Well it is time for a change. I have been taking Dasatinib since my initial diagnosis. Overall it has been going well. I do have a number of side effects that I deal with to this day. Extreme fatigue and nausea being at the top of the list.
In the past my hematologist has given me the option to change to a different medication. I always said no because if the medication is working (keeping the cancer cells under control) why change. We slowly decreased my dosage in the hopes that it would help alleviate some of the side effects. I believe it did make a difference.
Unfortunately, as we got to a lower dosage my numbers started to slowly creep up. I had to have a slight increase (but still a lower dosage) in my meds. I know now that I will not be a good candidate to try TFR. This was again indicated when I took a 4 week break when I had surgery recently, as my numbers increased slightly.
My numbers are still in a safe range but as you can see by the graph they have stayed pretty steady (no more decreases). There was a tiny jump in Feb, not sure why, and the jump in May was from when I had my little break.
Well that time has come to take a leap and make a change. My Dr. did say that as with any medication, there is no guarantee that it is going to work as well or that the side effects are going to be easier to deal with.
I am hoping for the best but preparing for the worst!
In the beginning it was pretty rough but I was also quite a bit sicker then. So keeping my fingers crossed the side effects will be minimal and won't last long.
Here is a list of some of the possible side effects.
Most Common and Mild - swelling, nausea, vomiting, muscle cramps, diarrhea, rash, hair loss, belly pain, fatigue.
There is also more serious side effects listed including allergic reactions, eye related issues, kidney/liver damage.
If you are curious to read in more detail, here is a link.
When compared to the “listed” side effects of Dasatinib they are pretty much the same. But, from experience I know there are more possible side effects because I had them. Things like mouth sores, scalp tenderness, bone pain and more.
I have a binder that I keep all my medical records in and I tracked all my side effects for a year. I will probably do the same just to compare.
For anyone with CML, the graph was done with the Know Your CML app. provided free through The CML Advocates Network. You can track your test results, track any side effects, do some meditation, and there is also an education section as well.