Perjeta/Herceptin/Taxotere
Comments
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I will find out if everything is still working-I scan on Monday and get a tx on Tuesday-and hopefully my results. I am 6 weeks out from my last Tax tx. I feel so good it makes me nervous. I could do this Per/Her combo for a good long while. I still have the D but that's the way I have rolled on every chemo I have been on-I just figure it is a permenant part of my life.
Biggest issue now is after the ins co finally paid for my 6 tx-$45,000 for the loading dose, $28,000 for the next 5 with the Tax and the Per/Her only tx was $22,000-they now say they will not pay for Perjeta without a chemo drug being included. They said Perjeta as a maintenance drug isn't covered. I tried to explain to them that a course of tx would of course include continuing on with a drug til I get progression. Idiots!!!! Onc office said not to worry they will work on it. I wa curious what everyone else has been charged. The amounts I listed were not what the onc office charged-it was what they agreed to accept for payment. I hate the thought of doing more Tax but if I have to to get the Perjeta I will.
I will post my results when I get them. Hope everyone is doing well.
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Good news ladies, Five months since going off Taxol and my scans say that P/H are doing what we want. No progression of my tumor and no pleural or pericardial effusion. Back in March when this all started my CA125 was at 609, it is now down to 18 and holding. I do have the bigD but, I haven't looked at foods causing it. It just seems to hit about 5 days after infusion and 4 or 5 days before my next one. I'm gonna start watching the food possibilities though. I do get some headaches on occasion but, they seem to be barable for me.
Good wishes for your scans Lilylady and best of luck with the ins. I was just given a folder full of insurance info from someone so if I find anything that may help i'll be sure to let you know. This kind of crap is redicoulous, don't we have enough to deal with without another heaping mess!!!
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Praying for great results lilylady! That is ridiculous about ins not covering p unless it is with a chemo drug. Hope your onc office gets it straight. Loriknous, that is wonderful news. I have two more tx with tax and am going to just p/h and am glad and nervous all at the same time.
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Kingcour, you are lucky with the taste buds...mine seem to be getting worse. My hair is growing back as well. Glad you are feeling good!
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I forgot to mention the hair. 6 week s after finishing Tax and I might be able to feel some stubble. Very disappointing. I had this creepy white stuff growing that isn't real hair so I just clipped it off this week.
I did major bathroom cleaning/organizing and gave away my hot rollers. straightening irons, blow dryer ect. It might be a year from now before I will ever need any of that and I will just use the space for something else. When I was on herceptin before I thought my hair wasn't going to come back. I had just gotten enough hair to get my first haircut when I lost it this time. I had a huge head of hair and I do really miss it. I may try some of the Rogaine or those other hair growth shampoos just to see. I do use the Biotin but can't see that it helps.
I think I will ask my dog if I cam borrow her holiday antlers.....
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Hi ladies. I read that a side effect of Perjeta was hair loss. It sounds like it is varying between some of you as to whether your hair is growing back after stopping taxotere. Should it be growing back?
I have the Herceptin runny nose but wondering if any of you all are also suffering from bloody noses. Mine is just tinged with blood but annoying none the less. Also, suffering from horrible (painful) acne. Anyone else?
Tera
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My hair is growing back slowly after stopping taxotere. I had not heard hair loss side effect about perjeta. I have the herceptin runny nose, but not bloody. And, horrible acne when first started combo. But, now is cleared up. At the cancer center, they had this great facial cleanser that did the trick...told me that chemo dries your skin out so much that it produces extra oil.
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Lilylady I really hope they get that worked out with you're insurance, can't stand red tape & ridiculous rules. Best wishes on the scans also. I went in yesterday for echo & herceptin. Hoping my echo comes back ok this time. Had 10% drop last time & was told will discuss end of Jan about starting perjeta. I guess waiting on TDM1 also. I miss being able to sleep. Texateer (steroid) has got me not hardly sleeping at all. The benadryl was a nice lil nap though threw treatment. I was talking to one of my nurses yesterday &today if I remember right herceptin & perjeta don't cause hair loss so after stopping Taxol my hair has been growing back since. Actually colored it monday (had to cover the extra gray that has been coming in lol). Usual color didn't come threw probably because of meds but not to bad. Still bad acne also & face stays pretty oily but ordered some Mary Kay products (+ haven't been able to in years, husbands christmas pressent to me & silky hands, love it) & hoping does the trick, was never able to find right stuff in stores.
