Taxotere is a nightmare
Comments
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My eyesight definitely changed on taxotere. I had to see the ophthalmologist 1 month after chemo because I kept getting these blood bursts in one of my eyes. They were all ready to give me a prescription for distance sight when I told them to wait and test in a month. Sure enough my eyes were fine. No distance glasses… but my astigmatism was gone (for reading) too. So now I can purchase over the counter glasses.
So my advice is to wait about 6-8 weeks after your last chemo before you get your eyes checked again.
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emily - what do your blood counts look like - specifically your hemoglobin? Dragonfly, LisaGH and I are all on the same chemo schedule and our counts are all doing the same thing, all three of us are encountering the large muscle weakness (legs) but I think it is affecting them more than me. I think it is just the cumulative effect, unfortunately. All three of us are having a hard time shaking the fatigue. I get much more tired and out of breath doing simple tasks, and that is during the "good" days just prior to the next tx (this week is #5)
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Special K..thanks for your reply. This leg weakness has been really worrying me. I had some of it the first round of taxotere for a few days but it went away. This round #2 , nothing is getting any better and next chemo ..and LAST..is Friday. The thought of doing chemo again when I still feel so rough frightens me. And yes, I find myself short of breath after the simplest tasks too.
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Oh...and my blood counts have always been good with each round. I don't have more lab work until Wednesday...2 days before next and last round of taxotere...
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emilyinontario- As SpecialK said- the leg weakness has increased over the last few treatments. TCH3 was the worst for me as far as mobility. TCH4 wasn't as bad but I have learned I have to pace myself and definitely not back to where I was before in earlier rounds of chemo. I have TCH5 Wed this week. Looking forward to the end of this too- just 2 more.
Glad for you that you will be on your last Taxtoere this week- that's great!
Lisa
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Ladies with weakness, PLEASE TELL YOUR MO!!!! Weakness can be neurotoxicity - taxotere damages nerves! I have talked with one woman who is barely able to get around with walker due to damage to the motor nerves. I have only sensory nerve damage (as best I can tell for now), but have read about the motor nerve damage, so talk to your doc and see if you need neurologist to see you BEFORE your treatment!!!!
I have been doing a lot of research into this neuropathy thing, and it looks like Mayo Clinic is doing a lot of research in this area, and I think MD Anderson is also doing some. The nursing literature has lots of information about caring for patients AFTER the neuropathy develops, but only these 2 centers seem to be doing much in finding out what causes it or what can be done to prevent it. Most everyone agrees that if you are experiencing symptoms, dosage should be delayed, reduced or discontinued. There are other options if you cannot complete taxotere - I finished up with adriamycin as my last round (TCx3, ACx1), and I don't remember if I posted here or not, but my 6-month mammogram, ultrasound, and earlier PET scan all indicate that I am cancer-free!
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n3ypb - thank you for the warning. I think sometimes we are so focused on staying with the program we might overlook a SE that could be causing long-term damage, or we don't want to rock the boat. I am not concerned for myself with the leg weakness - I have noticed diminished strength but I am walking 2 miles, and spent an hour at the gym today doing lower body weight machines. I don't feel as strong as I was, but I don't feel I am in danger. I have noticed very mild numbness just in my fingertips, and it isn't there all the time. I have been taking L-Glutamine and B-6 in the hopes that I won't develop neuropathy - my Mom had a severe case due to a degenerative neuro-muscular disease that was treated with Methotrexate.
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I took Acetyl-L-Carnitine 500mg during chemo and all I have is a numb left heel that isn't too bad. Check out this link on neuropathy from the NCI. Be sure to read the bottom paragraph where it talks about treatments they are testing to prevent chemo induced neuropathy: link
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lago - sorry I chemo-brained - I also take the Acetyl_L-Carnitine at 500 mg, as well as the other two! Also, new development, cording in my AND armpit. Bummer.
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Wow Special K I am so sorry to hear about cording as if you didn't have enough! How did it develop so late? Does anyone know what causes it?
