Chemo May 2011
Comments
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Laureen - Kytril is an oral anti-nausea that is an older drug - Zofran is a newer generation but I couldn't tolerate the headaches (plus I guess it really contributes to the constipation). It comes in pill form and I took it every 6 to 8 hours I think, along with an ativan. It worked great for me, and because it was an older drug, it had a smaller copay with my insurance so that was a plus. Had the Kytril not worked for me they also had mentioned Aloxi (not sure about the spelling) but that was the thing I would have tried next. I am in Walnut Creek - did the trial at Stanford, and will be deciding between a local oncologist vs. Stanford for my adjuvant - I love the doc at Stanford but the commute can be ugly....
dlcw
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Laureen - Also - if the Kytril not worked for me they also had mentioned Aloxi (not sure about the spelling) but that was the thing I would have tried next
dlcw
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Hi dlcw, I am also triple neg doing neoadjuvent, but no trial, I am doing ac then taxol/carbo then bmx and rads. I hope your pathology comes back clean! Will they still do more chemo if everything is gone? It is kinda nerve wrecking doing neoadjuvent, at least for me. I visualize the cancer shrinking, I hope this is what is happening! I have mammary nodes positve that can't be removed by surgery, so that is why I had chemo first. It does sound like many are changing to taxol first then ac, but my doc wanted to start with ac first, so I hope it is as good as the other way! I wonder if I can get parp and something after surgery and rads, I think I have seen other trials available.
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dlcw,
thanks for the detailed info. i will mentione both Kytril and Aloxi to my oncologist on monday to see which might be a potential candidate to replace my current Zofran/Compazine regimen. Goodluck with deciding between local and stanford oncology. I tried to get in a trial but I was too late as told. I did my egg cell freezing at Stanford Fertility Clinic though before I started my chemo.
Take care!
Laureen
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bkj66 - yes - I will still do more chemo even if my path report is clean, although I don't expect it to be. I had an MRI at the mid-point of the trial and saw significant shrinkage and change in 'architecture'. THen I had a scan at the end of the trial (after 6 cycles) and there was still significant shrinkage so there was still something there alive and able to shrink....but, hopefully most of it was gone. Couldn't convince the oncologist to let me have a couple more rounds as the trial protocol was only 6....But, back to your question - there are no long-term survival data with the Gem/Carb/PARP combo so I started the trial planning to do more standard chemo afterwards even if I had a complete response. I am glad to see your onc is planning to give you carbo along with the taxane - my oncologist has said that she thinks carbo is very active in TNBC and I was glad to get it as part of the trial. A good friend of mine had internal mammary nodes with TNBC and she had your protocol (w/out carbo) plus rads - she's now 2+ years out and doing great.
Laureen - hope one of those will work better for you! I found that getting rid of the nausea made my whole outlook more positive. Good luck on Monday.
dlcw
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I too am feeling so drugged up....definitely not myself. I have been taking emend, dexamethasone, and zofran. Also have prochlorperazine to take as needed but didn't take any of it today. Tomorrow will be the first day without any of the anti-nausea meds (except for the as needed). I'm a little nervous about that. Also gave myself a nulasta shot today. I am just now seeing all of the comments about taking claritan with that shot. I didn't do that...how does claritan help? I guess I should ask my MO about it before my next treatment. For now, I'm just praying for none of the joint/bone pain!
It's hard to imagine living this drugged up (or maybe its the fatigue) for the next 4 months. Or maybe just 2 months....is taxol easier on the body? I have AC x4 and T x4.
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Word to the wise. Don't over do it. At ER with fever. Ugh
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Txladysara- hi I am doing FEC had first tx 5/3 so 11 days out now - keep on top of the constipation and take aid sooner rather than later! the gastro tract goes into chemo shock and much better to use a laxative prophylactically!
Candice - thinking of you and sending positive thoughts your way!!!
BKJ66 - the whole treatment process is overwhelming at times and it helps me if I keep the image of a tunnel in my mind whenever I seem to hit a mental brick wall! That said, antidepressants can help- I have a clinical depression ( came out if the blue 4 years ago) which is hormonally related and have found medication to be very beneficial- it will also have the side benefit of reducing the hot flash side effect when I start tamoxifen!! Gotta find an up-side!
Day 11 post 1st treatment and feeling great! I had my hair cut short pixie style and it suits so will enjoy it for a week or so before it all falls out ! Spent the day pruning in the garden and while I get puffed out quick am feeling healthy and energetic! So far the only side effect has been the nausea gastro upsets for the first 7 days. I am going to speak to the oncologist about fasting before chemo to reduce chemo side effects. a study detailing 10 case reports seems quite promising. I would rather take less medication if the nausea can be controlled without it. I will see what the MO says.
Good Luck to all those in the chair this week! Robyn -
Morning everyone.
