Faslodex Girls

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  • Naniam
    Naniam Member Posts: 1,766
    edited January 2012

    Lulu,   Yes!   I think I have posted this before.  

    Fatigue is one of the side effects and I think it hits some more than others.  I am one that it has hit hard and looks as if you are also. 

    Hope you find this note as I ask for something to help me with the fatigure.  I use Provigil - but not covered this time by insurance and is very expensive.  PCP gave me Ritalin to try - has a different effect in adults and I took my first one yesterday.  Do ask for something to help.  You don't have to feel that tired. 

    Brenda 

  • lulubee
    lulubee Member Posts: 1,493
    edited January 2012

    Brenda, please give us updates on how all that works for you.  I'm hoping the fatigue -- if it is in fact from the shots -- won't persist past the loading doses (I have one more two-weeker to go before going to monthly).  

    For now I'd like to try to see how much I can address it with natural means.  I take a low dose of Rhodiola rosea first thing in the morning, and it gives me a boost of pep and alertness.  And I know I need to swap out my coffee for green tea again.  But we got a new Keurig toy in the fall -- and pronto! -- I fell right off the healthy green tea wagon in a hurry.  I do love me some good coffee.

    I think probably what I really need is a long walk in the sunshine every day or two, and it wouldn't hurt me too much to get up off my duff and replace the dead batteries in my elliptical, ya know?  And then get my big duff up ON the elliptical -- yeah, that too.

  • PJB
    PJB Member Posts: 2,615
    edited January 2012

    I didn't follow up on the everolimus, because since what I have now is apparently working, I knew that I would get turned down. I'm going to touch base next week with the insurance company advocate to see if it's still worth it to try to pursue it yet, as a fallback to have when Faslodex inevitably stops working on its own.

  • Cynthia1962
    Cynthia1962 Member Posts: 1,424
    edited January 2012

    PJB - Wow, congrats.  That is so awesome.  I hope it works for you for a long, long time!

  • Cynthia1962
    Cynthia1962 Member Posts: 1,424
    edited January 2012

    So, the Faslodex kicked me to the curb this week.  I had my injections on Monday, started to hurt that night, and ached everyday all over until this morning.  Wth?  It's never been this bad before.  Everyday I told myself that tomorrow will be better and it wasn't.  Finally, I'm noticing a considerably less amount of pain.  Yesterday, in fact, was the first time that a handful of ibuprofen made a difference.  Does this mean the Faslodex could still be working?  That would be nice.  Could it be due to the colder weather?  It felt like I imagine arthritis would.  The funny thing is, the injection pain is lessening and I no longer have sciatica issues from it.  But, I'll take the injection pain over the overall pain any day.  lol  I need better pain meds to boot. 

    Lulubee - I don't think I have fatigue from the Faslodex, but I'm not really sure.  I have my Aredia about two weeks before the Faslodex and it gives me a lot of fatigue so, in comparison, it doesn't seem as if the Faslodex does.  However, I always feel a little tired and I wonder if I even know what not feeling tired feels like anymore.  lol  If I remember right, the month of loading doses was the hardest.  Hang in there!

  • lulubee
    lulubee Member Posts: 1,493
    edited January 2012

    Cynthia, I know what you mean -- I told a friend yesterday that I don't think I really remember what it's like to be inside a completely comfortable body anymore.  

    Re: pain -- My onc handed me a script for hydrocodone/apap 10/325 when she ordered my first round of shots.  I told her I thought I would be fine with just Advil, and she said, "Let's just fill the prescription anyway, okay?"  Oooookayyyyy.

    Well, when the faslo-truck smacked me in the back later on, I did wind up taking some, and it did help better than Advil alone had been.  But I happen to know that Tylenol doesn't do jack for me, and that's what the "apap" part means. I also felt like 10mg was a bit heavy on the codones for me -- I was comfier but I was also nodding off in my chair.  

    So yesterday I asked the PRN if there was any chance there was a hydrocodone formulation with Advil instead, and woo hoo, there is -- and it's 7.5 mg with 200mg ibuprofen.  That's worked better for me.  

    Get something to get you out of pain, and keep trying different amounts and formulas till you find something that works for you. I'm convinced pain is detrimental to our health in ways we don't even understand yet. 

