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mneale on 19 July 2013

Category: Uncategorised

Replies: 3

Last updated: 21 July 2013

What does this mean?
by mneale (Jul 21)

Hi Sandy,

Thank you for your reply and all the information you have supplied, it has got me thinking. I will have a look this evening at the link that you have given me.

I am currently

by sandy craine (Jul 21)

Hi Mark,
So sorry to hear you are suffering from such a complex set of complications as well as transplant relapse. I know very little about the effect that an additional chromosome 3 abnormality

by nigel (Jul 20)

Sounds like you've had tough 2 years, cant help with your question but just wanted to day hi, sure all here are with you, and that sandy / someone can help. Nigel

by mneale (Jul 19)

Hi all,

I haven't posted on here for quite some time, but I could do with some help if possible. I was diagnosed with CML in Feb last year. I had three TKI's Imatinib, Nilotinib and Dasatinib
Category: Uncategorised

Replies: 3

Last updated: 21 July 2013
sandy craine on 18 July 2013

Category: Uncategorised

Replies: 1

Last updated: 19 July 2013

High cost cancer drugs- the argument goes on
by Richard42 (Jul 19)

Thanks for posting this Sandy - an open discussion about healthcare costs, especially cancer therapy, is absolutely necessary. It's certainly not as simple as the tabloids would have one believe

by sandy craine (Jul 18)

This is obviously a complex issue, and the argument about how much profit a company makes is 'too much' opens what must be a valid discussion. In my view, if you take the position that 'blockbuster
Category: Uncategorised

Replies: 1

Last updated: 19 July 2013
Belinda Whitting on 14 July 2013

Category: Uncategorised

Replies: 6

Last updated: 16 July 2013

How often patients see their consultant
by Olivia (Jul 16)

Thanks Sandy. I had assumed my consultant knew what he was doing (!), but it's good to have your confirmation.

Olivia

by Belinda Whitting (Jul 15)

Thankyou for your advice everyone I will post his pcr results when I have got them from the clinic. Once again I appreciate all your advice.x

by sandy craine (Jul 15)

Dear Olivia,

well done on the achievement of such low pcr's - your last is equivalent to MR4 on the international scale.

I have just taken a look at the SPIRIT study website and found

by Olivia (Jul 15)

I was wondering about this very subject recently. I too am on 400 mg Glivec, and have been for nearly 4 years now. My last PCR was 0.017, and other results all fine. The consultant told me he
Category: Uncategorised

Replies: 6

Last updated: 16 July 2013
sandy craine on 17 July 2013

Category: Uncategorised

Replies: 1

Last updated: 19 July 2013

Burzynski: Cancer is a Serious Business.
by Richard42 (Jul 19)

Dr Burzynski was the subject of a critical Panorama documentary a couple of months ago - might be worth tracking that down for another perspective, too, if you watch this one.

by sandy craine (Jul 17)

I have just watched the first hour of this video..... it is fairly stunning! and also very moving. Take some time out to watch this... it is only available online until July 20th.

Sandy
'
Category: Uncategorised

Replies: 1

Last updated: 19 July 2013
ruddoug09 on 12 July 2013

Category: Uncategorised

Replies: 1

Last updated: 11 September 2013

National 3 Peak Challenge
by ruddoug09 (Sep 11)

Many thanks to everyone for the support, we raised £2,656, well above my hopes!
An unforgettable experience...never to be repeated...probably.

by ruddoug09 (Jul 12)

Hi Everyone,
Once again I'm taking part in a challenge to raise funds for Leukaemia & Lymphoma Research, a chairty close to all of our hearts.
There are 8 of us taking part in the challenge
Category: Uncategorised

Replies: 1

Last updated: 11 September 2013
Rogue Wave Fan on 10 July 2013

Category: Uncategorised

Replies: 5

Last updated: 17 July 2013

new and discouraged
by David Fitz (Jul 17)

Hi Christine,
I'm so pleased to hear the bone pain has gone - that's awesome! For me it just wouldn't go, so I switched to dasatinib and that made it go away. The main thing is that it goes, and the

by Christine Wilson (Jul 15)

Hello, I am also newly diagnosed within the last month and just wanted to say what a fantastic site this is and I have received so much reassurance and support from other CML ers.

