chemotherapy with cytoxan and taxotere
is anyone on this treatment?
Comments
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This treatment is for stage 2 breast cancer
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I completed it in August. Had four cycles every three weeks and did really well. I attribute that to supplements prior, during tx as well as acupuncture. Patti
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so you did four treatments and not six. I was told that I would do four and now the doctor is changing it to six?
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I was wondering if you know of any new studies about six treatments vs four?
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daysone ~ There's a very lengthy, on-going thread here on TC. You'll find it in the Chemotherapy Forum. 4 vs. 6 has been discussed there several times.
I had 4. What I've gathered is if you're quite young, and/or your bc is in multiple nodes, your onc may recommend 6 or may suggest doing 6 if you are tolerating it well. On the other hand, I don't believe there is any data yet saying that there's any benefit to 6, and I personally had such a terrible time recovering from 4, I shudder to think of doing 6, unless it's absolutely necessary.
I also think that some oncs just go with 6 because TC is a newer regimen, and because they're now dropping Adriamycin out of the equation, they feel "safer" with 6. But the original study that came out in late 2007 showing the effacacy of TC was done with 4. Deanna
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I had this treatment with also Adriamycin last year and I am now a survivor. However I have expierenced horrible side effects of cramping in my ribs, legs, toes and inner thighs. I was also warned my nails could fall off while taking taxotere however that did not happen to me during chemo. 3 months after treatment my toenails fell off. My docs are baffled as to what could be causing thes debilitating side effects since they have never heard of them. I am asking if anyone out there has had this and if so please advise what has worked for you. thanks tracy
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I had my first treatment today with TC. I feel fine so far - just a headache - my stomach seems a little upset. I'm wondering what else might occur within the next day or so.
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I am also doing the TC--had my second treatment today. The first one was not bad at all--no nausea, just a little tired. I had treatment on Thursday and was back to work on Monday. I did have terrible dry mouth for 3-4 days, but the Biotene mouthwash, toothpaste and gum have really helped with that. I also had the Neulasta shot for low WBC. On day 13, my hair started coming out and was completely gone in 24 hours.
My oncologist originally said 4 treatments and then recommended six as well. She said it would give me a 2-3 percent increase in the cancer not recurring. I have opted to just have the four treatments after reading the research.
Good luck with everything--I am sure you will do fine. The first treatment is the hardest emotionally because you don't know what to expect. After that I think it is much easier to plan for the side effects.
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I'm also on the 6 treatments of TC. My onc said there was some research that showed there was some benefit for the 6 over 4. Since this is a second primary for me and it's triple neg grade 3 we should probably play it safe and do the 6. So far I've got 3 treatments done and my SE's have been pretty tolerable. My hair started to fall out after 18 days from the first treatment and is still falling out a bit even now. I cut it short since it was driving me crazy and I still actually have quite a bit of it, although not enough to be seen in public without something on my head. I am a bit freaked about the nail thing but so far nothing going on there. I do have a little bit of bone/joint pain but not sure if it's the Nuelasta or the Taxotere, I'm thinking when my toes ache a bit it's probably the T but it's not bad at all. The worst thing for me is at around day 3 I get very bloated and then constipated (so annoying to say the least). No nausea or vomiting at all but I do take Emend to help with that, I get achey around my neck and shoulders days 4 & 5 after treatment and by Monday I'm back to teaching my stroller fitness class and taking care of a 3 yr old and 20 month old little boys. I just hope things continue this way. At this point I wish I only had 4 because that would mean I only have one more treatment but I think I can suck it up and do 3 more. Good luck to everyone here, hope you all are doing well and will continue to be well.
