TRIPLE POSITIVE GROUP

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  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2015

    tonlee - good to see you, sorry about the surgery but glad it worked and you're feeling better

  • MMay
    MMay Member Posts: 27
    edited August 2015

    My herceptin was given over an hour and I have seemed to be ok. Headaches have been tough at night (not sure if that is the herceptin or myhormones going wacky) but other than that ok compared to the days after my first TCH ugh! I ended up getting platelets the same day and wonder if that is going to be a regular thing because I am on a blood thinner and have been for a number of years because of factor v Leiden and DVTs way prior to breast cancer so my platelets are always funky. Next TCH will be coming up soon August 13 I'm a bit more prepared this time with how awful I will feel but now I also know that I will feel better in between thanks to your support and the experience. Here's to the good days! Thanks again everyone!

  • Suladog
    Suladog Member Posts: 952
    edited August 2015

    MMay,

    TTfan on these boards who has almost the same tumor profile as I do, suggested having them do the herceptin over 90 minutes which is what I asked for and what they do. At first my MO was puzzled why I just wouldn't want to get out of there in 30 but I insisted on 90 and have had no ill effects. You might try 90 minutes if they agree to let you have the chair time.

  • rosesrx
    rosesrx Member Posts: 458
    edited August 2015

    I have had them slow it down a couple of times. It felt like my heart was racing. Just ask, it cannot hurt.

  • MMay
    MMay Member Posts: 27
    edited August 2015

    I will definately ask my mo about the 90 minutes. I did ask about getting fluids after my TCH infusions and the nurse navigator told me they don't do scheduled fluid infusions. They want your body to do the work it needs to or something along that line. My mo is not to warm and fuzzy either. Last time I was in I was a crying mess and he was not liking that much. Basically snapped at me and said that he knew I was frustrated but these are the cards I was dealt and suggested something for mood. I wanted to ask for me or for him. I think I'm entitled to a bad day. Anyway thanks Suladog and TTfan I am going to ask about the longer herceptin time

  • debiann
    debiann Member Posts: 1,200
    edited August 2015

    MMay, sorry they won't schedule fluids for you they are so helpful. I felt crummy after round one and two. My MO's nurse tried to get me to go back in for fluids, but I said, "I'll just drink more". Round three I ended up in the ER. After that fluids were always scheduled. 

    Maybe they don't want to scheduleI fluids ahead of time, but don't let that deter you for asking for them if you feel weak after future infusions.


  • MMay
    MMay Member Posts: 27
    edited August 2015

    Thanks debiann your kindness and support is so helpful!

  • TonLee
    TonLee Member Posts: 2,626
    edited August 2015

    Fluff, no I wasn't able to read the comments. Was it helpful? :)

    Also, the Herceptin timing. I truly believe them giving it to me in 20-25 minute infusions is what damaged my heart beyond repair. It has never fully recovered.

  • debiann
    debiann Member Posts: 1,200
    edited August 2015

    Your welcome MMay. Wishing you few se's in your future rounds.

  • zjrosenthal
    zjrosenthal Member Posts: 2,026
    edited August 2015

    I am having herceptin / perjeta tomorrow. 5 left. Since my heart function has decreased I intend to ask if a slower infusion might be helpful. Love, Jean

  • Gretagirl
    Gretagirl Member Posts: 182
    edited August 2015

    Good morning everyone. Hope y'all had a good weekend. Hubby and I rode the 4 wheeler to river yesterday after church. We had a good time. I bought a bicycle over the weekend and rode it for one mile and have discovered new muscles! Oh my how out of shape I am but it's fun! After reading the posts, I will be asking at my Hereceptin infusion Wednesday, that they keep my infusion time to at least 90 minutes. Last time it was for one hour. I noticed I had mild headaches for a day or two. Thanks to everyone sharing and advice given! I am learning so much and it's so helpful!! Have a great day

  • linda505
    linda505 Member Posts: 847
    edited August 2015

    Howdy all, I started having dull headaches about the middle of May. They are daily and not debilitating but none the less bothersome. I went away for the 4th of July weekend and forgot my arimidex and the headaches were gone for three days. Back the day after I started back up on the ESD. So I decided it was a SE. Saw my MO for my 3 month appt today and he wants me to stop taking arimidex to see if they go away - wants me to give it two to three weeks to make sure. If I still have headaches - even if they are different - I will have to have a brain scan. If they go away, he will try a different AI - most likely femara. He thinks SE also - but wants to make sure since HER2 likes to go to the brain - UGHHH - does this stuff every stop?

