TNBC's that are on Carboplatin and Taxotere?

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puddingirl84
puddingirl84 Member Posts: 120

Hi Everyone- I am looking for TNBC's with path similar to mine. I have also had double mastectomy on 1/25/2010. My second TNBC in three years.

I went to my second opinion onc 3/5/2010, he recommended Carboplatin and Taxotere every 3 weeks x 6. He also recommended a PET because I have never had one. I had CT and CAT scans of whole body and they were negative in 2006 and 2009 but he wants to be on the safe side. Can you have a negative CT and CAT and have a positive PET?

Thought I was finished with scans.(waiting for results) He says that this 3.5cm TNBC is considered large to him, and he doesn't want to take any chances with it.

I need to know what side effects I should expect. I would like positive and negative feedback pIease.

I haven't gone to first opinion onc yet because appt was postponed because of snow storm, so I am seeing her on 3/8/2010. (reverse order)

Second opinion onc did say that the A/C regimen I was on did not fail in 2007, because if it had the recurrence would be distant. He feels the rads failed, because it came back in my breast. He really didn't feel that first onc had done anything wrong other than just not sending me for a PET. But I need to start chemo within the next two weeks, because I need port, and have to schedule the PET scan. I have to make a decision soon about onc 1 or onc 2.

Should I bother going to onc #1 on Monday? OK I'll go and let you know what she says.

Talk to me today. Tell me what you think. Yell if you want. 

Puddin' 

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Comments

  • scrappy_survivor
    scrappy_survivor Member Posts: 149
    edited March 2010

    I am curious why does the size of it bother him so much???

    I have basically the same dx as you. My onc said the fact that I was trip neg meant mroe to him then my nodes being clear. So he wanted to treat aggressive. He enver mentioned the size of it & mine is a bit bigger then yours. Mine was very fast growing in 6 weels it grew 2.5 cms. I have never ahd a PET either. HUGS to you.

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    momof4stars- THANK YOU and HUGS back at you.

    You are right. It does seem like he kept dwelling on the size of the tumor. Was it a scare tactic, you think?  

    (my tumor grew from aprox.1.5cm from the time of DX to 3.5cm in 8 weeks) 

    Puddin 

  • cwrightrn
    cwrightrn Member Posts: 242
    edited March 2010

    HI there-- I have had several PET/CT combo's--the PET sees metabolic activity of cancer (they inject you with a sugar solution before the test, you wait for an hour, then take the test).  They only see to 1cm though....so I have had CLEAR scans but they still found cancer at the time of surgery that was less than 1 cm....so pretty small.

    I had carboplat and taxol and did well with it but it was in combination with Rads---so the last week or so with the rads caused me to be very fatigued.

    More than one opinion never hurts so keep the appointment....let the second opinion Dr know what the 1st one's treatment plan is and see if they agree....if they don't, ask why.  It is very standard to start chemo asap with us TN women.  When my cancer came back I started chemo the next week (I had left my port in so didn't have to deal with having another one put in)

    Hang in there

    Hugs and blessings

    Carole 

  • chumfry
    chumfry Member Posts: 642
    edited March 2010

    I think carboplatin and taxol/taxotere is very common for a second go-round. I had a second primary pop up 18 months after my first tumor/mast. Since I'd had AC/Taxol in 2005, they weren't keen on me having AC again because it's hard on your heart.

    From what I can tell, the carbo/taxol combo is pretty standard first-line treatment for second primaries, recurrences or mets in triple-neg women. I think oncs start wigging out about any tumors over 2 cm. My 2005 tumor grew as fast as yours, ending up at 4.5 cm.

    I'd definitely get a port. For me, the worst side effects from Carbo/Taxol was a crushing fatigue, which would come on a few days after infusion and last about 24 hours. The carbo also reduced my red cell count, so I got anemic and out of breath easily. No nausea that I can remember.

