November 2009-Starting Chemo

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  • micheleboots
    micheleboots Member Posts: 1,993
    edited December 2009

    Mabelle I think the only difference is the price. I will be on Neupogen and they will only be on the day after. My cost is 1300. I think the other is more than 1 shot.

  • cat60
    cat60 Member Posts: 61
    edited December 2009

    Having my 3rd A/C treatment tomorrow ...Just when Ive been feeling great the last week...I just get anxious worrying about it , but once there Im fine.....My husband brings his lap top and we watch a funny movie each time...I get my Neulasta shot right after Chemo as we live 45 min from Oncology Center in Syracuse.The first time my body ached bad, second time less..I asked my Dr. about taking Benedryl but she said No, take Tylenol. ..I really hate how smells bother me too..I have lost 10 lbs since I was diagonosed with BC...wonder why.  The Steroids must not have much effect on me,  as I remember Nurse saying "Oh yeah, you might not be able to sleep and clean your house from Head to toe all night !!"  That hasnt happened yet !!! One more treatment  on the 28th, then my surgery on Jan. 12th....Then 12 Weeks of Taxol with Hercepton for a year..

  • BrendaSharon
    BrendaSharon Member Posts: 506
    edited December 2009

    CafeLovr,

    Love your enthusiasm for the rides. I used to love them as well. I'm not sure with my virtigo issues I could do that anymore, but you girl,  ROCK ON Commando!!!!

    Thanks for the info also on the Anti-nausea drugs because if my ins. won't cover I may need to switch. i can't afford $425. for 3 frigging pills.

    Maybelle,

    I really don't think there is much difference in the two. I believe they both build WBC. BUT, I'm going to check into it and see what I can find out for you. Can I ask you, does the (AC) stand for Adriamycin & Cytoxan? That is what I am on, plus I get fluorouracil (FU-5) .(AC-FU-5) So far i believe it has been pretty mellow on my system in general. I know I feel better than most do.

    Alicia,

    Thanks for the compliment. I try even though every once in a bit I just loose it all. Goes with the territory. And I know if your in N.Y. you must be really chillin!~~~~~~~I used to think I'd never get used to no change in the weather when I first moved to Florida. But, now I know I could never move back North. My brother still lives up North. He's in Pottersville, N.Y. It is gorgeous up there.

    kyasou,

    Whenever you screw up and get Foot in mouth whacky, just blame it on the Chemo, Wink

    We Warrior's can always pull the -C- Card whenever we need to~~~~~~Kiss

  • BrendaSharon
    BrendaSharon Member Posts: 506
    edited December 2009

    MABELLE, I found the answer to your question. 

    The difference between Neulasta and Neupogen is

    Neulasta:(known as pegfilgrastim) is the long acting form given once either 24 hours after chemo or 14 days before chemo, never at the same time. 

    Neupogen: (known as figrastim) is given every day untill the WBC is built up to norm.

    The names are similar (Neulasta - Neupogen ) (pegfilgrastim - filgrastim)

    Neulasta, 

    Pegfilgrastim is a long-acting form of the drug, filgrastim. These drugs, called colony-stimulating factors, are used to help stimulate the bone marrow to make white blood cells in patients who are not able to produce enough white blood cells on their own.

    White blood cells help the body fight infections. Certain medical conditions (e.g., cancer) and/or medications (e.g., cancer chemotherapy) may reduce the body's ability to make normal white blood cells.

    How to use Neulasta SubQ

    Read the Patient Information Leaflet provided by your pharmacist before you start using pegfilgrastim and each time you get a refill. If you have any questions regarding the information, consult your doctor or pharmacist.

    Avoid shaking this medication; doing so may make the drug ineffective.

    Remove the medication from the refrigerator 30 minutes before you inject it to allow it to reach room temperature.

    Inject this medication under the skin (subcutaneously) usually once during each chemotherapy cycle, or as directed by your doctor. The dosage is usually one 6 milligram injection, but it may be adjusted for children or small adults (weighing less than 100 pounds or 45 kilograms).

