taxotere & permanent hair loss

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bernbird
bernbird Member Posts: 21

My onc wants to put me on a chemo regimen of carboplatin + taxotere (6 treatments, 3 weeks apart).  When I started looking these two chemo drugs up, one of the first things that came up for taxotere was the possibility (3-6%!!) of permanent hair loss; that is NOT a risk I'm willing to take.  Anybody out there experience this or know of it?  

Comments

  • hrf
    hrf Member Posts: 3,225
    edited October 2010

    Yes, it's true

  • dlb823
    dlb823 Member Posts: 9,430
    edited October 2010

    There's a fairly active thread here on the subject.  Try the SEARCH box to far upper right -- next to Community (it sometimes doesn't show up on my screen for some reason).  Search "permanent hair loss" and you should be able to find it.    

    You might also want to search "Penguin Cold Caps" too.  I didn't use one, but some report actually keeping their hair with them.    Deanna

  • bernbird
    bernbird Member Posts: 21
    edited October 2010

    Thanks!  I wanted to start with a search instead of putting the question out there, but can't find a search box anywhere.  There isn't one in the far upper right of my screen.

  • lago
    lago Member Posts: 17,186
    edited October 2010

    Odd since at chemo training they told me my hair would grow back. Too late now. I had my first treatment of taxotere a few weeks ago and it's starting to fall out.

    Why don't they tell you this stuff?

  • mobay1020
    mobay1020 Member Posts: 134
    edited October 2010

    I did 6 rounds of Taxotere, Carbo and Herceptin from 7/08 - 10/08.  My hair did fall out but it IMMEDIATELY started growing back after my last treatment.  The hair was a huge issue for me as well.  It is now right past my shoulders!

  • Ang7
    Ang7 Member Posts: 1,261
    edited October 2010

    My onc. did not tell me about taxotere and permanent hair loss until I asked her about it.  If I had not asked her, I believe she would not have mentioned it.  It is very real for the ladies whose hair does not ever grow back.  This is one of the reasons that I used the Penguin Cold Caps.  I had read the thread on here about hair not growing back with taxotere.  I am thankful to these ladies for speaking about it and helping me when I had to make decisions.

  • lago
    lago Member Posts: 17,186
    edited August 2013

    In the 3 ring binder they gave me at chemo training it states:

    "Hair loss is temporary and will begin to re-grow in about 3-4 weeks following your last treatment Many people find that their "new" hair  is often a different color and may be curly even if they previously had straight hair. These changes many not last. You may color your hair at anytime"

    There is nothing mentioned about permanent hair loss!

  • Ang7
    Ang7 Member Posts: 1,261
    edited October 2010

    It seems to me that oncologists in general do not address the problem.  My onc. admitted that there are ladies who never get their hair back!  This was after I researched and brought my information that I had found on BC.org.  She was hesitant to let me try the Cold Caps as she had never had anyone use them.  They did work for me.  I feel that the permanent hair loss needs to be included in all of the taxotere literature...

  • bernbird
    bernbird Member Posts: 21
    edited October 2010

    Thanks, everyone, for the input!   I've placed my order for the cold caps.  These discussion forums have been sooooo helpful and informative.  I can't imagine going through this without all the help from you lovely ladies of bc.org.

  • crazy4carrots
    crazy4carrots Member Posts: 5,324
    edited October 2010

    bernbird -  You'll find the taxotere and permanent hairloss thread in the Recovery, Renewal and Hope section, under Biographies of Breast Cancer Survivors.

    The cold caps aren't used much in North America but are quite common in the U.K.  To keep taxotere from disfiguring your finger and toenails, consider taking packets of crushed ice (or frozen peas!) with you, to keep those extremities cool (but be careful not to get frostbite!).

    Best of luck to you!

  • Ang7
    Ang7 Member Posts: 1,261
    edited October 2010

    bernbird~

    They are doing a show about the Cold Caps on Good Morning America this Thursday morning...

  • Drim
    Drim Member Posts: 302
    edited October 2010

    Here's a direct quote from chemocare.com...

    Can you prevent hair loss during chemo treatments?

    Currently, there is no known prevention for hair loss due to chemotherapy.  Through the years, attempts have been made to reduce hair loss by using tight bands or ice caps.  These techniques were thought to reduce the blood flow to the hair follicles, thus limiting the chemotherapy exposure.  Unfortunately, these techniques did little more than cause headaches and have been abandoned in most settings.

    UNBELIEVABLE! But the site also says your hair will grow back in ALMOST all cases.

  • Ang7
    Ang7 Member Posts: 1,261
    edited November 2010

    Nancy91355~

    I researched the Penguin Cold Caps and there is NOT a "small percentage of scalp mets with the Cold Caps."  There are pages of studies on this subject concerning the PENGUIN Cold Caps and my oncologist researched it before she allowed me to use them...

  • mrsnjband
    mrsnjband Member Posts: 1,409
    edited November 2010

    I'm over 2 years out from chemo & I still don't have all my hair back.  It is slowly getting thicker, but still very thin on top.  Still don't have very many eyelashes or eyebrows.  I can't help but wonder if it is due it part to having had taxotere.

