Weekly Taxol for Stage 4

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  • sammiryan
    sammiryan Member Posts: 82
    edited May 2015

    Hi all, I have had 6 cycles this time, and have previously done taxol in 2009 and 2012. The thing is, I was not at all tired last time, but now, I am shattered and can hardly get out of bed- I am just exhausted. My nails have also gone brown in the middle and they hurt.

    Has anyone got advise about the lethergy- it is preventing me looking after my three kids as well as preventing me enjoying my adopted London town- there is too much to do, and I don't want to stay in bed for it all.

  • ShazzaKelly
    ShazzaKelly Member Posts: 909
    edited May 2015

    sammiryan I have just finished cycle 27 and would agree the fatigue is the worse part. My kids are older though 19 & 17 and are relatively helpful. I did find over time the fatigue lessened as my body just got used to the new normal. I got really tired and nauseous about a year in so they dropped my dose and I also took 6 weeks off over Christmas and felt absolutely amazing. I'm starting to get really tired again. I work 30 hours a week on my feet though in a vet clinic.

    I also got them to play around with my premeds which has helped a lot. I keep my nails painted a dark colour at all times and they so far are fine. I have a friend who is a nail tech so she does the gel polish for me.

  • Karz72
    Karz72 Member Posts: 160
    edited May 2015

    I have my last Taxol scheduled for next Tuesday - doing happy dance! Its been a relatively easy ride, hair growing back, nails lifting slightly at the tips, only those that I'd let get a bit long, but no discolouration - am keeping them painted dark. Have gained weight & bar being really ready for a good nights sleep at the end of days 3 & 4, I'm even managing getting back on the treadmill.

    Besides a hardness around where the tumour is attached to the skin, its shrunk pretty much down to nothing.

    Onc is planning a 3 week break after that next infusion & is still deciding which tabs to put me on. I'll stay on monthly zomedron for now & of course zoladex implants every 3 months.

    Really looking forward to that new normal!!

    ~K.

  • ShazzaKelly
    ShazzaKelly Member Posts: 909
    edited May 2015

    fantastic Karz. Glad taxol has been kind to you. Don't forget to drop in and update us with your new treatment.

  • Lauralind5
    Lauralind5 Member Posts: 220
    edited May 2015


    Thanks everyone. After having a 2 week break (5 weeks from last chemo), I start weekly Taxol tomorrow (2 weeks on 1 week off).  I don't feel as good as I thought I would, Im still having lots of pain and weakness from the Taxotere.  Im a bit frustrated because I thought I would feel better, but maybe its a blessing in disguise since I start again tomorrow lol   I was unexpectantly emotional last night about having to do start again, but I will be strong and go do it.

    I hope everyone had a nice long holiday weekend !

  • Karz72
    Karz72 Member Posts: 160
    edited June 2015

    yay for taxol continuing the downward trend in TMs!!!

    CA153 is now 66. Was 387 in March at end of EC combo & 1661 in December at diagnosis.

    CEA reached normal range in March already.

    Go back for zoladex on the 17th & she'll prescribe what's next then - indications are it will be hormone therapy.

    Happiness is :-)

  • Lauralind5
    Lauralind5 Member Posts: 220
    edited June 2015


    that's awesome Karz !

     

    I was given 1 more week off because of side effects of Taxotere. I am starting to feel better finally. Maybe I can be a bit stronger before starting the Taxol on Thursday !

  • Karz72
    Karz72 Member Posts: 160
    edited June 2015

    Thanks Lauralind :-)

    I've found taxol relatively easy. Especially last 3 when I made an effort to eat a really big breakfast before & took fruit to snack on during the infusion.

    A solid two hour nap in the afternoon & purata to help me sleep at night over the 3 days of cortisone & im good to go.

    Hope it is kind to you.