    Do not give this drug during the period 14 days before to 1 day after your chemotherapy. Giving this drug during this time may increase your risk of certain side effects. Consult your doctor for details.

    If you are giving yourself this injection at home, make sure you learn how to prepare and inject this medication properly. Ask your doctor, pharmacist or nurse any questions you may have about how to give yourself pegfilgrastim. Learn how to properly dispose of used syringes, needles, and any unused medication. Never reuse needles or syringes.

    Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid.

    Choose a new injection site each time you give yourself a dose. This will help prevent soreness. Never inject pegfilgrastim into skin that is tender, red, bruised, and hard, or has scars or stretch marks.

    Neupogen

    This medication stimulates the blood system (bone marrow) to make white blood cells, helping you fight infections. This medication is given to those whose ability to make white blood cells has been reduced. Filgrastim (also known as G-CSF, or granulocyte colony stimulating factor) is a man-made version of a certain natural substance found in the body. It is produced using a certain bacteria.

    How to use Neupogen Inj

    Read the Patient Information Leaflet provided by your pharmacist before you start using filgrastim and each time you get a refill. If you have any questions regarding the information, consult your doctor or pharmacist.

    Avoid shaking this medication; doing so may make the drug ineffective.

    This medication is given by injection usually once a day until the proper blood counts are reached. Dosage is based on your medical condition and response to therapy. Use the exact amount of drug prescribed by your doctor. Too little drug may not protect you against infections. Too much drug may cause your body to make too many white blood cells.

    Remove the medication from the refrigerator 30 minutes before you inject it to allow it to reach room temperature.

    Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time each day.

    Choose a new injection site each time you give yourself a dose. This will help prevent soreness. Never inject filgrastim into skin that is tender, red, bruised, and hard or has scars or stretch marks.

    If you are giving yourself injections at home, make sure you learn how to prepare and inject this medication properly. Ask your doctor, pharmacist or nurse any questions you may have about how to give yourself filgrastim. Learn how to properly dispose of used syringes, needles, and any unused medication. Never reuse needles or syringes.

    Before using, check this product visually for particle or discoloration. If either is present, do not use the liquid.

    If you are receiving cancer chemotherapy, you should not be given filgrastim at the same time. You should receive filgrastim either before or after the chemotherapy, depending on your blood count results and your doctor's directions.

    Mabelle after all that the only diff is one is a long acting form, I'm glad you asked though cause i was wondering myself. I haven't had to have either yet, and so far my counts seem to be staying up! So I am happy. I don't want to have the bone pain so many are speaking of.

    ((((Hugs)))) Brenda

  • BrendaSharon
    BrendaSharon Member Posts: 506
    edited December 2009

    Cat60

    I was reading your post and noticed you recieved Neulasta right after chemotherapy. I've read you can't recieve this any sooner than 24 hours after and now more than 14 days before. The quote below is from WebMD. so, please ask questions. Read my post above as it talks about both types of (Pegfilgrastim&Filgrastim)

    Please note: This information below is from WEB MD

     "Do not give this drug during the period 14 days before to 1 day after your chemotherapy. Giving this drug during this time may increase your risk of certain side effects. Consult your doctor for details."

    (((((HEALING HUGS))))) Brenda

  • suzieq60
    suzieq60 Member Posts: 6,059
    edited December 2009

    Hi Girls,

     Had my second tx on Wednesday. The port area was inflamed that night and I had to get it checked - looks ok now. They think it might have been the dressing they put over it after.

    I'm taking the tummy drugs which will hopefully stop the bad wind pain this time. Feeling a bit wobbly today, but still on the steroid high. All prepared for the leg pains too.

    My hair stopped falling out, so now I have a nice even light buzz. I did have very very thick hair. I'm still glad I got it buzzed because it's so hot here in sunny Queensland. I'm sure this treatment will finish it off though.

     Hope all of you warriors who have had a treament this week are ok. 2 down 4 to go!!!

  • livelife
    livelife Member Posts: 38
    edited December 2009

    Hi , Just checking in- I see there are quite a few new girls- I am thinking of you all and glad that everything going more or less to plan for everyone. 6 days of freedom until my next treatment.