I would

by Steven Davies (Jul 14)

About 2 years ago I developed what's called geographic tongue which is extremely painful and also very sensitive.
I was put on a course of steroid mouth was and tablets and that cleared it up.
I

by sandy craine (Jul 12)

Hi,

So sorry to read that you are suffering side effects. You do not say when you were diagnosed but I assume it was quite recently- within 3 months?. Side effects from imatinib/Glivec (
Category: Uncategorised

Replies: 5

Last updated: 17 July 2013
chrissie on 3 July 2013

Category: Uncategorised

Replies: 2

Last updated: 5 July 2013

Hayfever
by chrissie (Jul 5)

Hi Sandy

Yes, so far so good.it was the most unpleasant experience, and considering last summer's wet and cold no one thought of hay fever. All under control so far this year thanks to tablets

by sandy craine (Jul 4)

Hi Chrissie,

It could be that as periorbital oedema is a common side effect of imatinib that you are more prone to reactions caused by allergens in the air- such as pollen? Just a guess really

by chrissie (Jul 3)

Hi All

Some of you may remember last summer I had a real problem with my sinuses/nose etc and managed to lose 20 lbs in weight as I was unable to chew and breathe, so chose to breathe. I felt
Category: Uncategorised

Replies: 2

Last updated: 5 July 2013
nigel on 2 July 2013

Category: Uncategorised

Replies: 2

Last updated: 3 July 2013

Update on Results
by sandy craine (Jul 3)

Really good news Nigel. You are absolutely right about the 'guidelines'... see discussion on this as Karen made the same point - see thread further down. My friend took 11 years to get to MR3.
At 0.

by Richard42 (Jul 2)

Excellent news Nigel. Best - Richard

by nigel (Jul 2)

Hi all, Pleased to say after a little blip few months ago and a rise in PCR from 0.4 to 0.6 then back to 0.4 again, we discussed changing from Imatinib with my consultant to Nilotinib, I don't
Category: Uncategorised

Replies: 2

Last updated: 3 July 2013
sandy craine on 2 July 2013

Category: Uncategorised

Replies: 15

Last updated: 11 July 2013

New Thread for Christine's Newly diagnosed post from 30th June 2013
by chrissie (Jul 11)

Hi Christine

I was dx in Sept 2009 and have been taking Imatinib 400mg since then. I have had a strange range of side effects over the years, but seeing my blood tests coming back showing mere

by Christine Wilson (Jul 10)

Hi Chrissie. The pains now are mainly concentrated around my knees and I am having trouble walking still, but at least it is lessening slowly, and hopefully next week my blood results will show

by chrissie (Jul 9)

Hi Christine
Pleased you're sticking with the 400mg dose and that the pain seems to be slightly better. It will all be worthwhile once you see improvements in your blood tests.

In my thoughts

by Christine Wilson (Jul 8)

Hi again, I just wanted to let you know that I have taken all of your advice and I am continuing to take imatinib every evening and not reducing the dose at all.

My bone pains have now changed
Category: Uncategorised

Replies: 15

Last updated: 11 July 2013
mario on 2 July 2013

Category: Uncategorised

Replies: 2

Last updated: 2 July 2013

my son pls help
by sandy craine (Jul 2)

Welcome Mario,

I am so sorry your son has been diagnosed with CML. It is heartbreaking for a parent.... but please be assured that he will respond to the therapy that is specifically for

by David Fitz (Jul 2)

Hi. I'm sorry to hear about your son.
Where do you live? - This is quite important!
Modern TKI therapy, such as imatinib (and to a lesser extent dasatinib and nilotinib) are commonly used as first-

by mario (Jul 2)

hello , i need help , my son/12 yo just diagnose with CML , june 26, after a blood test done by his doctor, his wbc 400t, what is the best treatment can be given to him ? pls help me .
Category: Uncategorised

