Taxol Chemotherapy

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  • SleeplessIn
    SleeplessIn Member Posts: 114
    edited January 2012

    Hi Ladies!

    I will be starting Taxol in a few weeks, and wanted to find out how the SE compare for those of you who have been taking Taxol weekly (12x) versus taking Taxol bi-weekly (4x or 6x). Is there any significant difference? Are the SE somewhat less for the 12x?

    Any insight is greatly appreciated!!

  • shore1
    shore1 Member Posts: 739
    edited January 2012

    Sleeplessinseattle, I had 4 AC followed by 12 weekly taxol/herceptin and get last taxol this coming Wednesday. My taxol SE have been minimal. Achiness started after #7 or 8. I take B Complex vitamin & 30g L-glutamine a day and haven't had neuropathy. Lot of trouble sleeping, but that probably due to steroids and stress rather than the taxol.



    Does anyone know if nail problems with taxol are likely to occur after treatment ends, or would it just happen during treatment? I know lashes & brows are likely to fall out after taxol, but im hoping im getting lucky on the nail lifting thing I've read about. Thanks.

  • SleeplessIn
    SleeplessIn Member Posts: 114
    edited January 2012

    Thank you, shore1.

    Did you wear the "cold gloves" or "cold footies" during the taxol infusion?

    Losing eyelashes and fingernails sounds gruesome.... does that happen to almost everyone?

  • pminxy
    pminxy Member Posts: 44
    edited January 2012

    Oh the joys and horrors of that darn drug taxol , yes shore1 I find find I have nail problems during,  and just after for a time and it was interestingly enough my toenails which I don't paint or use any strengthening treatment on that dried cracked and split (cause my chemo belly etc won't allow me to reach them) wheres I find my finger nails are fine though a little thin if I ' tend them well. It doesn't happen to everyone or all of the time, it is just like the lists of other things they tell you or you reseaerch it is just stuff to be aware of!

    When I had my first taxol treatment it was the killing strength and the tiredness, lack of strength /appetite/ aility to focus to long made me crazy and then there was the bone and hair pain along with hugging the porcolain at all hours! I have found that each person on a cancer journey re the same drug like Taxol are all different; they may all be having the same drug but because of their/our individual chemical make up it reacts each to his own more often then not so how it affects one person may not be how it affects you or most other people.

    When I was on killing Taxol I was on a botlle that took between 6-10 hours to run through and now on the palliative dose it is half the strength and lots less time I have been told but in a very concentrated form! It dries my skin and even me out so especially with it being a hot summer here I have to inspite of my chemo brain remember to rehydrate  myself regulary and keep my skinn moist with the help of my wonderful nurses.

    I found re the taxol sleeplessin that again via fellow taxol patients that the amount given only played a medium to small part in the difference in the strength of the side affects; the best way to prepare and take it on is knowing what it is and it can do but not letting it get to you because it can via the tricks that your mind can play on you and also if you have a side affect that can be dealt with deal with it so it is out of your hair because you hav enough on your plate to deal with. It is so important to deal with what you can and with what you can't put yor hand up for help or advice as you've done here and also in some cases be prepared for the fact that there are some things that can't be dealt with and have to be endured for the sake of you hopefully being one  to keep going using your journey to help others. It is a trip that knocks you down alot the journey with Taxol the trick is to pick yourself up and keep going I know it isn't easy and Taxol can be cruel but I have faith in you as I am sure others do too! Good luck ladies and be well as you can for you

  • ccjj
    ccjj Member Posts: 128
    edited January 2012

    Sleeplessinseattle...   I did not do the cold gloves or footies during my 12 weekly taxol.  My eyelashes and eyebrows have thinned but I have not lost them totally. It seems like new growth is always right behind the loss.  I continued wearing mascara and for my eyebrows I have been filling them in a little.   I just finished my tx and am a little worried about two of my fingernails. They are lifting a little but no ridges, or pain,  and so far hanging there. The rest all seem normal.  Hair started coming in around week 7.  I now have full coverage and but very short. 