    Taxol gave me some neuropathy in my fingertips and toes. While my fingers eventually recovered, I still get numbness in my toes--especially if my feet get cold. Make sure to tell your onc about whatever side effects you experience. There are drugs to combat them.

    Also, watch out for constipation, which can result from the anti-nausea drugs and opiod painkillers. I'm not kidding. That was the worst side effect I had during both bouts of chemo. Take pre-emptive measures at each infusion: Stool softeners and Miralax (which is OTC now).

    Hang in there. This too shall pass.

    --CindyMN

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    chumfry-Thank you so much! I am considering doing 12 weekly of carbo/ taxol, instead of 6 cycles carbo/taxotere. This is because I am diabetic and this weekly regimen might be a little gentler on me. You think? Any differences between Taxol and Taxotere? 

    BTW, I had A/C in 2007. no one told about the side effects of the anti- nausea meds and within 2 or three days I literally attempted to S--t a brick! Had to go the emergency room at my local hospital with it hanging out my butt. I really hollered at my onc. I will be prepared this time. Mouth rinses,special toothpaste, stool softeners, everything!!!!!

    So did you have Taxol twice? (2005 and 2007) 

    Puddin' 

  • cwrightrn
    cwrightrn Member Posts: 242
    edited March 2010

    Hi ladies....just a quick note about the constipation issue.  I felt like a 90 year old woman fixated on my bowels!!  I tried sennokot, citracil tabs, stool softeners, miralax and NOTHING would happen for about 3 days.  I was talking with a friend of mine and said that I felt it was a motility issue...like nothing was moving in my intestines and she recommended reglan.  It is a prescription and it WORKED.  I take it the day of chemo and the day after and it has great results.  Just wanted to throw that out there.

    As to your question about any differences between taxol and taxotere--yes, there are differences although they are from the same family of drugs....taxotere is usually used in mets.  There are differences in side effects.  

    Hang in there

    Hugs and blessings

    Carole 

  • chumfry
    chumfry Member Posts: 642
    edited March 2010

    I would definitely recommend getting the weekly infusions of Carbo/Taxol. That's what I did in 2007 and it was MUCH gentler on my body. And some studies say that weekly Taxol is the most effective way to get it for triple-negs. I think Taxol is easier on your body than Taxotere.

    Because I'd been left with numb toes from my Taxol in 2005, I REALLY didn't want it again in 2007. In fact, I had a big argument with my onc about it. <grin> She convinced me that the weekly doses would be easier on me and she was right.

    My numbness would get just a trifle worse for a few days after each infusion, but then go back to "my" normal before the next infusion. So I'm in no worse shape now, neuropathy-wise, than I was after my four DD Taxols in 2005. My fingers got so numb in 2005, I couldn't button my shirts, so they reduced the dose for my final infusion. My fingers eventually got better, but not my toes.

    For me, the weekly regimen went for three weeks in a row, then I'd have a week off. Repeat four times. :D  At first I thought I wouldn't need the weeks off, but I was wrong. The fatigue would last for about one bad day. Even the air felt heavy. But I didn't need Neulasta shots for the weekly doses. My bones hurt so badly in 2005 and it was all due to the Neulasta.

    The weekly Carbo/Taxol was a breeze compared to what I went through in 2005 with dose dense ACx4 followed by four rounds of DD Taxol. Plus Neulasta shots.

    --CindyMN

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    Hi all- I went to my internist today for a regular checkup. I asked her about the two regimens I have been offered, Carbo/taxol x12 weekly and Carbo/taxotere x6 every three weeks. I told her I was concerned about the Neulasta shots and my glucose levels spiking on the 6 cycle regimen. She yelled at me. She said, "you take take the regimen that is the best to kill that cancer! Let me worry about your glucose levels!" She told me not to choose the easy way out, and she gave me a script for Humalog, an insulin pen, to be used when and if my blood sugars go over 200. I won't need it after chemo is finished. She is sending me to the Diabetes Center to learn how to use it. 

