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Danmason11 on 2 September 2021

Category: Food & fitness

Replies: 12

Last updated: 5 October 2021

When is best to take Imatinib?
by Patch (Oct 5)

Hi All,
I am very grateful for this site and all the help, advise and support I receive Thank you all..
I'm on 400mg Imatinib 1 daily.
When I was given the first prescription 31st August 2018

by Fatty Fish (Oct 4)

Hi,
I used to take mine in the morning after breakfast but always felt sick when I was moving around etc. I changed to take it in the evening after a light supper ie cornflakes or toast etc then off

by Deni H (Sep 6)

Hi
I've set an alarm on my mobile for the same time every day....just after breakfast. It seems to be working. I saw my consultant last week, on my last blood test it shows my BCR/ABL as 0

by Humberto (Sep 4)

I take my Imatinib in the middle of my lunch (my longest meal of the day). I mean, I start to eat, in the middle, I take the pill, and I continuous eating.
Category: Food & fitness

Replies: 12

Last updated: 5 October 2021
Fatty Fish on 4 October 2021

Category: About CML

Replies: 4

Last updated: 4 October 2021

Introduction
by scuba (Oct 4)

Hi Diane,
Magnesium can be taken any time with or without food although I tend to take it first thing in the morning and just before retiring for the night (200 mg morning/ 200 mg night).
I take my

by Diane CW (Oct 4)

Hi Scuba and Andrew
i was very interested to read about magnesium supplements.
I was also diagnosed in 2017 and have been on Bosutinib for over three years and I feel as though in the last few

by Fatty Fish (Oct 4)

Hi Scuba,
Cool tag, I spent hundreds of hours underwater ;-)
The info you mention regarding the magnesium really makes sense. I checked my medical records and my Magnesium was last tested in April

by scuba (Oct 4)

Hi Andrew,
When I was first diagnosed, I started on Imatinib as you did and shortly afterwards developed the dreaded cramping. But I learned about TKi's (Imatinib mostly) can cause a severe
Category: About CML

Replies: 4

Last updated: 4 October 2021
Justine on 30 September 2021

Category: Treating CML

Replies: 6

Last updated: 1 October 2021

Question for everyone about TFR
by Felix (Oct 1)

Hi Justine ,I was diagnosed in November 2017 ,I am sure if you went on Dasatinib 20 mg you would get to be undetected , it works slightly differently than Imatinib it should mop up your residue so

by Justine (Oct 1)

Thanks John for all that good information. I appreciate it and you!
You and Denise both suggested a lower dose. My doctor is in fact a CML specialist and I will talk with him about this at next

by johnw1001 (Oct 1)

Hi Justine,
In direct response to your question about why we as CML patients would want to go for TFR or even dose reduction then I would have two major reasons.The first is that even though tki

by Felix (Sep 30)

Hi, that's certainly low enough to go on to 20 mg ,I am on that and I feel much better than when I was on Imatinib.I was tired all the time ,had the bad rash and hooded eyes ,all that went
Category: Treating CML

Replies: 6

Last updated: 1 October 2021
sandy craine on 1 October 2021

Category: Treating CML

Replies: 0

Last updated: 1 October 2021

Professor Hughes’ CML publications of the month:
by sandy craine (Oct 1)

https://www.cml-foundation.org/science-education-mobile/341-science-cml-news-publications-2019.html
Category: Treating CML

Replies: 0

Last updated: 1 October 2021
annie63 on 30 September 2021

Category: Side effects

Replies: 2

Last updated: 1 October 2021

Nilotinib - cholesterol any links
by annie63 (Oct 1)

Thank you Will0… this is my gut feeling too.

by WillO (Sep 30)

Hi Annie
Had the same experience with rising cholesterol. Haematologist said this was a known side effect of nilotinib.
Dietary changes and increased exercise alone didn’t improve numbers, so

by annie63 (Sep 30)

Hi 5 months now since diagnosis, and I’m feeling grateful for nilotinib, as BCR test results started at 136 and I’ve got below 1% now.
It has been picked up that my cholesterol has risen
Category: Side effects

Replies: 2

Last updated: 1 October 2021
snowman 35 on 2 March 2021

Category: Treating CML

Replies: 14

Last updated: 30 September 2021

Tfr and Sprycel. Scuba or anyone?
by snowman 35 (Sep 30)

That is what I am thinking to do Scuba but slowly.... I ll go to 70mg now then 50mg etc and I definetely will try tfr even if I ll do pcr test every three months!