  • MiniMacsMom
    MiniMacsMom Member Posts: 595
    edited January 2012

    Sleepless:  I am on weekly taxol (Mon will be on #10).  I think the biggest thing is the unpredictableness of the side effects.  I cannot say with any accuracy which day I am going to be the most tired that week or have the most achiness. 

    Starting on week 3 or 4, the fatigue hit.  I would say day 3 or 4 is the tiredest for me :)

    Then Starting on week 7 or 8 I have had some leg soreness.  it feels like I have done too many exercises, not debilitating just achy, thats only for a few days also.

    Starting immediately was the thinning nose membranes so bloody boogers.   I have to be dilligent about my humidifier. 

    I had hair thinning around week 3 by week 5 it looked its thinnest and by week 6 it stopped falling out.  Its growing now, but I cant tell if I am getting any fresh hairs.

    My eyebrows have thinned a tiny, tiny bit but nothing noticable to anyone but me and I already have thin brows.

    No nail problems either (cross your fingers).   In the morning when I get out of bed, the soles of my feet hurt to walk to the bathroom but it goes away fast.

    I take a multivitamin with condensed veggies, L glutamine and acetyl L carnatine ( you will see the last to mentions over and over and over again here ;) )  about 3 times a week. 

    Basically no matter which method you take for administration, the total amount you get by the end is the same :)   So its how fast are you overloading your body. My onc at MDA said the weekly taxol outcomes are the same, though some members have said they heard DD (every two weeks) can be more effective.  Good luck.

  • shore1
    shore1 Member Posts: 739
    edited January 2012

    I didn't use cold gloves either. #12 is this week & I still have lashes and brows but they are very thin. I started using the Brian Joseph gel a few weeks ago but I think its more effective if you use it all through chemo. Hair, if you can call it that, is a whitish fuzz that started growing a few weeks ago. My hair was dark, long & thick before (i miss it so much) -I wish it would at least start turning brown. Good luck Sleeplessinseattle - are you doing 12 weeks? Hope you have an easy time with taxol.

  • Gator65
    Gator65 Member Posts: 72
    edited January 2012

    Good moeninf Ladies. It is day 3 since my first Taxol tx and I am in hell. The pain is unbelievable!!! I thunk I would rather puke on AC than have this pain. I cannot find my left over Vicodin so all I have is tylenol until Monday. I may jump off a bridge. lol
     
    I went to my daughters softball tourney yesterday. They won 2 out of 3, upsetting the #1 preseason ranked team in the process. She played very well, got her first recorded in the books for posterity hits and RBI's. Yeah!!  I am going to try and drive back to Clearwater for the other 2 games, but I don't know. This pain sucks!!!!!! 
     
     
  • shore1
    shore1 Member Posts: 739
    edited January 2012

    Sorry you're in pain Gator. That sucks after 1 taxol. Are you going to see if your onc has any suggestions? I've found the best suggestions for dealing with SE come from the chemo nurses, so see what they say when you go this week. Daily walks helped me feel pretty good. That might be hard if you're having a lot of bone pain, but maybe you can push on through for short strolls. Glad you got to make it to game - maybe you will start to see a pattern and just day 3 after treatment will be your rough day.

  • NWArtLady
    NWArtLady Member Posts: 360
    edited January 2012
    SleeplessInSeattle, I am also in Seattle. Send me a private message if you would like to meet up and talk about Taxol (or anything else) - I just finished weekly treatments on December 30. I am now doing daily radiation.
  • dmlenn1
    dmlenn1 Member Posts: 47
    edited January 2012

    Oh Gator!  I am so sorry, but from the way your posts run, it looks like your pain is hitting you a couple days out just like mine did. My Dr gave me Medrol dose pac. I wish I could say it gets easier, but just remind yourself that this too shall pass. Don't be afraid to ask for pain killers if you need them. There is no reason to suffer.

  • Gator65
    Gator65 Member Posts: 72
    edited January 2012

    I am calling my MO as soon as they open. This is awful!! 

  • Bonseye
    Bonseye Member Posts: 193
    edited January 2012

    I had my 2nd Taxol Friday and did much better then the first time. I had all kinds of back pain, sharp stabbing muscle pain....no back pain so far and the muscle and bone pain is a lot less this time-fingers crossedxxxxxx. Hoping it stays this way. Looking forward to seeing my hair grow back...hate wearing a wig, do a lot of scarfs and so want a short "do" at least.



