need guidence
I've had surgery , lumpectomy, and two months of chemo Taxotere and Cyboplatin, and herceptin weekly. 3 on, then chemo.
I am so tired frustrated any thing on that order I seem to collect. I am week my white and red cell counts are bad, terrible diahrea , can't sleep most times. Now seems I'm getting pissy and intorlerant. Not sure what to do. First month I had 2 good days, second month 5 and chemo in 2 weeks .......eeeeks.
Maybe some of you could help me with the new thing I'm going through. My finger tips are sore, pins and needles even numb. I've read about ice but how should I do it?
Thanks for any help. Joy
Comments
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Hi Joy,
Sounds like you're experiencing some neuropathy. Check out what the main Breastcancer.org site has to say about managing this side effect.
Hope this helps!
--The Mods
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Thank you, will check it out.
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lack of sleep certainly adds to the misery of being diagnosed with BC. Many or most of us diagnosed with a potentially life-threatening cancer had trouble sleeping. I suggest sleeping pills - they really help. I stayed on from the time of my first surgery, until a few months after I finished chemo. After my life got somewhat back to normal, I didn't have any trouble quitting. I think being able to sleep really saved my sanity.
Your doctor should not have an issue prescribing them for you.
Good luck.
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thank you orange, I take them and only seems to last til 230 ish. I added Meletonin today and seemed to help my lack of rest during the day.
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I agree that it sounds like neuropathy. Call the onc and they should call you in some gabepetin for it. They can increase the dose after 1 week if needed. I am currently on 600mg 3 times a day. My legs are also affected. You will like the gabepetin. It takes away the pins and needle feelings and gives you back the use of your fingers.
I've heard of using ice during the infusing to prevent the medication from getting to the finger tips. Never tried it and never saw anyone in the chemo room doing that.
Carboplatin and Taxotere is a rough mix, they all are. Afyer your chemo is finished you red cells will come back and your energy will somewhat come back. Chemo also kills good cells. It's the RBC's that carry oxygen and iron to the rest of the body, so when you are low on those you really feel like crap.
When you get tired you are supposed to rest. You cannot expect to be able to do what you used to do while on chemo. Make sure you let your doctor know how you are feeling. Maybe she has more ideas or a booklet they can give you.
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Joy,
I forgot to address a couple of things.
Being pissy is just part of it. You don't feel well and it's for a long time. My family doctor let me have some Ativan over the phone for anxiety and I have found it to help a lot.
The diarrhea can run you into some complications my dear. Immodiun AD is over the counter. If that does not work then let the onc know and go to the ER when you need fliud. The IV fluid helps me to feel a lot better. My 1st chemo was the same as yours. For my 2nd treatment I went with a vaccine that included Taxotere. The diarrhea for 6 months while I was on it. Chronic dehydration can cause heart and kidney damage. I have mild left atrial enlargement from being dehydrated. Be care and speak up for your self.
The radiation you do next will be easy compared to the chemo and surgery.
Allow yourself some cry time and frustration. Do not expect too much of yourself. Having cancer sucks!
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Ma111, thank you so much, this is what I need to hear. I just came back from the onc and verified neurophy,,,,,all red and sore, everybody said arthritis. I have no prob fighting for help and I need it.
My poor partner was taking the brunt that one horrible day , but now leveled out and hope to forge ahead. They found today that I probably have afib and seeing how to move forward. The 22nd is next chemo but evey 3weeks i get herceptin. This lethargic tired feeling is overwhelming. Thanks again Ma. Joy
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Joy, the vitamin supplement B6 can also help with the neuropathy. 50 mg. (the smallest dose) worked great for me.
As far as the ice goes, it not only helps prevent neuropathy, but will also help protect your nails. Some centers provide ice mitts made by the folks who make Taxotere. If yours doesn't, ask if they have ice available. Mine didn't, so I just brought a bag of frozen peas that I held against my nails (alternating fingers & toes) during the Taxotere infusion, to keep them cold. Not everyone has nail issues, but if you do, they can get pretty bad (turning black and actually lifting right off), so it's a good idea to be proactive. I used the frozen veggies they don't make a mess as the bag defrosts. If you are prone to mouth sores, sucking on ice can also help prevent those. Deanna
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yellowwing1 I'm so sorry that you are dealing with all of this right now. I had the same chemo cocktail ie. Taxotere, Carboplatin and Herceptin. I took Acetyl L Carnitine to prevent the neuropathy (there are some studies indicating that it might help) and thought it worked but I still developed neuropathy in my hands after chemo ended. My hands tend to get tingly and then go completely numb at night when I'm sleeping and sometimes it spreads up my arm which wakes me up. The good news is that it's been several months and it is getting a little bit better. My neurologist said that they don't really know a lot about chemo and nerve damage and that they don't fully understand how nerves regenerate but there is evidence that if they aren't damaged too badly that they will repair themselves over time.
I know the treatment is tough but please know that it does get better. I didn't think I would ever feel better but I'm beginning to feel like myself again (I have only 3 Herceptins left). Wishing you all the best!
As far as the icing, I did that during chemo. The reason to ice your nails is to prevent the Taxotere from reaching the nail beds and causing them to become sore as well as preventing the nails from lifting off the nailbed-a condition called onycholysis (not common but it can happen from Tax). The icing does not prevent neuropathy.
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If you still aren't getting the sleep you need, you could ask your doc for Ambien CR (controlled release) or generic equivalent - they may give you a couple more hours.
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thank you all so much. I did get a script for ambien, didn't know Lunesta was a short acting sleep aid.
I will try just about anything, thank you all. One other question, Is your herceptin treatment for one year???
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Yes, I had 18 treatments every 3 weeks.
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yellowwing I had Herceptin every week during chemo (18 weeks) and now every 3 weeks for the rest of the year. My weekly dose of Herceptin was lower during chemo and now I get the bigger (triple) dose every 3 weeks. MOs vary as to which way they handle the Herceptin but you end up getting the same amount overall.
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I tired a lot of the over the counter things for neuropathy and found that the gabepetin worked the best. Hope things are a little better. You are on a nasty mix and it will end. Once you are on the Hercerptin only, things will greatly improve. I didn't have side effects from the Herceptin. Your counts will come back around also once you are on the Harceptin only.
Keep posting, we will help you through it.
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I'm now at chemo 3rd round. We will see what it does this month>>>Joy
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I've finished Chemo, Yuck, finished radiation. On Arimidex and seem to be doing fine on that. Tried to go back to herceptin but they were affraid it is affecting my upper chambers of my Heart. Then they tried TyKerb and yuck that was very tuff on me, so they stopped that. Waiting for my muga scan to see how the heart is. To see if I can come back on Herceptin, or what. We will see.
My neuropathy is acting up and not sure what to do with that, I am seeing a neurologist next week.. Any hints for the tingling and numbness in the fingers and toes. Big toes mostly, but all the fingers and seems to be traveling up my arm. TIA Joy
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