    XX

  • doronet
    doronet Member Posts: 342
    edited December 2009

    WOW.  I just spent the last 1 1/2 hrs. catching up on 4 pages of messages that I hadn't read.  Have been busy, so haven't been on everyday as in the past.  I'll try to mention all the "items" I was trying to commit to memory while I was reading the posts.  Uh...memory??!!  Where are you?!

     I, too, had read never to get the Neulasta injection until 24 hrs. after chemo, so I was surprised to see that mabelle (I think) got it the day of.  I had mild pain with the 8 Neupogen shots the first 2 TX's.  Switched to the one Neulasta after my 3rd TX (due to fear of needles) and so far, day 10 post-TX, no pain at all. 

    I had my pre-Taxol appt. with my onc this week.  She said the SE's for Taxol are much less severe, hence me getting the Taxol every week for 8 weeks, then she proceeds to tell me the possibleSE's and they were scary, but she said if any of them are severe, there are meds. to take to help. 

     Wigs need to be thinned out, so anyone not happy with theirs might want to consider taking it to a wig-person or hairstylist and having them thin it.  (My wig-person said most wigs come with enough hair to make 2 more wigs.)

    BrendShar, I wasn't going to mention S-E-X, but when I read your posting about not wanting it beforethe cancer, I just had to chime in...ever since menopause, I've lost all desire and it is horribly painful whenever we did.  My primary care doc can find no medical reason and I've tried every lube short of motor oil.  Luckily, my hubby is extremely understanding and patient, just waiting for the time when I go back to wanting to jump his bones.  And, speaking of his johnson...no one told me about the potential of toxicity of the chemicals to it, though for us, it would have been a mute point anyway.  (Is there a pun in there??!!)  Hope this doesn't scare all you, youngins, out there who aren't at the menopause stage yet.  Not everyone has these "SE's."

    Hubby and son are wonderfully capable around the house.  My 15 yr. old son does the laundry if I can't.  (Yes, I'm bragging.)  He has done his own clothes for the past 3 years because of a nasty habit he had of putting clean clothes in with dirty because he was too lazy to put them away.  That's when I refused to do his laundry anymore and made him do his own.

    hmmmm.  I wonder if I covered everything I wanted to...oh,  I ended up back at the onc today.  Yesterday, I discovered swelling and tenderness over the last rib on my lumpectomy side.  Today, the swelling and tenderness had increased.  Onc fit me in her schedule today and said I pulled a muscle and it was soft tissued swelling around it.  The only exercising I had done was 10 mins. on a rowing elliptical machine on Monday, nothing yesterday, and 10 on a rowing stair-step today.  Neither were anything strenuous.  I was just trying to workout enough to hopefully keep any lymphedema (sp?) and joint pain away.  Guess the chemo makes every body part weaker.

    Re: taste buds...mine usually go to hell the first week after TX and return just in time for me to enjoy 3-4 days of good food before going away again after the next TX.  I usually get the mouth sores during the good tasting days...go figure.  Smells are much stronger that 1st week, too, though our fireplace, in this damp weather here in VA following the snow, is all I can smell the past few days.

    I've only taken Compazine at night, but I haven't noticed that it helps me to sleep any more. 

    BoxerSue...my chem. nurse slows down my Cytoxin infusion by a half-hour to help prevent headaches, since I get migraines on a good day.  See if that might help you.  Of course, it adds a half-hour onto the TX.

    I've done lots of shopping on the internet this year. 

    My daughter is coming home from college tomorrow for 4 weeks and I CAN'T WAIT!!  She's even taking me to my TX next Tuesday.  We'll have 3 1/2 hrs. to talk.

    Sorry this is long.  Wishing SE-free days for everyone, today, tomorrow, and over the weekend.  Nette

  • JustmeAlicia
    JustmeAlicia Member Posts: 1,529
    edited December 2009

    I am exhausted this evening ~ and just wanted to say I hope everyone is feeling ok today and having a SE free day.

