Perjeta/Herceptin/Taxotere

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  • Surly
    Surly Member Posts: 357
    edited August 2012

    Hey, lilylady. Glad to hear you skated through this week! Great news. I hope that trend continues. I'm feeling physically good--just the fatigue. The leg cramps seem to be past, for now. I haven't had my potassium checked, but in general I do eat plenty of foods with potassium. I suppose I could try a supplement or ask about a prescription. It sure messed up my sleep several nights. We have three cats, two of whom like to sleep on either side of me. So when the cramps attack, OMG, it's quite the kerfuffle, with rrrayyyyrrrring cats and me hobbling around hyperventilating and my husband pretending he hears nothing.

    Have a great week, everyone! 

  • jodimomoffour
    jodimomoffour Member Posts: 267
    edited August 2012

    Day 6.  I threw away my list of side effects, so I am just guessing what's causing what.  My ear lobes hurt.  My Jaw sometimes hurt.  My nostrils (outside) ache at times.  Last night, I was awaken by what felt like labor and delivery.  The intestinal pain was enough to make me moan.  I had about 6 episodes, then it was gone.  Weird.  Now, I have what appears to be acne.  Like someone who should be speaking for Pro Active Zit medicine.  I am not sure if that is the steroids, the chemo or my extremely junky diet.  Good thing I remember being cute.

     So, we went to the coast for the weekend and 2 of my sisters, basically made my adorable husband obsolete.  I was never so glad to see them.  There are times I swear Mark thinks nothing has changed!!  My sisters are all over me, and can't do enough.  They know exactly what to do, and when.  It's like we all share a mind.  Watched some crummy TV, Lock Up Raw, and lazed in the sun and in recliners.  Lovely weekend.  xoxoxox 

  • Surly
    Surly Member Posts: 357
    edited August 2012

    Jodi, funny you should say that about your nostrils, because I've had the same thing. However I attribute it to the fact that the insides of my nostrils are not happy. Nose runneth like a faucet. Sometimes bleeds. TMI, I know, but the result is crusty airholes I really have to just let be. Steamy showers kind of loosens up stuff and clears the way. But I think I have low-grade infection, thus the slightly painful outsides. I dabbed neosporin-coated q-tips up thar and that seemed to help. Need to do it again. I've had a few skin blemishes on my arms but no acne-like stuff on the face. Sorry to hear it! Hope it makes you feel like a teen again. But what a great remedy to have sisters like that. And the sun and recliners. That would make up for a lot.

  • formygirls
    formygirls Member Posts: 916
    edited August 2012

    Jodi,

    I also have major acne all over my face and neck with this tx. It is a very cute look with my steriod moon face and bald head:)

  • Sharonlmw
    Sharonlmw Member Posts: 5
    edited August 2012

    Good morning all,

    I am new to all this, so please have patience with me.  I am also really interested in discussions with others undergoing treatment with Perjeta, Herceptin, and Taxotere.  I was originally diagnosed with Stage 1 lobular, invasive breast cancer in April 2011. Had lumpectomy, radiation, and arimidex.  I love my medical team and have complete faith in them.  We all felt that my chance for recurrence was astronomically small (less than 1%).  I guess that's where statistics come in.  Someone has to be that 1%!  I started having back pain last December and thought I strained my back, but it really didn't improve.  Had my annual in April and all labs (including the CA markers) were normal.  In July, I discovered that I have mets to all bones, including a tumor touching my spinal cord and several compression fractures in neck and back.  Did a 2 week course of radiation and started on the new 3 drug combo on Aug 16th.  Thank you all for sharing your experiences with the drugs.  It has been really helpful for me to hear how others are doing with this. So far, I am doing well!  I have felt extreme fatigue and haven't been able to sleep well (that is until I got 8 hours of blissful sleep last night!). I feel like a new person.  I have to laugh at the saguaro cactus constipation comment--I couldn't have described it better.  I know it isn't funny, but I feel strongly that we have to find as many positives as we can in whatever situation we find ourselves in. I am now at day 4 after my 1st treatment.  The fatigue fog seems to have lifted.  I am doinge everytihng I can to stay hydrated.  From what the nurses and doctors have told me, this is one of the most important steps in treatment!  Keep drinks with you at all times!  I'm in a neck and back brace due to the instability of my back and I'm really nervous about nausea and vomiting, but so far it hasn't been an issue.  I did some reading about how to decrease chances of nausea.  I started making green tea and adding a cube of frozed grated ginger to the mixture.  You steep the tea for 10 minutes and drink 3 cups every morning.  It takes very refreshing and is doing the trick.  I wish all of you the best and hope that we will all "fight like girls" to rid ourselves of thes nasty bugs!

  • Surly
    Surly Member Posts: 357
    edited August 2012

    Hi Sharonlmw. Sorry you have to join us, but it's nice to have your voice here and I'm glad you have the oppty to try this new regimen too.