  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2015

    linda505 - sorry about the headaches, I tend to get them too but I was a headachy person prior to breast cancer. I have been on both Femara and Arimidex and not noticed a difference but hope that the switch works for you.

  • linda505
    linda505 Member Posts: 847
    edited August 2015

    thanks SpecialK - I really just wanted him to say I am sure it is just a SE so let's switch. But NO he had to say "brain scan" and that is when the anxiety started. ALTHOUGH - I do appreciate that he wants to be certain - he is a very good doctor and I am lucky to have him in my corner.

    How are you doing? Are you ready for some football? How are you doing with all this rain? I am building an ark if you need me to come pick you up. :)


  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2015

    linda - I hear you on the ark thing! What is up with all of this rain - I am over it! Tampa is hard hit today - bunch of road closures - not sure if DH can get home easily tonight. I am ready for some football! I am not ready for the pre-season hot and sticky games though! I am sure I will go with my friend that you met, and am hopeful that the Bucs improve over recent history - we shall see, right? Keep us posted on what the scan shows, I am sure this is precautionary but better not to be left wondering.

  • Stephmoen
    Stephmoen Member Posts: 563
    edited August 2015

    just scheduled a brain mri for myself next Thursday all I had to do was ask for one and my mo simply said ok then I will be getting a pet scan aug 26 after I finish chemo not fun month at least I look forward to being done with chemo and my mini celebrating vacay to traverse city!!

  • zjrosenthal
    zjrosenthal Member Posts: 2,026
    edited August 2015

    I asked my chemo doc and cardiologist today about slower infusion of my herceptin / perjeta today at Sloan Kettering. They said research showed no benefit. I the infusion went well. I have 4 more to go as long as my heart function doesn't decrease too much more. Love, Jean

  • debiann
    debiann Member Posts: 1,200
    edited August 2015

    Linda, Its good to see you around again. Headaches do seem to be a common se of Arimidex, so hoping that's all it is.

  • Jerseygirl927
    Jerseygirl927 Member Posts: 438
    edited August 2015

    I have had a mild headache off on these past few days. Did not know arimadex could cause this, I will be noting if this is a more regular thing. My MO said there was no benefit of having a longer infusion of herceptin. Will they ever admit certain side effects with these toxic drugs?

  • Suladog
    Suladog Member Posts: 952
    edited August 2015

    Jerseygirl,

    I was advised by a doctor herself a bc patientwho's been there that 90 minutes would be easier for me so that's what I asked for. They told me when you come in, it's your chair for as long as you want it you want 90 minutes you got 90 minutes

  • debiann
    debiann Member Posts: 1,200
    edited August 2015

    I wanted to avoid problems and asked my MO for 90 minute Herceptin infusions. He said it was his job to see that treatment disrupted my life as little as possible, so he had me do the 30 minutes. In the end, I didn't have any problem with it.

  • linda505
    linda505 Member Posts: 847
    edited August 2015

    My doctor and nurses at the cancer center both advised me that I could do 30, 60 or 90 minute infusions and also said the some had issues with shorter infusions so they advised me to do 90 at first and try a faster one to see. I ended up at 60 and stayed there. I wouldn't ask on this issue. They are charging the insurance company the same amount no matter how long they run it over and if you are having issues then they should try a longer infusion to help with those issues. If they still say no - then I would threaten to move my business elsewhere. They make big money on these infusions.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2015

    The dosing instructions advise that Herceptin should be infused over 90 minutes for the loading dose, and from 30-90 minutes for a 21 day dose thereafter. I am willing to bet there have been no studies to assess whether the faster infusion time has side effects, other than cardiac, and that is why the docs say there is no study info to support that slower infusion times lessens other SEs. I had all my infusions that accompanied chemo at 90 minutes, and my first Herceptin only done at 30 mins. Horrible bone/joint pain where I had none previously. Slowed back to 90 minutes with no push back from anyone - all I had to do was ask, I elected to go in later in the afternoon so it was less crowded so I would be assured of an empty seat for that longer period. Infused over 90 minutes and had zero pain. Anecdotal, yes - but I have seen it too many times on this site to think I am the only one, and tonlee's post above re the irreversible cardiac damage with a fast infusion time should be a cautionary tale.