  • Naniam
    Naniam Member Posts: 1,766
    edited January 2012

    My monthly injection of Faslodex and Zometa tomorrow.  My complaint to the oncologist in October at yearly visit was only that I was short of breath and had a hacking cough.  I was already tired and that is the only symptom I had of anything wrong; it got worse with the Faslodex injections.  I try to be active, walk some when the weather is nice and do the stationary bike; I could not do that without the extra help after doing household chores.   I think we all have different reactions to any of these drugs - not sure if being older makes the fatigue any worse.  I only know how my body has felt since I started the drugs.  Fatigue and joint pain is some of the top side effects of Faslodex.

    I have Vicodin for pain - Tylenol isn't as hard on my GI issues.  I use them them 2-3 days after treatment (allowed 4 a day but only take 2) and then try to reduce the amount. I just don't like taking meds and forget lots of time to take my Calcium/Vitamin D. 

    I am pushing fluids today and tomorrow.  Hope blood work is ok tomorrow and crossing my fingers I don't have to have fluids this time

  • Cynthia1962
    Cynthia1962 Member Posts: 1,424
    edited January 2012

    Lulubee - thanks for the info on the meds.  I will defiinitely ask for that as I also have better results with ibuprofen vs tylenol.  I usually have great results with the Darvocet, but I think it works better on muscle pain vs bone pain.  I'm doing much better today with just a twinge here and there.  I'm so relieved the pain finally let up.  My daughter's birthday is next weekend, and she also has a project due in Social Studies that I need to help her gather supplies for.  It's difficult to explain to little ones how being in pain prevents me from doing things. 

    Naniam - I hope your labs are normal this time.  Sorry to hear how much fatigue you are dealing with.  I wonder if it could be due to having your Faslodex at the same time as the bisphosphonate.  I'm pretty sure that if I had to have them at the same time, that I would be down for at least a week.  The Aredia especially makes me feel fatigued.  I just want to sit around for a few days afterwards.

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

    Gosh, I haven't posted on the thread for a very long time. 

    LuAnn, I'm confused.  Are you still stable or NED?  I soooooooo hope you are.  And, yes, I joined the club a little over two years ago.  I've been in DeNile and intend to stay there for as long as I can.

    Naniam, et al....I too am so tired.  However, I'm not sure what's causing it.  It's like what came first...the chicken or the egg.  But it does seem I'm more fatigued than normal. I hope your injection went well.

    I am a little worried about one thing.  I don't seem to have the pain you ladies are talking about.  So, could this mean IT'S NOT WORKING?  Surprised

    Paula, I am so happy you are stable.  What good news!

    I will be getting my Faslodex and Xgeva Jan. 31.  This will be my third monthly for Faslodex and second for Xgeva.  I see my onc this time.  I don't know shen she'll do scans again.

    I'll be back later to check on everyone.  I read, but do not always post.  Call me lazy.  Frown

  • Naniam
    Naniam Member Posts: 1,766
    edited January 2012

    Shirley, my loading doses gave me lots of pain.  This is my first monthly (4th injection) of Faslodex  and 2nd Zometa injection and this time not near as bad. Makes me wonder if it is just our bodies learning to handle the Faslodex.  Also, Faslodex is my first treatment,  I think you have been on some other AI's or treatment.   I don't know, just all a learning experience.

    For me, I didn't have this kind of tiredness, fatigue prior to starting treatment.  I know a neurologist told me in 2006 when I needed to see him, there as no reason anyone had to suffer with fatigue from chemo.  I am definitely not a pill popper and don't use the pain meds at the prescribed level but not into lots of the regimens that requires lots of supplements.  I do try to eat  more healthy and walk as weather allows.  WIth my back, can't do other exercise regimens.  

    Don't feel bad, not posting as often either.   Good luck with the visit on the 31st.  Hope all is good, no surprises.  Learned I should be having my first scan end of March/first of April. 

  • Naniam
    Naniam Member Posts: 1,766
    edited January 2012

    Ladies, I need help

    DO YOU COLOR YOUR HAIR ON FASLODEX?   It is time, past time really.  Last time I did it was just after I got one of the loading doses.  Same name hair color dye and my scalp burned and itched.  The next day the scalp was sore, kind of like when we lost our hair from chemo.  Didn't loose anymore hair but my hair is not real shiny. 

    How are all of you handling this?    I hate the thoughts of having to let this grow out but hate the fact even more, I let my daughter and granddaughter talk me into putting color on my hair.

    Really, really would appreciate your feedback. 

  • sandilee
    sandilee Member Posts: 1,843
    edited January 2012

    Hi Naniam,

     I bought some hair dye the other day, read about it online, looked up the ingredients and then chickened out. I took it back for a refund.

