Zometa

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  • unklezwifeonty
    unklezwifeonty Member Posts: 1,710
    edited December 2009

    SWOG 0307 is a clinical trial run by South Western Oncology Group (SWOG). There are 3 arms - Zometa, Clodronate and Ibandorate although the Ibandorate arm is closed now.

  • LindaLou53
    LindaLou53 Member Posts: 929
    edited December 2009
  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2010

    Just fyi, I am the one that the oncologist gave the 2mg of Zometa instead of 4 mg.  Just went back to the onc and started a conversation with just wondered why I got 2 mg of Zometa instead of 4 mg.  Her face got really red and she said why don't we just start you on the 4 mg Zometa this year.  In other words, she made a mistake with the 2 mg Zometa.  Note to self, oncs make mistakes just like everyone else.  I did not make a big deal of the mistake.

  • weety
    weety Member Posts: 1,163
    edited January 2010

    Aug, well that just sucks!  But at least you can get the increased dosage now. I remember you from way back on this thread (I have been following it for a while and hoping to start zometa soon.)  Does anyone know if it is normally started before or after rads?  I am starting rads in a week or two and wondering if I should try to get it in soon or just wait.  Also, when should I go for all my dental work (I don't think I have anything major to get done, I just haven't been to the dentist for almost 2 years now due to the breast cancer and being pregnant right before that.) 

  • Springtime
    Springtime Member Posts: 5,355
    edited January 2010

    I am going to ask each time now when they bring over that bag and have me check my name, etc. I'm going to verify it's 4mg. 

  • jap
    jap Member Posts: 172
    edited January 2010

    Hi,

    I am having a tough time with SEs from first Zometa infusion.  It has been two weeks and I still have stomach problems.  All I hear from medical people is that it should not last that long.

    At the moment I am self-medicating with Zantac.  Would like to hear from others how they handled SEs.

    I THINK I am still glad I got it because of its anti-cancer effects.

    Thanks,

    jo Anne

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2010

    Indigestion and stomach problems are SEs.  I used Pepcid which is OTC or Zegerid which is by prescription.  Try to take the med for 3-4 days at least. Good luck.  Zometa has been shown to decrease mets by 36%.  Its worth it.

  • jap
    jap Member Posts: 172
    edited January 2010

    Thanks, but should SEs last that long?  Did Pepcid really help?

    Jo Anne

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2010

    My symptoms did last about 2-3 weeks.  I believe that SE is on the Zometa website.  Yes, Pepcid really helped..

  • jap
    jap Member Posts: 172
    edited January 2010

    Thanks again, Aug242007,

    The Zanta is finally beginning to help but I think I will move up to what you used.

    I would like to contain with Zometa in 6 months and have some questions:

    1)  Are you planning on employing special preventative measures?  Like a 1 hour infusion, additional saline infusions?

     2)  Did they test you for kidney damage?  I know it is reversable but it would help to find out if serious SEs also mean kidney problems.

    Thanks again.  You have been enormously helpful.

    Jo Anne

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2010

    1) Yes, I asked that the infusion be done slowly over 30 minutes.  The nurse was agreeable to slowing the infusion.

    2) Yes, the doctor checked for kidney or liver damage.  Mine has been excellent so far.

    Good luck.  I really believe that the Zometa will help us to decrease the chance of bone mets.  Bone mets is the 65% of mets from breast cancer. 

    You can PM me anytime or use my email at melissawalrond@comcast.net.

  • Flamin_nora
    Flamin_nora Member Posts: 52
    edited January 2010

    I went for my first infusion last week (for prevention also).  I drank about a litre of water beforehand and the infusion was given over at least 30 minutes.  Didn't have any stomach problems, just felt a bit "off", but nothing too bad.

    The next morning though I woke up feeling very stiff in all of my joints on my left side (side of infusion):  neck, hip, knee....each day since has been a bit better but it has now been a week and I am still very stiff in the hip....I am going to start taking some anti-inflammatories...probably should have asked for these a few days ago. but I'm one of those people really doesn't like to take medication (can't believe I still said that----afterall had 8 rounds of chemo & side effect meds and daily Tamoxifen).