    Hugs to all ~

    Alicia

  • LVLinda
    LVLinda Member Posts: 93
    edited December 2009

    Good evening everyone!  Just like Alicia, I've been exhausted all day today - trying to fight off this stupid infection hasn't helped.  I did find out yesterday my counts are good, so I'm happy about that!

    Just a quick note to say hello and I hope everyone is having a good day!  Good luck with everyone going in for treatment tomorrow!  I'm going back to the couch now!  Wink

    Linda

  • mommy2two
    mommy2two Member Posts: 130
    edited December 2009

    Hi Everyone ~ Just wanted to drop in and say hello.

    Brenda & Cat60 - Good Luck with your treatments tomorrow!  I will also be in the infusion room tomorrow and will be thinking about you both and praying that none of us have any bad SE's.

    Alicia - Hope you are feeling well and have been able to get some rest!

    Doronet - Hope you enjoy your visit with your daughter!

    Since I am having a tx tomorrow, I will probably not be checking in until next week so I hope everyone has a great SE free weekend!

    ((((HUGS))))

    Toyah

  • BeccaS
    BeccaS Member Posts: 19
    edited December 2009

    What a lot of posting! The short difference between neulasta and nupogen is that neulasta is time-release and nupogen is not... so it has to be administered more frequently. I chose the neulasta because I figured the even release might be easier to handle than the surges from daily injections and because the pharmacist said she gets fewer calls from users about pain from the neulasta. I have felt sensations in my legs and hips but  no real pain. Good luck.

    It's cold and I'm grateful for my array of hats... but I get hot when I go back inside. Twice now I have just taken it off (and felt so daring but tried to appear nonchalant!). No one batted an eye. I decided if I could deal with it, they can. I'm aware this may be easier with strangers. Holiday parties coming up will test my boldness (baldness!). 

    Best to everyone. Laughing

    Becca

  • BoxerSue
    BoxerSue Member Posts: 16
    edited December 2009

    Doronet -

      First tx Cytoxan infused over 1/2 hour.

      Second tx Cytoxan infused over 1 1/2 hours.

      Next tx (next Tuesday) they're gonna try 2 hrs.

    They're trying - my head just won't co-operate!!!

    Thanks.

  • mabelle
    mabelle Member Posts: 80
    edited December 2009

    BrendaSharon - thanks so much for all the information! I really appreciate it. I wasn't given a choice between the two, so I'll ask my onc what her reasoning was when I see her next. I have a feeling it might be a cost thing. I don't have extended health insurance, and these "extra drugs" like neupogen aren't covered under our standard health care. Each dose will cost $200.00 (I need about 40 doses). Luckily I qualify for a a program called Fair Pharmacare where the government will pay for 70% of the price of the drugs. Still, $60 x 40 doses is a whole lot of money! I shouldn't complain though... I haven't had to pay a dime so far (3 surgeries, MRIs, many mammograms, biopsies... the list goes on and on)

    The AC stands for Adriamycin (or Doxorubicin) and Cyclophosphamide. I think that's what you thought.

    Micheleboots - I take it Ontario doesn't cover the cost of neupogen either. I wonder what their reasoning is... Its an integral part of the chemotherapy, not a choice. Why don't they pay for it!!??

    Nette - love your reference to the 'johnson'. I haven't heard that term in a while, and it cracked me up. 

    Cat60, Toya and everyone else going in on Friday - good luck with your treatments!  

    take care all!

  • JustmeAlicia
    JustmeAlicia Member Posts: 1,529
    edited December 2009

    Mommy2two, Brenda, Cat20 good luck with your TX today.  Thinking of you all.

    ((((GROUP HUG))))))

    Alicia

  • Melinda41
    Melinda41 Member Posts: 672
    edited December 2009

    Hi Ladies,

    I am going to try to be a little more alive today. The poopy fairy is being cruel, she is leaving "gifts" but they are rocks. I feel like I have done my cardio workout for the day just to deposit my little gravel gifts. I took some Milk of Magnesia last night, plus ate fast food, maybe that will get things moving.

    I smell like chemicals, I don't want to hug people. Maybe it is just my sense of smell, but the kids do say I smell like chemicals.