Thank you Scuba for your

by scuba (Sep 30)

Hi Snowman,
Hopefully I can help clarify and settle some concerns.
When CML is reduced to undetected (PCR), the disease has been so reduced or even eliminated (40% of the cases) that it would be

by snowman 35 (Sep 30)

Hi all....

Today I had a phonecall with my doc about tfr.

Unfortunately here in Greece none of both companies that produce Sprycel doesn t undertake the charges for monthly pcr so I can

by snowman 35 (Apr 19)

Hi every one!

I talked with my doc today my pcr results are 0.000 so we discussed again about tfr. He explained me that he has to communicate with the company that produces sprycel in Europe(I
Category: Treating CML

Replies: 14

Last updated: 30 September 2021
reginawagner on 27 September 2021

Category: Blood tests

Replies: 13

Last updated: 30 September 2021

CML and no antibodies
by scuba (Sep 30)

Excellent reference!
.... from the article,
"Substantially more vitamin D is required for optimal immune function than for bone health. It seems Dr Fauci is not ignorant of this, having

by Christine R (Sep 30)

Just found this very readable article about vitamin D and T cells with covid
https://www.bmj.com/content/370/bmj.m3563/rr-6

by sandy craine (Sep 30)

Scuba, thanks for taking the time to write this easy to understand summary of an immune response and the important role that D3 plays.
Sandy

by reginawagner (Sep 30)

Thanks so much, that is a bit of a reassurance!
Category: Blood tests

Replies: 13

Last updated: 30 September 2021
YianniA on 29 September 2021

Category: Side effects

Replies: 2

Last updated: 30 September 2021

Any lymph node issues after taking vaccine as a COVID patient
by YianniA (Sep 30)

Thank you very much for the detailed response. I was diagnosed 5 years ago and have done well. Besides the typical side effects of Dasatinib/Sprycel. Yes I am happy my BCR is down to <0.002

by johnw1001 (Sep 30)

Hi,
You dont say how long ago you were dx with CML.
I had this same problem a few years into treatment for CML and was on imatinib 400 mg and was probably a similar situation to yours .I was

by YianniA (Sep 29)

About one month after taking the JNJ vaccine (March27th), I noticed some tightness on the side of my neck and in the front left side. After a scan we saw lymph nodes were larger which led to a small
Category: Side effects

Replies: 2

Last updated: 30 September 2021
ishb1 on 28 April 2021

Category: Blood tests

Replies: 2

Last updated: 29 September 2021

Rising Level of Bilirubin
by JPD (Sep 29)

Ive had bilirubin 1.6 before and my Onc has said not to worry about it in the slightest. Im assuming your other liver panels are within normal range? If so, I wouldnt sweat it at all. Worry

by johnw1001 (Sep 26)

Hi,
I have had some liver issues (certain scores) recently after long term use of imatinib but my Bilirubin is normal. My consultant told me that it is not unusual in the early stages of taking a

by ishb1 (Apr 28)

I am currently on Imatinib 400 MG, diagnosed back in October of 2020. Noticed my bilirubin has been slowly rising the last few weeks. Has any one else had this happen? I read that intense exercise
Category: Blood tests

Replies: 2

Last updated: 29 September 2021
Mick E on 1 September 2021

Category: Uncategorised

Replies: 10

Last updated: 28 September 2021

Insulin resistance
by Mick E (Sep 28)

I’ve had an hba1c test which I queried as it does not specifically check for high insulin levels. The test came back as normal glucose levels, but from what I’ve read

by Mick E (Sep 17)

Thanks Sandy I will have a look at information sheets on those drugs.
I speak to specialist in 3 weeks so hopefully it will give me time to get a clearer picture of what’s happening.

by sandy craine (Sep 17)

Hi Mick,
OK, so hyper (too much). Scuba makes some good suggestions re exercise and low carb diet for weight loss etc. but that may not be an issue for you? If you did not have this problem before

by Mick E (Sep 17)

Thanks for the detailed reply Scuba! 😊
I do a lot of exercise (within my limits) and constantly monitor recovery levels to ensure I don’t overdue things. Did my first 24 hour fast last
Category: Uncategorised

Replies: 10

Last updated: 28 September 2021
SS86 on 26 September 2021

Category: Side effects

Replies: 6

Last updated: 28 September 2021

Skin Rashes/ allergy - is it a side effect of dasatinib
by Felix (Sep 28)

