Herceptin, Tykerb and Navelbine

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dmacw
dmacw Member Posts: 886

Is anyone on this combo?  Is it a tough one.  My BFF is starting it on Monday.  She was told weekly.  No weeks off.    Is this the regular protocol?  Thanks for any help.

Donna

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  • radiant
    radiant Member Posts: 464
    edited January 2011

    I think this is a great combo and bravo for the onc that rx'd this! I'm was not sure if oncs were given chemo with herceptin and tykerb, but glad to see someone is starting this!  From my experience, if I was rx'd this, this would be benign treatment, meaning I would not know I was on anything besides my hair thinning ever so lightly.

    HOWEVER, that is not everyone's experience. Here's my experience on these drugs - not given in this combo however.

    Herceptin - can't tell I'm taking medication. However, your friend will need to get her heart checked every now and then to confirm that Herceptin in not dropping her ejection fraction to low. If it gets too low, they take you off the Herceptin for a while. I've been on this drug for many years, and my heart has never gotten low enough to go off.

    Navelbine - mildest chemo I've ever been on. That is not true for everyone, but for me it was. Some folks have constipation issues w/this chemo, so she may need to take natural laxatives, or whatever works for her the day of tx and for a few days after. It worked the best SO FAR at hitting my mets, but only worked for 6 months. Had I known that other women, like Konakat, got great results by also adding carboplatin to the Navelbine, I would have done that before going to a new tx.

    Tykerb - I was only on this drug for 6 weeks, but I had zero s/e's - that is rare. Most women get diahrrea, zits, and maybe a rash. Others that have been on this drug long term will post their s/e's. There's apparently an oil that you can get at Whole Foods called Suki, pure facial moisture - nourishing, that is very effective at making the rash go away if the rash appears. I bought some just in case, but never needed it.

    I think this is a very humane combo, and should be very effective!

    HTH,

      Kim

  • dmacw
    dmacw Member Posts: 886
    edited January 2011

    Thanks Kim, I think my biggest concern is that it is every week.  I see most people on chemo are on 3 on 1 off.  But thanks for the boost of confidence.  I will let her know what you said.  That was very kind of you.

    Donna

  • mthomp2020
    mthomp2020 Member Posts: 1,959
    edited January 2011

    I'm on Navelbine/Herceptin/Zometa.  When I first started, I was getting Navelbine weekly for 10 weeks on, 2 off.  After a couple of cycles with stable scans, I went to Navelbine every other week.  I've been on it 2 months shy of 2 years.  SE's are just occassional constipation, hair thinning, and some increase in foot/hand numbness.  Otherwise, it's as if I'm not on chemo.  I've had progression in my bone mets recently, so I'll be changing to something else soon, probably after radiation.  The toughest part of that combo may well be the Tykerb because of diahrea, but maybe the Navelbind will conteract that!

  • Fitztwins
    Fitztwins Member Posts: 7,969
    edited January 2011

    That is my next drug to add. I am on Herceptin/tykerb now. exept for the trots and zits...very doable!

  • dmacw
    dmacw Member Posts: 886
    edited January 2011

    Thanks Fitz.  She is such a sweet girl and has been through so much.  She has a husband who doesn't care or makes her feel that way. 

    Donna

  • chainsawz
    chainsawz Member Posts: 3,473
    edited January 2011

    I'm also on tykerb\herceptin and like Fitz said - it's very doable.  I have navelbine on my future list, and I have heard constipation is one of the big complaints but I would be hard pressed to believe that would be a problem with tykerb in the mix.  Tykerb and solid are not two words that go together :> 

  • hezzy
    hezzy Member Posts: 146
    edited January 2011

    I get Herceptin and Zometa every three weeks.  I got the anti.EST every four.  I'm also taking daily Tykerb.  I take Xeloda 14 days than take seven days off.  I'm new to that drug.  Than I take diphen/atrop for balance on Tykerb (side efffects) Also, dex steriiods to help with a brain mass

  • dmacw
    dmacw Member Posts: 886
    edited January 2011

    Thanks again everyone.  You have been so helpful.  Its sounds like this is not a usual combo though. 

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