taxotere side effects
I had my first taxotere treatment on Tuesday and side effects are terrible. Swollen sore mouth, hard pit in my stomach, sore back. Can anyone tell me if these last just the first week or go on for the full 3 weeks? Thanks.
Comments
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I just started on Monday. Interested in hearing others input as most I have read about are Taxotere plus something else. Mine is just Taxatore and Herceptin.
No major SE f -
Oops sorry. I was going to say no major SE except random aches and fuzzy head feeling. Until today. I am having diareha and low grade fever - 99 so far.
I didn't have Nuelasta this time - when I had my A/C chemo, I had Neulasta after each TX. So I am concerned about my counts being low. Going Monday for labs at my insistence. MO didn't think the shot was a necessity with Taxotere. It was unpleasant for sure - several days of aches and pains but at least I knew my counts were boosted.
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Hi ljhm,
I am on taxotere too... last treatment next Friday. Are you having the Neupogen shots afterwards too? Is your tx every 3 weeks?
Everyone reacts differently, but here's what helped me.
The good news (if you can call it that) is that is the after 7-9 days the pain should go. These turn into flu like aches and for me some days are better than others. Just rest. Have you taken any pain killers for it... my MO prescribed me T3's for when it gets really bad. or try Tylenol first to help.
OK for the sore mouth. clean teeth after eating and then make up a rinse of baking soda 1 tsp and 1 cup of warm water. Rinse mouth thoroughly and spit out. That really helped me.
I never had the hard pit in my stomach - that could be nerves too. This is pretty scary shit we are going through. If it persists call the nursing chemo line...do you have one of those ? Not sure where you are in the world.
Drink lots of water (or fluids) and try to go for short walks...even if it is around your front room, yard. 5-10 minutes a time. I found that helped.
Hang in there...remember there is an end to all of this.
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Oh, on the mouth, I don't have sores or anything yet, and I still have taste (lost that for days after A/C) but I do have the "burned tongue" feeling.
Tazzy has a good point - I don't know if some of my stomach issues are nerve related. I have been so uptight about my counts, waiting for SE, worrying about things that I think my stomach just revolts sometimes (like today).
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Hi guys, I am exactly 6 mos past my last taxotere/cytoxan. I hate to say this, but mine got progressively worse. However- there is a lot you can do to help. I used Biotene mouthwash like crazy, and drank tons of water. I also tried to take walks to keep things moving (and gentle yoga helped my anxiety alot). That said, allow yourself to rest when you feel like it. I think my worst days usually started 3-4 days after chemo- I felt flu-like with body aches and fatigue. Towards the end, my legs got progressively more tired (think I was more fatigued in general). my eyes got taxotears (watery) and twitchy too after #3. Weirdly, I also craved meat (I am mostly vegetarian), and my sense of taste was all over the place. I just ate whatever I craved and didn't worry about whether it was healthy or not (don't know if that is such a great thing:)
It sucks, but is doable...and I am happy to report that I feel very good now (working full time, training for distance canoe races). You can do this!! If you have specific questions I'll be glad to answer. Are you guys in a chemo cohort group (like june chemo group or something)? my september chemo group really helped when I was having questions about side-effects...we could vent together in real time;) Best to you, anne
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kltb we must've been typing at the same time
I haven't lost my taste with taxotere. I did on A/C had that crappy metallic taste.. yuk !!
I wasn't on Neupogen with the A/C - used to take 2 Dexamethasone prior to chemo day and blood work and that always boosted the WBC.
Now for 3 days following chemo I have the neupgen shot and that really does give me pains.
Keep a watch on that temp too.
6 days before my next tx and its a good day for me...but I feel your pain - it does go.
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Hey cooka... I have the taxotears too... that for me has been the most annoying and irritating of the SE's and mine seem to start after the pains have dissipated. Oh and I have a sweet tooth... which is strange for me as I am a savory type normally... funny how you craved meat - opposite to what we normally crave
That is great to hear about how well you are doing now - gives everyone hope eh?