  • janicemarie3
    janicemarie3 Member Posts: 124
    edited November 2010

    I finished Taxotere and Carboplatin in April and about a month later my hair was starting to grow back.  Now it is thicker than it ever was I never knew that permanent hair loss was a side effect.

  • 208sandy
    208sandy Member Posts: 2,610
    edited November 2010

    Norma June - I'm with you - I had my last taxotere two years ago this month and my hair has been awfully slow growing - still very thin on top and at the very back and temples - it is not only the Taxotere it is also the AIs I was on for 18 months (I was terribly allergic and dropped them) - anyway I started taking Vitamin B Complex (has biotin in it) and my hairdresser informed me this last time that my bald spots have started filling in - it's been a very long struggle and of course like everyone else I wasn't told anything - I had to find out by reading - I wish the oncologists would just go ahead and tell us - the pretending that everyone's hair grows back quickly and "not to worry" is just plain wrong.  It also would be a good idea to tell us about the finger and toenails - I was not too impressed with all the problems I had there either - all that was needed was Sally Hansen Hard As Nails and I would have been fine - wasn't told until there was permanent damage done - really how hard is it to understand that patients are worth the effort - I AM glad to be alive but I would like to have been under a heck of a lot less stress.

  • ebann
    ebann Member Posts: 3,026
    edited November 2010

    I did taxotere and I had no issues with my hair growing back. I have to say that it is thinner than what I use to have. I do miss my thick hair. It still does grow fast. It started out white and a mousy brown when it came back and some curls on top, but they have gone straight as it has grown. As far as my nails go they would start breaking in the middle, I just superglued them as they grew out. I used good polish too and it still happened to me. I love my nails too. The one thing I thought I would of been able to keep. Wish you the best!

  • crazy4carrots
    crazy4carrots Member Posts: 5,324
    edited November 2010

    I thought my much thinner hair was due to Femara (an AI) and not to taxotere. I haven't even needed to shave my underarms and my leg hair is extremely sparse.  But now that some of you who are ER- are experiencing the same thing, I'm beginning to suspect taxotere is to blame.  I've been taking 10,000 mcg of Biotin religiously since finishing tx in July 2008.  I even tried a French hair "restorer" called Chronostim.  But when the light shines on my head a certain way, my scalp shines through in return!  Arrgh!

  • Ang7
    Ang7 Member Posts: 1,261
    edited November 2010

    Nancy91355~

    Sorry, I didn't mean to sound nasty...

    Frank Fronda is a scientist from England who created the Penguin Cold Caps in order to help ladies keep their hair during chemo.  I have spoken with him many times and he is the one who sent me data about the Cold Caps and fear of possible scalp mets.  My onc. has spoken with him and his information is what caused her to let me try them although she had not used them on anyone in the past.  If I can pave the way for the women in Virginia that are concerned with using taxotere, than I will.  What bothers me is that I saw 3 oncologists and not one of them told me that taxotere had a small percentage of people who never got their hair back!  I feel this is unacceptable and needs to be addressed...

  • sam52
    sam52 Member Posts: 950
    edited August 2013

    I am in UK where cold caps are used quite frequently.I was advised by a BC oncologist friend in Sweden (Karolinska Institute), that there is a small risk of scalp mets, since the freezing prevents the uptake of chemo.There have been documented cases, albeit pretty rare.

    As for taxotere......myy hair did grow back, although thinner than before.My eyebrows and eyelashes are very sparse and not their previous strength.

    Here the oncologists do not advise about any of the side effects - their attitude seems to be that patients will then report all kinds of side effects because they think they are experiencing them.They also did not seem to be very clued-up on the known side effects,such as Taxotere rash.I wish I had known what to do regarding my nails, all of which felt as though they had been  hammered, and then subsquently turned funny colours and some dropped off.My big toe-nails are still weird 8 years later, with an extra 'nail' growing undrneath, causing pain and unsightliness.

    Very liitle regard seems to be given to the side effects of these very powerful drugs - it is just 'throw the drug at the patient and hope for the best'.

  • MsW2012
    MsW2012 Member Posts: 226
    edited December 2012

    Thanks to Nancynow for adding important info here. It not only offers a flip side to the issue, it also proves more that the cold cap makes medical sense. It works AND there is minimal risk of jeopardizing your recovery. What was it, 4 out of about 450 had their cancer come back in their scalp? Those odds are too big for me.

    Long, thick healthy hair has always been a big part of my identity. I really hate looking at myself with a bald head. But absolutely I would not risk the cold cap.

    We all have to make decisions like this for ourselves. Right now I am weighing the radiation option. We want to be cancer free but we want to have a liife too.

  • taxoteremademebald
    taxoteremademebald Member Posts: 16
    edited February 2014

    I have permanent male pattern baldness from taxotere. I am 34 and had long thick beautiful hair before taxotere.  It is so overwhelmingly devastating that it is hard to have any perspective. If I had any idea the level of risk I would have never taken the chance and would have done the cold caps or a different regimen. None of the other regimens that don't involve taxotere have this risk. 

  • Ang7
    Ang7 Member Posts: 1,261
    edited January 2014

    I am so sorry this has happened to you.  I was not told about the possible permanent hair loss by my doctor but read about it online before my chemo.  I was able to use the cold caps but I want you to know that it makes me so mad to read about you and this.  People should not be treated this way.

    Hugs to you...




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