Faslodex Girls

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

    Have many of you get your Faslodex injection one at a time?  They have always give me mine both at the same time on the count of 3.  I hold on to the arms of the chemo chair and they do a countdown of 3.  Last time I didn't get sore at all but I think hitting the same area made it first sting for a bit but then that stopped.

    I got the real Miralax - someone on the constipation thread said something about putting it in coffee - not sure about that or my occasional diet pepsi either.  I am going to try the Gerber organic prunes and see if it helps.

    Shirley, we color my hair and then I get the highlights with the cap thing.like you do.  Glad to hear that you haven't had a problem with that.  Last time the color really burned, made my scalp itch.  Hadn't done that before.   

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

    Cynthia, I haven't set up the appointment yet for my colonoscopy.  I'm one of those people who DOES NOT go into a "twilight" slip when given meds for outpatient procedures...I was awake while my port was put in and then taken out, bone biopsy to spine and the colonoscopy.  I decided that if Katie Couric could deal with it awake so could I.  LOL

    Good luck on your bone scan.  I am now more nervous about those scans.  I always afraid that they will reveal something I don't want to have...Surprised  Please let us know the result of your scan.  Prayers are going up for you. 

    lulubee, when I first started getting the Faslodex the nurses told me to stand ON the leg that the hip injection was going into.  And everyone of you have said just the opposite.  Wow!  No one tells me anything now so I take YOUR advice.  Wink  I have also told the nurses who give the injections what all of you have said about warming the med.  Perhaps they'll learn something!

    Naniam, I get my injections one at a time in separate buttocks.  Sometime it stings worse than others and sometimes not too much.  That Xgeva stings like a bee!

    I don't know what to say about coloring your hair.  Maybe next time it won't burn and itch.  Is your skin on the sensitive side?

    About the constipation "stuff", I sometimes used Milk of Magnesium.  Usually the mag citrate did a pretty good job at keeping things "in check".  I take other meds that cause constipation but my issues are a bit different now. 

    Hope everyone has a great weekend!

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

    Did I mention that I had a PET/CT scan yesterday????

    On my treatment visit in Jan, I complained of my left hip pain.  It was more than just the joint pain from treatments.  My CT scan of the pelvis didn't show any mets beyond the pelvis - per the reports.

    Oncologist ordered an xray of my hip.  I got the call it showed no mets and no fracture.  So my mind starts thinking - if a chest xray didn't show the mets in my sternum or ribs would a regular xray show mets in my hip. 

    I called my radiation oncologist, a family friend.  My oncologist had let him know of my mets and he said regular xay would not show mets unless it was a really big area.  He ordered my scans (out of town research center) and reviewed them.  He said there was no mets in Nov. below my pelvis (what the reports from the research center also said) but only way to tell was a PET/CT. Had that yesterday.

    He just called - small cluster met lesions in the left hip.  Faslodex was keeping the peritoneum mets in check; didn't see the lesion in my liver.  I was scheduled to go in and talk to him on Monday and we will be using that time to do a bit of radiation to my hip for pain.  I understand some of my pain may also be from my back but with the mets there, it is worth a try to see if I can get some relief.  Not fun being awake at 4 am because your hip hurts and you can't get comfortable to sleep.

    So seems Faslodex is working in some ways but not so much in others but then I haven't been on it that long.  I am not quite sure how oncologist is going to handle my taking matters into my own hand but frankly, I trust him in my treatment, but he and I have a communication problem.  He just doesn't want to talk but is more of "let me worry about those things"   I am NOT one of those people that can just say sure and walk on. 

    Worked in medicine to many years; I am one that really needs to know and hope we can work this out between us now that I have mets.  I am going to really try to get him to understand this on my next visit.  I really, really, really, hate the thought of going elsewhere.   I like him; trust him - just need him to talk to me.  Does that make sense?

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

    I got my first two rounds one shot at a time.  Yesterday I got a double whammy with two nurses... "1-2-3-GO."  So far I can't tell any difference.  But both of these nurses are really superb with needles, and they really get the stuff warm first.  Those two factors may ultimately matter a whole lot more than whether you get one at a time or both. 

    But I begin to suspect the key for me is walking after the shots.  

    After my first and third rounds of Faslodex, I walked for at least an hour immediately afterward; nothing strenuous, just strolling around the mall or doing my grocery shopping.  After the second round, though, I sat most of the afternoon. I was more sore after that second set of shots.