I only joined these boards at the beginning of May... lurked for months and and now wish I had joined when I was at the beginning of treatment. But no looking back. I didn't and that's that.
But for ljhm and kltb you may want to look at a June chemo thread. There is so much knowledge on these threads. I was blown away by it.
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My 2cents. Take 30 billion probiotics every day during chemo. I didn't begin until after my first treatment and had an uncomfortable week. Once I started, I was great. My most dramatic reaction was to the Neulasta shot. So I listened to the nurses and took Aleve or any another pain reliever to mitigate the joint pain from the Neulasta. What really made this managable was notnlosing my hair! I used Penguine Caps and i highly recommend you use them too so that don't lose your hair. I can't stress enough how keeping my hair was the one thing I had control over. Plus, I never looked sick, so no one knew I had breast cancer unless I told them! Keeping my hair really helped me get through the chemo, mentally.
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I'm on a Cytoxan/Taxotere regimen. Here is what I've learned from the chemocare.com website (which is a website founded by Scott Hamilton, the ice skator who had cancer) about Taxotere:
The following Taxotere side effects are common (occurring in greater than 30%) for patients taking Taxotere:
- Low white blood cell count (this can increase your risk for infection)
- Low red blood cell count (anemia)
Nadir: Meaning low point, nadir is the point in time between chemotherapy cycles in which you experience low blood counts.
Onset: 4-7 days
Nadir: 5-9 days
Recovery: 21 days- Fluid retention with weight gain, swelling of the ankles or abdominal area.
- Peripheral neuropathy (numbness in your fingers and toes) may occur with repeated doses. This should be reported to your healthcare provider.
- Nausea
- Diarrhea
- Mouth sores
- Hair loss
- Fatigue and weakness
- Infection
- Nail changes (color changes to your fingernails or toenails may occur while taking Taxotere. In extreme, but rare, cases nails may fall off. After you have finished Taxotere treatments, your nails will generally grow back.)
These Taxotere side effects are less common, meaning they occur in 10-29 percent of patients receiving Taxotere:
- Vomiting
- Muscle/bone/joint pain (myalgias and arthralgias)
- Low platelet count (This can increase your risk of bleeding)
- Increases in blood tests measuring liver function. These return to normal once treatment is discontinued. (see liver problems)
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For my mouth issues- I eat ice/drink lots of icy cold water during the Taxotere infusion to help prevent mouth sores. I try to rinse several times a day with 1/4 tsp salt + 1/4 baking soda + 1 cup of warm water solution to help prevent the mouth sores and also to help them when I have them. Make sure you clean your toothbrush ( put in dishwasher or get a uv light toothbrush cleaner). The Biotene products (mouth wash) help. If my mouth is weird, it usually starts during week 1 and ends by early week 2.
For nails- My onco suggested that I ice my nails (toes and fingers) to help save my nails and help with the neuropathy. If you ice, you need to ice 15 minutes before the infusion, 1 hour during the infusion and 15 minutes after the infusion (1 1/2 hour total). She also suggested that I use clear nail polish on the nails to help keep them strong. So far, I haven't had any problems with the nails.
WBC- I started taking a Neulasta shot after my recent #3 round because I had a fever/infection 12 days after my #2 round. I'm taking regular 24 hour Claritin for 7 days starting the day I receive the Neulasta shot. There is a an ongoing clinical trial study to determine if Claritin (loratadine) is effective for the bone pain from Neulasta/Neuprogen. I haven't had any bone pain from the Neulasta shot. My onco told me to take either Tylenol or Advil for the bone pain.
Hope this helps.
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We must remember that not everyone gets the same SE`s and not ALL of the SE`s listed. They are only what may happen.
My hands and feet are in frozen gloves when I have treatment - so far so good on the nail front. Lots of tingling in the nerve endings and slight tenderness on the nail beds, but nothing too hard to handle.
