Taxol
Hi Ladies,
So, I had my last round of A/C a week ago Monday and will be starting Taxol a week from tomorrow. I had A LOT of side effects from the A/C and have heard Taxol is "usually" tolerated better. I'm so trying to be causiously optomistic, but knowing my body I can't be too sure anymore.
Just wondering what your experiences with Taxol were.
Thanks!
Sharon
Comments
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Hi Sharon....I had a much better experience than A/C. With Taxol I felt like a rock was sitting in my stomach but didn't feel sick. I did 4x Taxol.
I hope you do well also.
Sheila
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I had bone aches. They started 1-2 days after my infusion and lasted for 3-4 days. So basically the week after the infusion I was a little slower moving around. Whe I was up to it, I went for walks. As long as I could that really helped to, and the fresh air.
Taxol is definatly better tolerating than the AC.
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I tolerated Taxol much better. AC wasnt awful, a few bad days each treatmen and a week of feeling vaguely unwell. Taxol was easier though I had bone pain days 3-5 or so. No nausea and not as tired.
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Sharon
congrats on finishing AC!
Ihad 4 rounds of AC and am currently on week 8 of 12 for Taxol. AC kicked my butt, but Taxol has been easy in comparison.
The s.e.s have been minor compared to AC. They dope me up with Benadryl for the infusion so that is a wasted day and I can't even drive home. Luckily I'm within walking distance. No steroids, except for the infusion bag which is a huge plus for me. I had hives one week. My fingernails are starting to turn black, Afterh the 5th cycle I started noticing increased fatigue on day 3 and 4, My wbc went down for the first time on cycle 7,
Did your onc explain why you're not receiving the weekly Taxol? I seem to remember you're having it every 3 weeks.
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I had every SE imaginable for both AC and Taxol, but found that Taxol was much easier to tolerate. I did weekly Taxol and found days 2-4 the hardest with bone pain, but still easier than AC. I was able to do a little more during Taxol and my hair even started to grow back.
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I did Taxotere, and was bed-ridden for a couple of days each round with pain, then my WBC crashed and I ended up being hospitalized!!! So, you probably don't want to hear from me!!
I did 3 rounds 3 weeks apart though, I think 12 weekly is tolerated much better.
I didn't get any nausea though, so that was a plus.....
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Sharon ~ I did AC throughout most of the summer and then did Taxol. My own experience was that I felt much worse with the Taxol. I'll explain why. The AC, though it causes nausea, I never got it because my on had me take meds to prevent it during infusion and 2 days afterward. The only side effect I got was a little tenderness in my mouth from sores starting but they never lasted more than a day because I always rinsed with baking soda. The one side effect I had with the AC was the extreme tiredness and feeling very flu like and achy from the combined Neulasta shot 24 hours later. My appetite was good and I was able to eat well but still lost 5 lb on the AC. Then Taxol, I felt much worse, because of extreme weakness and breathlessness and bone pain. I also gained 7 lb on it and didn't have much of an appetite. The sweats were horrible and it took a good 3 weeks off the Taxol to start to feel a little stronger each day. Everyone is different, but I hated being on the Taxol also because it caused numbness in my fingers and feet.
Barb
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I'm not saying this to be a "Debbie Downer" but I really had a hard time on taxol. With the A/C, I felt exhausted and "fluey", but with the taxol I not only was exhausted but I was in pain. The bone aches were very difficult, to the point that my onc gave me percocet (first time in my life that I took it) and it didn't help completely, only made it tolerable. I had dose dense chemo (every 2 weeks). I also had neuropathy in my fingertips and the soles of my feet. The fingertips are partly better, the feet are not. The nail beds on some of my fingers still have not healed (my last chemo was April 30).
I was not one of the ones who found taxol easier. I hope you are.
All the best
Leah
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I also had alot of pain with Taxol. However, my brain fog was gone. I had dose dense and I think the new weekly schedule is much easier in regards to se's.
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I sure hope the se's are easier.
A friend who also had it said to me "Taxol taxes all". That about summed it up for me.
Leah
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I like that, Leah, Taxol taxes all. So true.
Taxol made me feel SO OLD because of the bone pain. I had 4 treatments using dose dense method. After my 2nd treatment my oncologist gave me Vicodin.