    It's too early to judge the evidence yet, but so far my observation is that walking for a while afterward may be a big factor in avoiding the sore bottom syndrome.  It makes sense, as keeping the hips moving increases circulation and body warmth in those tissues, and it seems to me this would naturally help disperse the meds away from the injection area faster. 

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

    I lie down for my Faslodex injections and I get them one at a time in the SAME hip.  My other hip spasms something awful when the needle is put in, probably due to the damage from the mets.  I'm going to take Lulubee's advice and try a Valium beforehand, next time. 

    Naniam - sorry to hear about the new mets.  Those little buggers just keep on moving.  I'll be interested (scared is more like it, lol) to see where my new mets are.  I don't have any new obvious areas of pain. 

    Lulubee - the walking to help with the Faslodex does seem to make sense.  I've found that stretching out that area helps as well.  As for my other issue, I didn't bother to take the Calm last night because I just didn't feel like it and it was a good thing, too, because it really kicked iinto high gear this morning. lol I think if I take 1 tsp every night or morning, it might evventually keep me regular.  I'm going to give it a try.

  • ladyleen4
    ladyleen4 Member Posts: 72
    edited February 2012

    Hi All,

    I started Faslodex on Monday, Jan 30, along with Zometa and 20 days of radiation.  I am scheduled to get both the Faslodex and Zometa every 4 weeks.  I was in such pain from the bone mets that I didn't really notice if I had bone pain from the Faslodex or Zometa.  I was ok the first 3 days as far as nausea, but the fourth day had nausea, indigestion and feeling tired.  Today, Saturday, seems to be getting better.  Glad to hear any tips from you all.

    Eileen

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

    Eileen, I had great difficulty with the first two Faslodex injections - -same thing you experienced.  I have had 4 doses and this last one was the easiest.  Same thing with the Zometa - supposed to get easier as your body adjust.    I had headaches, nausea and a bit off balance with the first two and the 3rd one with my first Zometa was horrible joint pain.  As I said, last one was much better.

    On my scans in early November I didn't have any mets in my hips.  Late December I was having left hip pain and it increased that I mentioned to my oncologist in January.  I don't think he thought much about it as my scans were ok in November and he ordered a regular hip xray and of course it was fine.  It continued to get worse. I called my radiation oncologist; he got copies of my CT's and said they showed no mets in my hips but he suggested a PET.  Had that a week ago today, he called on Saturday and said I did have mets in my left hip.  I got marked for radiation on Monday and need 10 treatments to my hip.  I have 6 left.

    Starting Wed. I had some " different" hip pain and increasing yesterday and I had a miserable night.  Vicodin did not touch the pain and I couldn't sleep. RO told me today that I had enough treatments now that it was really starting to hit the cancer cells and I was having inflammation and swelling of tissue. Gave me much stronger pain meds - they make the pain tolerable but I had itched before with them and after 3 doses - itcing again.

    One thing seems to set of another and it seems to keep going sometimes - grrrrr !

    Don't think you would call this progression - don't think I have been on Faslodex long enough.  Just wish it would kick in. 

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

    Naniam, I am so sorry about all this with your hip.  I so hope your pain is easing up!  I bet those little buggers are dying and that's what hurts.  

    Some pain meds make me itch, too -- seems like any kind of morphine is the worst for me for that, and seems like I remember Vicodin is in that class.  Surely there is something different you can take?

    In the meantime, I hope you can find some music and movies to help lift your mind above it a little.  Maybe worth a try? 

    How many Faslodex rounds have you had so far?   

  • Tina2
    Tina2 Member Posts: 2,943
    edited February 2012

    I posted this the other day on the Hormonal Treatment thread and will repost here for the reading pleasure of the Fabulous Faslodex Girls:

    Friends,

    Good news for yours truly. The latest CT scan of my lungs shows the metastasis is continuing to shrink and that the other areas in question are stable. The Faslodex is doing its job! I will have a bone scan in a few weeks to check out ongoing pain in my lower back and hip, but my oncologist thinks and I hope it is due to the antihormonal action of Faslodex agravating arthritis or another degenerative condition that showed up on my last bone scan in July. I had my ninth treatment today and am feeling pretty good aside from the usual post-injection pain and the back issues. I am determined to adjust to all of this and not let it run my life, and feel I'm finally doing so. Thank you all for being here and contributing your experiences, feelings, advice, energy, wit and love to this community that is so valuable to so many.

    Tina

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

    !!!TINA!!!

    ::happy dance for you:: 

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

    Tina, so good to see that you got good results in the lung lesions.  May Faslodex keep on doing it's magic ! 

    Thanks for sharing. 