Take care everyone.
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So true, Tazzy ---- that the SE's may occur and may occur differently for each of us. All we can do is be proactive as best we can and get help from our oncos when the SE's get the better of us.
A wonderful weekend to all and minimal side effects!!!
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It's been a week since my first chemo treatment, and I had symptoms but they were tolerable. After I got my Nuelasta shot though, I was in agony, never had pain like that before EVER. It was nothing that narcotics could even touch. 4 days after the shot and I'm still getting shooting pains down my legs and am holding off the worst of it with Vicadyn. I'm afraid what will happen if I have to have another shot...
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laurannie- Ask your onco if it is okay for you to take regular 24 hour Claritin (contains the chemical loratadine) to help with the bone pain from the Neulasta shot. There is an ongoing clinical trial to determine if Claritin helps prevent the bone pain. Under the clinical trial protocal, one takes the Claritin for 7 days starting the day of the Neulasta injection. I had a Neulasta shot with my 3rd round of chemo and took the Claritin. I am assuming the Claritin worked since I didn't have any bone pain. Here is the link for the clinical trial:
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Thanks for the reply. I am hoping all the side effects go away. Not on nupogen shots yet, started out with a 20K wbc so hopefully it willl surivive this treatment. The sore in my stomach is the worst, Advil seems to help the aches. Hanging in there.
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ljhm- You may want to join one of the chemo threads to help get support from other gals currently going through chemo. Come check out the April/May 2012 chemo hang out thread or one of the later chemo threads. The April/May 2012 chemo thread is pretty active and it doesn't matter when you started your chemo. Everyone is welcome join in and get the support. Please don't hesistate to post your questions there!!! We will be looking for you!!!
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Hi Lauranne,
I had super bad Neulasta pain for my first Neulasta shot (despite taking Claritin) but the next ones were progressively better...hope the same is true for you. I took a Percocet that was left over from my masectomy and that took care of it for me. Take care
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I am on the March 2012 board - it has been invaluable to have support from others. Most of my cohorts over there have had Taxol and/or T/C rather than just Taxotere...
Fever seems to be gone - still having some tummy troubles. Eager to see what my counts are on labs tomorrow.
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I start chemo this week (TC) The taxotere frightens me. Wondering if anyone has tried the cool caps to prevent hair loss? I hear about women who have had permanent hair loss and this concerns me since I already have a bit of thinning on top. Once done with chemo I start Tamoxifen which I hear also causes thinning.
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it's one week tomorrow after my first taxotere. Mouth is mostly healed but I am still very achy, can't seem to settle. Only sleeping a couple of hours at a time at night. Hopefully tomorrow will be better. I now know why this is every 3 weeks, there's no wayI would do it more often.
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Mine was a week ago today - I had asked to get my counts done today and WBC was low at 1.4...now I have to have Neupagen shots the next 3 days. Grrrr....if they had given me Nuelasta, I wouldn't be in this boat.
I have also had the big D the last 3 days - just once a day, nothing dehydrating but not pleasant. And my face is a mess - breaking out, even broken capillaries in a couple spots????
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ljhm - I was told to rinse my mouth with Club Soda often through the day and it helps, have heard from others that have used it and they say it works really well.
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Start my TC tomorrow, thanks for sharing your experiences. I am going to try keeping ice and ice water in my mouth during infusion, read somewhere that helps. We will see! Interesting about club soda. I would think it would irritate the mouth! Might be worth trying instead of ice water.
ktb04, does the Nuelasta act quicker and more efficiently than Neupagen?
lihm, my oncology nurse told me take take leftover Percocet for pain at night. I have been sleepless the last few nights worrying about chemo so already feel exhausted. I have leftove Percocet from my BMX im May.
Wondering when most of you have felt at your worst after treatment? Is it one continuous side effect after another for a week?