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nmoss - I think cording and Axillary Web Syndrome is pretty poorly understood. Apparently it can show up at any point after surgery. Since I started chemo I had been having trouble if I was outside and it was too hot, or if I walked, or over-exerted my right hand, or exercised and raised my body temp. I had tightness and discomfort in my AND arm along the bicep up and over the inside of the elbow and at the wrist on top of my hand. If you look at the illustration for Axillary Web Syndrome that is where I had pain. If I came inside where it was cool the pain went away. I am thinking that since it is now hot all the time here I am not escaping whatever is causing this. I had mentioned it to the PA after tx#3 and she chalked it up to edema in the arm from chemo. Could be - or it could be exacerbating a separate, pre-existing, problem. I have tx #5 this week so I will bring this up, because for the first time I can now see the cord right in the middle of my armpit.
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SpecialK So sorry about the cording!
I should be getting TCH #5 right now but I went to the infusion center this morning and somehow the scheduler messed up and had only written Herceptin on the schedule so they didn't have all the chemo drugs so now I have to wait until tomorrow. Don't get me wrong, I'm happy to have the day off without chemo and one extra day to feel good but I'm really annoyed too because I have to take more time off from work. Oh well..the sun is shining and I can still eat:)
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Thanks for the explanation, sounds like something awful. Were you on steroids during chemo? This is to prevent edema.Enjoy the day off dragonfly!
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dragonfly - Bummer, kind of? I know you have to psych up to get in the chair, now you have to psych up twice! Flip side, nice day and yummy food.
nmoss - I had steroids only day of tx until last time. They gave me before/during/after so I would not get another rash. I did notice that I didn't have tightness in my arm after tx for a longer period but when I went off the steroids it did come back in a few days. That is why I assumed that edema was what was giving me the arm issues. I definitely have edema all over right now. I am retaining water like crazy!
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specialK - I encourage you to get help for the cording ASAP. The LE therapists have a special way of working with the cords. I was told they are inflammed lymph vessels and have to be handled very gently. My therapist was able to completely resolve mine in few weeks. I am sorry you have them but they are treatable and the earlier the better.
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SpecialK I had cording on both sides especially the right side (only 4 nodes). I did get PT especially because I have LE on the left. So far no LE on the right side and the cording is soooo much better on the right. I think it's gone on the left LE side.
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I go to the onc for tx on Thursday so I will address it then. Thursday is the only day he is in that office. I know they do refer to a LE specialist because I have heard the nurses discuss it. I could call my BS but he is probably in Argentina or New Zealand at a conference. He is notoriously hard to get a hold of, and the PA that used to work with him is no longer there.
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I've been blaming my muscle "burning" on low hemoglobin combined with overall fatigue but I just went back and read a Taxotere list of SEs and saw that it causes "asthenia" i.e. muscle weakness in 11-61% of patients so now I'm thinking that the taxotere is actually causing the problem. My muscles are actually sore in my arms and legs even when I'm sitting still. If I try to do anything the burning starts and it's really uncomfortable. I tried to cross my legs "Indian style" today and it was impossible because of the soreness and burning-that's how bad it has gotten. The MO agreed today that it's more likely the Taxotere. So, will this just resolve on it's own after the last TCH? Are other people having this same issue?
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dragonfly I had that stiffness with taxotere. The thighs were the worst. Just to let you know it does eventually go away. I think about 5 weeks after my last treatment it started to improve. I'm fine now, can even sit Indian style and lean forward. Hurt badly just to even try several months ago.
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I am almost 2 weeks out from my last chemo. I tried to walk for exercise last night and my thighs were so sore (felt like I had done 100 squats). I did walk about 1 1/2 miles, but it took me 35 min. When I got home I took a warm bath, that seemed to help some. Sore today, so skipped the walk. Hopefully tomorrow I will feel better. Guess I should just keep trying even if slow. I want my body back!
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Christine it will take time but try to stretch too. Don't over stretch just enough to feel a little pull. If you stretch too much you will actually make the stiffness worse.