  • jcb51
    jcb51 Member Posts: 382
    edited February 2012

    Thank you for starting this thread, ozzie2. I started Faslodex on 1/30. Got my second treatment today. The nurses have me grab the arms of a chemo chair and I get two injections (one in each hip) at the same time. They warm the Faslodex before they inject it. After they're finished, they apply a hot pack to each injection site which I leave on for at least an hour. The first injections didn't hurt much at all and I had no residual pain. The injections I got today stung like fire, but stopped hurting right away. So far I've had no more pain.

    Congratulations to those who have had good results. I hope it works as well for me. I have a small patch of skin mets with 5 little bumps on the front of my shoulder. I've been watching it closely and the bumps seem to be a little smaller. Might just  be wishful thinking on my part. They definitely are not getting bigger or spreading, so I'm taking that as a good sign.

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

    Good luck with your treatments.  My last treatment they stung like fire to but I was ok afterwards. They don't offer anytype of packs to apply no do they rub the area.  Hope you do well with the treatments.

    My next one is Monday .  Sorry I didn't see your note sooner, I've been taking some radiation to my hip and not reading as closely.

  • luckygirl1
    luckygirl1 Member Posts: 63
    edited February 2012

    I had to get off of Falsodex because it caused severe indegestion

  • nancyh
    nancyh Member Posts: 2,644
    edited February 2012

    Hey gals,

    Just wanted to report in.  I've been on Faslodex now for a couple months and it is going great.  My onc's nurse called last night and my CTC test is ZERO!  We use the CTC as a tumor marker for me (regular TMs are always normal, but the CTC has been slightly elevated when I've had progression).  Anyway, I'm so thankful to be on a hormone treatment after blasting through Xeloda with no success.

    Have a great weekend my friends. 

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

    That's great, nancy!   I'm hoping it will continue to work for me.  So far, so good. I had my onc appointment yesterday, and my CEA has come down from the high of 268 in July to 49 this month. It would be amazing if I could get it into the single digits! 

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

    My next treatment is Monday.  Guess this will be considered my 3rd dose after the loading doses.

    In Nov. the CT of my pelvis and abdomen showed no mets below the pelvis - nothing in my hips.  I had my first loading dose of Faslodex on Nov.21st.  By late December I started having hip pain which progressively got worse.  I mentioned it on my mid-Jan appointment and a regular hip xray was ordered.  It was fine - the pain continually got worse.  So called my radiation oncologist - he reviewed the CT scans and agreed nothing showed in my hip.  He ordered a PET/CT - it was there - in the hip in 3 different places.  I just finished 10 rads to the hip. 

    So, I'm thinking this isn't a progression but simply not on the drug long enough.

    I knew the Faslodex especially but Zometa also could cause stomach issues - mine is bothering me but it is the steroids to come that I just can't handle because of stomach issues.  Not sure what I will do when that time arrives.

    Nancy, good to read some good news - congrats.  My oncologist doesn't do tumor markers; I really don't know what CEA is. 

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

    Well, I've progressed...so, it's on to Megace.  The hospital sent my onc a ridiculous cd of the bone scan so he ended up having to take the radiologist's word that I have progression (a couple spots on ribs, one on head, one vertebra) because he couldn't really see it on the scan they sent.  I don't have any symptoms, either, but he decided to assume she's right & change meds. Good luck everyone & I hope u get a good long run with it.

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

    Cynthia, well dang-it was hoping all would be ok.  I don't know anything about the drug you mentioned but hope it works well for you. 

    I'm wondering how everyone is doing - lots haven't checked in for awhile; hoping they do.  . 

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

    Well, I've been on Faslodex since September and my TMs have been up every month. Had a stable scan a month ago (TMs have since doubled) and was supposed to be put off til May. But now since markers are up so much, I'll have one next month. Blech. Still hanging on to it just taking awhile to start knocking them down. I feel like since I was stable on higher markers last month, surely it's still stable this month. I'm a queen of denial. 

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

    PJB - I think most of the time I am glad that my oncologist doesn't do the tumor markers.  I don't think I would do well having them to deal with.   I pray it is working on the next scan - that the tumor markers are just wrong. 

  • Aerial
    Aerial Member Posts: 194
    edited February 2012

    I agree, Nan--I don't want another thing to worry about.  My oncgologist metioned tumor markers but, I guess it's a moot point in my situation because my blood has never indicated a tumor.  My blood results (so far) have always looked normal! 