    On the WBC shots, I don't get either, my insurance won't pay. That is why I do Tx every three weeks instead of biweekly. Knock on wood...I haven't developed an infection. My temperature hasn't been up to 98.6 since I started chemo.

    My tree is up, I have done 75% of my shopping online. I may be able to pull off Christmas , afterall. This is one of those times I hate being divorced, I could sure use a parenting partner. But my ex and I have NO relationship, we don't speak at all. It keeps the stress down by not having to deal with him, but you would think that we could pull it together during major stress times.

    Hope everyone has a decent day.

  • micheleboots
    micheleboots Member Posts: 1,993
    edited December 2009

    Mabelle, OHIP (ontario health) covers everything except for my neupogen shots.  I have insurance to cover %80.  Still a lot of money.  So far I only have to pay $2 for each of my prescriptions, and then my insurance covers that as well...My Dr. was going to have me do the shots for all my chemo treatments, but she decided to let me go the first three and see how I did without.  Money doesn't grow on trees in our yard.

    Good luck to those having TX today...big hugs for all

  • Cafelovr
    Cafelovr Member Posts: 1,534
    edited December 2009
    Boxer Sue: Something you said to Doronet piqued my interest. I get very bad sinus headaches/burning sensation from the Cytoxin. The first tx was 30 min. When I asked if it could be slowed down, the nurse said yes, but it has to be administered within one hour from mixing. They slowed in down to 45 minutes, but said they could not go over 60 min. Interesting...
  • micheleboots
    micheleboots Member Posts: 1,993
    edited December 2009

    Cafelover, I My dr. said I could take tylenol during cytoxin..I had headachs almost every day in my first cycle.  I didn't take the tylenol.  just didn't get the headachs.

  • BoxerSue
    BoxerSue Member Posts: 16
    edited December 2009

    Cafelovr

    I will certainly ask next tx.  I'm at Johns Hopkins so I just always trust what they do/say and maybe I shouldn't.

    I will definitely bring this up.  Thanks

  • MeNeverMind
    MeNeverMind Member Posts: 42
    edited December 2009

    Good Aftenoon all.  I got my free hats yesterday.  All 4 were new with tag, 2 baseball caps and 2 were knit caps.  All I asked for was pink and that I got.  Hot pink on 2 and lite pink on 2.  Only 1 of the knit caps is going to work for me.  It was kind of nice to take my wig off and have a nice warn cover for my head while we were out last night.  I am still waiting on my scarf.  Again all I asked for was pink to I am excited to see it.  Hope everyone is having a good day.  Love and Kisses.  ((((((((((((((((((((((((((WARM HUGS))))))))))))))))))))))))) love kimmy

  • BeccaS
    BeccaS Member Posts: 19
    edited December 2009

    I was originally going to have cytoxan for four cycles, like many of you, and then my onc decided that carboplatin for 6 cycles was going to be better for me  (along with taxotere and herceptin). Listening to the talk of headaches, I am so glad... I am a total wimp when it comes to headaches, I can hardly stand them. I hope yours get better soon.

    I've got the 3rd week delights! Wishing you each something special.

    Becca

  • BeccaS
    BeccaS Member Posts: 19
    edited December 2009

    Hey --- I have got leg hair tingles/pain that are just like the tingles/pain I got on my head right before the major shedding began. I shaved my legs weeks ago and the stubble is short...never grew in. Anyone else progressing beyond head hair?

    Becca

  • littlebird75
    littlebird75 Member Posts: 120
    edited December 2009

    Kayh - I had the shot in the hospital and suffered no joint pain even though the Cytoxan and Taxotere totally immobilized me. Hopefully you won't suffer this SE.

  • mommy2two
    mommy2two Member Posts: 130
    edited December 2009

    Cafelovr -  I found your comment to BoxerSue interesting also.  It makes me wonder why different oncologist do such different things.  Maybe it is the combination of drugs we take?  I get TC...while I'm getting my saline, anti-nausea, and steroid drips....the nurse goes and gets my other drugs both Cytoxan and Taxotere and brings both bags on the table.  I always get the Taxotere first and it takes about an hour.  Then I get the Cytoxan over 45 minutes.  So, my Cytoxan is sitting on my table for at least 1 1/2 hours before it is even administered.  After reading your post, I'm going to ask the doctor about that.