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Hikergal - Neulasta is given the day after treatment in one shot...Neupogen is a series of shots. Some insurances won't cover the Nuelasta and so people have to have the series. In my case, I didn't receive the Nuelasta for Taxotere like I did for my A/C - and my counts plummeted so I had to go in and get a series of 3 Nuepogens.
I had Adriamyacin and Cytoxin for the first four cycles and my side effects from that combo was mostly nausea and fatigue - I also had pain from the Neulasata...with me, the side effects kicked in from about day 4-7? Now with only Taxotere, it has been more just feeling blah and occasional aches and pains...but everyone is different.
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it is the 8th day after treatment and I am feeling better. Ulcers have finally gone away in my mouth. I had a good nights sleep last night which I think helps alot. I tookk one percoset in the morning and it lasted all day, takes care of sore throat and other aches. Had a major thrush infection last week and it's gone but still in Nystatin. The steroids they give with this chemo are in scary amounts and they have a whole set of their own side effects.
Hikergal: I had a smoothie when I was getting my chemo and my taste buds were fine so eat lots of ice chips or have one of those while you are getting your chemo. It probably follows the same principle of constricting the blood vessels in your tongue so the chemo doesn't get there.
If I don't feel like eating I have been making Ensure butter pecan smoothies with tons of ice in a blender. They taste great, add calories and soothe your throat.
A new development, I thought I was breathing easier and things were breaking up but when I looked at what I was coughing it was blood. Don't know if the treatment caused that because my breathing is better. (I have mets in the lungs)
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lijhm - glad you are feeling better. Shouldn't you call your MO about coughing up blood - I dont know, just saying.
To all of you I hope you have a wonderful day with minimal side effects.
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Tazzy
Will call onc if it persists but I am definitely breathing easier. Thanks for the reply, this is a nasty nasty drug. Laurie
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It is bloody nasty. But each time I felt shit and each time I felt pain (most days) I kept thinking "OK Michele, if its making you feel like this, imagine what its doing to that bastard cancer"... sorry about the profanities, but...
Today is the best I have felt since last treament on June 1... but then I keep thinking this time in 3 weeks time when I feel this good... I wont have to go back again for chemo..... doing the happy dance, woo hoo !!
Peace & hugs to all xxxxx
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ljhm - I just wanted to give you some words of encouragement. I had lung mets, too that were discovered before my first chemo. I did TCH X6 with the Neulasta shot the day after. My post-chemo PET showed complete resolution of my lung mets! Hang in there cuz it is worth it. Call your onc for bad SE's and keep a list of all of the SE's you get to bring up with them next time you go. There are solutions to every problem out there and you shouldn't have to suffer. HUGS
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kelly... that is such wonderful news about your lung mets - gives everyone who has the fear of mets (most of us I would think) hope that it is treatable and it can be kicked into touch.
Hoping the SE's are bearable for anyone going through them.
Enjoy the day ladies - keep smiling
(if you can).
Peace and hugs xx
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ljhm thx for the tips about the ice chips and smoothies. I kept ice in my mouth and iced my fingers and toes the entire 2/12 hour of Taxotere yesterday. It was hard to talk with a frozen tongue but hopefully it will help! Sorry to hear of your coughing up blood. I would follow up on it with your MO.
Felt tired after first tx yesterday but feeling better today. Could be the steroids making me think I feel good.
ktlb4 thx for the info on the Booster shots. Turns out they have me scheduled for a Neulasta shot today. Makes me feel better to think I may not bottom out so bad in a few days.
How does everyone handle going out into public places following chemo? I don't want to sound like a germafob but think I should stay clear if at all possible. Has anyone flown at 9 days post chemo? Had a trip planned but want to wait and see how I feel. Since I have been battling ca for months, my sister was diagnosed with stage 4 BC and my mom is now in an assisted living facility, thus I feel compelled to go see them before further treatments.
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