2 QUESTIONS

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Anonymous
Anonymous Member Posts: 1,376

These two questions are unrelated but still pop into my head anyway

1.)   Has anyone heard of the thinking from their onc that Zometa prevents distant mets because it prevents cancer cells from starting in the bone marrow and therefore prevents cells going to other organs, such as liver, brain, lungs etc.  Or does Zometa just prevent bone mets and bone degeneration?

2.)   If I forget to take my dose of Arimidex in the morning when I normally take it, is it ok to wait until the next day to take my regular dose, or does it have to be taken that day no matter what?  And if I forget to take it does it make me more prone to mets?

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  • lexislove
    lexislove Member Posts: 2,645
    edited December 2009

    Shana, I will try to answer these questions, but not 100% sure:

    1) I dont think there are any studies out to determine if using Zometa on the bones prevents it going to the lungs,liver,brain. I was told by my onc, that if BC was to metastasize it 70% of the time it will go to the bones first. So maybe stopping the cancer going to the bones first will help prevent further spread.

    Good question. I never really asked. I was just happy to be taking anything to help reduce risk more. Zometa also has a long shelf life. So I was told if you are taking the infusions for 3 yrs,like most early stage woman will do, you still will get the benefit of Zomeat 10-15 yrs more.

    As for the AI, in the beginning I forgot my Tamox every now and then. After a few months when the anti hormones are in your system, forgetting a day will not affect you. Its multiple days or weeks. If you forget?Just take it when you remember.

  • Texas357
    Texas357 Member Posts: 1,552
    edited December 2009

    I've heard of women who have been allowed by their oncologists to take an AI "Vacation" now and then so I don't think missing a dose is too dangerous.

  • KerryMac
    KerryMac Member Posts: 3,529
    edited December 2009

    I don't think they really know for sure about Zometa. Maybe once the SWOG study is complete, they will know better.

    I have read articles where Oncologists "think" it may have a general "anti-tumor" effect, other things I have read suggest having strong bones means the cancer cells don't get a chance to grip on, so to speak.

    As for the AI's, I think it says in the package if you forget a dose, take it when you remember, unless it is time for your next dose, in which case just skip a day. I take mine with dinner - I have a little basket at my spot at the table, with my vitamins and my arimidex - easier for me to remember!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2009

    Good idea, Kerry.  I take my Arimidex in the morning after breakfast.

    As far as the Zometa goes, I heard that cancer cells can't set up house in the bone marrow with Zometa, which keeps them from traveling to other parts of the body.  I was wondering just how true that is.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2009

    Good idea, Kerry.  I take my Arimidex in the morning after breakfast.

    As far as the Zometa goes, I heard that cancer cells can't set up house in the bone marrow with Zometa, which keeps them from traveling to other parts of the body.  I was wondering just how true that is.

  • SpunkyGirl
    SpunkyGirl Member Posts: 1,568
    edited December 2009

    Shanagirl,

    It would be nice to find out that Zometa reduces the risks of distant mets, but that definitely hasn't been proven yet.  I "think" all this info on Zometa is relatively new and they won't know more until many, many more early stage women have taken it for at least a few years. 

    Bobbie

  • Pure
    Pure Member Posts: 1,796
    edited December 2009

    Shana have you read the initial studies they have done on Zometa? I know that the actual  researchers are really encouraged by what they see. They are very excited about its possibilties and really feel the first 2 studies are accurate but b-c of what has happened in the past they are doing a 3rd trial. (they thought stem cells transplants would transform bc and it turned out to kill a lot of women) so they are very careful.  It's most benificial in premenopusal women with er pos disease. But they feel it will cut down on bone mets by 37% I believe?! Most er women get mets to the bones first (atleast this is what I was told)

  • Pure
    Pure Member Posts: 1,796
    edited December 2009

    also-I wonder do mets travel to one place first then keep going or is it random where they hit?

  • karen1956
    karen1956 Member Posts: 6,503
    edited December 2009

    Shana,

    Regarding the Arimidex (probably AI's in general)....I'm sure its best if we take our meds everyday, but I do skip a day everyone once in a while, sometimes intentional and sometimes not....my onc prefers that I not miss a day....regarding Zometa he has not suggested it for me yet....but I'm not sure that I could do it, as I don't think I could make myself go in the infusion room.  Onc does say there is benefits fo zometa, but since I'm on Actonel, he does not want to change things...for now okay by me.

  • Pure
    Pure Member Posts: 1,796
    edited December 2009

    Shana -did you get Zometa?

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2009

    Pure ~  I saw my onc 2 weeks ago for a follow-up after rads, and to begin my Zometa infusions. He told me he is very excited about Zometa, apparantly he attended a big conferance on it's benefit to BC patients.  He wants me to have infusions every 3 months.  My next one is in March.

  • Pure
    Pure Member Posts: 1,796
    edited December 2009

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