  • ShazzaKelly
    ShazzaKelly Member Posts: 909
    edited June 2015

    it's been pretty quiet in here. Hope everyone is doing ok. I have been in hospital with a port infection so no chemo for me. I'm home on oral antibiotics. I have my regular scan on Monday so the usual scananxity has started. Hoping for stable again as I have a trip overseas to visit friends in late July.

    How is everyone else going?

  • dunesleeper
    dunesleeper Member Posts: 2,060
    edited June 2015

    Sorry to hear about your infection ShazzaKelly. Good luck with your scan. I sure hope it shows stable and you are able to have a fantastic trip.

  • Lauralind5
    Lauralind5 Member Posts: 220
    edited June 2015


    I'm finding the weekly Taxol to be doable. Its not without its issues but its better than the Taxotere. Im figuring out the pattern of side effects and bad days and so far Ive managed pretty well.  I scheduled my port placement for the wrong week so they will have to search around for a vein to use one more time. I have a brain MRI scheduled for Friday that I'm getting really anxious about. Its "routine" but after having a brain tumor and cancer for that matter, no scan is "routine". 

    Shazz I hope your infection is clearing !

    Karz after the last infusion I can definitely see the value in eating more than a few bites before infusion. I will definitely eat more from here on out.

    Dunes how are you feeling?

  • kt1966
    kt1966 Member Posts: 1,326
    edited June 2015

    Hi - just introducing myself as I'm starting weekly taxol today. I had a choice between taxol and taxotere, so it sounds like I made the right decision :)

    Can anybody tell me which day is the hardest after the infusion. I'm heading to the beach this weekend for a break & am hoping that I'll feel ok!

    I will do lots of reading of this thread, and try and glean some info from all you wonderful ladies....

    kt

  • ShazzaKelly
    ShazzaKelly Member Posts: 909
    edited June 2015

    hi KT it's you're favourite stalker here. Welcome to the thread. Your first treatment will be quite long as they run the taxol very slowly I think about 3 hours altogether. Once things are running to plan it's about 2 hours long 1 hour for the taxol the rest is premeds and flushes.

    Most people find the worse day is 2 days later as you have a big steroid crash. I have chemo on Tuesday and always find Thursday the hardest although since I have had my steroids dropped. They usually give 10 mg of Dex I have 2mg I don't find it so bad.

    Nausea is usually not a biggy with taxol. Fatigue would probably be the biggest complaint along with neuropathy and nail problems. I keep my nails painted a dark colour which definitely helps. Haven't really had neuropathy problems but when I did get some a reduction in my Taxol dose did the trick.

    Good luck. I have had nearly two years success with taxol and I have heard of people getting 3 years plus.

  • kt1966
    kt1966 Member Posts: 1,326
    edited June 2015

    :D Hi Shazza!

    Thanks for that. I never wear nail polish & am really bad at putting it on, so that may be interesting ;P

    So I guess I'll let DH do the driving on Friday as we head off to the beach. Might see you there....


  • NYCchutzpah
    NYCchutzpah Member Posts: 415
    edited June 2015

    Kt so far taxol isn't too bad except for the hair loss, nails seem fine. I get my infusion on Fridays. Saturdays are full of energy (steroid) Mondays my hip aches and I take a nice nap. My doctor has me taking alpha-lipoic acid supplements for the neurapathy, have only been taking the supplement for about 2 weeks. Doctor sid it might take as long as 5 weeks to see an effect.The neuropathy is just tingling like my foot went to sleep

  • Karz72
    Karz72 Member Posts: 160
    edited June 2015

    Kt I agree with Shazza - also had my taxol on a Tuesday, back at work Wednesday & rocking it on a steroid high :-)

    By Thursday evening I was exhausted. Friday would be manageable but I'd be in bed by 8:30.

    I kept my nails short & painted dark for the duration of treatment & they did well, no lifting or noticeable brittleness.


  • kt1966
    kt1966 Member Posts: 1,326
    edited June 2015

    Thanks girls :)

    So far so good. The infusion went well, just a wee hiccup with a reaction, but more meds, a break & I was good to go again. I'm taking the domperidone regularly as instructed so no nausea. Hoping that it won't be an issue at all and can stop that, maybe after later infusions.