It's so early but we are having a thunderstorm and our one dog is such a big baby with them and always crawsl on top of my head so hubby has taken both boys to the living room and is trying to sleep on the couch so I don't end up getting hurt. Now I can't sleep
I have a question about everyone's treatment. I am triple negative too, my first oncologist suggested 4 x taxol then 4 x A/C - Taxol first due to A/C shortages and is just hoping its available when I need it. 2nd opinion suggested 6 x Taxetere & A/C - it's a cancer center as opposed to a single doc and he says they have no shortage. He was able to put my stats into his PC and show me the advantages of both treatments, he's being a bit better. I guess my concern is it seems like a lot of other people are on the 4 x 4 treatment. Wondering why you've made the decision for one over the other.
Cyborg, hope your home and feeling better by now!
Take care everyone
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Cyborg,
I hope you are doing okay. Just saw your post being on the ER with fever. Oh dear! Hugs to you. Feel better.
Laureen
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solds19,
sounds like we have the same regimen, except I am taking neupogen shots and you are with neulasta. Marybe suggested to check with your oncologist about Claritin but I read some posts here that it was recommended from the Susan Love Breast Book as well.
I hear you about feeling "drugged" by all our anti-nausea meds. I took the plunge yesterday and didnt take them around the clock. I last for good 18 hours without nausea and headache without meds before they kicked in again. Here I am, up at 5am taking my "wonder" drugs AGAIN! But it sure did feel good not being drugged for those 18 hours!
Take care,
Laureen
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So how long can we take these anti-nausea meds? Kinda of scared to stop taking them!
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Cyborg- I hope you feel better. What did you do to over do it?
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Sue53,
Hi! I was directed to use my anti-nausea meds "as needed" or PRN. However, since my first treatment last Monday, I ahve been taking them around the clock. I only started "as needed" yesterday, on my 6th day. I lasted 18 hours wihtout nausea and headache! I felt good, too - not drugged.
Best to ask your oncologist about it though.
Take care,
Laureen
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DREAM & REDEEM from American Express apps.facebook.com Check out my photo at the Memorable Miles photo contest from American Express. Vote for my entry and help me win 100,000 miles!
OK, ladies, a non BC related request and I won't bug you any more after tomorrow at 11:59 PM....I am in this contest to win miles....I will not win, but I am up to 23rd place and am pretty proud of that....all you need to do is click on dream and redeem and then a page comes up that will be facebook and if you wait a sec a pic comes up on the memorable miles page and it is a picture of me with my friend Kathy when I went to MDAnderson, post chemo hair....all you have to do is click on the red VOTE box....it will say thank you for voting....but then again you probably have to use your facebook login , then it will tell you thanks for your vote. If you are not on FB, maybe you know someone who is. This is petty I know compared to cancer and the SEs, but I like to concentrate on the little things and honestly think doing the everyday life things are what has kept me going for so long. You can vote today and again tomorrow and then it's over. Thank you.
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My understanding about Neulasta vs neupogen is the neupogen is the original drug, and needs to be given daily for several days - I've read people getting it 4 - 6 days. It causes less bone pain because the dose is smaller, thus the bone marrow isn't pushed as hard to produce those emergency white blood cells. Neulasta is so named becomes it "lasts", and is a heavy, one-time dose so you don't have to go daily for shots. Apparently, Medicare will pay for people to give it to themselves if they live far too from a center to go daily; Blue Shield won't do that, cuz I tried.
The Claritin is not an "official" drug to ease bone pain from Neulasta - may not be needed for neupogen, since the dose is smaller. When I asked my onc and nurses about Claritin, they shrugged and said they'd heard it, too, and that it couldn't hurt. Somewhere I read Stanford is gearing up a phase I trial for it, but I can't find any more info on that. -
After a Pet Scan and Muga Scan, which turned out good, I'll be starting chemo soon also. Will find out Monday when I begin. Not looking forward to it but have a postive feeling about it. Good luck!
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Hope all goes well for you! Hugs!
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You look so young to have breast cancer. Hope all goes well for you. I'll be starting chemo soon. Good luck!
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Add me to the May group also; I'll be on cytoxan and taxotere. Was accepted into a Herceptin 3rd stage trial for HER2 low people, but my envelope put me in the "no Herceptin" control group. I'm already into anxiety attacks & PC doc prescribed light Ativan dose. After reading the posts here about taxotere's SEs I realized I have less time than I thought before the hair starts falling out, so I ordered a wig from wigs.com and some scarves & sun hat things from TLC. I live in the desert, so cool head coverings are almost a must. Hopefully they'll all be here before the hair is not.
Note: I did a search for "coupons for wigs.com" before placing my order and found a 25% off code. Keep this idea in mind if you're ordering wigs and head paraphernalia on line.
So here I am with everyone else trying to keep my knees from shaking and hoping for the best. I'm alternating between feeling like I'm on my way to Auschwitz, Reverend Jones' coolaid party, or prison--or I'm just living some sick pretend joke that keeps me on the edge of breaking out into hysterical laughter. Whatever it is is without doubt a severe feeling of unreality.
