New Taxol Regimen

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epgnyc
epgnyc Member Posts: 101

I was initially scheduled to have 4 DD AC and 4 DD Taxol treatments but now it's possible my oncologist might want me to do 12 weekly treatments of Taxol instead.  This is due to my ending up in the hospital for 3 days right after my first AC treatment with "0" white blood count.  It seems I have sluggish bone marrow cells due to treatment with chemo 9 years ago, which necessitated them lowering my AC dosage by 20%.  I gather they feel the DD Taxol might cause the same problem.  Needless to say, I am not at all happy.  I want this over with as soon as possible!  Did this happen to any of you?  And for those of you who did the 12 weekly Taxol treatments, what was your experience and side effects?  Thanks.

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  • Lee64
    Lee64 Member Posts: 184
    edited May 2011

    I just finished my l2th Taxol on May 26. I had no side effects until after the 8th one. Then my fingernails started turning dark and cracked at the base. My onc said they usually don't see this with Taxol and even considered stopping the treatment. She lowered the dose instead and I finished the last 4. Now I have been having swollen ankles and feet. Saw an onc nurse today and she consulted with my onc. It is due to the Taxol and she gave me l/2 of a Furosemide tablet to take today. I haven't taken it yet so don't know what it will do. Never heard of getting 1/2 tablet! I also lost all of my eyelashes and eyebrows. I hope there are not more late side effects to come. I start rads on June 9th. Good luck to you.

  • grneyd5600
    grneyd5600 Member Posts: 420
    edited May 2011

    I also did Taxol for 12 weekly treatments.  I was like you and disappointed that I was going to have to go so long but I was doing a clinical trial and the onc explained that doing smaller doses over a longer time would increase my chances of being able to get through it.  LIke Lee64 I had minimal SE's until the end.  I did lose my eyelashes and eyebrows and my nails are still a bit of a mess.  I didn't get any mouth sores until the very end.  I have to admit compared to some of the other ladies getting Taxol in the higher dose I did much better on the 12 week cycle.  I will also tell you that doing it weekly really made time go quickly!  I was amazed how fast I could mark the days off on the calendar. 

    Good luck! 

  • Luah
    Luah Member Posts: 1,541
    edited May 2011

    12 weekly taxol does take longer, but the SEs are significantly reduced. I had: some blackening of nails, loss of eyelashes, slight tingling in fingers which didn't last, and some swelling in one foot (on completion) - all of which resolved quickly, I suffered no ill effects. I felt pretty much normal throughout and did all my daily activities. Even my hair started growing in halfway through!

    Don't be concerned that the 12 weekly may not be as effective either. There is this study  comparing moderate weekly doses with higher doses given triweekly, and the weekly was clearly superior (I am not sure if a study has been completed yet on biweekly versus weekly).  http://www.cancer.gov/clinicaltrials/results/summary/2005/weekly-paclitaxel0905

  • bak94
    bak94 Member Posts: 1,846
    edited June 2011

    epcnyc, did you do ac 9 years ago? I did ac 8 years ago and am doing it again, dose dense, but with a 24 hour drip and a nuelasta shot the day after. My first treatment my counts went very low, so they also added 3 nueposgen shots. The second ac, my wbc finally kicked in and my counts were decent with just one nuelasta shot. I have not heard of many people doing ac twice, but I am one of them. My doc also mentioned he wants to do 6 treatments of ac if my muga scans keep coming back good, he does one before each treatment. Not looking forward to the taxol/carbo!

  • bak94
    bak94 Member Posts: 1,846
    edited June 2011

    Oh, my taxol, carbo will be weekly for 12 weeks also.

  • blondelawyer
    blondelawyer Member Posts: 327
    edited June 2011

    I'm currently doing a 12 dose taxol stint, followed by 4 DD AC.  I am doing taxol first because of a research study that I am participating in.  I had second treatment today.  The first treatment was worse than I expected and my oncologist didn't think that it would be as bad either.  Day 3 was the worse for me with some nausea and a lot of diarrhea.  I think that I got a bit dehydrated as well.  I am hoping that this week will be better. 

  • Luah
    Luah Member Posts: 1,541
    edited June 2011

    If there's one tip I can pass on for chemo... drink lots of water, day before, day of, and at least 2 days following. Hoping the SEs settle down for you.

  • Suze35
    Suze35 Member Posts: 1,045
    edited June 2011

    bkj66 - the weekly Taxol/Carbo I did was very doable, although I did start to feel it at the end, but mostly the day of and day after transfusion.  I wasn't nauseated for the most part, just lacked energy, and my WBCs really took a hit.  I was doing Neupogen shots the last 5 weeks.  But my hair started coming back, and it wasn't anywhere near as bad as AC. 

    epgnyc - there are some studies that are suggesting weekly Taxol is more effective than DD because it is a constant hit on the cancer.  And the SEs are much more manageable.  I agree the extra time sucks...but it goes fast.

    And Luah is very wise - water, water, and more water!  Several times I scheduled "fluid days" just to be sure I was very hydrated.

  • epgnyc
    epgnyc Member Posts: 101
    edited June 2011

    Thanks to all of you for the information on taking Taxol weekly.  Overall it doesn't sound too bad, other than the time factor.  To answer your question, bkj66, 9 years ago I was on CMF because of the small size of my tumor, no nodes, etc.  Plus CMF was felt to be very effective on TN cancer back in those days, but much has changed in the treatment of TN over the intervening years.  I really don't envy you having to do AC a second time as I'm having a pretty miserable time of it.  I did hear of one other woman who did AC twice -- I believe she did 4 infusions the 2nd time.  Best of luck with your treatments -- hope things go more smoothly than you're expecting.

  • mama1050
    mama1050 Member Posts: 10
    edited June 2011

    I started on weekly taxol Feb 5th for 12 weeks for a recurrence after 20 years.  I did femara, aromasin and fasludex shots for three years before the taxol.  After 12 weeks and some success they decided to keep me on taxol for an additional 12 weekly treatments.  I had treatment 17 today.  Side effects have been minimal but worse on some days.  Hair loss, nosebleeds, neuropathy in feet and hands is getting worse and got script for neurotin today to help the pain. A week ago I also developed a rash on my arms and legs.  THey are not sure it is from the Taxol, but want to get as many treatments of taxol in as possible.

     I am still working 40 hours a week but am getting depressed especially about the hair and pain.  Was told because it is recurrence, same side after mastectomy 20 yrs ago I will need to be on some kind of chemo maintenance the rest of my life.  I am going on 61 and my mom died at 62 from this crappy disease.  I am not ready to give up, but would like my life back and my body return to normal.  Need some assurance.

  • bak94
    bak94 Member Posts: 1,846
    edited June 2011

    mama105, sorry about your recurrence. Is it local or did it come back in more places? Im surprised if it is local recurrence that you have to be on chemo for life? I had taxol 8ish years ago and it was rough on me too, I am asking my doctor to do abraxane this time, as I have heard it may not have as many se's. Have you asked your doc about abraxane? I don't know how you work 40 hours, that has got to be rough.

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