    Do you all take anti nausea stuff just in case or have you been able to drop it?

    I slept well without the steroid high prob because of the extra meds during infusion- had trouble keeping my eyes open after dinner. I'm certainly not full of energy right now. So much for getting lots of stuff done! Maybe next time :)


  • ShazzaKelly
    ShazzaKelly Member Posts: 909
    edited June 2015

    KT glad the infusion went well. If you had to have extra meds for a reaction they were probably anti histamines which can make you quite sleepy. I had to have one of mine changed so that I was able to drive after treatment and go into work. Apart from a period before Xmas when I felt sick all the time and needed to have a break I have had no problems with nausea although I do take them on the day of the infusion because they give them to you but probably don't need to

  • Modum
    Modum Member Posts: 59
    edited June 2015

    hello Ladies,

    I have even offline for a bit, but have done the occasional "stealth reading" here to check up on everyone! I am doing ok, hair still holding but thinning. Still have energy and working full time, so no complaints. Did my liver biopsy for signs of receptor change on June 5, still waiting on results- that said, I haven't had an appoint since last week when we didn't have results yet. I have my first Taxol CT Scan on the 22 nd so fingers crossed that it is helping.

    My thoughts are with you all, keep keeping on!

    Maureen

  • Lauralind5
    Lauralind5 Member Posts: 220
    edited June 2015


    Hi Maureen, ugh June 5 !?!?  that's an excrutiating wait.

    Kt I had more energy after the second infusion than the first. As long as I eat something as soon as I wake up the first few days after infusion, I have no issue with nausea.

    What little hair I had left is holding up but I know...my nails are ok so far, and just a little increase in my neuropathy (that was left over from 2 years ago). I've had more energy than I've had in months so I'm hoping the Taxol is working. Wont know that for a while.  I do have a brain MRI tomorrow (routine 3 month) so could be an interesting weekend ! We are moving, if this house ever closes so I should have energy (as its my week off) and anxiety enough to get a bunch of boxes packed lol

     

     

  • kt1966
    kt1966 Member Posts: 1,326
    edited June 2015

    I hope you get your results soon Maureen, and get good news re the scan when that's done.

    Hoping for good results for you too on your brain scan Laura. Sounds like you're going to be busy.

    I'm off to the beach for a weekend break with family this afternoon. I'm looking forward to a change of scene. Unfortunately the weather forecast is not so great, so might not get much walking in. (Definitely no swimming as its winter here!)

    Mind you, my energy levels are still quite low, so a quiet weekend is probably good.

    Have a good one all

    kt


  • ShazzaKelly
    ShazzaKelly Member Posts: 909
    edited June 2015

    Stable scans for me thankfully so keeping on keeping on with Taxol. Looks like I will get 2 years out of it.

    Hope everyone is going well. KT might see you at chemo tomorrow morning

  • dunesleeper
    dunesleeper Member Posts: 2,060
    edited June 2015

    Laura, I wish I could get a handle on the up days and down days, but it continues to baffle me. Thanks for asking how I am. I'm doing ok. Today was not a good day, but I pushed too hard at the gym yesterday. I won't be doing that again, hopefully. I'm nervous about my onc appointment Wednesday. I'll find out whether or not this treatment is working and wha twe do next if it isn't working. Pleeeeeze don't let my TM go up.

  • Lauralind5
    Lauralind5 Member Posts: 220
    edited June 2015

    My brain MRI came back stable. There is a spot that the radiologist pointed out but my neuro surgeon said if he hadn't, that he wouldn't have seen it or found it remarkable
    but we will watch it.  No change in scan frequency.  I will take that !! 

    Ive been feeling pretty good comparatively speaking, as this was my "week off".  Go back for infusion on Thursday so I need to get busy packing to move, if we ever close on this house that is !

    kt I hope you had a relaxing time at the beach !