     I'm just going to let my gray come in. It's not gorgeous, but it's natural and certainly easy. 

     I did buy a wig, though.  My hair was coming out with the Faslodex (it has since stopped thinning, I think) so I bought it just in case my hair really started to look frightful. It's pretty cute, but I haven't really gotten used to wearing it.  So for now, I'm just going to go natural. 

      I can't explain why your scalp would be sore this time, although I can imagine that our hair is thinner and dryer and doesn't take the color as well. I'd probably go to a salon and see what they can do if I hated how it looked.  Good luck!   

  • MKL
    MKL Member Posts: 34
    edited January 2012

    Hi everybody....I didn't know there was a thread for Faslodex Girls.  I posted yesterday on another thread.  I don't post alot anymore.  I have been taking Faslodex since Nov 2009 and was on Zometa until this past Oct.  I took it for over a year.   My onc took me off because of some patients having jaw problems.  My post yesterday was asking about skin problems.  I have ACNE...so frustrating.   My onc thinks the shot is probably causing it----dermatologist is treating it like it is acne rosacea.   Gut feeling tells me this is not rosacea.  But when it flares....I don't go out of the house.  I am on antibiotic and 3 topical creams.  I get tired and depressed after my shot....lasts for about a week.  Dr has me coming every 6 weeks now instead of every 4 wks.

    My TM are down...so I am trying my best to not get frustrated about side effects...but it is difficult sometimes.  I had flu type symptoms while taking Zometa. 

  • Aerial
    Aerial Member Posts: 194
    edited January 2012

    I had my third dose of Zometa (infusion) and 4th Faslodex (injection to each butt cheek), yesterday (Jan.26).  Like many of you, I had my 2nd Faslodex injection (without the Zometa) 2 weeks after the first dose.  Thankfully, I didn't have any major side effects. I was a bit more tired for a few days and my gastrointestinal system was a little "off."  The injection sites were both tender for about a week. I'm begining to think the Zometa is the cause of most of my side effects. (In addition, I have a weird taste in my mouth and my urine smells "weird"/bad for four or five days).

    When I told my onco about the pain and flu-like symptoms (after my first infusion) she added a corticosteroid to my IV drip (I get blood drawn, a saline flush, the steroid drip, then the zometa drip). That has helped me tremendously!  I wonder if there's a steroid type med that would help you girls suffering the painful side effects with the Faslodex?

    Scott Hamilton has a good informative web-site where I found these links--

    http://www.chemocare.com/bio/zometa.asp 

    http://www.chemocare.com/bio/faslodex.asp

    On his site, I noticed this bullet point, especially:

    "There is no relationship between the presence or severity of side effects and the effectiveness of the medication. "

    I don't think pain or any other effect is really an indicator of the drug "working."  Frankly, I think it's a myth or, at least, a "theory."

    My onco said I'd have a scan in March or April (just like you, Naniam) to measure the drugs' effectiveness.  She's going to check the tumor markers, too (I believe that's done through a blood test).

    As for hair color--I tried a permanent color (I use light blonde) and it did sting my scalp.  I use a semi permanent color now and it does not sting like the other, "stronger" chemical mix.

    I've got a question for all of you--How do you tell bone pain, from nerve pain, from muscle pain?

    I'm staying home today--mostly resting, still have my p.j's on (at noon) , face feels a little flushed, body feels a tiny bit chilled and I'm very, very tired.  I might go back to bed for a while and the heck with household chores!  (((((Hugs)))))

  • MKL
    MKL Member Posts: 34
    edited January 2012

    How many here take 2 shots (500mg) each time?  I only take 250mg.

  • lulubee
    lulubee Member Posts: 1,493
    edited January 2012

    Nan, I get paper-wrapped highlights put in my hair every other month.  Of course, I just started Faslodex three weeks ago, so the jury is out on how Faslodex might change things.  But I mention it because highlighting does keep the color off your scalp... just a thought.

    MKL - welcome!  Glad you found us. Interesting that you mention depression. I have been unusually down in the dumps this week, and I too have wondered if it's Faslodex.  My trusty trio of herbs for mood maintenance, which have been noticeably helping me for the past few months, is not quite doing the trick right now.  I was weepy yesterday, and finally took a Valium yesterday afternoon just to settle down.  And I am shocked at the depths of my lethargy... I have spent more time in my cushy chair this month than I have in the past two years, I think.  If the gloomies & lazies continue like this, I will be thinking seriously about Wellbutrin or something.  