Also my heels peeled like nothing I had ever seen before. For some women it's their palms that peel. I used a special ointment that is used on cows udders.
A little humor: while going thru rads, my rad. onco. suggested that I used the cream Udderly Smooth to rub on my chest. I would tell people I thought an udder was going to start growing where my breast had been because of all the cow creams I was using!
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When does the bone pain start? I only did 1 week so far and felt nothing except hyper from the decantron. I had no other noticable affects.
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Jen - lots of people don't get any pain at all - my Onc said it was about 50/50, so you are probably one of the lucky ones!! If I remember from others on my Chemo group, the 12 weekly schedule is much better tolerated. Each dose is much lower, so you do get a cumulative effect, just not that "hit by a bus' feeling!
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I had a lot of pain w/ taxol...it started about 2 days after the infusion. I took ibuprofin(sp) and that did help also baths w/ epson salt...I found I had the most pain on the top of my feet like all the bones. Weird I know..so if I sat for awhile it was painful to get up..another trick I used was to soak my feet w/ warm water and epson salt each night while I watched t.v.
Towards the middle after the 2nd dose I did start to swell mostly my ankles and feet..I ended up on Lasix( a water pill) and that helped..
The Taxol was easier to handle as far as it didnt affect my taste or smell like the Ac..
I did do dose dense so that may have affected me different..I was told by my chemo nurse that dose dense and taxol is not a great idea..
Big Hugs to you
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I am glad this topic came up. I just compled 4 rounds of AC and began my first 1/4 taxol treatments this past Tuesday 1/26. The next day I felt fine but Thursday I was not able to walk on my own w/o assistance from my bed to the bathroom, etc. I was in extreme bone/muscle pain. I also had and still have pain/tingling/numbness in my toes/feet, fingers/hands, and mouth (lips/tongue). I was in bed for 4 days (Thursday-Sunday). Although I took tynol 3's this still did NOT help with the pain. I was up every hour of the hour at night due to the pain. I was not able to have a good night's sleep. I plan to discuss these SE's with my onc as I still have 3x left. I have never cried so much with the pain that I experienced. I am very worried that the pain/tingling/numbness in my feet/hands/mouth may be perm. SE as a result of this drug. I can only imagine the SE's may increase over the next course of treatments.
Edit to add: Treatment schedule. I do dense dose of Taxol every 14 days.
When on AC I had very little SE's. Some fatigue and food tasting "off".
Hope your experience is different from mine.
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Frankie- I would get my Onc on the phone and let him/her know what happened.
they may have to scale back the dose or add more pre-dose drugs..
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Frankie,
I found the first treatment was the hardest pain wise. I think mainly because I did not expect the amount of pain. Vicadin did nothing for it. I remember using alot of pillows around my hips and legs (where most of the pain was). Came close to using the offer of special brownies from a friend of mine
Talk to your onc. and get good pain meds. For me, the pain did not increase in intensity each treatment...but I noticed a gradual increase in length of time before it would start decreasing. For nerve issues, my onc wanted me to take Vit B-6. I could even get that at the pharmacy in the cancer center.
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I did Taxotere too. I did 3 sessions every three weeks and I didn't have any SE's whatsoever! My onc told me that everyone is different when it comes to Taxotere. I was dreading it, but I was fine.
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How come in Canada they do Taxotere and here we do taxol?
Anyway-I had nothing. Infact I went in having post partum and thanks to the decatron I felt pretty racey and happy. Go figure.
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On AC, I just never knew when my lower stomach would be angry, always felt like I had the flu, terrible mouth sores and it seemed that I had a lot of sinus issues and a few infections in addition to the "uneasy" stomach feeling - not nausea, but just not happy. Although the Taxol caused a lot of bone and muscle pain, the other issues seemed to be less than with the AC and/or better. The Taxol has caused neuropathy issues that I'm still dealing with - ugh!! I guess each of these drugs comes with their own set of SE's that affect us each a little differently and in a lot of ways - the same.
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I will give my exp. with Taxol I am Canadian and had 4 dose dense AC then 4 dose dense Taxol..my treatment was in Hamilton ,Ontario..so not sure about other hosp. protocols but that was my treatment centers choice for me.
AC no picnic...never physically sick, just some gaggy moments...only had to take the back up puke pills 2x maybe 3.