    Regarding nausea: Didn't our onc give you anti-nausea meds to take around the infusion date? I take Ondansetron for a few days following and have not been nauseated. I have felt a little nausea just beneath the surface, but the meds take care of it. Right now, however, I have little appetite. I think I've lost about six pounds in the past few weeks. Last night my husband grilled big rib-eye steaks, and I could eat only about three small bites and that was it.

    Sorry for the tangent. . . . Do check back and let us know how it goes. Wishing you the best!

  • tishy34
    tishy34 Member Posts: 17
    edited August 2012

    good morning everyone.  well, today i woke up and i feel like a new person.  i am still tired and i guess that is just going to be something we will all have to deal with and that is fine (naps are good stuff).  a lot of my tiredness is just recoping from this damn pneumonia too.  i didn't know it but i had it before i even took my first dose of this cocktail.  now that the fluid is gone, boy do i feel so much better.  i am so glad i have found you ladies and we can talk about all of this.  no one but us knows how this feels.  then to top it all off we have to deal with our insur. co.  but really the money for them is on the bottom of the barrell for us - they will get it when they get it.  

    i read on here that one of you had it met on your ovaries (i have never heard of that) but then i read someone say about the abdomen and just so you know, my abdomen had been effected becasue it is in the lymphnodes around my adbdomen. i get my next dose thurs this week, i am pretty nervous but from the sounds of things from you guys the 2nd tx is much better than the first.  keeping my fingers crossed.

    michele

  • Surly
    Surly Member Posts: 357
    edited August 2012

    Oh, yes. It was LoriKnous who had asked about mets to ovaries. I couldn't remember where I'd seen that post but wanted to point out that someone else on another thread--about getting kicked out of a BC support group because she was stage IV--had linked to a USA today article about MBC patients feeling isolated. A woman quoted in the story had mets to her ovaries. Good luck . . .

  • lilylady
    lilylady Member Posts: 1,079
    edited August 2012

    WElcome Sharon-sorry the odds didn't fall in your favor but lucky for all of us we have this great new drug combo. I haven'thad any nausea just everything tastes like crap. The difference between tx 1 and 2 has been unreal. The irst couldn;t have gone much worse but this time has been evry easy.Today I am back to normal after some Bif D over the weekend.

    Michele-glad you are getting back on your feet. The tired thing is the one SE I think nobody escapesbut my trusty pal Concerta is my secret weapon. I took a dose this morning because I will be hauling my Dad to multiple appts today-he is full time in a wheelchair and weighs 250lbs plus 40lbs for the chair. Pushing himin and out of the van and up and down ramps all day will kickmy butt so I decided I better "amp" up.

    Surly-meat is the last thing I want toeat-it just gagsme. Onc wants me to eat redmeat 3 times a week tilnext tx-just not happening.

      Jodi-so glad you have good sisters. Sounds like a blissful weekend.

      Has anybody been told how many tx they will get of this? Or what a "course" of tx will be? Or what our combo is called--PHT? THP? HPT? Do we do 6 with the taxotere then continue on just the herceptin/Perjeta? Or just 1 of those? I am having a hrd time finding this info on the web. Right now I am signed up for 3tx then scan because the ins co is still refusing to pay.

      I haven't gotten the acne but I have plenty of scars from the rash from Tykerb that I was on before this/

  • Sharonlmw
    Sharonlmw Member Posts: 5
    edited August 2012

    Lilylady, thanks for the encouragement.  I think my doc told me that we would start with 6 rounds of the taxotere and then stop, but continue the herceptin and perjeta indefinitely...  I was given Aloxi before my first treatment and was told that it will help with the nausea for up to 3 days.  Isn't the new tyechnology amazing!

  • LoriKnous
    LoriKnous Member Posts: 80
    edited August 2012

    Thank you Surly, I'll have to see just what I can find on that.

  • LoriKnous
    LoriKnous Member Posts: 80
    edited August 2012

    Thank you again Surly, I did find the thread on here and I just checked the article. At least I don't feel like such an outcast, there are a few others out there. Nothing sounds good about this type of mets but, at least I know more about what I am dealing with. I'll just keep hoping they add the Perjeta into my treatment. I also told the onc that I would be open to what ever treatment or chemo he wanted to go with...........'cause i'm not ready to go anywhere without a fight!!!  Hope all are well tomorrow and Smile everyday.

    ~LORI~

  • formygirls
    formygirls Member Posts: 916
    edited August 2012

    I go for my scans at 7 tomorrow morning to see if this combo is working. Please send positive vibes my way. I should have results by end of day tomorrow.I really need this to work to get some time with my kids. I have not had a good scan yet---hoping for something good this time!

  • Surly
    Surly Member Posts: 357
    edited August 2012

    Formygirls. I hope you are all tucked in and resting well and ready for good scan news tomorrow. I will be sending my strongest positive thoughts your way.  

  • warriorprincess1971
    warriorprincess1971 Member Posts: 27
    edited August 2012

    Formygirls...I will be praying So very hard for u in the am. I told my Onc that I was selfish and wanted quantity and quality time. My 3 kids are 12,11, and8. Sending positive energy your direction.