Thank you ladies, all of you, for being here.
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Cyborg - did you get admitted? I had a two day spell with a mild after my 4th A/C but by some miracle, I fought it on my own. Worried about you!
As for anti-nausea meds, I always took mine round the clock with A/C for 4 days, then went to the as needed after that. Seemed to be ok - except for the loopy head - but who cared at that point? I was in bed anyway. Now, on weekly Taxol and none needed at all!
I also had the Neulasta shot after A/Cs 2, 3, and 4 and only had very minor bone pain in my back. I've heard so many talk about the Claritin to help - I say try anything!
Good luck to everyone in the chair tomorrow - Monday's seem like a bid day for tx. I'm up again on Thursday for Taxol #5 of 12.
Hugs to all - together we can do this!
V-
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Welcome to those just joining!
Marybe, you are not being petty-I voted for you and we need all the fun stuff that can take away thinking of cancer for any amount of time, we deserve it, you deserve it! What a great picture!
dlcw-glad to hear your friend is doing well, made my day! How long did they wait after chemo for your surgery? I knowmthat will be awhile for me, but I forgot to ask!
Mccrimmon, so is the 6 treatments of all 3 together? TAC? It seems like many do that protocol also, I know nothing about it, but it seems like it might be harder to handle with side effects? I am actually doing 4 ac, or however many I can handle, getting muga scans before each one since I have already done ac 8 years ago, and then I am doing taxol/carb x 12 (not sure if the carbo part is x12 or e/o) I asked my doc if I could do abraxane instead of taxol because of some side effects I had 8 years age, I think he agreed, but I will talk to him again before I start that part.
Today is a better day for me, physically and mentally! Feel stronger, have a bit of bone pain, headache, from neupogen shot probably. I have to go get another shot today. I do suffer from depression and started up again with effexor when I was first diagnosed, I do think it is helping, not feeling so panicked all of the time.
Cyborg, how are you feeling? Did they pump you full of antibiotics? You better take it easy!
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Hi Everyone,
Just making my daily check-in. I'm on 7th day after A/C tx. So far, I had two spells of headache, nausea, muscle pain, chest pain, and queasiness on stomach. I am indeed back on my Zofran and Compazine:-(
Just wanted to share that I find ice chips, sips of fruit juices, lifesaver mint candies, and crouching on bed helpful with my nausea:-)
I hope everybody is doing well.
Take care,
Laureen
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I think I am ok. Drinking cold mineral water now. Huge ass headache.
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bkj66 - I don't know if it's together or not I'll ask tomorrow I hope, this was a 2nd opinion appt. Both my husband and I felt a little better with this doc. He asked that I email him tomorrow to tell him how my wound vac went and to let him know if we are going to go ahead with him. Well, he already knows no wound vac but we're still sticking with him. He is part of a cancer center where my other doctor was not and I think I'm more comfortable in that scenerio. I too suffer from depression, doc gave me xanax to help with anxiety but have only taken a few. Really could have used one yesterday but knew I'd be having a drink last night. One of the first things I'm going to discuss with new doc is meds for depression. I'm glad your feeling better today. The constant paniced feeling is horrible!! I hate it.
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At my onco's the nurse I mentioned claritin to said Oh, I think Susan Love talked about that in her book. I am not a real fan of Dr.Love since after reading her stats when finding out I was Stage lV I thought it was curtains for me right then and there, but if she recommends it, there must be something to it. The reason my onco prefers the neulasta is because he knows I am going to be working as long as I am possibly able and that going in there every day for a shot of neupogen would be far less easy for me to do, BUT I supposed if I get the bad SEs once again, maybe we will go for the once a day and I can go on my lunch hour. I am feeling halfway normal now and just took tylenol today.
BKJ....thanks for the vote...I am still a longshot, but thanks to the help of my friends both on and off of BCO I am slowing moving up.
Ruthii, It is all pretty overwhelming to begin with. If you get a RX for a wig (cranial prosthesis...for some reason I found that term very funny) from your onco, your ins will pay for at least part of a wig....I think mine would pay up to $175, but I did not get any that were than expensive and I found inexpensive ones that looked good. This time I am going the scarf and bandanna route.
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Cyborg, am glad you're doing fine.
to everyone: this might be too much info (tmi) but nothing beats the hell out of the constipation my meds are giving me! Any suggestions? And believe me, i have been drinking my fluids religiously!
Thanks in advance,
Laureen
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Prune juice is the natural non-med alternative to liquid plumber or draino. No, really, granny always used to give us a glass of prune juice and that stuff opened up some blocked drains I tell you!
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Had my surgery on 3/17 and the surgery site is pink. I am going to see my onc tomorrow. Had intravenous antibiotics last night.
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Loviesmom2,
Thanks so much for the prune juice suggestion. will chug some later. i loved your metaphor on the draino! LOL!
Thank you,
Laureen
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