side effects, etc. ? I am staying on Gleevec at

> present,

> > > > > but am wondering if I might be better off on a newer drug???

> > > Thanks

> > > > > for your help.

> > > >

> > > > Gay Bratton

> > > > >

> > > > >

> > > >

> > > >

> > > >

> > > >

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Guest guest

Hi Vicki,

I had terrible terrible Diarrhea problems while on Gleevec and also on

Sprycel. But Gleevec was worst. I losts 15 pounds then too. Not to mention

the rash. I am on Tasigna and have none o those problems anymore. I feel

just wonderful!!!

I suggest you switch.

Sharon

Re: [ ] Tasigna vs. Sprycel

Vicki,

My diarrhea problems are not nearly as bad as yours. I have had it in the

past, but not that bad, and now it only occurs every month or so and last

for part of a day. I think if I were you, I'd definitely ask about

switching. I was told that there is a a trial open for people with problems

on Gleevec and that the medicine on it would be free until it was approved

for new CMLers...How long have you been on Gleevec?

Gay

On Jun 18, 2010, at 3:09 AM, Vicki wrote:

> I am wondering the exact same thing? Should I stay on Gleevec or go

> onto the Tasigna, which supposedly has fewer side-effects. I have

> suffered like crazy with diarrhea 10+ times a day, and fatigue that is

> so awful--and just feeling " yucky " sometimes. What is the deal with

> switching over. I think my CML is under pretty good control, but not

> perfect--and my counts bounce up and down so I never feel really

> secure in my control of it.

>

> Vicki

>

>

> > > >

> > > > > .

> > > > >

> > > > > Yesterday I had my yearly appointment with Dr. Kantarjian at

> MDA.

> > > > > Lab results noted a slight increase in creatin, which I told

> was a

> > > > > side effect with those on long-term Gleevec. I've been on it

> for

> > > 10

> > > > > 1/2 years. I was given the option of switching to a new trial

> > > > > " nil..... " something (Novartis drug) or going to Sprycel.

> Tasigna

> > > > > wasn't mentioned. Can anyone give me a brief summary of

> Tasigna

> > > vs.

> > > > > Sprycel side effects, etc. ? I am staying on Gleevec at

> present,

> > > > > but am wondering if I might be better off on a newer drug???

> > > Thanks

> > > > > for your help.

> > > >

> > > > Gay Bratton

> > > > >

> > > > >

> > > >

> > > >

> > > >

> > > >

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