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dragonfly, christine - It takes some time but it does go away. I remember trying to walk uphill early in chemo and it hurt! Now that hurting feeling is completely gone.
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Thanks Omaz and Lago- very encouraging! The soreness/stiffness just started during TCH#4 so at least I haven't had it the whole time but it's become really bad. Looking forward to feeling better this summer after the last TCH (5/31)...
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Dragonfly you are right on schedule. TCH 4 was when I stopped exercising so much because of the stiffness. Sorry to tell you this but it will get worse.
I wish I was warned.
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My last chemo was Feb 2. I had extreme muscle soreness for maybe 4 or 5 weeks afterwards and now it has changed or moved into my joints. Ankles, knees, hips, shoulders, even my hands are very sore and stiff. I was very frustrated with my medical team, MO said the stiffness and pain was due to radiation, RO said it was from chemo, but then I realized I didn't really give a sh!t what was causing it, I have to deal with it regardless. As long as I keep moving it's not too bad - sleeping is difficult and WOW am I slow to get moving in the morning. What a ride
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That all being said and sounding so negative - I must point out that I am out being as active as I can, starting to run again and am back on the water with my boat team. This year I have changed teams and become a member of the Rowbust team - great group of BC survivors that inspire and motivate me every single day. " it will come back! Check us out at www.rowbustdragonboat.com
This picture is from a race last year, I'm paddling second.
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Hi, all, just joined (re-joined, wah) after 10 years clean. I was recently dx'd with good news/bad news recurrence. It's local but it's penetrated chest muscle. I'm on deck for TC*4 every three weeks, do-able, I guess.
All wisdom highly welcomed on current thoughts/plans/shopping list:
PCCs vs. Elasto-gel cap? Or nothing, don't add extra hassle/stress, just release the hair already!
Benedryl and ativan 1/2 hour before infusion?
What's up with Claritin recommendations?
Starting anti-neuropathy regimen now: l-glutamine, B6, Acetyl-l carnitine, alpha lipoic acid.
Icing fingers and toes, for sure.
Nail hardener + Black polish (can I do navy blue???)
Emla patch for Neulasta shot.
Senokot + colace.
Anything else I should add or do? Any Manhattan women on board?
Thank you all for being here -- this is my fourth recurrence but still no mets so yay. Oh, what a warped perspective we develop in this little land of ours.
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You don't need black polish... Some women wear a dark color to hide the darkening nails, but mine were just fine... Iced them and wore clear polish.. and just finished my 6 TC treatments...
I take Claritin.. and think it helps with the Neulasta pain...
My Oncologist said no ice caps... one place you get recurrance is in the scalp and he said why take the chance... I agreed.
Good luck and sorry you are back doing treatment.
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Marjie, I want to hug you! Simply because I am experiencing the same thing. I do hope you feel better soon. I am 2-3 weeks out from my last chemo and really having a hard time with muscle soreness. I feel so weak! I have had a few crying spells out of frustration that I am having trouble doing things-but I am pushing myself through this. The doctors don't seem to have any answers for me either.
I did have a problem this last week, after every meal it wanted to come back up. I was told it couldn't be from coming off the chemo...but it was strange. maybe a flu bug,,,,
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Had my LAST dose of Taxotere yesterday!! The dose was reduced by 25% due to the problem I had last rond with neuropathy in my toes and leg weakness..I was using a cane to go out the past week. Those issues aren't any worse as yet and so far today ( day 2) I don't feel too bad. Could be the decadron helping and may crash tomorrow! The oncologist told me that there was no studies indicating the " ideal" dosage for taxotere for best efficacy and we had to weigh and the pros and cons with the side effects I was having. I am SO looking forward to starting to feel normal in a few weeks..and of course looking forward to some hair growth!
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Congrats on finishing Emily!!! I had a 20% dose reduction for #4 tax due to neuropathy and then stopped after 5 treatments due to the neuropathy. I also had carboplatin and herceptin. Hope your neuropathy clears up quickly.
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