  • saltair
    saltair Member Posts: 14
    edited February 2012

    I am glad to have found this post....not sure I will figure it all out at one time but here we go....first b/c was 4/2008.  5mm, node negative, stage 1a, ER/PR+...yeah you heard right stage 1a...8/2010 mammo shows something suspicous in other breast, biopsy shows DCIS.  had been having hip pain, family dr. does mri....radiologist says "metastatic cancer".  every dr. i go to says "no way".  bone marrow biopsy, negative.  bone scan, negative.  repeat mri in 6 months, more "freckles" but no bone deterioation (i am sorry, i am tired and my spelling is bad).  bone biopsy done...again being told there is no way this is cancer, could be sarcoid or something else.  results come back...bone mets.

     so i have spent the last year trying arimidex (oh the side effects), aromasin (even worse side effects) back on the arimidex....but the tumor markers keep going up.  i don't get scanned because my scans look normal, onco goes by the tumor markers.

    i had my second set of loading shots of the faslodex on 2/21...tuesday.  by friday i thought i got hit by a truck.  by sunday, my legs literally felt as though they couldn't support me.  the muscle spasms/cramps on both legs thighs and calves has been awful.  yesterday was better, today i feel as though i have got the worse case of hip bursitis ever.

     i have read through the entire faslodex girls...and thank you for being here but i didn't read anyone having the extent of s/e that i seem to be a week after the injections.  i do know when i saw the onco on 2/21 and complained of fatigue he said it could get worse before it gets better but i don't know about this pain?

     i take magnesium/vit. d/potassium and a whole host of supplements.  any ideas/suggestions/thoughts????  and i am sorry that it had to be under these circumstances for all of us that we meet.  prayers. 

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

    My loading doses caused my back to hurt badly.  I am not sure I remember other joints because my back was so bad.  Are you drinking lots of water?  I make sure I do and not just because I am taking the Zometa at the same time as the Faslodex.  Also, someone said to take something like Claritin the day before, day of and day after treatment.  I did that and it did seem to help.  I can tell you that the aching from the Faslodex gets less with the treatments.  I have a sensitive stomach so I didn't take Motrin for the joint pain but many have and they say it has given them good relief. 

    Wishing you good luck with the treatment and can say the joint pain has gotten better - was terrible in the beginning.  Are you taking Zometa or Xevega (sp) with the Faslodex?   

  • janicemarie3
    janicemarie3 Member Posts: 124
    edited February 2012

    I had a PET scan last Wednesday and found out friday that my lymph nodes under my right arm are getting worse.  Also a spot on my ribs that had went away is back now.  I had only been on Faslodex since December but the oncolgist is stopping my treatment,  He is also stopping my Herceptin.  He is looking into clinical trials I will find out tommorrow what my new course of action will be.  If I dont qualify for trials I will be starting Xeloda and a pill that does the same thing as Herceptin, i just cant remember what it is called.  I will be continuing my Zometa.  Thank you all for being here for me when I needed it. 

  • Anne45
    Anne45 Member Posts: 1,037
    edited February 2012

    I am joining the faslodex group.  I am grateful for all the information here and hope the s/e are not too bad.  First shot this Friday. 

  • raro
    raro Member Posts: 1,092
    edited February 2012

    Okay, I'm desperate and need help. I started Faslodex last month, did my 2 loading doses, and on Monday had my first once-a-month shots. I came off Femara, which caused a lot of bone/joint pain that was controlled by oxycontin.

    But faslodex is kicking my butt!!! I get welts where the shots are, and an itchy rash on my behind that lasts a good week. I also feel like I have the flu. Throwing up, shaky, in pain all over. I took off work yesterday, felt pretty decent by evening, and thought it was over. I woke up today literally unable to move for the pain. Mostly it's in the entire area between knees and waist. I can hardly stand, can hardly sit, and just...HURT.

    Has anyone had this? I don't want to go off it. I want to give it a fair trial, but I can't keep taking off work. I've already used my sick leave for this school year, and even though I have FMLA protection, I don't get paid when I take off. I'm the sole support for my family and I have to work. But this is as bad as chemo! Does your body get used to it? Help!!!