Taxol I had 1 bad night I think it was my second round ...but much more tolerable...it was Christmas and I was out shopping and no probs...I had a friend who actually worked through AC & Taxol ..god bless her !!! As far as bone pain yes did have some seemed to kick in day 3 leg cramps hard to get upstairs to go to bed but got through it.I was under the steroid regime with Taxol of 10 dex the nite before infusion I know not all docs presrcibe that...other girls at my treatment center had their dex spaced out like I did on AC...not sure why my doc did that...but the roid high was wonderful...untill the crash...day 3 was the day to relax.
I was never bedridden with either ..I know some girls have been knocked down, but I was fine.
Thats all I can think of for now.
ml
Cheryl
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I did 12-weekly Taxols after 4 AC and worked throughout. I found the Taxol to be much, much easier than the AC. I felt fine most of the time, had zero bone pain and only minor and infrequent numbness in my fingers. Worst SE was just feeling tired, especially on days 3 & 4 after a TX. My blood counts got better on the Taxol and I never needed the Nuelastra/Nueprogen. Plus...hair started growing about TX#5!
Patty
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Sharon - Are you doing 4 DD or 12 weekly? Like Pure, I'm doing 12 weekly. I got the second one today. So far it has been SO much easier than AC (fingers crossed for luck!). I am having some pain - mainly my feet, hands and hips. I had a little tingling in my toes last time, but no lasting numbness. This time more of the same with my toes, plus the tips of all of my fingers were numb immediately after, but it's almost all gone. I had asked my onc about working through this round, as I've managed to work through AC (mostly from home - thank God for the wonderful people I work for!) and he said I would probably easily work except for treatment days in the beginning, by about the 4th dose it would start getting tougher, and he didn't know if I would be able to toward the end or not. So I'm expecting it to progressively get tougher, but I'm hoping to keep exercising and working through all of it.
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Hi here. congrats on finishing one stage of your chemo.
I found Taxol to be much easier to allow me to function. The a/c gave me a run for my money and really I lost days after each treatment. With Taxol I did have major body pain, but at least I was up and around and with it. I either took pain killers (low dose) or tylenol. Like other posters, I did not get the pains until day 2 after treatment. I was also doing neulsta shots (to boost my white blood cell counts quicker) which gives you extra body pains as well. The Taxol pains lasted anywhere from 3-5 days once they kicked in and with each treatment they got longer and a bit more intense but I would much rather take Taxol over A/C. Hands down. The first 2 infusions they gave me benadryl to hopefully offset any allergic reaction. The 1st benadryl does was a megadose which knocked me for a loop and then the 2nd they reduced the amount because I tolerated the 1st taxol good and then by the 3rd, no more bendryl.
My hair started sprouting while I was on Taxol as well. I thought it was my imagination at first but literally the week after I finished taxol I had a fuzz over my head (but then my eyebrows fell out as well as my eyelashes).
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Thanks so much ladies,
It seems as though the bone pain is the most common side effect which I just discussed with my RN during my chemo check up. I am getting the dose dense version (every 2 weeks) as opposed to the once a week---it's the standard where I'm getting treated. She said there is no clinical study completed yet that shows the once a week is any more effective than the every 2 week protocol and it is over in 8 weeks opposed to 12. That said it does sound like you ladies that had the 12 week plan didn't have as much pain---SOOOO here's hoping, I can never tell what's going to happen with this crazy body of mine anymore!
Take care all,
Sharon
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Ladies read some of the older threads for great Taxol advice. Sis did preop Taxol after A/C which she did very poorly on. The Taxol she did ok - doc did weekly to lessen bone pain. The 1st 2 they sit by you with an epi pen and oxygen as the stuff the taxol is mixed in is highly allergenic. Thats why you take more oral decadron at home first few doses then just the IV stuff after that. Her blood sugars were wild - she was sleepless with the steroids and felt like the flu - her doc added claritan which really seemed to help the bone pain. She said not having the Neulasta shots were the best - those hit like a mack truck. Hair started regrowing - she's almost 6 months out and its grey and curly no longer brown and straight - she needs a haircut. For her it was more manageable but the fatigue was cumulative , by the end she was exhausted!!! Good luck to all!
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