Question 1

I was diagnosed with CML (chronic phase) in February and started Veenat 400 from March 6th, with my WBC counts remaining stable at around 5000 and my 6 month BCR ABL result being 0.953 percent. However, since July, I have been experiencing persistent mouth sores that have not improved with different remedies. My question is, what is the best way to manage this? Should I stop Veenat for a week and restart, switch to a second-generation drug, or temporarily move to a second generation drug and later return to the first generation one? My main concern is whether taking a break from Veenat will negatively affect my long term treatment goals and the possibility of achieving deep molecular remission at one year.

Question 2

Hi. I am suffering from heavy and prolonged periods after I missed my period last month. My pregnancy test report came negative. I got my periods after one month and it is heavy and almost 10 days now and not reducing. I have Tranexamic acid 500 mg and Mefenamic acid 250 mg tablets earlier given by my gynecologist with me. Can I take it to stop my periods? Can anyone please suggest the dosage for the same?

Question 3

My friend was diagnosed with dengue on 27th May and has since been undergoing treatment. At this point, he no longer has a fever or any major symptoms. However, his platelet count remains low, and he has developed rough, dry skin around his nose and ears. We have attached his most recent blood report for your review. Could you kindly check the report and guide us.

MCH levels in complete blood count tests: High and low levels

Low MCH levels can indicate anemia and high MCH levels may indicate kidney or lung disease

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