    Shazza that's AWESOME, wow 2 years that's great !

    dunes about the time I think ok I have the pattern down, something changes.  so hard to anticipate.

  • Modum
    Modum Member Posts: 59
    edited June 2015

    Hello ladies,

    Thanks Lauralind, it is a loong wait, I have a CT Scan on the 22nd, will probably get both results at my appt on 30th. The doctor did contact me and let me know that they got a good sample and confirmed breast cancer (in liver), but not if receptors have changed (I am strongly ER+ HER2-) so not sure what to wish for...I guess HER2+ would give me a few options. Good luck on the move too!

    kt- enjoy your your time away!

    Shazza- great news! 2 years that's a goal!

    Dunesleeper, I hope you get great news too. Praying! i had an achy, flu-ish day yesterday and I am sure I pushed too much as well. We need to learn to listen to the signs, I guess.

    Karz and NYC thanks for the info and updates- it really helps to hear how everyone is doing on taxol!

    Take care, wishing everyone peace of mind for as long as possible!

    Maureen

  • kt1966
    kt1966 Member Posts: 1,326
    edited June 2015

    I'm glad you got stable results Laura & Shazza :)

    Hope you get good news too Dune & Maureen.

    I had a lovely but tiring weekend away, need a holiday to recover from my holiday! But I got to meet Shazza briefly whilst away (small world! Especially in little old NZ)- and met her again today at chemo! (#2 for me, long bcos of pamidronate inf as well)

    Relaxing at home now...

  • ShazzaKelly
    ShazzaKelly Member Posts: 909
    edited June 2015

    it was nice to see you at chemo today KT it really is a small world.

    After over 80 infusions I finally had one in my hand as my port is out of action for one more week. I didn't enjoy it at all. My veins are terrible. One blew during the infusion and I'm still sore and bruised. I don't know how people without ports cope.

    Great news Laura. Hopefully there will be good news for everyone else waiting too.

  • Lauralind5
    Lauralind5 Member Posts: 220
    edited June 2015


    kt glad you had a nice break and wow small world indeed !  Ive had a couple of those small world things happen recently, good reminder that you just don't ever know whose watching !

    Shazza I get my port next week but I have one more infusion in my poor blown up scar tissue riddled veins. We will all be glad when the port is in ! Ive been resisting it but I know from last time it IS a much better way, I just didn't want one again.

    Maureen, more waiting ! Bless you !

    I've been feeling really good comparatively on my week off. We have been having a horrible heat wave with temps at 100, its not much fun being a chemo patient and a heat wave I can tell you that ! I go back for infusion tomorrow.

     

  • kt1966
    kt1966 Member Posts: 1,326
    edited July 2015

    Hi all

    I've had 3 taxol's now. Hopefully different premeds next time so I can drive myself to & from treatment, tho my daughter is still keen to come with me :)

    (It's nice when teenagers suddenly grow up & like to help!)

    I was just wondering did you all lose your hair on this? Wondering if it's a slightly smaller dose than for earlier stage BC?

    No sign of hair loss for me, although the hair on the back of my head is hurting at the roots..?!

    Thanks for any response! Hope you're all going well- hence the quietness here :)

  • Lauralind5
    Lauralind5 Member Posts: 220
    edited July 2015

    Well what a week so far ! I got my port inserted Tuesday. All good but man it's sore !!

    Wed we FINALLY closed on the house. Really took a huge leap of faith and forward thinking for doing it.

    Today I had infusion then started cleaning etc at the new (old) house. Tomorrow the movers come !!

    Thank goodness for steroid energy lol. I should have a bed up and ready by the Sunday crash !

    Maureen did you get results ?

    Kt I think most do and sadly if you are having the hair hurt syndrome get ready.. It's about to start falling. It's so hard. Sigh. Mine started growing back during my chemo break and it's really about a long enough fuzz to not wear a hat but I know it's only a matter of time. Sigh

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