Cytoxan and Taxotere ?
Comments
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Aloha,
I was diagnosed with breast cancer in aug. 2007. I received radiation to my right hip for 2 weeks followed by chemotherapy for 6 courses. I got the works too--Taxotere, Adriamycin "the red devil" and Cytoxan. The nausea was less once I began taking Prevacid to help decrease the gastric acid in my stomach. The food tasted metallic. I felt fatigued but forced myself to do things around the house as much as I could.
My energy level is coming back and my tastebuds are almost back to normal. I lost ALL of my hairs.......now I have nubs on my scalp and my eyebrows are sorta there, if there's eyelashes I sure can't tell.
I also got Neulasta and Procrit shots when my labs were down, which were almost always.
My chemotherapy 'journey' had rough moments but I tolerated. My next journey is surgery and I will be meeting with surgeons tomorrow for surgery this month.
All is good today..........hang in there, it will get better.
Blessings,
Alice
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Steve (and others) -
There is another thread on this message board that is quite active with people having Cytoxan and Taxotere as their chemo treatment. Lots of great info is being exchanged. You may want to check it out (you may have to change the page):
http://community.breastcancer.org/topic/69/conversation/697783?page=33#idx_964
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Hi Barbara,
So sorry to hear about your bad experience with the first round! I don't know carboplatin, but I can tell you that at least through the first round of Taxotere-Cytoxan Kathy has done great. Her appetite is excellent and other than getting run down a little easily she is doing very well. Her head is starting to tingle, so we assume the hair is going to go any minute!
Our doctor feels very strongly that for many cases (especially er+/pr+?) the TC is just as effective as AC. I assume the 'H' is herceptin since you are HER2pos? I don't know if it will help any, but we have two friends who had similar diagnoses between ten and 15 years go. They were treated wtih AC, and had recurrences. Then they were treated with TC and are clear now, both past their five year anniversaries. I'm sure that every single woman on the planet is different, and I would be the last one to try to figure out just how your bodies work, but we found that news to be very encouraging as far as the TC regimen goes.
Most importantly, keep your chin up! Every treatment you complete is one more step on the road to recovery.
God bless,
Steve
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Just dx will early with multifocal stage 2 in 2 nodes only out of 28 had double mastectomy second breast prophylactically--I was given the option of Adriamycin/cytoxin followed by taxol--or--taxatere and cytoxin only--in view of the adverse affects of adriamycin and the need for a port i would rather go with the taxatere and cytoxin option--but not enough clinical data --over the long term--I know the first option is the most aggressive and known most of the posts here are from 2005 -2008 is there any one on the taxatere cytoxin option more recently and the ones who were on it 4 years ago how are they doing--i dont want to go the easier route if it is not as affective
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I was one of the fortunate ones who took TAC (Taxotere, cytoxin and adriamycin) all three for six treatments. As part of a clinical study, they are trying to determine if TC versus TAC is the same. The adriamycin is a nasty chemo drug, and the purpose is to see if eliminating this will offer the same results. The six treatments were horrible, each one getting worse then the last, with a bout of pneumonia after the third treatment. Sometimes I think they don't make adjustments to those of us who have lost weight during the treatments, and still administer the same amount of the chemo as they did in the beginning. I lost 20 lbs. by my fourth treatment, and I was kept on the same dosage as the first. However, I discussed with my oncologist after the fourth treatment, and they adjusted the amount of chemicals for the last two. I did better during those last two treatments, and tolerated the chemo much better. We sometimes have to be our own advocate, and make sure the doctors/chemo nurses really understand what we are going through. I know they see a lot of patients, and sometimes, we have to make ourselves people instead of just another statistic. Good luck to all of you who are still in treatment, and congratulations to those who have finished...hugs to all.
Judy
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Had my first treatment of TAC Thurs. it's now Sunday and I feel terrible. Headache, neck stiffness and nausea, oh, can't forget extreme fatique. Are these the normal side effects?
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Lollies, I had cytoxin and taxotere, 6 treatments,3 weeks apart. Because of my weight, I had triple the dose. Tumor had taken over my whole breast and underarm, and after six treatments, my oncologist felt nothing. Then I had the surgery, and the tumor was down to less than 1cm. So yes, the cytoxin and taxotere did work well for me. I have a port. Hate that thing!
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Paula, those are normal side affects. Did they give you something for the nausea. I took prilocec all through chemo. It really helped a lot. I had a pounding heart and racing pulse through out mine. I lived on cream of wheat cereal and chicken noodle soup. It was all I could keep down.