Hi, that sounds good to me ,certainly don't need to be on 100 mg with that result .Press for a gradual dose reduction to 50 mg then 20 mg .As a 5'3" woman I refused to go on 100

by SS86 (Sep 28)

Hi Denise,
it was .0098 last time however the one done recently is yet to come
Thanks

by Felix (Sep 27)

Hi, if your results are good then you need a dose reduction by the sound of it ,it's your body telling you 100 mg is too toxic .What is your latest BCR ABL. Denise.

by SS86 (Sep 27)

Hi All,
Our hematologists have advised to stop dasatinib 100 mg dose for 3 days to evaluate if the skin rashes are due to dasatinib.
The results on Dasatnib 100 mg were good so far and if this needs
Category: Side effects

Replies: 6

Last updated: 28 September 2021
EvaH on 24 September 2021

Category: Treating CML

Replies: 5

Last updated: 26 September 2021

Dose Reduction- My Hematologists reaction
by sandy craine (Sep 26)

Hi Eva, not sure I agree with the age thing. Prof.Richard Clarke - the lead investigator of the DESTINY trial is now retired.
There is certainly a divide between those clinicians/researchers who

by EvaH (Sep 26)

Thanks for the comments, very helpful.
And yes my current hematologist is ancient. Past retirement in Europe most likely.

by Christine R (Sep 25)

Hi Eva

I think haematologists do fall into the 2 camps of either dose reduction or all or nothing. I asked my local haematologist about a possible dose reduction and his view was that i was

by Buzzm1 (Sep 24)

EvaH, by first reducing your dosage prior to any TFR attempt, should you fail TFR you can restart on a very low TKI dosage (Imatinib 100mg), rather than the full TKI dosage (Imatinib 400mg) that
Category: Treating CML

Replies: 5

Last updated: 26 September 2021
Nonkuthalo on 22 September 2021

Category: Blood tests

Replies: 2

Last updated: 23 September 2021

Can you be pregnant while living with CML
by Nonkuthalo (Sep 23)

Thank you very much for your answer. I'm really relieved to hear that.

by scuba (Sep 22)

Yes.
Once your CML is under control (and it will), you can expect to have a family one day.

by Nonkuthalo (Sep 22)

Hello

My name is Nonkuthalo and I am 27 years old, I have been diagnosed with cml earlier this year and I was wondering if I will ever be able to have my own children one day?
Category: Blood tests

Replies: 2

Last updated: 23 September 2021
Rory on 10 September 2021

Category: Treating CML

Replies: 5

Last updated: 22 September 2021

PCR Increase of 2800% following MMR4 - on Dasatanib
by Rory (Sep 22)

Thanks so much for your response and support. I shall see what tomorrow’s blood test reveals! I had a two week bout of terrible toothache in last period ending with root canal surgery and was

by thomas.c (Sep 21)

I had multiple 10x blips during my dasatinib treatment in the past 4 years, eventually they went back to normal. But i feel your pain, it is certainly extremely stressful to experience something

by Rory (Sep 10)

Guys - thanks so much for this input. I’ve no idea what size of magnitude you can see in outruns or downturns but of course am a bit sceptical about such a seemingly massive increase.

by scuba (Sep 10)

Rory - I would ask for an immediate re-test. It is quite possible the results are due to lab error (it happens), but if it is not, you do not want to wait two months to confirm a dramatic upward
Category: Treating CML

Replies: 5

Last updated: 22 September 2021
Reilly9108 on 30 May 2021

Category: Uncategorised

Replies: 2

Last updated: 21 September 2021

Sprycel
by Reilly9108 (Sep 21)

Thank you for response
I had total hysterectomy so no ovaries left
ca125 still climbing & drs not concern guess just have to wait till something presents itself

by thomas.c (Sep 20)

Before you think of the worst a simple ovarian cyst can blow up your CA 125, which is very common. And i wouldn’t exclude tki causing that (but ofcourse i’m not a dr so my opinion is

by Reilly9108 (May 30)

Does Sprycel have an effect on CAT 125 test results
Category: Uncategorised

Replies: 2

Last updated: 21 September 2021
MarkP66 on 16 September 2021

Category: Uncategorised

Replies: 5

Last updated: 20 September 2021

Where to buy Vitamin D tablets over 4000iu
by johnw1001 (Sep 20)