    Hang in there ladies- we will all get through this- it is horrible but we can do it!



    BTW- Kelly Ripa chose for a "girls night out" a lady battling breast cancer and her friends to have fun with her in NY. I so wanted to write and be able to thank my dear friends for being my cheerleaders and support along with my husband...not good timing as i am in the throws of chemo....the woman they picked looks like an amazing lady! They wil be on all week now. Live with Kelly-ABC....9am here in the East.



  • MiniMacsMom
    MiniMacsMom Member Posts: 595
    edited January 2012

    I had number 10 today.  I am SOOO excited to be that much closer, but really anxious about the FAC.  My numbers dropped a little from last week, but they are still in the standard normal ranges.  I am wondering if its just from being really really stressed.  I am so excited my gf is getting married and I am in the wedding in Sept, but damn its really really really stressful doing this long distance and with 5 other bridesmaids, I only know 2 and I only know one of those well.  Oh well, just bitchin.  :)  Big Hugs all! 

    Gator I am so excited you made it to the game even though you were in pain.  I am sure your daughter felt extremely loved and blessed :)  I know I would.  

    BTW:  ON the cold caps and such, I didn't use them.  Someone posted their onc wasn't a fan in another forums because the ice reduces the blood flow too that area, reducing the amount of chemo that reaches the appendage.  I thought about it because I loved my long hair, but I decided it wasn't worth the risk :(  I dont' have any articles to back that up, didn't look for them, the comment made sense to me.  May want to talk to your onc about it and see if hes ok.  Plus I have also read its a PTA to bring the frozen peas and such and keep switching them.  If you wanted to do it, I would be interested to see if frozen pea gravel holds temps well.  Kind of like those rocks you can buy to put in your drinks to not water them down.  Its a thought, maybe to not ruin all those yummy peas :)

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2012

    I heard the same thing about cold cap use too.  Plus, they are terribly expensive and insurance doesn't pay for them.

    I use the peas to ice during taxol and put them in zipsahead of time, so that I can reseal, refreeze and re-use...

    Claire

  • fredntan
    fredntan Member Posts: 1,821
    edited January 2012

    Congratulations CCJJ !!!!!!



    I'm right behind you, fifth one this wed

  • kelleysgroi
    kelleysgroi Member Posts: 227
    edited February 2012

    taxol #3 is over..1 more to go..In 2 weeks I will be done!  Fingers crossed for minimal side effects!

  • seacretgardn
    seacretgardn Member Posts: 269
    edited February 2012

    Hi ladies, I was going to begin my first tx tomorrow but am battling a fever and they had to cancel.



    My counts were ok yesterday, but feels like a UTI. Waiting for the culture.



    Anyone else have a bump in their treatment plan that can offer some reassurance?



    I was to begin the first of 12.



    Thank you, hugs, Laura

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2012

    Dear all,

    congratulations to everyone on one more successful taxol tx this week...and pre-congrats to those of you on the way to finishing. Seacretgardn--that cancellation sucks. I can sympathize as I went to get my 6th one today and nearly didn't--my WBC was 1.9 down from 2.9 last week, but weirdly I feel fine, no fatigue, fever, aches, etc.  So I don't know what's going on and hoped someone would weigh in on this for me, too.

     The NP gave the go-ahead to treat, so I did get #6 but she wants me to get neupogen injections (one tomorrow maybe one the next day).  I haven't gotten any neulasta/neupogen at all for taxol...one nurse was doom and gloom and wanted me to wear a mask, avoid crowds etc. the other nurse was pretty casual about it and said I just needed a booster and it happens a lot when you aren't getting regular neupogen shots at some time or another.  

    Anyone have any info on low WBC like mine, should I be concerned etc....I don't want to delay even one week of tx. I'm halfway there.

    XO

    Claire

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2012

    I just want to say Hallelujah!  12 of 12 Taxol finished!!!  Whew!  They lowered the last dose a bit because of the growing neuropathy in my hands and feet, but I finished!  I have an echo tomorrow and then a week off before I start FAC.  The week off is most likely due to the neuropathy AND the meltdown that I had in the onc's office week before last.  At this point, I'll take it.