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I am taking Gemzar and Taxotere, I am on my 3rd cycle.. Do you feel any body pain or bone pain?
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Hi Alice
Hi Everyone
I was diagnosed with Sarcoma of Ovary on November 2008. I had total histercktemy and currently I had 2 coursed of chemo "Gemzar" and "Taxotere" of total of 6. I have lost my hair, I am low energy and having alot of pain.. living through the treatment.. I guess !! I am hoping and praying to go trough this and time will pass fast..
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You & I are close in treatment. Tomorrow I go meet w/my Chemo "team". I met w/my oncologist last week. I am having the port put in on the 24th.
One thing I'd like to mention: I called the American Cancer Society. I am eligible for a free wig. All I have to do is go up to the nearest office & try one on to choose!
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Hi!
I'm having my port the 29th and my first TC on May 4th. How do I get in touch with my local ACS? I can't afford a wig. Any help will be appreciated.
Nancy

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Hi Everyone
I'm currently receiving Taxotere/Cytoxan (TC) as well. Based on what I've read I'm confident it's the right choice for me but my oncologist is pushing for 6 cycles instead of 4. There does not seem to be much published data re: optimal number of cycles with TC but I am seeing more and more anecdotal information about 4 cycles seemingly being the standard. Just wish I could have peace of mind with the number of cycles.
I came in just under the wire within Stage I (1.9cm), negative sentinal nodes, HER negative, ER negative but PR positive (weird). Did prophyllactic double mastectomy because the radiation I received for Hodgkin's disease in my 20's is the primary suspect in my breast CA so I did not want to wait around for it to appear in the other breast.
Any thoughts? Patti
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Is anyone on this treatment regime? Or is there another post that has this discussion on it?
Thanks!
Tori
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I am on TC x4 every 3 weeks. I have been following the Aug 2010 chemo group. Lots on TC in that group. I have only had 1 treatment but willing to answer anything I can.
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I'm also on TCx4, every 3 weeks. So far, so good. I've only had 1 treatment and had about a week of side effects and now I feel great. I'm at day 14 and my hair is just starting to come out though. There's another very long thread about Taxotere/Cytoxan here...
http://community.breastcancer.org/forum/69/topic/697783?page=1
(If the link doesn't work just cut and paste)
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I am also on TCx4, every 3 weeks. I've only had 1 treatment so far, but SE,s for me were not bad at all. I feel great 11 days out. My hair is starting to fall out today. There is a sept. chemo group that has become quite active, and lots of us are on TC.
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Hi - Im on TC X4 (plus Herceptin for the yr) - I will be starting next monday, and im so scared. Esp if Im allergic to it !!! Im planning to take off the week and go back to work on Saturday, am I crazy or can this be realistic?
By the way, is hair loss 100%
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Redinrah - I am typically infused on Mondays, and feel flu like on Thursdays and for half the day on Fridays. I have 3 rounds of TC behind me and this is pretty predictable for me. Everyone is different - some people have more side effects and others less. Regarding hair loss - I shaved mine when it started falling out in clumps. My head is not 100% bald, but it would have looked horrendous if I left it unshaved. I do have bald patches throughout my scalp, but I have not lost 100% of my hair if that makes sense.
Look for a September Chemo group under the Chemotherapy forum. You will find lots of support there as well. Good luck - while not fun, we are all surviving it.
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I also was prescribed with TCx4 3 weeks apart. i start Ocotber 5th. I am not looking forward to it but it seems like the SE are less for this than some of the treatments people post on the chemo boards. I am still petrified though.
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I had four rounds of Taxotere,And broke out in a rash every time of chemo,the very last one has been the worst,I have been boke ou for 16 days,It is finally getting better.now they decide that I am allergic to Taxtere.the pain along with it has been horrible,no energy to even feel like getting out of bed.But the good thing is I am finally finished with the chemo,I start radiation soon,It could not be anything as bad as the chemo treatment have been.(side effects) are one thing but being allergic to the medication and they just keep pumping you full it it again??
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Good morning all...
I will be heading to my first infusion of T/C this morning. I will report in as soon as I can.
I hope you are all having a wonderful day.
Peace, hugs, and prayers,
Tori
DE COLORES!
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hi honey, I had adriamycin and cytoxin for treatment my hair also came out and I was truamatized but it all came back and i,m now 16 yrs cancer free (Praise God). msphil
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msphil,
Thank you for always being such a comfort to others and to be so inspiring! Doing pretty well so far, but I think the steroids have me going a little still.