Replies: 2

Last updated: 2 July 2013
sandy craine on 1 July 2013

Category: Uncategorised

Replies: 5

Last updated: 2 July 2013

European LeukemiaNet recommendations for the management of chronic myeloid leukemia: 2013
by gizmos mum (Jul 2)

Hi Sandy, thanks for asking. I am doing much better on Nilotinib, the 1st BCR test after I changed to Nilotinib showed a big drop, but the one after was only 1.5% drop. I am still around 7.5% PCR at

by sandy craine (Jul 2)

Hi Julie,
ELNet- the European Leukaemia Network - include clinicians from the UK. So to answer your question, yes these recommendations will also be those of CML expert clinicians working in the UK

by sandy craine (Jul 2)

Karen, I have another CML friend who I have known since 2005. She has never has an optimal response on either imatinib or dasatinib. When she changed to nilotinib she responded better but very

by karen (Jul 1)

That is really interesting. I have never managed to hit any of these targets and have had suboptimal responses on four drugs so far but my consultant said recently that as my counts have never
Category: Uncategorised

Replies: 5

Last updated: 2 July 2013
Carol on 26 June 2013

Category: Uncategorised

Replies: 1

Last updated: 11 September 2013

Hammersmith Patient Carer Support Meeting Saturday 21st September 2013 - 10:30-1pm
by Steven Davies (Sep 11)

Hi

Just looking forward to seeing old friends and meeting new ones on Saturday week.

by Carol (Jun 26)

Next patient meeting at the Hammersmith Hospital
LEUKAEMIA PATIENT/CARER

SUPPORT MEETING
SATUDAY 21st September 2013

10.30AM/1.00PM
Haematology Outpatients clinic

Ground Floor
Category: Uncategorised

Replies: 1

Last updated: 11 September 2013
hannah2010 on 26 June 2013

Category: Uncategorised

Replies: 1

Last updated: 29 June 2013

phosphate
by blueyes74 (Jun 29)

they said that to me and gave me these god awful tablets. it turned out that my phosphate wasn't low. my vitamin D level was. after getting a blood test done i had it confirmed.

by hannah2010 (Jun 26)

Hannah again!

Im having an issue with my phosphate level being too low apparently the glivec causes it anyone else with this problem?

Thanks hannah
Category: Uncategorised

Replies: 1

Last updated: 29 June 2013
hannah2010 on 26 June 2013

Category: Uncategorised

Replies: 1

Last updated: 29 June 2013

need help with numbers please
by sandy craine (Jun 29)

Hi Hannah, sorry no one else has answered but I will attempt to give you a view on your numbers.

The difference between your Feb and April results is one log- in other words there is one less

by hannah2010 (Jun 26)

Hi everyone

ok so been on glivec nearly three years

feb 2013 pcr was 0.001

April 2013 pcr was 0.015
Can anyone tell me the significance/ difference between these number i saw a
Category: Uncategorised

Replies: 1

Last updated: 29 June 2013
auditek82 on 26 June 2013

Category: Uncategorised

Replies: 1

Last updated: 29 June 2013

QTc interval on nilotinib
by sandy craine (Jun 29)

Hi, I would tend to agree with what you say your doctor has advised.
There is no evidence that you will exhaust your treatment options by switching drugs early on. The goal is to get you down as

by auditek82 (Jun 26)

I am on nilotinib 400mg twice daily after I did not manage to get 10% bcr-abl after 3 months on 400mg imatinib. I had a pcr of 21.9%. On the 13th of may I had a QTc of 423ms which is fairly good but
Category: Uncategorised

Replies: 1

Last updated: 29 June 2013
august1 on 19 June 2013

Category: Uncategorised

Replies: 11

Last updated: 5 July 2014

PCR at 9 months
by sandy craine (Jul 5)

It seems that imatinib does not have an adverse effect on sperm and so the clinical opinion is that males on treatment with imatinib can father children with only the same level of risk of

by ashu1103 (Jul 5)

hi sandy,

hope i am not irritating you,but my concerns are too much.

i have married six months back could you please tell me , that can i be the father on imatanibs or not? what

by sandy craine (Jul 4)