  • BlownOffCourse
    BlownOffCourse Member Posts: 37
    edited August 2015

    I had my herceptin over 90 minutes, but there were a few times that they timed it wrong and it was shorter by 15-20 minutes and on those days I always ended up with headaches and aches all over. I can't even imagine how awful I would have felt at 30 minutes 

  • Mommato3
    Mommato3 Member Posts: 633
    edited August 2015

    My MO and cardiologist have both said there isn't anything that shows shorter infusion times affect heart function. But we are all different. It certainly doesn't hurt to ask for a longer infusion time. Maybe it will help. If not, all you did was spend an extra hour with your friendly nurses. My Herceptin only infusion has always been 30 minutes. I've never had any side effects from it. Well, as far as my MO and cardiologist is concerned. I did have a decrease in heart function that delayed my treatment by two weeks but it went back up. And the heart function only dropped to 52 which isn't critical. Thankfully it's back up to 60. Only two more Herceptin treatments to go!!!

    Edited to add about Tonlee's post. I didn't realize her infusions were as quick as 20 mins. That seems really quick. Mine are usually about 32-35 minutes

  • Anonymous
    Anonymous Member Posts: 1,376
    edited August 2015

    Has anyone here had to stop Taxol early, prior to completing the 12 doses, due to adverse affects? I developed a terrible rash as well as neuropathy in my legs- not just numbness and tingling, but weakness and a clumsy gait. After the 8th Taxol, they held it for 2 weeks. The rash subsided and the neuropathy lessened. I received the 9th dose and after 5 days the neuropathy returned more significantly. They held my Taxol again last week and my MO said they will likely stop but will make a final decision this week. I am worried about only receiving 9, but also fearful of worsening or permanent neuropathy.

  • Suladog
    Suladog Member Posts: 952
    edited August 2015

    kerry,

    my MO told me at the start that if I couldn't complete all 12 because of seriously bad neuropathy etc if I got to 9 he thought that would be enough considering my tumor was small (7mm) and no nodes. He actually said that shorter herceptin courses for smaller tumors (1 cm or less ) might be investigated in future as being just as effective but they don't have that info now. There are trials being done in europe, I think and a breast cancer oncologist friend of mine in Tokyo says the Japanese are looking into the possibility of herceptin alone for small tumors though current thinking and evidence shows hercpetin works best accompanied by some form of chemo

  • Anonymous
    Anonymous Member Posts: 1,376
    edited August 2015

    Thank you, that is encouraging to hear. I know they try to get as far as they can. I am thankful that my MO is cautious about giving Taxol through neuropathy. It is so difficult to know how to measure neuropathy- it's not like looking at the numbers on the liver enzymes or the ejection fraction...there are no numbers here. I try to ask myself, is this something I can live with forever and even though it can fluctuate from day to day- the pain and weakness is pretty significant and would most definitely impair my quality of life and impair my activity.

  • TonLee
    TonLee Member Posts: 2,626
    edited August 2015

    I think in 10 years when they can do long term studies on the duration of Herceptin and the heart, there will be enough evidence to suggest slowing infusions to 60-90 minutes well worth the time in potential prevention alone.

    Until then, the earth is still flat. And all we have is "anecdotal evidence."

    But just to show how much medical opinions can change in a short period of time....My second opinions were all civilians. The general consensus seemed to be at the time that cold caps were for "crazy people" and the peas I used on my fingers...well, it was pretty much a joke of rolling eyes and lifted brows.

    Guess what is pretty much standard care now? hahah. (Well, not where I was treated, but in a lot of civilian hospitals in my area.)

    I still wouldn't do the cold caps, even today with the option. I think it's a personal choice and support the women who do choose them, and will help in anyway I might. Even if it's just going with the cooler! I didn't like being bald, but I LOVED having short hair. Super short hair anyway.

    WHOA, that's a serious diversion of topic.

    Anyway, I think one of the biggest lessons I learned from the whole BC thing is...with a little time, science actually tends to catch up with the experts (us!)...buwhahahah.


  • Mommato3
    Mommato3 Member Posts: 633
    edited August 2015

    My cardiologist talked to me about all the women having cardiac issues after chemo. His preference is to put women on heart medications prior to certain chemo and Herceptin treatments. They will help to protect the heart. He said there are going to be some changes to way things are done now.

    My first MOs office looked at me funny when I asked about icing my fingers and toes. They also dismissed my question about taking Claritin after neulasta and getting the shot in my belly instead of arm. I never did any icing but I did take Claritin and got my shot in the belly with no bone pain at all. It was an expert here that gave me those tips!

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