I'm praying that things continue to go smoothly, but I am prepared if they do not!
Peace, hugs and prayers,
Tori
DE COLORES!
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Hi,
Just finished rnd 4 of TC. Unfortunately had a lot of trouble tolerating it. Wiped out mu wbc everytime and wound up in hosp for rnd 1. after that, they put me on neulasta which kept the wbc low but I didnt need to go back it. My port also became infected after rnd 1 and was removed at rnd 2. Kept a lot of my head hair-it was funny but the part w the blond highlights stayed and lost everything else, who knew-so I cut it short and have enough that it is OK w a scarf and don't do the wig all the time. kept some eyebrows and some eyelashes but they are getting thin. Hopefully in a few weeks this will start to come back. I had a lot of bone and muscle and nerve pain, weakness, fatigue, metallic taste, rash and a little nausea for 2 weeks after the treatments, but when the wbc started to come back, I started to feel better. I had a BMX with expanders, so have final expansion next week-got a little behind because of low counts. Will have radiation-going for simulation and markings and treatment plan second week of OCt. and then will start a week of 2 after. Hopefully this will not be as rough as the TC was for me and have learned a lot from the Sept rad grps. I think it is so interesting how we all react very differently to the treeatment. After rnd 1, you will find which meds help to relieve the symptoms and when to take them so they work best for you. Recommendation-tell your oncologist and oncology nurses everything-they are a wonderful resource and if you have any SEs, they can tell you how to best manage them for you. This has been an interesting journey, and I have so much respect for the women here who are on this journey who have shared so many experiences. You can do this!
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Hello Ladies. Hope you don't mind my dropping in. I was wondering how you decided about whether to take 4 or 6 treatments of TC. My oncologist won't give me six because tc x 6 is not on the Practice Guideline of the National Comprehensive Cancer Network, But I know a lot of women do get six tx's, and my cancer is agressive enough, I believe, to warrant it -- and my onc said the same at one point also, but she seems to have dug in her heels on TC x 4. Would you mind letting me know what your oncs said about TC x 6 vs. TC x 4, and also, if you've had any problems getting insurance to cover it. My oncologist said my insurance might not cover it since it's not on NNCN Guidelines, but I can't see how this can be true since so many women get it. She has a bit of an ego, and doesn't really like to be questioned. Two of her nurses told me that they do do TC x 6 in their practice, so I'm not sure if my onc is being straight with me.
I would appreciate any feedback you could give me. Thank you.
Whitney
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Whitney,
I am scheduled to do 6 treatments of TC. I just had my second treatment on Friday. This was the treatment recommended by my oncologist. I was not aware of 6 treatments not being on the Practice Guidelines of the National Comprehensive Cancer Network guidelines. I didn't even know that treatment over 6 could be denied from insurance companies either. It is certainly something that I should ask about.
If doctors are giving the 6 treatments, how are they doing it if it's not in those guidelines? I am confused.
Thanks,
Tori
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I will be starting TC on Monday. I go in today for blood work. My oncologist did not give me any pre-meds to take or really any info at all on what I should/should not do before my first round. I didn't realize all the meds they might give me through my IV. Is it normal that they give you all these meds or do they wait and see how you do after the first round? I feel like I'm blindly going in for chemo treatments, not knowing what they are going to do. Thank you to everyone for all the information on this board!
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Hi Tammy. I had my first TC of 4 on Thurs. They prescribed an Emend (anti-nauseau) patch to put behind my ear the day before and wear for 3 days. Also took 2 steroids the before and day after. During my treatment they started me with 2 bags of the Emend and one steroid then started the T followed by the C. I am on day 4 now. Tired and jittery, but no nauseau yet. I did not receive a Nuelasta shot. They said if my white counts bottom out, my next treatment will be delayed a week and then I will get the shot after treatment 2. Hope it goes smoothly for you, I kind of feel like I am just sitting here waiting for something to attack me!
Tiffany
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wherria, My Onc said they stick with 4 because thats what the trials have been with, and that my group doesn't want to find out down the road that the toxicity was more with 6 but survival the same between 4 and 6. I do know some have given 6. The only thing to think about is that toxicity will increase with 6 compared to 4 just because you've had more doses. I'm 18 months out from TC and my neuropathy is still bad. I wish I had never heard the word docetaxal. I know a few in my chemo group had their Oncs say lets start with 4 and see how you do and some went on to 6 and some stopped at 4 depending on how they were doing. Do you live in an area and have insurance coverage where you could get a second opinion? Just sounds like it might make you feel better about the plan.
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