Tykerb - side effects - HELP!

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scuttlers
scuttlers Member Posts: 1,658

I know this is my first post here, and I just don't feel like taking the energy or the time to "introduce" and "get to know".  Forgive me, after 18 months of hell, I don't have much left for niceties.  Since February this year, the oncologist has prescribed Tykerb.  I continue to work full time, as I have since the beginning - but this drugs is kicking my butt big time!  

Back to the hard decision on the Tykerb. I have had nothing but problems with this drug.  I begged the oncologist to stop it and they ask me why would I consider stopping a drug that is keeping me alive.  The last two sets of scans show no evidence of progression and no evidence of disease.   (April and June; another set will be done in September). The Tykerb is worse than any of the sets of chemo I went through.  So tired, pain, nausea (vomiting in the AM), constant diarrhea, mouth sores, nasal sores, hair falling out, dizzy, vertigo, and basically a loss of will to do anything while taking the drug.  I truly feel that I can not live the rest of my life like that.  I stop it, and within 24 hours I feel better, no dizziness, no nausea, and I feel like smiling again.   Like I said, the doctors insist I continue the drug.  They tell me that if I don't the cancer will progress and it would be basically a miracle if I make it through the year.  (I feel that it is a miracle that I am showing NED at this stage!)  They tell me that if I continue it, my survival could well be up to 10 years or more.  But it is absolutely worse than any of the chemo infusions - I knew that I would feel better the next day or the next week on them.  With the Tykerb, I will never feel better.  The doctors also tell me that I should continue this drug until it stops working - so there is no end in sight.

I took it for a week to start, stopped because of this.  Tried again at a lower dose for a couple of weeks, and stopped again.  This cycle has been on and off since February.  

When I take the Tykerb, the side effects are immediate - the very next day.  As the days continue, the effects become more and more difficult to deal with and seem to escalate.  Each night, when taking this drug, I feel as if I am taking poison!  I stopped again last night, I couldn't bring myself to swallow the pills.  This morning - no dizziness, no headache, I feel like smiling, and my energy has returned.  Best of all my will to get up and "live" has returned.    Any ideas of how to handle the side effects?  Has anyone taken this for an extended period of time and had the symptoms start to even out or become more bearable? 

Comments

  • leisaparis
    leisaparis Member Posts: 587
    edited June 2010

    I'm so sorry to hear that you are having so much trouble. I can not help you , but am sure someone will come on here and give you some answers. I know this diesese SUCKS and I get really tired of it too. Good Luck and hang in there. Someone will be along soon who can answer your questions. God Bless. Leisa

  • lorieg
    lorieg Member Posts: 802
    edited June 2010

    I am on Tykerb and Xeloda, but I have been lucky as my side effects are limited to the hand/foot stuff and some vision issues.  I don't have any of the GI side effects.  Sorry I am no help.  Question......why are you on Tykerb indefinitely if you are Stage III??  Just curious as that doesn't make a whole lot of sense to me.  Did you fail Herceptin?  You may want to cross post to the chemo board or stage IV board as you may get more answers in those forums.  Hugs and sorry I can not help.  I know Tykerb can be nasty and a lot of people can not tolerate it.

  • scuttlers
    scuttlers Member Posts: 1,658
    edited July 2010

    Thanks for answering me, I feel less alone. 

    The local oncologist feels that I failed the Herceptin.  I had recurrence into the cervical (neck) lymph and vascular system last October.  Was offered no hope here, and I went to MD Anderson to see if they could help.  Did another set of aggressive chemo, neck dissection (the surgeon had to remove the jugular vein because it was so infiltrated with the cancer), and another set of aggressive chemo.  

    Then they started me back on the Herceptin, and added the Tykerb.  Scans in April and June were totally clear - showed no evidence of progression and no evidence of metastasis -  no evidence of disease.  The oncologist in Houston feels that the Tykerb is the reason for this and is insisting that I need to continue on it.  I asked for how long - and was told "until it stops working". 

    I don't know if I am still considered Stage III, that I was given at the beginning.  And I simply have not asked since if I moved to Stage IV with the metastasis to the neck and vessels.  (Probably.)

    Are you taking 5 pills a day?  (1250mg?)  I can handle the GI issues, what I can not handle is the dizziness, loss of energy, fatigue, lack of desire, and the "numbness" in my brain.  Thanks for answering me. 

  • lorieg
    lorieg Member Posts: 802
    edited July 2010

    Ok, thanks, just curious.  That makes more sense.  I am weird stage IV as well with just a cross axillay metastatic node that was present at diagnosis.  MDA still says that are going for a "cure" for me whatever that means!  ha.  I had a bilateral MRM with bilalateral axillary node dissections and twice a day radiation to both sides of my chest and both axillas.  So, *technically*, like you, all my known cancer is gone.  Will see what my scans show in September as they will be the first set done since I finished radiation. 

    Our cases are similar and they really don't know what to do with us.  I was told Tykerb maybe forever, ir until it stops working.  If my scans are good in September I will go off the xeloda and onto tamoxifen while staying on the Tykerb.  I am also taking 5 pills per day.  Is your dizziness/fatigue/lack of energy due to being dehydrated from all the vomiting/diarrhea??  I assume you have tried all the antidiarrhea/nausea stuff and nothing works?   To clarify, are you on both Herceptin and Tykerb now??

    I am curious who your onc at MDA is and if they give you hope that you could be NED for a long time??  If you don't mind sharing send me a PM. 

     Sorry for all you are going through and hope there is an answer for you.  Try posting to the stage IV forum.  A lot of those ladies have been on Tykerb.

  • scuttlers
    scuttlers Member Posts: 1,658
    edited July 2010

    Started back on the Tykerb.  Had a good discussion with my local oncologist yesterday.  I will start by lowering the dose to 750/day, taking in the morning, and changing my diet.  Will post as to the results.  

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