    So on the 25th of this month I start chemo and I have to sign that agreement first as to which regimen I choose, I will ask my onc which one is the best? And that's what I'll sign. It will probably be Carboplatin and Taxotere. 

    What do you think? 

    Puddin' 

  • swiftbird
    swiftbird Member Posts: 177
    edited March 2010

    hi puddingirl84, I am on taxotere and carboplatin (6 rounds every 3 weeks).  I was told that Taxotere is not as hard on system as Taxol and less neuropathy concerns. But at the end of the day, we gotta do what we gotta do... I tried not to, but kinda expected bad SEs going into this. I was pleased (*knocking on wood*) that I had really 3 days where I was tired - and I suspect most of my discomfort was really from neulasta shot, but since it was injected to help me produce more blood cells and my bones hurt, I figured it was doing its job and that was a weird comfort.

    I start my second round this thursday. Will let you know how it goes... I'm 42 and in good health (except this stupid cancer!) and, so far so good. I got thrush the first round (that was weird! two days of yogurt chased it away) and not nauseous, but not hungry either. Just absolutely no hunger for like days 3-6. That seemed to be the worst part. Still learning what meds work. Sure wish I had access to some MJ Cool but not legal in AZ...

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    swiftbird- It's legal in NJ, but I don't have the guts to ask my onc for a script.

    My chemo day will be Thursday also.

    Seems like I'm starting chemo so much later than everyone else, but I did have a double mastectomy. I am still concerned about timing. What anti-nauseu meds are you taking? 

    I got thrush 3 years ago on the first round of A/C in 2007. She prescribed a rinse and it went away immediately.

    If being tired is the worst part of this regimen, then you and I will definitely get through this. What do you think?

    Puddin' 

  • swiftbird
    swiftbird Member Posts: 177
    edited March 2010

    Puddin, I am hoping your right. I did my second treatment tomorrow - (knock on wood) felt great yesterday and today. My sister is here and is an onc-nurses asst and she thinks it probably has some to do with my body adjusting (so it wasn't such a shock) and now that I know what's going on and what to expect, I am more relaxed, which helps. Whatever it is, I feel very well.

    Anti nausea? They gave me compazine and atavin (compazine for round the clock coverage first 48 hours) and antivan if there is any breakthrough nauseau. My sister told me to take ativan last night - helped me sleep (an added bene!) - just in case.

    I do my neulasta shot today. I'm sorry but that just sucks. Makes me achy. Dull but achy. 

    Good luck to you. I think this is a good regime for you.

  • swiftbird
    swiftbird Member Posts: 177
    edited March 2010

    Oops I meant to say I did my second treatment yesterday.

  • swiftbird
    swiftbird Member Posts: 177
    edited March 2010

    Puddin, oh they also put me on a steriod for first 48 hours, starts with Doxa.....

    And I drank a TON of water, tea, gatorade the last week. My eyes are floating. I am wondering if this has had also something to do with feeling better this time. 

    I had a scary onc-nurse (not my usual one) check me out before my second round. I am now calling her the chemo nazi. Anyway she was telling me how cumulative it was and trying to give me the worse cases on SEs so I won't be surprised - well she was just a debbie downer but I kept my smart alleck thoughts to myself. Hope i don't get her again. But overall the Mayo has been awesome.

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    swiftbird-have you started losing your hair?

    These are the four that I have picked up already: Dexamethasone,Compazine,Emend,and Ativan.

    I guess drinking all that water keeps you from becoming constipated?  

    If anything bad happens, don't be afraid to tell me.

    I feel like you're sitting right here, next to me. Thank you.

    Puddin' 

  • swiftbird
    swiftbird Member Posts: 177
    edited March 2010

    Hey PUddin

    Sorry I've been out of touch - my sister came out to be with me during my infusions and hang with me for a few days.  I have to say that I think maybe my fluid regime has helped some, because this round isn't hitting me as hard (knock on wood!) so far. Water I think helps with flushing this stuff out as well as constipation, which for the first time in my life, I have now with treatment. Yay. I am very healthy so all these new medicines are a little confusing but I'm learning quickly, and learned Miralax is great. I'm doing that in the morning, senekot in the evening and no problems. Last time, before I figured out what worked for me, ooowwwchhhh...