If in UK try Holland Barrett online who do 3000 IU tablets(take 2 for 6000 IU etc) -buy one get one half price and then 20 % off if order over £25;Also available as order once and then

by MarkP66 (Sep 17)

Thanks Sandy

by MarkP66 (Sep 17)

Thanks David

by sandy craine (Sep 17)

I buy mine from Amazon but there are others, just search high dose D3 ... https://www.lifeextensioneurope.co.uk/vitamins/vitamin-d/
Sandy
Category: Uncategorised

Replies: 5

Last updated: 20 September 2021
Taper11 on 11 September 2021

Category: Uncategorised

Replies: 7

Last updated: 20 September 2021

Rib/Spleen Discomfort - Dasatinib
by Taper11 (Sep 20)

Davide & Evah,

Thanks for the replies.

I had an appointment and my WBC is in the normal range. I've had a good hematologic response to dasatinib.
Knowing that, my ache is probably 5

by Taper11 (Sep 20)

Thanks Richard - you're a tough guy battling this for so many years. Your good news definitely outweighs the bad!

by davewell (Sep 20)

Hey,
I don't want to alarm you but if I were you I would make sure it is not pleural effusion; I had that when taking Dasatinib and I found out precisely because I felt a small abdominal pain in

by EvaH (Sep 20)

Hydroxyurea is quite a powerful/heavy drug. Im sensitive to my body at normal times but while on it (3-4 weeks) I became even more soa and this continued till my blood parameters were back to normal
Category: Uncategorised

Replies: 7

Last updated: 20 September 2021
KingBurger on 27 August 2021

Category: Blood tests

Replies: 5

Last updated: 18 September 2021

Sprycel
by KingBurger (Sep 18)

Thanks for checking in. I seem to be doing well. I take the Sprycel each morning and the headaches and nausea have all dissipated. The only thing I do notice at times is a rapid and strong heartbeat

by Krissi0913 (Sep 18)

Hi! I take 100 mg Sprycel. My only suggestion is to take it in the evening. Sprycel tends to some fatigue and brain fog for me, so if I take it at 10 pm, I am just sleeping through it.

by Felix (Sep 3)

Hi Kingburger,just checking to see how you are feeling on your new meds .Headaches in the morning? Hope you are feeling ok ,Regards .

by KingBurger (Aug 28)

Thanks Felix for the response. I had this discussion with the CML specialist when he made the change ask if I could take 50mg instead. I lost the debate- his rationale was since I was resistant to
Category: Blood tests

Replies: 5

Last updated: 18 September 2021
sandy craine on 28 August 2021

Category: Other conditions

Replies: 10

Last updated: 17 September 2021

vitamin D and melatonin, and how they may help with COVID-19.
by scuba (Sep 17)

If you are going to take 12,000 IU's weekly, best to spread it out during the week (2,000 IU's per day) rather than taking at one time on one day. Any level much above 10,000 per day is not

by sbp03 (Sep 17)

Thanks Scuba, her vitamin D is in its 40s, she really tests twice a year and supplement with 12.000 IU weekly. Our concern was related to an eventual complication in her chronic portal vein

by scuba (Sep 8)

You can absolutely take vitamin D without K2, but just need to be aware of dose and D base level. Vitamin K2 is a sort of safety valve for D. Take in too much D and the k2 helps mop it up. I did

by sbp03 (Sep 7)

Hi Scuba, would it be of concern on taking vitamin D without K2 as my wife is also taking warfarin (vitamin k antagonist) and her doctor advised it against vka and K2 interaction, but not against
Category: Other conditions

Replies: 10

Last updated: 17 September 2021
Zzyzxuk on 12 October 2020

Category: Uncategorised

Replies: 14

Last updated: 16 September 2021

Just found out... :(
by jonnie turpie (Sep 16)

It has worked! Your diary has been sent using the envelope messaging function. I see it is very extensive with a great title: A High Powered Mutant of My Own Making
I will begin reading

by jonnie turpie (Sep 16)

OK Thanks.

I have send a message using the envelope icon.

by AlastairC (Sep 15)

The forum does have private messaging - see the envelope icon on the right hand side of the ribbon at the top of the page.

by EvaH (Sep 15)

Sure.
I somehow thought this forum had private messages but seems not...
Category: Uncategorised

Replies: 14

Last updated: 16 September 2021