Zometa news out of San Antonio....

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  • pupmom
    pupmom Member Posts: 5,068
    edited January 2012

    Best wishes Kim! Did you take your Advil and Benadryl? I found I really needed them, especially after the first day.

  • antonia1
    antonia1 Member Posts: 135
    edited January 2012

    Thanks Sherry. What I find surprising is that my oncologist used Zometa before in order to prevent the spread of cancer and it is only now that she has changed her mind, at least for me. I will ask her again a few months from now.

  • quiche
    quiche Member Posts: 262
    edited January 2012

    Antonia1: My onc did the same thing. I had 3 rounds of Zometa then he took me off citing a 2010 study that showed little benefit. When this 2011 study came about I sent it to him and asked to be put back on. He still stood behind the 2010 study stating it was a much larger study, but agreed to put me back on.

  • tenaj
    tenaj Member Posts: 1,052
    edited January 2012

    Kim40- how are you feeling after your infusion? I had a severe reaction & am afraid of the next one in April.

  • PlantLover
    PlantLover Member Posts: 622
    edited January 2012

    First I haven't read all 6 pages of this thread but I have a question ...

    My onc has me on infusions of Pamidronate every 6 months.  I asked him at my last visit why that drug instead of Zometa.  His response was that they both do exactly the same thing but that Zometa is much more expensive.

    Do any of you know if that's true?  Based on the latest news, should I push to have him switch me to Zometa?

  • Sherryc
    Sherryc Member Posts: 5,938
    edited January 2012

    Spoke to my onco's office and I guess he changed his mind and they have sent in for approval of Zometa.  Now it is wait and see if my insurance approves it or not.

  • Sherryc
    Sherryc Member Posts: 5,938
    edited January 2012

    Suprise I just heard from my onco's office and my insurance approved the zometa.  I have my first infusion scheduled for Feb 8th.  My MO is going on vacation so I have to wait a bit.  I will be on the every 6 months schedule.

  • PLJ
    PLJ Member Posts: 373
    edited January 2012

    Just had appointment with 'gold standard' MO, who said if it was her, she'd want the Zometa, too. She knows about *all* of the studies but feels that the ABC trial is significant for premeno ER+ > 40 years. She also stressed that it needs to be Zometa, nothing else, because trials have been done on other bisphosphonates and the same results have not been noted. Zometa is the way to go. HTH.

  • PlantLover
    PlantLover Member Posts: 622
    edited January 2012

    Reposting ... I've tried to find the answer via google and hardly anything shows up.  I found one reference to Zometa being superior in treating Hypercalcemia but nothing specific to BC recurrences.

    Would any of you be willing to ask your onc for me? 

    Do you think I should post my question to a different forum? 

    My onc has me on infusions of Pamidronate every 6 months.  I asked him at my last visit why that drug instead of Zometa.  His response was that they both do exactly the same thing but that Zometa is much more expensive.

    Do any of you know if that's true?  Based on the latest news, should I push to have him switch me to Zometa?

  • PLJ
    PLJ Member Posts: 373
    edited January 2012

    PlantLover,

    I can't comment specifically on the bisphosphonate which you are currently on, but can tell you that my MO said that in order to receive the protective effects against mets, it needs to be Zometa. Her reasoning: another clinical trial was conducted with a different bisphosphonate and no improvement was seen. Also, the clinical trials demonstrating reduction in mets have used Zometa...the other bisphosphonates are unproven in this area. She told me it must be Zometa or else nothing. Ask your MO to show you the studies proving that Pamidronate does exactly the same thing.

    Hth,

    PLJ

  • antonia1
    antonia1 Member Posts: 135
    edited January 2012

    I am seeing a dentist next Monday and if everything is all right I will talk with my oncologist again about putting me on Zometa. I am post- menoposal  --  had hysterectomy and ovaries removed 10 years ago, so I am in a group that is supposed to benefit the most from Zometa and yet she refused to put me on it.  One of the reasons may be that my bone density test came back normal and she thinks that insurence will not pay for it. Still,  I will ask her for the studies on Fosomax showing the same benefits as Zometa and ask to reconsider.

  • PlantLover
    PlantLover Member Posts: 622
    edited January 2012

    PLJ ... Thanks so much for the response. 

    I called my onc today and talked to the PA.  She said that my onc feels that Pamidronate provides the same benefit that Zometa does & that Zometa was just the drug used in the studies.  I asked if there were any studies using Pamidronate and she said she's not aware of any and that if I wanted to switch to Zometa then that's what we'll do.  Of course we have to make sure there's no problem with insurance covering the switch.  Guess I'll find out when I go for my next infusion in May.

  • PLJ
    PLJ Member Posts: 373
    edited January 2012

    Glad to be of help, PlantLover.

  • kim40
    kim40 Member Posts: 904
    edited January 2012

    Hi there - I had my infusion this past Tuesday morning and felt great afterwards and the next day.  I didn't need to take any tylenol or advil or anything, I just drank loads of water the day before and the same day and it seems to have done the trick for me.  The only time that I had any SE's was the next day after my very first infusion.  I felt I was hit by a truck!  But then again, I didn't know I had to drink a lot of water either Frown  Lesson learned.

  • tenaj
    tenaj Member Posts: 1,052
    edited January 2012

    Kim40- glad to hear you did well. Thanks for the tip on lots of fluids.

  • Sherryc
    Sherryc Member Posts: 5,938
    edited February 2012

    Had my first treatment this past Friday and it went well and I have  had no SE's

  • WinnieThePooh
    WinnieThePooh Member Posts: 30
    edited February 2012

    Thanks for sharing!!!