    Are you taking neulasta? I am. I've seen on the boards that may recommend taking claritin before you get your neulasta shot, which I did, and so far I haven't had as bad of muscle aches (mostly very dull aches in my legs but, again, so far so good).  

    Food tastes just icky; hopefully will only last a few more days. Last time I snapped out of that say around after the first week (pino grigio didn't hurt either!).  My onc said that somtimes having a drinnk of wine before dinner is not a bad idea, it helps stimulate appetite in some folks. I did not notice it did help after about 4-5 days : )  

    I've only been taking ativan before I go to bed, and I'm sleeping better.  Compazine is making sort of groggy during teh day. Last round I only took it once a day around day four after my treatment. I'm just going to feel it out and see how things go.  What is Emend? They didn't give it to me. Hmm...  Hope you're doing well. This is creepy stuff I have to admit but my lump has already significantly gotten smaller and that's a blessing. My hair is decideding to slowly pull out of dodge. I invested in a beautiful wig (pricey, synthetic but really nice) and then a fun goofy one for weekends. It's not totally gone yet so I can get away with ball caps or even go out without anything righ tnow, but won't last for long. My eyebrows are still intact (one small thing). What a weird world we've entered...

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    swiftbird- This might sound stupid, but what lump are you referring to? You say your lump has gotten smaller.

    Emend is a very expensive anti nausea medication. I learned about it from browsing this site. It is supposed to be the best.

    Amen, to your last sentence. We have truly entered a weird world. A world where this kind of conversation is considered "normal"..........

    Are you able to drive home after chemo?

    You seem easy to talk to. Stay in touch and I'll do the same.

    Puddin' 

  • chumfry
    chumfry Member Posts: 642
    edited March 2010

    Ativan is very good for helping you get to sleep. In addition to being relaxing, it makes the doom-and-gloom voices in your head shut up! :D

    Drinking LOTS of fluid helped me out, too, re flushing out the chemo. But I don't think it helped much with constipation. Pre-emptive Miralax and Senokot to the rescue!

    My hair (both times) started falling out on Day 14 after first treatment. I got a buzz cut to minimize the mess, but then my scalp actually started hurting so I had my husband shave my head down to the skin.

    My eyelashes and eyebrows thinned, but hung in there...until a month after my final treatment, when they ALL fell out!  That doesn't happen to everyone, but it's nice to be pre-warned. My eyelashes and eyebrows grew back very quickly, within about two weeks.

    I never drove myself home from chemo, because the benedryl made me sleepy. My husband was out of work then, so he ferried me. I probably *could* have managed it, though, in light traffic. I was more absent minded and distracted, though, which is not good for driving.

    I'm thinking about you guys starting treatment. It's a scary, awful, life-changing experience. But you'll get through it. Pretty soon it will be behind you, and you'll have good advice for all the *new* newbies. (Warn them about the constipation!) :D

    --CindyMN

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    Thank you chumfry!

  • swiftbird
    swiftbird Member Posts: 177
    edited March 2010

    Yea thanks Chumfry. I was wondering about my eyebrows and eyelasshes. so far so good :)

    Puddin, my breast lump has noticably gone down in size, even after just one round. It might be fluid but, hey, I don't care. Smaller is always better in this case.

     

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    swiftbird- I,m sorry. I didn't know your history. I assumed you had surgery before chemo. DCIS is treated differently? 

    I have an aunt, my mother's sister, who was diagnosed with DCIS in 2005. She is about 72 years old now. She doesn't "speak" of it. My family is weird that way. She said she had mammosite and was put on tamoxifen. Is still doing fine. That's all the info I could get out of her. The cancer is contained,(in situ) that is why surgery is not necessary?

    I also have a first cousin on my father's side that was dx'd several years ago. She doesn't talk about it. You would think in a family of women, that there wouldn't be ignorance like that in the 21st century.