    Minimacsmom - I'm worried about FAC too, but I promised myself I will enjoy my week of vacation from chemo as much as I can!

  • shore1
    shore1 Member Posts: 739
    edited February 2012

    Phgraham, congrats on last taxol. My last one was today too. Im happy, but nervous about pending scans, whether its all "worked", whether tamox will work for me, etc. I have to continue herceptin. What is FEC given for? Good luck --hope it goes well for you.

  • capinva
    capinva Member Posts: 138
    edited February 2012

    Today was my 8th and final Taxol Treatment. Yeahhhh. I also had my first reaction during infusion. So crazy, never had a problem until today. Nurses were great, stopped the drip, waited 30 mins then started again very slowly.



    Getting marked next week for radiation.

  • stjude10
    stjude10 Member Posts: 390
    edited February 2012

    Claire, when my DD was going thru her tx for leukemia, the object was to wipe out her WBC, so it often got to 0. We did take precautions as she would not be able to fight off infection. We avoided any crowds and did a lot of hand washing and had sanitizers all over the house. The good news is it will come back up! Just take it easy and stay away from any sick people!

  • Anko66
    Anko66 Member Posts: 302
    edited February 2012

    Hi Ladies, just finished 3 weekly TTaxol sessions of a so far unspecified amount of sessions, and the only real side effect I am noticing so far is acne.  Has anybody else had this, and if so, how did you manage it?

  • MiniMacsMom
    MiniMacsMom Member Posts: 595
    edited February 2012

    Yay Phillis, well for being done ;)  I get # 11 this week and I am officially scheduled for 4 pm at MDA on the 20th for FAC.  So with your break we will be right in line.  I hope your neuropathy emproves :(

    MDAnderson standard care for chemo is 12 weekly taxol followed by FAC.  FAC is given 12x4 so 12 weeks 4 doses.  Its a commonly used combination in Canada and Europe, but just gaining popularity is the US.  Don't know much more than that.  :)  Phyllis and I have posted FAC or FEC info requests on the forums but haven't gotten a lot of feedback. 

    Anka:  YES to the acne, I have found that its more attributed to the steroids than the taxol.  After getting about halfway through my chemo I got them to drop my roid dosage to 6mg. That helped :)  I have had to be much more rigid about washing my hats everyday (like clothes) and I use a really gentle oil based face wash.  I still have acne but it has mellowed out some with these methods.  I also exfolliate a couple times a week.  I think the sweaty hotflashes, and hats and extra winter clothing and the steroids make a fierce acne combination.  :)

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2012

    stjude10, thanks. I got a neupogen shot yesterday, will have another today, and my naturopath offered to give me a b-12 injection but I'm not sure I need it.  I am trying to look on the + side and see this drop as the chemo doing its thing and knocking out the bad along with the good.

    Thank you for your encouragement. It means a lot and I hope the rest of us have manageable side effects till we're done with the big T...

    XO

    Claire

  • MiniMacsMom
    MiniMacsMom Member Posts: 595
    edited February 2012

    Claire, when my labs started to drop (not as low as yours) I looked up what influences RBC and WBC.  Iron and B vitamins are a big one.  So I started a multivitamin a few times a week and a B vitamin.  The next week my labs were better than pre-chemo.  The B vitamin doesn't really have side effects like the neupogen shot so I would go for it! 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2012

    MMM, thanks for the comment on MDA's regimen. I didn't know it was used outside the US. There are days when I feel like a guinea pig instead of a patient patient.

  • jacee
    jacee Member Posts: 1,384
    edited February 2012

    phgraham- I had laugh at your comment. During my surgery & treatment days, I told many people I felt like I had donated my body to science while still alive....

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2012

    Jacee, LOL!

    I'm going for my second neupogen today.  I know iron influences RBC but not WBC; my RBC was great.  I take a B complex every day but chemo day; other supplements 3-4 days a week per my onc. and naturopath.

    I'm boosting my astragalus intake and B complex; hoping that helps. If not, I'll go for the B-12 injection (oh boy! another shot!) after finding out about next Wed's labs.

    Claire

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