    Sharon...I can't imagine the amount of pain u are having. I have a single met to L1, pretty much destroyed it. Did 17 rads and started. HPT. L1 is now collapsing so i am going to have surgical removal of L1 and tumor along with stabalization of my spine. Told my husband I'm officially Humpty Dumpty.

  • Sharonlmw
    Sharonlmw Member Posts: 5
    edited August 2012

    Formygirls, I will be praying for good results on your scan.

    Warriorprincess, I'm not having much pain, but the oxycontin works like a miracle for me. I do feel like Humpty Dumpty though.  Good luck on your surgery!

  • sueopp
    sueopp Member Posts: 1,541
    edited August 2012

    Ladies - have just returned from the beach and spent some serious time reading your posts.  Each of you is so kind to share your experiences - I am hungry to be educated on this trio of drugs.  Sounds like the first treatment or two can be awful, then things get better - hope this is the case for everyone.

    formygirls - sending every bit of good karma I can.  Best of luck on those scans.

    Lilylady - so very glad that you are feeling better.

    Onward and upward, and best to each of you - SUE

  • lilylady
    lilylady Member Posts: 1,079
    edited August 2012

    formygirls-we are all waiting with our breath held because you are the first of us to scan. Sending every bit of positive energy your way.

    I haven't had a good scan since early last fall so I have lots of hope pinned to this too.

  • justjudie
    justjudie Member Posts: 3,397
    edited August 2012

    Wishing all you ladies on this tx well. Lilylady, so sorry you had to be hospitalized.

  • Surly
    Surly Member Posts: 357
    edited August 2012

    Formygirls--Still sending you positive vibes and waves of support, no matter what you learn from your scan.

  • formygirls
    formygirls Member Posts: 916
    edited August 2012

    Thank you so much for your support. I see my onc tomorrow and will update with news. I do not have results yet. I also get tx 3 tomorrow after I see her and after tx 3, I have to go for intrathecal chemo. It will be a long day but hopefully a good one.

  • sueopp
    sueopp Member Posts: 1,541
    edited August 2012

    formygirls, while you are having your long day, remember that there are a bunch of us out here sending good karma and prayers your way.  We are with you all the way - SUE 

  • Formymomal
    Formymomal Member Posts: 10
    edited August 2012

    Hi all, I am writing on this board for my mother. She had orig been diagnosed with er positive breast cancer after a lumpectomy. She had radiation and was on tamoxifen for 5 years. She had zero nodes at diagnosis and clear margins. This past July, after 13 years of clear mammos, she began to notice a fine tremor and weakness in her right hand and numb left finger. Her PCP sent her to a neurologist, who then sent for brain MRI which revealed 25 nasty little mets! Shocking to us all... Pet scan revealed 2 cm lung mass, left adrenal met and 1 tiny rib met. She is er+ and her2+++. She starts her Perjeta/Herceptin and Taxotere regimen Friday. Plan is 6 sessions every 3 weeks. Oh, forgot to mention she's already had whole Brain radiation.

    Just looking for some glimmer of hope....can anyone share how first session went? Was it worse second time around? Anyone else on here with brain mets that's tried this regimen? How well do the brain mets respond to radiation?Thank you in advance.

  • lilylady
    lilylady Member Posts: 1,079
    edited August 2012

    welcome formymomal,

      WE do have several ladies with brain mets-I will let them introduce theselves and give you wha info they can.

    We are all in eary stages with this. Some are receieving their 3rd tx and amny of us have had 2. Seems like for most of us the first tx went pretty bad-the second went way better. If you are Her 2 this is the best combo to be on right now so your mom is gettting the latest and greatest.

    Thinking of you formygirls while you have your long day in the chair. If the tx for this is 6 of them you are at the halfway point!! Hope your SEs fo even better than the last time

  • warriorprincess1971
    warriorprincess1971 Member Posts: 27
    edited August 2012

    Formygirls...Thinking of you and your long day, prayers and positve energy sent your way.

  • formygirls
    formygirls Member Posts: 916
    edited August 2012

    I have good news. My scans showed improvement!! My last scans were 10 weeks ago so it has been some time. I have had two txs of this combo(6 weeks) and today I am getting tx 3. My onc was very happy with the response. I have a lot of cancer in my liver, bones, lungs and lymph nodes and my Pet did not show any uptake. The CT's did show cancer but improved from before. For me CT tends to be more sensitive than PET. I am very thankful. I just need a wonder drug for my all the tumors in my brain. So hang in there everyone. So far for me, the drug has lived to it's promise.

  • JillThut
    JillThut Member Posts: 1,470
    edited August 2012

    YES YES YES!!! Great news! Thanks for posting! :)

  • lilylady
    lilylady Member Posts: 1,079
    edited August 2012

    I am sitting here crying for you formygirls. So damn happy!!!! You probably made everybodys day. So would you call it stable? Hope your tx went ok. Rest yourself up in the coming days and glow with your good news

  • formygirls
    formygirls Member Posts: 916
    edited August 2012

    Lily,

    My onc did not call it stable. She said there was regression.

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