    Sometimes information gets lost in reading so many posts on these forums. I just want to make sure I understand your journey a little better.

    Puddin' 

  • swiftbird
    swiftbird Member Posts: 177
    edited March 2010

    Hey puddin, I should probably update my diagnosis business. Anyway the long and short of it is that the clinic wanted me to take treatment first to shrink the tumor ~ long story but it was a very large fluid cyst with a tumor lurking inside, which is why it was tough to diagnose and even my initial fluid biopsies came back all clear.  So, low and behold, the chemo is shrinking it. Clinic decided to wait until after treatment to assess surgery - my initial consult (which really sucked because they didn't know what they were dealing with... tumor in cyst deal) was "total radical double mastectomy." whoa! I got mentally prepared for that, then, I go to the Mayo and they're like, no, wait, we prefer to do pre-surgery treatment and shrink it down and see what we got to work with before we go in and cut you.  I obviously preferred that!! Cool

    So that's my story. Second round down. It's wednesday and I feel almost totally normal, except for hairy metallic taste still sticking around. I *heart* orange gatorade. My DH was teasing me because before I did treatment, I stocked up on every fluid known to woman so our refrigerator is bursting with every juice, tea and soda imaginable, but lo and behold, the only thing I drink  now is orange gatorade. haha.  Also, FYI - boost high protein drinks (chocolate or strawberry) somehow cut through the hairy metallic taste... yum! 

    Have a good night and keep updating... you're certainly (unfortunately) not alone!

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    swiftbird- Today was my first cycle of carbo and taxotere. I started the Decadron yesterday and when I got up this morning at 6:00am, I could swear I looked like I had already got the moon face in my sleep and I gained 5 pounds. I arrived at the Cancer Center at 8:30am but because I see my onc first, tx starts a half hour later, if they and the labs are not running behind. They start the saline drip right away but had to wait for results of labs before getting taxotere and then an hour later the carboplatin. I was done at 2:45pm, but will have to go in tomorrow for neulasta shot. I am anemic today even though they said I was completely normal two weeks ago. 

    The Emend (anti-nausea) is really a miracle drug, you almost can cut back on some of the others a tad bit. Nothing bad happened yet. I am going to take an Ativan and go to sleep now. They have already warned me I will have se's from the neulasta shot, but tylenol should help with the bone pain. We'll see. I have survived bone pain from the Arimidex I have been taking for 4 and a half years I live with it and a lot of women can't. So we'll see what tomorrow brings.

    I almost forgot to mention, last night I ate heated stewed prunes, took miralax, and I took my monthly dose of Actonel, which has that effect on me also. I went at the treatment center, completely emptied out. I am going to add miralax to my bottle of water tonight. Again, we'll see what tomorrow brings.

    Talk to you tomorrow.

    Hi to everyone else too. 

    Puddin' 

  • Debonthelake
    Debonthelake Member Posts: 244
    edited March 2010

    My treatment was Taxotere and Carboplatin last year.  My side effects were fatique and nausea.  I slept ok.  I also was allergic to the taxotere and had problems with fever and hives.  After the second treatment in addition to decadron and benedryl the doctor had me start a solu-medrol dose pack.  That helped a lot both with the hives and the nausea.  The first week I had very little appetite.  The two weeks in between I gradually started to feel much better, almost normal the third week.  I did have a lot of ringing in my ears.  I was loosing my hearing prior to the chemo but I do believe it pushed me over the edge.  I have hearing aids now.  I'm happy to have them and I'm half way to my three year clear mark and feeling really well. I never needed the neulasta because my blood counts stayed good. 

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    Hi All- I went in for the neulasta shot today.I took the 2nd Emend capsule, I took the final dose of decadron tonight. My glucose level spiked up to 328 after eating a couple of pieces of fish tonight. I didn't take the the insulin pen, though, it came down to 183ml in 5 hours. The Dr. says I don't have to take insulin if not over 200ml. One less med, Happy about that. I am experiencing nausea, not much of an appetite. That's all so far. It doesn't take long for the junk mail to pile up when you're suffering from fatigue, laundry too. I went this morning.  