    I was talking to a lady yesterday who is getting Adriamycian only one a month (secondary c, not for bc).  She told me that for the first week she is not allowed to have anything hot to drink and is not allowed to dust her house or do anything else that might cause friction to her hands.  Has anyone ever been told that about Adriamycian?  Just found that interesting and was curious as to why she was told that?

    I hope all of you beautiful ladies are doing well today and have a pleasant side effect free weekend.  I was fortunate enough to not have an allergic reaction to the Taxotere this time.  I am up early this morning because I couldn't sleep and I feel fine right now.  Wrapped up all the Christmas gifts and will be going to both of my kids' basketball games this morning.  I hope I continue to feel okay for the remainder of the weekend.

     ((((Soft HUGS)))) ~ Toyah

  • JustmeAlicia
    JustmeAlicia Member Posts: 1,529
    edited December 2009

    Toyah ~ you amaze me !!  I am so glad you are feeling pretty good.  I get the Adriamycian which I think is also called Doxiroubine or something - its the RED one.  And I wasn't told anything about hot drinks or dusting.  Nothing like that.  Then I get the Cytoxen drip they do me pretty fast, about 35 mins.  Then the headache kicks in.  Mine sits there too while they give me the red stuff via push through my iv. 

    Becca ~ my hair is gone everywhere I am like a hairless cat.  I do love that the peach fuzz that my 40's brought on to my face, has gone and my skin is nice and smooth !  My complexion is the only thing that has benefited from chemo as it sloughed off all the dead skin it seems.

    Littlebird ~ good to hear from you.  Hope you are feeling better !!!

    I hope everyone enjoys the weekend ~  my pre-chemo jitters set in by tomorrow.  Did I mention I hate chemo and it apparently hates me BACK?!  :)

    Hugs !

    Alicia

  • Melinda41
    Melinda41 Member Posts: 672
    edited December 2009

    BeccaS: I think I have shaved my legs twice since chemo started and it doesn't seem to be growing back in now. But I haven't felt any tingling on my legs. My whosawhatsee (pubic hair) started thinning out before my head hair fell out, my panties looked like a chia pet! I shaved it but it is still not bald bald.

    Even my head hair is weird. I think I shaved about 10 days ago. I have stubble around the back and sides (I think it is still growing, I was balder last week) but the crown is still baby butt smooth. I just went and checked in the mirror ( that is such a wild sight when I really study it). I think I have hair still growing in little patches, I think I have more stubble than I did a week ago. But there are large shiny bald spots, real large and real shiny.

    Is everyone shiny bald or do some of you still have the rough stubble? It feels better since I razor shaved it, I don't have porcupine head. But if you rub it, there is little prickles here and there.

  • JustmeAlicia
    JustmeAlicia Member Posts: 1,529
    edited December 2009

    I have rough stubble still on my crown, top back sort of area.  I was going to shave it but figured if it's going to grow leave it.  I will see if Round 4 Monday knocks it all out.  I seem to lose a bit more with each TX.  Funny thing is like an idiot I still wash my hair in the shower.  I DON"T freaking have any.  :)

  • Melinda41
    Melinda41 Member Posts: 672
    edited December 2009
    Alicia: But you are coming up on your last AC right?? YEAH!!!! I asked my doc about the taxol and he said that the SEs aren't nearly as bad, mainly fingers and toes tingling. Have you asked what to expect from the Taxol (that is your next step, right?)
  • Melinda41
    Melinda41 Member Posts: 672
    edited December 2009

    Alicia: The lady that buzzed me said I could still use shampoo and conditioner, why would I do that?? I guess she was just trying to sell more products. Usually, I just use my face bar soap in the shower, face and scalp both. Then I slather on moisturizer on my scalp and face and neck.

    I think it is funny trying to apply blush, if you are supposed to brush the blush to your hairline, now I don't know where to stop!

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