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Hi everybody!
Needed a break. Sounds like ph is our new BFF. I sorry your ins. Is being stinky lilylady. Bond girl my hair is growing well so hopefully yours will too. I'm hoping to have enough to Mohawk it by April. I'll be turning 39 then. Has anybody been achy on just p/h? I've been sore this time, but they threw zometa back in my cocktail. I had a horrible emotional melt down on Wednesday. Dr. Has me in clinically stable status so I should be happy. Tumor marker CA27.29 actually dropped from 34 to 31. My mother said I was probably having a menopause moment. We laughed. I never would have thought I'd be sharing menopause with my mother. Have a good night and keep up the posts. It's so uplifting to hear all the good news.
Shaunna -
I'm struggling today. Hair started falling out two days ago so my sis is coming over this afternoon to shave it off and play with my new wig. My little girl is upset about it. I'm also dealing with a cold. I think it's just a cold since my 4 year old has had one but I worry since I have lung mets. I'm also dreading being "re-ported" on Monday. Then 2nd round of treatment on Thursday. So looking forward to Christmas but worrying about being miserable the entire time. Just feeling so down today and needed to vent. But feeling bad about that to given what those families are going through in CT.
Not the most religious person but searching for God's strength today.
Thanks for listening. -
Bond girl it's OK to feel crappy. I almost deleted my post after hearing such horrible news. My complaints seemed petty.I'very decided my port will never come out again. The techs that put the new one in did such an awesome job. It doesn't hurt like the first one. They also placed it lower so my two year old isn't hitting it so much. I'll be praying for you.
Fujiimama -
Thanks Fujiimama! Feeling much better today. After all that fretting about my daughter's reaction to my hair she came home and told me I was beautiful and that my hair didn't matter. The heart of a child is such a beautiful thing. Rocked my new wig tonight at my old firm's holiday party. Everyone said I looked awesome as a brunette. Maybe they just expected me to look sick but I'll take it!
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Sorry to report that I got bad scan results on Tuesday. I have been on just the Perjeta/herceptin for 6 weeks-finished the Taxotere part then. Major progression and activity levels all up. Also new lung and liver mets. So at my next tx I will be back on the Taxotere.
Targeted drugs just aren't enough to hold the cancer stable.
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I'm sorry to hear your report, Lilylady. Hope the tax can kick it back for you.
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I completed tx #3 on Monday. I'm still waiting for my hair to fall out. I am shedding, just not bald. It sounds like I have 2 more bad rounds before they become easier. I am crashing quickly and was planning on sleeping all day tomorrow. We are having our first winter storm and now the kids will probably home tomorrow to ruin my sleep. At least they can take care of themselves.
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Lilylady, I am so sorry to hear of your news. Hugs to you.
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Hang in there Lilylady. I just did #7...really 11 straight on tax. It seems to be getting easier. Praying the tax wipes you clean again!
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Lily lady sorry for your results.
I just had my first scan on pht and it as stable with some improvement in pleural.
Last two CT scans on previous chemo had progression with all cancer larger and new spots, so this is first good news in months.
For person who couldn't get ins approval, the company that makes perjeta, offers grants to onc office guaranteeing they will cover cost of drug. My onc did most of work. I had to sign a paper giving then permission to talk to my insurance. I answered about 3 questions. My insurance is paying but it's a good back up.
I have bloody noses from taxotere. Had them in taxol. I lose weight each cycle sometimes 8 pounds. I try to gain some back last week.
I have horrible D and fruit. Veggie, salad, dairy all make it worse.Im on white carb diet pretty much. But I have stomach mets.