    Does anyone know details about dosage used, frequency of use and which form was used? (pill or infusion)

    L.

  • pupmom
    pupmom Member Posts: 5,068
    edited February 2012

    Winnie, I had an infusion in December. I will have my second one in March. Don't know the dosage. MO wants me to have an infusion every 3 months for 2 years. I did feel flu like the day after treatment. Do follow instructions and take the Benadryl and Ibuprofin (I didn't and paid).

  • clariceak
    clariceak Member Posts: 752
    edited February 2012

    I'm infused every 6 months for at least 3 years.  Sorry, I don't know the dosage.

  • christine47
    christine47 Member Posts: 1,454
    edited February 2012

    do you need a port for this infusion?  How long does it take?

  • pupmom
    pupmom Member Posts: 5,068
    edited February 2012

    christine, you don't need a port. I got an IV. Took about 30 minutes, if I'm remembering correctly, for it to go in.

  • christine47
    christine47 Member Posts: 1,454
    edited February 2012

    I saw my dentist today (actually had my children in to see him).  I asked him his thoughts from a dental prospective on the Zometa.  He said I had excellent dental health and he would go for it.  I see my onc in early March, and think I will do Zometa. 

    I am having dexa scan (bone density) next week, I expect this will be normal.  Any of you have difficulty with insurance paying for Zometa with normal bone density?

    What type of self premedicating have you all done?  I will try and schedule for a friday, so if I feel abit off  I won't need to worry about work.  If I did 6 rounds of chemo, I surely can tolerate the zometa.

  • LindaLou53
    LindaLou53 Member Posts: 929
    edited February 2012

    My onc started me on IV Zometa in Aug 2006 and I had a total of 11 doses over the next 5 years taking my last dose July 2011. The standard dose is 4mg IV to be given over no less than 15 min but ideally over at least 30 min. The side effects will vary with the individual but typically SE's reduce after the first dose. I learned to hydrate well the day before, day of and day after infusion. I also asked my nurse to hang extra fluids with the Zometa, usually a 500cc bag to ensure good hydration which helps protect the kidneys and I believe reduces the chance of side effects. I also took prophylactic Ibuprofen before and later after the infusion. I experienced mild flu-like symptoms after the first 2-3 infusions but subsequent infusions were symptom free.

    My bone density had dropped 7% between my first and second BC dx but was still within normal limits at the time I started on Zometa. I believe it was my Stage 3C status and high positive node count that qualified me for insurance coverage. I also was over 40 and had been post-menopausal for more than 5 years when starting on Zometa so that put me in the subgroup which showed most benefit for preventing recurrence. I may never know if the Zometa has kept me NED this long or not, but I do not regret taking it. The risk of ONJ is rare and I continue to do general dental care including root canals, filling replacements and crowns without any problem. I would not plan on having any dental implants or teeth pulled while on Zometa. Any invasive procedure into the jawbone should be avoided but otherwise general maintenance and preventive dental care should be fine.

    I am hopeful that ongoing study data will further define the extent of benefit and specifically which groups are most likely to see that benefit.
  • Sherryc
    Sherryc Member Posts: 5,938
    edited February 2012

    My MO office has me taking a claritin and pepcid the day of and the next two days following Zometa along with good hydration.  I can't take ibuprofen because I am allergic so they had me taking tylenol.  They said hydration was the key to keep the kidneys flushed out. Mine was done IV and took about 30 minutes.

  • WinnieThePooh
    WinnieThePooh Member Posts: 30
    edited February 2012

    I just spoke to my doc about the Zometa issue and he told me that Zoledronic acid is under the trade names Zometa, Zomera, Aclasta and Reclast, and is a bisphosphonate.  I wanted to know how they differ, and he said that the difference is in the dosage.  Did the study offer information on how much Zometa was used and how often? 

    Lori

  • mylifelisa
    mylifelisa Member Posts: 15
    edited February 2012

    I get Zometa once a month. Haven't had any problems besides normal aches and pains. But  about a week ago I started to get a little bit of jaw pain.I'm suppost to get my 3rd infusion this Thursday, I called my ong. she told me to go to the dentist before Thursday, I have a dentist appointment tomorrow. I was wondering if it could just be a sinus infection my ears hurt and I've had a sinus headache for the past couple days plus my jaw doesn't hurt that much. I would hate to have to go to the dentist every time as I don't have any dental insurance.

  • WinnieThePooh
    WinnieThePooh Member Posts: 30
    edited February 2012

    From what I could find in the trials details, they used zometa acid (4 mg given intravenously every 6 months) for 3 years...

  • Sherryc
    Sherryc Member Posts: 5,938
    edited February 2012

    Winnie that is what I read in the trial and that is what my Dr. has me on.

  • WinnieThePooh
    WinnieThePooh Member Posts: 30
    edited March 2012

    I was wondering if anyone that is following the trial results and adding Zometa into the mix has had any problems with insurance covering it since it is not exactly what Zometa is approved for?  I'm planning on calling my Onc this week.

    Lori

  • weety
    weety Member Posts: 1,163
    edited March 2012

    My onc and insurance had no problems putting me on it.  I was put into menopause (hyster/ooph) and on an AI, and onc seemed to think insurance would not even give it a second thought.  He was right.  I did have the bone density done and came in with osteopenia, but onc seemed to think that that didn't matter as much as the fact that I was menopausal and on an AI at age 38.  I hope the zometa is working--on both ends (cancer and bone density!)  Onc won't do another density scan until 3yrs out (said reason is that the results wouldn't change his treatment choices during these 3 yrs--At 3 yrs he will reevaluate things).  Does anyone else have more scans? Thoughts, ladies?

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