    Smile Puddin' 

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    Good day all- I just got out of bed. I don't feel real bad but not good either. Sort of like I have the flu.

    I went. I feel a little nausea coming on and I haven't taken any meds today yet. That Ativan just knocks you out.

    This is basically how I felt on the A/C regimen, 3 years ago, on the Saturday following Thursday's infusion. Just plain washed out.

    It's a beautiful day here and I don't have the energy to go outside to pick up the newspaper. Oh well.

    Talk to you later.

    Puddin' 

  • swiftbird
    swiftbird Member Posts: 177
    edited March 2010

    hang in there Puddin'   It's (not really, but kinda) funny how I have never ever discussed my BMs before in my entire life, and I find myself talking about them now. A lot. EmbarassedLaughing  Glad you're figuring things out along those lines... I feel for you having the added complexity of having to watch your sugar and such. It's confusing enough without that!

    My second round was much better, but almost right to the hour, 7 days after my treatment, constipation turns into diahrrea. It caught up with me this time. I had to give a speech at a conference, of course, the morning it happened - thank god for immodium. I was able to rally and give my speech but I certainly wasn't my usual chipper self. Oh fun.... 

    I quit taking ativan for sleep three nights ago and paid for it. I took one last night and bounced awake this morning. I have never taken meds before in my life -- not even vitamins, so I'm pretty paranoid about them. My DH got on my case yesterday, to listen to my docs and take the medicine they give me and stop second guessing. I'm glad he did. I feel so much better. I am finding sleep, and hydration, are the keys.  

  • swiftbird
    swiftbird Member Posts: 177
    edited March 2010
    Debonthelake, question -- I will in all liklihood also have to have a lumpectomy then rads after this chemo. How was the radiation? Could you work through it??
  • puddingirl84
    puddingirl84 Member Posts: 120
    edited March 2010

    I'm still having break-through nausea, even on that expensive Emend. Been trying to find my food groove. If I can't find it I will probably need a transfusion for anemia. I feel real weak. Can't snap out of it. How can they just send you home after having this stuff? How do you know when to call, when there might be a problem? I want my chemo on time. Shouldn't they be monitoring my counts? 

    I managed to get down spinach and a porterhouse steak today. oatmeal for breakfast. That's what onc nurse told me to eat. I still feel like shit. 

    Puddin' 

  • puddingirl84
    puddingirl84 Member Posts: 120
    edited April 2010

    To all- I think I am beginning to see a light at the end of tunnel. I am slowly snapping out of the the crushing fatigue. It has been exactly a week. That's a long time. I am going in to the cancer center tomorrow to have my numbers checked and for hydration just to be on the safe side. Onc nurse told me to come in. I failed to mention that I had lost 15 pounds since chemo on Thursday. I wanted to lose a little weight but not this way. I am a diabetic and that dexamethasone is messing with my glucose levels also adding to SE's. Five more to go. I can't believe I considered doing this in 12 weekly cycles. Onc nurse told me that even though you're only on dex for 3 days you still have the SE's of withdrawal, crushing fatigue being one of them.

    Puddin' 

  • Titan
    Titan Member Posts: 2,956
    edited April 2010
    Hang in there pudding...you will be done b-4 you know it..it totally sucks now..I know...but we all have to remember...this is what we have to treat our tn's...it does stink that we have to deal with the se's and all the other junk...but hopefully..and we have to remember this is killing any cancer cells left in our bodies...keep telling yourself that...last May, June and July were kinda like a dream to me now.,,but it is over now...I really can't believe that I went through that,.and you will make it through also and very soon you will be saying to yourself..MAN I AM GOOD..I survived BC AND CHEMO..to tell you the the truth..I never felt sick from the cancer,.I felt sick from the chemo!

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