    Anyways, despite the problem, I am still VERY happy with my decision to have the treatment

    Question for you:  how exactly do they check for kidney or liver damage?  blood tests?  anyone know which specific things they monitor? 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2010

    My onc ordered a CBC with a diff. and a ComMetab: which is total protein, albumn, total bilirubin, alkP, SGOT and SGPT.  Sorry about the spelling.  All of these check for liver and kidney function.

  • Flamin_nora
    Flamin_nora Member Posts: 52
    edited January 2010

    this is similar to what was ordered on my last blood test ---there were so many boxes checked off, I was a bit lost!  I am trying to understand all these blood tests and results a bit better---nice hobby----how sad is that!

     thanks for the info!

  • Springtime
    Springtime Member Posts: 5,355
    edited January 2010

    Aug, does she do that liver/kidney test stuff before you have the infusion?

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2010

    Yes, before the infusion and at each doctor's appt. 

  • Springtime
    Springtime Member Posts: 5,355
    edited January 2010

    they take my blood but I am not sure what they are testing for. I am going to ask.

  • infohh
    infohh Member Posts: 71
    edited January 2010

    Hi

    I had my first Zometa in August next one should be in Feb., they have checked complete liver and kidney functions.

    HH

  • LindaLou53
    LindaLou53 Member Posts: 929
    edited January 2010

    The Glomerular Filtration Rate (GFR) is one of the primary kidney function tests they look for.  This is actually a calculation that uses your blood test results (ie BUN, Creatinine etc.) and determines your kidney filtration rate using a formula.  As long as the GFR is >60 it is considered normal.  Someone who has a pre-existing history of renal damage or a GFR <60 should have a discussion with their doc about whether the Zometa will cause further renal damage.  Generally speaking though, if you have healthy kidneys prior to treatment and continue to hydrate yourself well for several days around the infusions plus make sure the infusion is given over more than 15 minutes, your risk is very low of developing renal problems due to the Zometa.</p>

    Here is an excerpt about the GFR:

    Risk factors for kidney disease include diabetes, high blood pressure, family history, older age, ethnic group and smoking. For most patients, a GFR over 60 mL/min/1.73M2 is adequate. But, if the GFR has significantly declined from a previous test result, this can be an early indicator of kidney disease requiring medical intervention. The sooner kidney dysfunction is diagnosed and treated, the greater odds of preserving remaining nephrons, and preventing the need for dialysis.

  • KerryMac
    KerryMac Member Posts: 3,529
    edited February 2010

    Bumped for Sharon

  • Pure
    Pure Member Posts: 1,796
    edited February 2010

    Zometa tip-At Duke they told me to take Zantak to battle the bone pain. I did-I took 2 extra strength typenol and zantak. It took all the pain away-I retook when the pain came back and then my fevor broke and I was fine.

  • victoriasecret
    victoriasecret Member Posts: 333
    edited February 2010

    Pure what is Zantak...not the heartburn med is it ? ml C

  • Pure
    Pure Member Posts: 1,796
    edited February 2010

    yes the hearburn med-I spelled wrong sorry. Seems strange but they swore  by it and they were right on.

  • Lindissima
    Lindissima Member Posts: 239
    edited February 2010

    bump for mom and 2 kids

  • lrsreyes
    lrsreyes Member Posts: 93
    edited March 2010

    WE are planning to retire to the old country soon so I would like to know how to get Zometa from Canada. The USD 600 is cheaper than the airline ticket back to the US every six months.

  • KerryMac
    KerryMac Member Posts: 3,529
    edited March 2010
  • infohh
    infohh Member Posts: 71
    edited March 2010

    Hi

    Ladies Does anyone know what do we do to prevent ONJ when we take Zometa 2x a year.  When can we have dental work ?

    HH

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2010

    The study which showed the reduction of recurrence of breast cancer had about 1,800 women in it.  None of the  women had ONJ.  My dentist said that most of the people who have ONJ are people who are taking Zometa monthly for bone mets.

  • lrsreyes
    lrsreyes Member Posts: 93
    edited March 2010

    A friend just e-mailed me where to order Zometa from Canada for $295.

    http://interiorindianfurniture.com/christian.html

  • KerryMac
    KerryMac Member Posts: 3,529
    edited March 2010

    Just be careful - they say it is a generic version of Zometa, so far there is not actually a generic version available. You may not be getting what you think you are.

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