Zometa
Comments
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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.
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Bump
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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.
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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.)
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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.
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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
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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.
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Thanks, but should SEs last that long? Did Pepcid really help?
Jo Anne
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My symptoms did last about 2-3 weeks. I believe that SE is on the Zometa website. Yes, Pepcid really helped..
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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
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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.
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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?
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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.
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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!
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Aug, does she do that liver/kidney test stuff before you have the infusion?
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Yes, before the infusion and at each doctor's appt.
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they take my blood but I am not sure what they are testing for. I am going to ask.
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Hi
I had my first Zometa in August next one should be in Feb., they have checked complete liver and kidney functions.
HH
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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.
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Bumped for Sharon
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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.
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Pure what is Zantak...not the heartburn med is it ? ml C
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yes the hearburn med-I spelled wrong sorry. Seems strange but they swore by it and they were right on.
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bump for mom and 2 kids
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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.
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Bumped
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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
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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.
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A friend just e-mailed me where to order Zometa from Canada for $295.
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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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