    Aerial -- I have a slight metallic taste in my mouth after the Faslodex shot.  This time it was most pronounced for the first 48 hours or so, but it still lingers a bit.  An my lower gut was a little crampy after both my shot rounds so far... and I have been struggling with constipation.  Anybody else? 

     I will say though, that after 15 months on Femara, Faslodex is still feeling like a holiday by comparison, so far.

  • Naniam
    Naniam Member Posts: 1,766
    edited January 2012

    MKL, I think most of us are 250mg per shot for a total of 500mg.  Not sure how you have been on this and if you are stable and just need the lower dose

    Lulu, going to have to talk to my beautician, normally they color my hair and then do the highlights. I have mostly salt and pepper - more salt around the face ! 

    This was my 4th Faslodex and 2nd Zometa - I have not had the joint pain as I did on previous treatments and while I cringed from the sting of the needle and the meds first going in - no injection site pain.  I had the Faslodex REALLY warm.  Not sure what is different but I have taken strong meds for bowels and it isn't working.   

  • lulubee
    lulubee Member Posts: 1,493
    edited February 2012

    Okay ladies, now that BCO is all abuzz with poop talk (you've all seen the new and very hopping thread about constipation, right?), I am really curious if any of you are experiencing what I am...

    I have always been super regular, even when I was on Femara.  But ever since I started Faslodex + Xgeva in January everything has changed.  I am having to work on this every single day just to keep things moving at all.  HUGE change.

    Anybody else notice this? 

  • Naniam
    Naniam Member Posts: 1,766
    edited February 2012

    YES !!!!!!   It is a side effect of both the Faslodex and Zometa.   The chemo nurses suggested I used Miralax and a stool softener with "stimulant".  I used both for 5 days straight and drank lots of water this last time. I was uncomfortable and getting kind of worried.   From what I have read most of these drugs are passed through the bowels - I don't think it is good for all that to sit in our bowels without being regular.  (No one suggested that to me; just my thoughts on that)

    I feel for you ! 

  • lulubee
    lulubee Member Posts: 1,493
    edited February 2012

    Well, well, well.  Alrighty then.  So I guess we all need to go hang out on the constipation thread, huh?  Ha.

    The nurse didn't say anything to me about this, but she DID tell me to drink a ton of water after my shots to help my kidneys flush it out, and "don't put off going to pee because you don't want this stuff just sitting in your bladder either."  Sure enough, after my second round of shots I didn't drink as much right away as I should have, and my pee did burn a little that evening. 

    Maybe we all ought to share what our nurses have advised us to do?  No telling what we might learn...

  • sandilee
    sandilee Member Posts: 1,843
    edited February 2012

    Interesting about your nurses comments, lulubee.  No one has ever mentioned that this stuff isn't good for our kidneys or bladder.  No problems with elimination, here, however.  The only thing that stops me up is pain medicine, and I've not had to take that for a couple of months now.

      I take the two shots of 250mg with Xgeva injections the same day.  I also get blood drawn first, so I feel like a pin cushion.  Ok by me if it keeps me stable.

  • Cynthia1962
    Cynthia1962 Member Posts: 1,424
    edited February 2012

    Yes, I'm definitely having bowel issues.  I have IBS, so I just figured that was causing my issues; although, it had improved in the last couple of years.  It makes sense that my meds are contributing.  What makes me really annoyed is that it referring pain to my jaw and face.  I'm in more pain from the constipation, than anything else most of the time.  That's just not right.  lol

    I've tried stool softeners, colace, and Miralax.  They all work to some degree, but not completely.  I hate the taste of the Miralax so I tend to use it last.  In a pinch, I've used ascorbic acid past bowel tolerance, but I have to have a chunk of free time before I do that.  It does work very well, though.  lol 

    I think I need a plan to get this under control and keep it regular.

  • lulubee
    lulubee Member Posts: 1,493
    edited February 2012

    Cynthia, have you checked out the new thread on constipation from treatment meds?  Lots of good ideas there.  

    Honestly, I think it would be easier to get results from magnesium than ascorbic acid... I like Calm, a magnesium powder that you add to hot water.  It's fizzy and tastes like lemons.  It makes me sleep like a saint and then wake up to a Regular Morning. If you know what I mean.  I get it at Whole Foods; you could check Amazon if you don't have a natural grocer nearby.  Oh, what am I saying -- you're in California!  Haha!  

