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Tasigna for CML and bits and pieces from an old timer.

It is a long time since I wrote on this wonderful site. A friend Judith Smith has asked me to post this for her because she is not computer literate. She is on 400mg Tasigna and has started with severe pain in her hands, arms and soles of the feet. She wonders if this is common and anyone has been in the same position?

My health has been problematical this year but it has not been my CML. In spring I spent two weeks in a barrier room in hospital with C.Diff. I had taken, at home, antibiotics for a chest infection and it gave me C.Diff. Apparently C.Diff 'loves' antibiotics and people with underlying illnesses like CML. Now in future I cannot take antibiotics unless I am seriously ill - and then only Doxcyclin, which is also the only antibiotic CML Tasigna patients can take. C.Diff makes a mess of you and it has taken me six months to get sorted. Now I have been told I need to have my gall bladder removed. So far I haven't found the courage to agree. As for my CML I have been on Glivec since diagnosed in 1999 and still manage to bring up a PCR 0 at present. My darling husband died well over three years ago and I am the sole carer for my elder batchelor son who has severe OCD. I live alone and my son lives alone nearby. My other sons's daughter of 14 years has been in hospital for 16 months with anorexia nervosa. Since last Easter she has been force fed by tubes because she will not still eat or drink.

My PCR has always been sent from Nottingham to HH but recently Nottingham got their own PCR machine and operator and my PCR tests have gone to six monthly instead of three monthly. Although I was told this was because it is only a small risk that my PCR will now go up again, I feel personally that it is to do with financial matters. I am not really happy about it.

I see the annual conference is to be in Nottingham this year and at long last my consultants have got themselves involved in a very worthy cause. Judith, who I mentioned at the beginning of this spiel, has been asked by Nottingham to give the patient talk - she is worried already that she will not pronounce Tasigna correctly!

Recently I was turning out my office papers and found so much relating to the old days of my reliance on this compassionate and informative Cml web site. I will be eternally grateful for the way in which I was helped through those early years of my CML. We actually had some jolly good times together which may seem hard to believe. It was this web site that kept me sane in the early days and it gave me the confidence to become an educated patient and thereby cut down on my stress levels.

Especially to Sandy, David and Elizabeth I send all my love and best wishes. I remember going into churches in Derbyshire and praying for Sandy and Elizabeth when they were both so ill. To anyone else who remembers me I also send my love and best wishes. To those new CMLers who do not know me I also send the same wishes. I think Sandy you will still hopefully see that I am a 'fighting' That is something you and Elizabeth taught me all those years ago.

Dear Pat
So great to hear that you are still doing well on Gleevec, 0 PCR - wow, the goal we all aspire to.

I am so sorry to hear about the C diff- not something you needed to deal with. Hope you are now back to strength again.

Interested in your mention of Doxcyclin and Tasigna, I am on Tasi and didn't know this. Is there a paper/info you can let me know about please?

Yes the early days of the site and the fight we all had to get Gleevec were interesting times. As you so rightly reflect Elizabeth and Sandy were towers of strength who held the battle front as we educated patients stormed the battlements !!!!!

Tell Judith that my side effects on Tasi diminished very quickly and now - 18months on I feel wonderful. Paracetamol helped with the hand pain, and arms. For my feet I have to be careful about shoes and use the padded gel insoles to prevent the soreness.

The problems for me have been raised cholestrol levels and impaired Glucose tolerance. The diet is working wonders for shifting the old Gleevec podge.

See you in Nottingham I hope.
All the best
Pennie.

Pat,

great to here from you again, it seems so long since we last were in touch; looking back I can see it was well over two years, but the advice you gave me when Val was diagnosed was so useful at the time. Hope the studies went well, hope to see you in Nottingham

Phil Greenwood

Dear Pat,
good to see your post and hear also that you are still 'fighting' in-spite of all the challenges you have had since losing your husband. I am so sorry to hear your grand-daughter is still having such serious problems. It must be heartbreaking for both you and your son and his wife. I really hope she is able to overcome this really distressing condition. I have a family member who suffered (at around the same age) from anorexia. It was so hard for her parents to cope with, but now she has overcome it all and is happily married with a 2 year old son.

Good to hear that Nottingham can do your PCR tests now as it certainly helps if the samples do not have to travel. Although I know you are not happy that the gap between tests has been extended it might help if you look at it as a good sign...i.e you have had such low pcr's for so long that they are unlikely to change in the long term.

Regarding Judith's side effects. I am sorry I cannot comment from personal experience but judging by Pennie and Ali's experiences on Tasigna any initial side effects do resolve over the first year or so.
Maybe Judith could get some help to deal with the pain. It might be that acupuncture or reflexology would help. These are both complementary (rather than alternative) therapies and can really help with relieving side effects from drug therapy. I have just been talking to a friend who is undergoing very invasive and highly toxic treatment for an aggressive breast tumour and she is quite successfully controlling side effects with the help of acupuncture. She visits a centre (the Haven)that is used to treating cancer patients who are being treated with chemotherapy/radiotherapy etc. and she says it really helps her cope. I am sure Judith might find something like this helpful until her body gets used to nilotinib/Tasigna.
By the way... tell her not to worry about the pronunciation- it is said as you read it... or she could also just refer to it as nilotinib?

Thanks for your kind words and I am really glad to hear from you again on this forum.
Looking forward to catching up 'face to face' in Nottingham ;o)
David says Hi and wishes you well,

Sandy

I changed over to Tasigna a few months ago due to adverse side affects of Glivec. At first I thought if might have been a mistake to change as I felt like I had been under a bus, my bones ached so much including the soles of my feet. Fortunately this only lasted for a few weeks or so. Now I think Tasigna is brill, none of the old side affects from Glivec which made me feel like I had ME and scrambled egg for brains and constant upset stomach. I now have my old face back (no puffyness) and mussles have come back to life, brain functioning as scattilly as it ever used to so its all good. Results have had a kick boost to. I have to take antibiotic daily for a pre existing condition and take penicilin V and dont seem to have any problem with it.

All the best
Apryl