I've had my taxotere dose cut three times. At lowest dose my onc thinks is effective. 50mcgs.
Even though this has worked. It's been a rough combo for me. Fatigue is crazy. I have chance to start TDM1 if my echo is OK.
I will crossover from physicians choice arm of Teresa trial to TDM1 arm on Jan 3. Ive been waiting long time for it.
Wishing you all a happy and healthy 2013. -
I am still waiting to lose weight. I was hoping to buy myself smaller size jeans for x-mas.
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Lillylady, sending positive energy and thoughts to you.
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Sorry to hear the news Lilylady and praying that Taxotere pulls you through.
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I think I'm off this train. In 2 months, I've had liver progression, increase in bone mets and a met that looks ovarian. I think it sucks that I had to go through the first 3 painful treatments to get these results. 2012 sucked and I'm really scared about 2013.
Good luck to the rest of you and I hope this treatment works for months to years. -
Sorry to hear that, SPAMgirl. I had a similar experience on Perjeta. I had significant liver met progression in Sept., although other mets seemed stable. I was completely distraught. And I was angry that I had gone through hell for nothing. I ended up on Gemzar and the first few cycles shrunk the progression back down again. I'm finding it a fairly easy chemo, though not everyone does.
There's nothing to be done tonight or tomorrow. So have yourself a pleasant New Year's, and dig in again later.
Take care.
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I realize this is just a small percentage of those on this new regimen but it sure doesn;t seem to be the answer for many of us. The thought of 18 months PFS made me so happy and it seems like many haven't lasted the length of one scan period.
Shaysmom-great news about getting to move over to the actual TDM1. Since you are already getting results from you physicians choice lets hope the TDM1 makes it all evem better. Will you be doing anything else with it?
My onc and I have decided I will stay with renewing the Taxotere til the next scan. It has worked great twice before. Hoping by that next scan that TDM1 will be available for everyone.
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Since it has failed some many of us, it has to work for someone over 18 months.
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I go tomorrow for my tx-with the taxotere added back after we have a talk about the possibility that is had quit working sometime between the Sept scan and the Dec one. I will post what he has to say about that. No real way for him to know wether it grew so fast after the Tax stopped and I was just on the Per/Her or wether the Tax had quit on me.
So I will be packing my big bag for the longer tx including the ice packs for the fingers and toes--SIGH!!!!
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I will be thinking of you Lilylady. I have my 12th and final one with tax March 21, and then I will scan the next week. After that, I will be on just the her/per. I am nervous about the change, but thankful to have a break. I hope to ride the her/per long enough to have a bmx as well, if my onc will go along with it. He is afraid I will have complications which will prevent him from treating me if I needed it. I am pushing on!
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Argh...I will be in the chemo chair tomorrow. I am so not looking forward to that Nuelsta. I got an extra week break from the Holidays and I feel so good. I even went to Zumba on Saturday. Am trying now to think of a way to go tonight but the kid has karate. My friend is coming over tonight to watch the premiere of The Bachelor. Senseless TV, I know.
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Last taxotere today. Definitely nervous to drop it as well even though I welcome the break. Was NED after first scan but you never know with this crazy disease. Thinking about you lilylady. Keep us posted!
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Lilylady- sorry about your scans. How many THP did you take before dropping the Tax. My onc originally said 6, but after 4 I want off this train. I fly to Houston for an appt Mon. My scans were clear end of Nov. I skipped one Tax to enjoy Christmas. If I hear the potential approval date of the new drug I will post it. The breast cancer symposium was in San Antonio in December. ...happens every year. All the oncologist should have the latest info on how we've all been doing on this regimen.
I don't post often but was wondering if any of you who had radiation are having problems with aspiration of stomach acid at night. We all have the horrible heartburn but I know wake up drowning in stomach acid and spend the next hour coughing the rattle out of my lung hoping not to get a pneumonia.
Best of luck to us all. I find meditation helps my anxiety...along with the occasional ativan and steady diet of Cymbalta. Also Lyrica nearly eliminated the SE of neulasta and has helped my neuropathy in feet and hands.
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