Thursday, May 25, 2017
Double Check the Pharmacist
I told her that yes, I had; due to pleural effusion. She told me that I needed to speak with the pharmacist before they could ship my medication. I figured I was more aware of the side effects of Sprycel than she was, but figured that maybe at least my side effects might get reported, so I thought that I might as well get the most bang, for my buck and give her the full gamut of side effects.
I told her about the pleural effusion, and her response was, "Really?"....my response was, "YES! REALLY! It is a common side effect in CML patients." I told her of the muscle aches, nerve and joint pain, headaches and chronic fatigue, too. Once again her response, "Ohhhh, really?" "Yeah, DUH!"
At that point I decided to tell her about my findings that different Lot numbers seemed to deliver different side effects, and she got all excited! She said "Yes!! I remember hearing something about that; can't be sure it was regarding Sprycel, but I DO remember hearing something about that!"
Now, I am thinking, "REALLY?? Aren't YOU the one that spent many years in school learning about drugs, and their affect on the human body?" UGH!
I then asked her if she was going to be reporting these side effects to the drug manufacturer, in hopes of enough complaints resulting in a lesser, acceptable, "margin of allowances" during manufacturing. There apparently is a specified percentage, during manufacturing, that the ingredients, in a medication, must fall between; so a little more of this, or that, or a little less of this or that, and the drug is still within these parameters and therefore acceptable. I believe that this is the difference between a good side effect month, and a bad one.
My plan was to ask my oncologist if it was safe to take with Sprycel, as I take Sprycel right before I go to bed. But since I had the "expert" on the line, I asked her. She said, "Let me look, nope, no interaction. Let me check one more source; Nope, go ahead and take it, there is no interaction between the two."
Of course, I did not take the pill last night, and some random ad popped up today on my FB about some random drug, and I clicked on it. It had a place to put in Drug Interactions, so I did. And what do you think I found?
A "Moderate" interaction between Sprycel and Ambien!! I was so disgusted that I decided to write about it!
Interactions between your selected drugs
Applies to: zolpidem, Sprycel (dasatinib)
Dasatinib may increase the blood levels and effects of zolpidem. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if your condition changes or you experience increased side effects. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Once again, watch out for yourself! Be careful and do your due diligence. I am sure that the interaction is probably not serious, but what if it was?
I will be contacting my oncologist prior to taking the Zolpidem/Ambien, always do my own research and continue to ask LOTS of questions!
Here is a great place to check drug interactions: https://www.drugs.com/
Any one have experience with sleeping pills?