If your liver is standing up to the TKIs combined with alcohol then you may be lucky and get away without too much damage. Depends on how much you drink on a daily basis- ;o)
Best wishes,

by David Fitz (Jul 3)

Hi Bill,
I took omeprazole, a PPI similar to pantaprazole. Omeprazole significantly interacts with my TKI, dasatinib. But as far as I am aware imatinib doesn't require an acidic environment to be
Category: Uncategorised

Replies: 11

Last updated: 5 July 2014
Steven Davies on 18 June 2013

Category: Uncategorised

Replies: 3

Last updated: 21 June 2013

Change in dosage of Nilotinib
by Steven Davies (Jun 21)

Thank you.

Having had CML for 9 years I had not heard the term "wells" before.
The explanation is excellent and something that I think I understand. Whatever it is I'm in a good position will

by sandy craine (Jun 20)

Thanks for an excellent explanation Luisa. I too have had positive results since HH installed their very sensitive PCR methodology/machine last year. I too have been told that only 1 well was

by Luisa (Jun 20)

Hi Steven,
PCR is carried out in a so called "microtiter plate" that has 96, 384 or even 1536 sample wells arranged in a 2:3 rectangular matrix Each sample is put in a "well" (essentially like a

by Steven Davies (Jun 18)

Hi

10 weeks ago my consultant changed me from 600 to 400 mg 2 weeks ago my pcr was 0.022 up from 0.015. I know this is not a change in real terms however the consultant Said the following
"In
Category: Uncategorised

Replies: 3

Last updated: 21 June 2013
kathy on 13 June 2013

Category: Uncategorised

Replies: 1

Last updated: 14 June 2013

feeling unwell
by sandy craine (Jun 14)

Hi Kathy... it is OK to take paracetamol. The only caution is that you do not take it for long periods of time- i.e consistently. - but rather like you would normally, for headache, flu etc.

by kathy (Jun 13)

Hi all,not posted in ages,dx 03 taking glivec and im doing great,just a quick question ,feeling unwell tonight,sore throat ,high temp etc,am i ok to take paracetamol? thank you.xx
Category: Uncategorised

Replies: 1

Last updated: 14 June 2013
robert mcadie on 9 June 2013

Category: Uncategorised

Replies: 5

Last updated: 10 June 2013

supplementing with magnesium
by robert mcadie (Jun 10)

Thanks Sandy
I have managed to get the consultants email so will drop him a line. I wanted Robbie to start using the magnesium as you do. He was so sore over the weekend the pain seems to be growing

by gizmos mum (Jun 10)

Thanks Sandy, I will have a read. I did look at the multi vitamins in my local Boots, but they all had only 100mg in them, which I think is only 25% of what we need daily, so I will definitely try

by sandy craine (Jun 10)

Hi Julie,

You could try this link to a video which has a lot of information
http://nutritionalmagnesium.com/video-audio/magnesium-deficiency/92-magn...
I personally use Ancient Minerals cream

by gizmos mum (Jun 10)

Hi, I am very interested in this and have been reading about the benefits of Magnesium. I am on 800 mg Nilotinib too, what would be the suggested amount per day and in your opinion which would you
Category: Uncategorised

Replies: 5

Last updated: 10 June 2013
robert mcadie on 8 June 2013

Category: Uncategorised

Replies: 2

Last updated: 9 June 2013

nilotinib
by sandy craine (Jun 9)

Hi Robert, I entirely understand your concerns, however whilst nilotinib (and ponatinib) have some effects on cardiovascular system- as Pennie says, all TKIs have toxicity problems, it is just that

by Pennie (Jun 8)

Hi Robert I have been on Nilotinib now for more than 3 years. I was first diagnosed in 2001, and this is my 3rd TKI
They all have their problems, but if you are at a centre of excellence, and

by robert mcadie (Jun 8)

I have just started taking nilotinib on Tuesday while away at work. I have just returned home for the weekend and my wife has just read the package information leaflet and is really worried about
Category: Uncategorised

Replies: 2

Last updated: 9 June 2013