  • saltair
    saltair Member Posts: 14
    edited February 2012

    naniam....no i am not taking zometa at this time.  my onco told me there are two types of lesions, blastic and lytic.  zometa has only been clinically tried on lytic lesions.  at this time mine are blastic so he sees no reason to have me on another medication that will cause side effects.  yes, i am a water drinker so have always been doing that...called the onco office this morning and talked with the nurse, she told me it is "unusual" to have the type of side effects i am having...i explained to her that everything about my entire situation has been unusual.  she is going to talk to dr. and call me back...what throws me is that i have been taking a short course of prednisone since friday which should help with the pain and it isn't...

    one of the posts i read said that she had flares with any type of arthritis symptoms when she gets the shots, maybe that is what is happening.  what i would really like to do is go to the orthopedist and get cortisone shots in both hips but won't do anything until i hear from onco.

    raro....i haven't had welts....i live about an hour away from my dr. so i have cold packs in the car and when i leave i put them on the shot areas.  then when i get home i switch to heat packs.  the nurses told me that the base used in the faslodex is castor oil so the heat helps to melt the castor oil and get it moving.  i also put arnicare gel on the area when i get home.  people have talked about nausea...after my first set i had chills at night which the onco told me was from the medicine, also fatigue which he also told me is from the medicine.  and raro i am like you, the pain i am having basically starts at the bottom of my torso goes down both legs to my ankles.

    up until the second set of shots i was doing okay using advil...but when predisone doesn't work i don't have any answers!  and thanks to everyone for their input, greatly appreaciated! 

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

    The lab nurses told me to never put ice on the injection sites, because that would hold up the serum in the buttock muscles and only make things worse.  They told me to walk, walk, walk after the shot, and to use heat if I wanted. I've had much better results when I've walked around a nearby mall a couple of times right after the shots, before driving home.

    My onc prescribed hydrocodone with advil (Vicoprofen) to take on the days following the shots, and believe me, I take them for about four to five days.  It's not magic, but it does help.  Water, sleep, and long showers help, too.

    Tell the nurse to Take Her Time injecting the stuff.  I think they hurry sometimes because they think it would help us if they got it over with... but slow and steady is best, I think.  I've only had one out of six shots so far cause me any soreness, and it was the only one given to me by a different nurse.  She went faster than the other nurse, and that side of my bum has been tender to the touch all month! Believe me, on Friday I am going back to getting the shots one at a time, by my regular nurse!

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

    JaniceMarie,  I got my loading doses in Nov, Dec and then my first monthly injection in Dec. also.  I told my oncologist in Jan. I was having increasing hip pain; he order just a plain xray and it was fine. It got worse, called my radiation oncologist and he reviewed copies of my CT and there was no mets in my hip.  TO be safe he order at PET/CT - mets was there. So by Feb. I had mets show in my hip in 3 areas that was not there in early Nov.  I am still on the Faslodex -my oncologist keeps telling me that it takes a full 6 months to kow if it is working; so he wanted to continue with it and I'm fine with that because as much as I hate the injections, I know this is one of the kindest treatments. 

     Raro, did they add Zometa to the drugs you get on your first monthly dose of Faslodex?  If so, that could explain some of it.  I also know it depends on who injects me as to how I feel.  My buttocks were so sore for the first two times but then I learned they needed to be really warm and still they are hard to inject but I am not so sore.  I did have itching after some of my injections and had to take Benadryl.  I was also given Zofran for nausea at the first loading dose - the nausea, fatigue, feeling shaky is all part of the injection symptoms.  I also had headaches and sometimes off balance.  I have now had my 3rd monthly dose and the side effects this time have been better other than the fatigue.  I had a different crew inject me this time and it is the first time I have bled after an injection.

    I know that the severe low back pain that I was having and generalized aching, I was told that could be a "good thing" that it meant it was hitting the cancer - giving a "flare".  As I said, I also take a Claritin the day before, day of and day after I get the Injection and I don't know if it helps but I'm not having the joint pain.  I think think the 2nd loading dose was one of the worst I had.  I was miserable for a week.   

    Lulubee, I get both shots at the same time.  As I said above I had one that bled this time and bled through the bandaid onto my clothing.  It was two new nurses.  It isn't that they hurt so much now as I have them nice and warm BUT they put them in the same areas and it is really starting to sting so bad when they stick and start the injection.  They put mine high, just below the waistline.

    Just wondering where they inject yours - maybe that makes a difference too.

    Got my 3rd Monthly injection on Monday, Feb. 20th - I had to have potassium again as my level was at 2.9.  Told me because they had a small needle in my arm would take 2 hours to run.  It took over 3, we had to slow it down because potassium burns and we had to keep hot packs on my arm.  Between lab and getting IV Zometa and Potassium, I was stuck 6 times that day.  I went into the chemo area at 11 am.  Meds were delivered at 11:30 and we left the chemo area at 3:10. My appointment started at 9:30. 

    Anyone else having problems with their potassium,or chloride and sodium dropping? 

    .

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