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Hi Ladies,
i did this treatment last year (it seems great to be able to say that), this treatment if for stage 1 to stage 3, is my understanding. i had no major problems, very high temp a week after the 1st dose had to go to hospital to have my bloods checked, it turned out to be a throat infection, which is a side effect, so put me on augmenton duo for a week and had to gargle salt water twice a day for the next few months. i was told before my operation that i would be getting 8 chemos but then things looked much better after the surgery than was expected so i only had four with avastin every three weeks for a year.
i had an allergic reaction after 2nd dose, but they just gave me more steroids and anti sickness drugs, did it slower and changed the order of the infusion as they though it was a biological reaction.
my hair fell out on day 13, i went into the shower with a full head of hair, 75% of it came out with the weight of the water. my finger nails suffered badly and the little finger nails came away completely and my toe nails are yellow still, my feet burnt off me especially the heels, aqueaus cream going to bed helped somewhat. Childs tootbrush and non flouride tootpaste (health food shop) helped with the mouth ulcers and open sores, my sinuses are still at me, but i do not finish avastin till this coming june. as for the consitpation a large glass of prune juice and about 36 hrs later you will get reief, worked for me anyway. Fluids were very hard to drink, especially cold because of sensitive teeth as in 100 times more than normal and hot would take the coating of my mouth. A straw helps to srink fluids, my joints are still very stiff, i turned 36 not so long ago and am more like a 70 year old getting out of bed, cod liver oil capsules and exercise every day is helping that.
the reason i had four and not six was that the scans showed it was in the nodes, they removed 22 of them and someone was looking out for me as they came back clear thank god.
best of luck with it, really you will feel hung over for the next 3 months, i had it every 3 weeks not 2 weeks, i dont know why. i also had 7 weeks of rads.
take care
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dlb823 : I have been reading all the different comments and stories of others about three t/c treatments versus having four. I think you are right about the size of the tumors. My tumors are a total of 5 ccm's so that may be why my doctor wants to do two more treatments. I am going in to discuss a few different questions I have about the side effects and so forth so I will ask him. I just hope to get through two more with no problems. So far I have done pretty well, a few things have been hard and I don't feel great all the time but I am making it. Thanks for helping me and answering my posting,
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Daysone - I am in the midst of completing TC x4 rounds every three weeks. My last one is on Feb. 8th. My Onc never suggested me doing any more than 4 treatments. It might have to do with the size of the tumor as mine was quite small. So far I've not had any problems other than some aches and fatigue on days 3-5. I also get a yucky taste in my mouth around that time and some stomach upset (not nausea but more of an acid gurgling sort of thing). I hope this helps!
I found this old thread on this website that discusses the very same topic. Here's link to it:
http://community.breastcancer.org/forum/69/topic/699548?page=1#idx_9
Good luck!
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I'm meeting with my oncologist next week and am gathering all my questions and research because I know her regimen will be TCH (H is Herceptin) and want to discuss the question of what the T is (either Taxol or Taxotere).
I've read up on the advantages and disadvantages of both, compared to each other, and am at this point leaning toward asking for Taxol because of the 6% possibility of hair loss being permanent from Taxotere (even though the risk of permanent neuropathy is higher with Taxol; if I were given the choice of some permanently numb toes or fingers vs permanent bald or semi-baldness ... I'll take the numbness, please!).
Whichever one I end up getting (hopefully I will have the choice), I plan to use the iced mitts and slippers because of the significant reduction in damages to hands and feet in the studies that were done. They were done on Taxotere but since both are "sister chemicals" it should work for someone getting Taxol as well, or so I assume.
A friend of mine who got 4 months of Taxotere/Carboplatin and 12 months of Herceptin had severe nail problems during the chemo and again now for some reason after completing her entire regimen (she's been off the TC for a full year) is suddenly losing fingernails again. I asked her if she had used the ice mitts/slippers and she said her oncologist (and she went to 3 of them in all, because the first one wanted to give her ACTH and she refused the A) never even mentioned them. Odd because the study results (and there's another 2009 one from Australia which I lost the link to, sorry) were so definitive: http://www.cancer.gov/clinicaltrials/results/frozenglove0805
Thanks for the tip that there's a possibility of getting only 4 rounds of the taxanes instead of 6. I had no node involvement so will use that in my argument for 4! The 2.3 cm tumor size was what put me into the Stage II camp.