  • Cynthia1962
    Cynthia1962 Member Posts: 1,424
    edited February 2012

    Lulubee - You crack me up.  lol  I actually have some Calm, but I can't remember why I got it.  I do remember that it didn't work for the reason I got it, but I don't think it was for "regularity".  It does taste better than Miralax, though, so I guess I can give it a try.  I have peeked into the constipation thread, but I didn't take notes which I what I really need to do if I'm going to remember anything.  I'll try the Calm and see if I have any results.  Thanks for the suggestion.

  • lulubee
    lulubee Member Posts: 1,493
    edited February 2012

    Another thing my nurse said -- she told me if the shot sites hurt, to put a heating pad on them.  I said, "I heard someone online say an ice pack helped, so that's what I brought -- and you say heat instead?" and she shot back, "No no no!! NO ice. That will not help. What WILL help you is to keep this stuff warm and flowing; we want it to mooove and do its job, right?  And the sooner it disperses away from the injection site, the better your bum will feel. Heat is your friend." 

    Made sense to me. 

  • Naniam
    Naniam Member Posts: 1,766
    edited February 2012

    There is something wrong with my taste buds - Miralax doesn't taste bad to me.  Are there differnt kinds

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

    I take magnesium citrate for my bones.  I take a separate capsule with my calcium citrate.  Some people get relief from the mag citrate.  However, SOMETHING is going on with my bowels and I'm not quite sure when it started.  But, it's time for my dreaded colonoscopy.  Cry

    I asked the nurse about putting ice on my injection site....like lulubee she said NO!  Same reasoning...wanted it to move.

    Brenda, as far as hair color...I get my highlighted.  I just had it done a couple of weeks ago.  My beautician does it the old way...the good ole cap.

    One of my biggest gripes....I'm sooooooooo tired.  I don't know if it's the drug/s or just me.

    I won't get my next scans until the end of March.  I can't say that I'm sad about that.

    Paula, just wanted to remember to say CONGRATS on your scans.  What a relief!

    All we can do is hang on.  Those monthly visits sure do come too soon.

  • Cynthia1962
    Cynthia1962 Member Posts: 1,424
    edited February 2012

    Naniam - I have a generic Miralax so maybe there is a difference.  It's like drinking salt water. 

    Lulubee - I'm having some results with the Calm (which is magnesium citrate).  I'm up to 2 heaping tsp at night and I gag it down, not crazy about the fizziness or flavor.  It has gotten things moving a bit, but not too much...I think I'm going to add another tsp and see how I like the results. It's gentle, which is good.  I'm not using anything else so I'll know just how well it works. 

    No ice on my injections!  Thanks for the info.  I'm actually having less issues with the injection sites once the medication is in.  It's getting it in that seems to be problematic still.  My muscles cramp immediately and we have to wait for the spasm to pass, then go very slowly.  At least, it's better after that. 

    I have my bone scan on Monday.  Not looking forward to it.  I feel really panicky when the scanner is over my face.  The hospital where I'm having it has called me 3 times trying to get money out of me.  I explained to the same person each time that I would have at least 3 more treatments/visits/labs before I even have my scan and I won't owe them as much as they think I will.  Grrr.  I quit returning their calls.  Seriously???  I've always paid them, what is up with that?

    Shirley - good luck with your colonscopy. 

  • lulubee
    lulubee Member Posts: 1,493
    edited February 2012

    Cynthia, I'm so glad the Calm is helping a little!  Yay!  I bet you'll get good results with the full dose of 3 teaspoons.  We'll be calling you Loosey Goosey.  Hee hee.

    Have you tried taking a Valium before your injections?  It's really effective at quelling muscle spasms.  

    I lean on the handicap rail next to the toilet, and I put my weight on the opposite leg from the cheek getting the shot, with the leg of the shot side slack and relaxed... then switch for the other shot. You've probably heard this before... I think I got this idea from Lowrider, actually.  It does seem to help.

    When I'm about to get rolled into any scanner, I close my eyes before I start going in and I am doggedly resolute about never ever ever opening my eyes the whole time.  I can trick myself into imagining I'm in an open place.  But I gotta tell ya, Mr. Valium is a good date for scans, too.

    (I promise I am not addicted.  I actually only take it a few times a month... but when I need it, wow does it ever help. 

  • lulubee
    lulubee Member Posts: 1,493
    edited February 2012

    )

    (I forgot to close my parentheses.)

    (We can't have that, now can we?) 

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