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Extreme Fatigue with CML and the drug Imatinib

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Hi everyone, i haven't posted for a few years now and i was diagnosed back in August 2005 and have since been on Imatinib 400mg one a day. i was 45 years of age then and i'm now 56 years soon to be 57 years so i have had a good run on Imatinib, at first the drug didn't seem like it would work then it kicked in and i'm still here by The Grace of GOD.

The draw back to this is the Extreme Fatigue and Muscle Cramps that inhibit normal day to day life and planning anything long term, as the energy levels deplete rapidly and take a lot longer to recharge.

Many of your loved ones and friends will see you looking relatively fit and healthy and over a period of time will come to overlook the fact that you have Leukaemia and will wonder why you can't keep up with normal activities. This is something i have been experiencing for a number of years and continue to do so and i can hear the words from the support nurse echoing back to me, from 2005 saying:- "you will feel very tired all the time" of course that went over my head then...! blush

As you get older the symptoms increase and another drawback is weight control, if you are prone to being overweight then you will have to watch what you eat as Imatinib will increase your body weight, they used to weigh me at the beginning and take my blood pressure but now they don't bother, unfortunately i'm prone to putting on weight and am now overweight, i used to be able to go to a ladies keep fit but now cannot do that.

You will find that the Consultant that monitors your Leukaemia and see's you for your check up's are not that interested in you as a person just the results that the Imatinib is having on your body, they are over worked and too busy to take on board anything that dosen't pertain to your diagnosis and the effect the Imatinib is having on you, so remember that when speaking to them and take any other health issue to your GP.

I still have to have my blood taken 3 weeks before my check up as it takes that long to get the results back from the PCR Test and my check ups are still 3 monthly and i get my next 3 months prescription then with the results from the PCR Test(checks the level of the disease) and the normal blood test(results come back quicker from this one).I used to have the bone marrow test, Thankfully i don't have that now...!!!

One thing you will notice is that your body temperature will be up the creek, as at the beginning you will be hot most of the time and have night sweats and won't be able to wear those winter jumpers that you used to wear and as you progress this will get better but you will still feel hot and have the occasional night sweat and will need to layer your clothing in the winter so that you can remove the extra layers when you start to feel that heat build up.

I have found that eating 4 squares of dark chocolate a day will help keep your iron levels up and eating lot's of fruit and drinking plenty of water also helps improve your health and helps the Imatinib work better, remember not to eat Grapefruit or Drink Cranberry Juice...and don't take the Imatinib after eating citrus fruits as you will sick it up...!!!

As we are in those winter months for those of you who like to drink hot chocolate...buy a 200g bar of Bournville Chocolate and melt 4 squares of chocolate in a saucepan with milk(standard mug size) and whisk gently until it comes up to the boil and pour into a mug and drink...BEST HOT CHOC EVER!!! You won't need sugar as this choc is already sweetened for those who don't like it sweet buy unsweetened dark chocolate.

For any of you finding it difficult to keep working you can claim long term sickness benefit, mind you it is not easy getting it but then with the times we are in nothing is, here is the link:-

https://www.gov.uk/financial-help-disabled/disability-and-sickness-benefits

 

 

I wonder whether some of the symptoms you are having so much trouble with may be worsened by the menopause?  Just  a thought, but hot flushes, some depression and increased weakness are very common problems.  Have you discussed this with your GP?  I was (comparatively) lucky to be past that when I was diagnosed at the age of 66, but I can well remember all of those things when I was in my fifties.  And I put on weight.

Hello Rebecca, I agree with Olivia that some of the symptoms you describe could be attributed to menopause and its aftermath of low progesterone. You might find that using a topical natural progesterone cream would help with not only fatigue but weight gain. 

If you have muscle cramps etc. this (and your craving for chocolate) can be a sign of low magnesium levels- again you could try a topical magnesium cream/oil - I have found this helps a lot with muscle cramps and energy. I also make sure I take a good Vit B complex supplement and have found one that includes adrenal support. This has made such a difference to me and my ability to withstand any kind of physical of emotional stress. 

I must say though that do not share your experience with my specialist CML clinician. She is always interested in any other health issues and takes steps to refer me to other specialists if needed. 

Best wishes,

Sandy

Hi Rebecca,

About 10 years now since diagnosis and not young anymore .I commiserate with you over muscular cramps  from imatinib which I have found interrupt sleep at night (both legs at the same time usually at 4am) and are very difficult to treat effectively;my worst cramps  occur in the day  just below the rib cage both sides and are dreadfully painful:no it is not the heart!

Just a thought have you had your calcium,magnesium and potassium levels checked as any deficiency here will exaggerate the cramps.In addition I have elevated creatine kinase (CK) which indicates myositis or inflammation of the muscles and is drug related -this leads to muscular stiffness and muscle aches and exaggerates the cramps.Your GP should be able to offer these tests for you.

Yes the water treatment helps the cramps as does quinine from tonic water but long term use of quinine sulphate as a drug might be bad for the heart I believe.Have you tried some pysio like exercises on the stairs for the legs or stretching against the wall at 45 degrees-apparently it helps.

On the tiredness is your Haemoglobin ( Hb) in order and if your Red blood count is a little depressed (RBC) then being anaemic might contribute to fatigue-an iron supplement might help or also folic acid but worth following up with GP.

Trust this helps. Best wishes.

John

Thanks....lot of info I didnt know there! Esp on citrus fruits and cranberry :-o

Your story got me wondering, I'm now 42 and was diagnosed last year. I have some savings and though some work offers are coming through, I thoughy as I have saving and while I'm in good health, maybe I shouldnt do the "sensible thing" and return to work...and make the most of being active while I can.

I already feel a little less energy than I did when my blood parameters returned to normal last october, not to mention the 8kgs i've put on. I thought at first it was just a seasonal winter lower energy. What advice would you give to the younger you?

Hi Sandy, 

 

just wondered what the vitamin b complex is you take? And what other supplements you take?

 

 Thanks Caroline 

This list is personal to me... so it depends on what you personally need - generally I try to take the following Vitamins and minerals on a daily basis:

Vitamin C in the form of ascorbic acid powder - at least 2 tsp a day -10 grammes- in water/juice (dose depends on how an individual tolerates it without digestive upset- I seems to need a lot)

B complex, B1;2;3; etc

Niacinamide (extra high dose B 3) @ 500mg x 2 (great for arthritis and general joint pains)

Vit D3 @ 5000 iu per day - more in the winter depending on the daily amount of sunlight I am exposed to

Vit A in the form of beta-carotene

Vit E @ 400mg per day

Magnesium Citrate @ 500mg twice daily

Selinium 200 iu

plus I have recently added Curcumin in the highest dose and most bio-available form you can find (not cheap).

Sandy