Those who have already started taxotere: Did you oncologist tell you about the frozen glove/frozen slippers thing at all? I'm wondering if this is one of those things that maybe many of them just don't bother to mention,though I can't think why not...
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lovemygarden - Yes, I had ice during each Taxotere treatment for both finger and toe nails. It was the chemo nurse who mentioned it to me. I've not had any problems with my nails or neuropathy as a result. In fact, my nails have never been stronger or nicer. Ironically, I've been getting compliments on them for friends and co-workers. I just finished four rounds of TC on Monday, Feb. 8th. Regarding hair, I've not lost all of my hair and I've seen some already growing back. There are hairs that are 1/8" and some that are 1/4" so these strands have been growing in during chemo. My sister-in-law was on Taxol/Carboplatin for endometrial cancer two years ago and she did suffer with neuropathy and still has it to a degree. I didn't have any trouble with Taxotere.
Good luck!
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I just finished my last round of four TC treatments. Thank God I'm done with infusions. My legs feel like they weigh a thousand pounds especially when I go from sitting to standing. They also tire very easily and I am having some joint pain. Has anyone else had this? I keep thinking it will go away but it hasn't. Maybe it is just the cumulative effect of chemo.
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brendaskids - I had the exact same issues as you did with the legs. It is completely gone and I feel fine now. My last chemo was on New Year's Eve.
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I completed my TC X 6 regime 11/13/2008! Woo hoo! In my case I am in a trail plus i had 3 lymph nodes involved so I had 6. I had no problems during my treatments, worked 40 hours a week. I am the DON at a skilled nursing facility. Don't know how I did it. I never used any ice during txs and had no nail or neuropathy issues. My worst problems were: 1) Weight GAIN. I quit smoking so I know this contibuted. 55 pounds! Ugh. I have lost back 30 pounds with lots of hard work. 2) My hair. I had EXTREMELY thick coarse hair. My hair is so VERY thin and fine now. You can still see my scalp EVERYWHERE. I say I would rather be alive with a little hair than dead with alot. 3) I am having terrible cramps in my calves at night. My Dr. attributed mine to my exercise and suggested stretching before bed. My labs have all been WNL.
Busy living my life now! Take care everyone and hugs to all!
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Hi,
This is my first day on the site and your entry spoke to me. I am stage 1 in one breast, and 2 in the other. I started TC chemo treatment (4x every 3 weeks) on June 2, 2010. I have been doing ok, just tired and that weird feeling in my stomach. I keep waiting for the other shoe to drop, but so far things are ok. My question is: what happens now? Will I feel progressively worse,or will I feel better as I approach my 2nd treatment on June 23? I am 63 years old and had a double lumpectomy in one breast, and a single in the other before starting chemo. I am drinking lots of water and think that has really helped. I would really appreciate comments so I know what to expect. Thanks!!!
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I had TC back in 2008. I also had 4 rounds. It was very easy to tolerate. I also had few side effects. It did make me more tired by the end but truthfully, nothing that stopped me from living my life to the fullest!
One piece of advice is to drink 3 liters of water a day to flush the cytoxan out of your kidneys where it settles.
Lorrie
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Macats - hi, I don't think this thread is very active. You might want to try visting the thread called "Anyone on just Taxotere and Cytoxan" (I've put the link below). I think there are more women on TC who regularly post on that thread. Good luck!
http://community.breastcancer.org/forum/69/topic/697783?page=1
Also, if you want any tips, please send me a private message and I can let you know what I did to help during TC chemo treatment.
Sherri
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I finished 4 rounds of TC in February. My arm has been numb and tingling for 7 weeks and use of my fingers is getting worse. Has anyone had this before. I keep waiting for it to go away!
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