Ixempra!
Comments
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Hi Brenda, I'm glad that the WBR sounds like it's going well. I don't know how much mine helped since I was only able to get 7/10, but I do hope it gives me a lot of time and sense of wellbeing. I'm still pretty bald, though I hear the WBR makes you lose your hair too. Lucky you Diana! I would love to have hair again....
Gem State Girl, I haven't replied to your message earlier because I'm still working on the differences on hospice vs palliative care myself. I don't think here in Colorado you have to be hospitalized to make any of those decisions. From what I understand the greatest difference is that with hospice you no longer chose any treatment, including chemo,rads,and what you focus on is more management of symptoms and quality of life. With palliative care you can still get meds, including chemo or whatever treatment seems appropriate for you. You can always resume treatment anytime you choose to. The primary focus remains management of symptoms, pain and nausea control. Depending on how much help you need the palliative and hospice teams will try to help with any needs you may have. It seems the hospice group seems to require more care. They will come and see you as often as you need, and work on changing pain meds and a palliative PA can change your meds to control your needs. I personally am getting around pretty well, except for climbing stairs, and won't have them come to visit unless I start having issues. I'm already on oxygen 24/7, and am considering moving a bed to the main floor. I decided not to continue chemo, though my onc did offer it if I wanted. The percentage of it working was about 5-7%. Not great odds for me to feel so ill for the rest of my life. On palliative care you do continue to see your onc. I'll see her monthly and her PA monthly. We'll still continue checking labs, treating pneumonia, and treating what we can with minimal side effects. On hospice I don't think you see your onc as often, and the level of care is less. I think the hospice team sees you a lot more often, and takes more of a effort for comfort?? As you can see, I'm still a little confused as they are pretty similar. We'll see, I'm still reading about it even now, and it's been a month already!! One way or the other, I feel good about stopping chemo. I feel better already. Really tired, but I think that might be the WBR still. I feel like I've caused more questions than offered solutions!! Kell
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kelly
good to hear from you. interesting information about palliative care and hospice. it sounds like you are getting along pretty well for the most part. glad you don;'t have to deal with SE from chemo. hoping food tastes good and you are pain free. it sounds like you are getting great care and your onc is right there with you.
Brenda hope you are doing ok; and SE are tolerable. zap those cancer cells.
pat keep us posted on your second opinion if you make that trip; I will be interested to know what 2nd opinion thinks of lxempra.
I am doing pretty good; my blood work continues to look good for the most part. I see oncologist august 24 and am interested if TMs came down from 788. I have some twinges in my liver; actually in the spot where my largest lesion is. praying that means the chemo is working and killing those cells.
best to all. its a long road isn't it?
d
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Just started Ixempra yesterday, all the fourms I am reading are old has anyone had any luck with this drug. I am stage 4 trp neg mets to my bones,livers, lymph nodes. Any help would be greatly appreciated.
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tayster
I have had # 5 infusions. I feel better (except for SE) but I can tell Cancer burden on my body is less . My onc doesn't scan @ three months b/c I had cancer related kidney issues but will be scanning at some point next month. TMs took a jump when I started but probably tumor flare my blood work is good.
I feel good about this chemo. Glad my once started me on it.
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Hello ladies! Starting Ixempra after both Gemzar and Navelbine failed to control the cancer growth in my liver (Navelbine did get rid of active cancer in my bones and lung lining). Looking forward to only having chemo every 3 weeks (vs every week with the last two). This will be chemo #11 or 12 (starting to lose track) since 2008.
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hi Lori
Check out the thread lots of info here. When I moved from weekly taxol to @3 weeks it was like a vacation. Wow. You've been at this for a long time. Hope the lxemora knocks the cancer cells out. My next lxemora is August 31. #6
If you have questions post. Best
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Hi Ladies,
Good to see that our group has gotten a bit bigger, though not happy about the circumstances. I had to stop ixempra to do WBR, but I'm almost half-way done with that, so I am actually looking forward to resuming chemo.
Let's put cancer out of its misery!
Brenda
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Had my first Ixempra on Wed. (along with Xgeva and Faslodex). Felt pretty good on Thursday then the truck hit me. Bone pain was intense but I am assuming some of that was the xgeva and Faslodex in conjunction with the Ixempra. Saturday and Sunday I pretty much laid around and napped. Felt better today, pain is much less, have some neuropathy in my feet and my arm muscles ache. Some stomach muscle cramping but not too bad. I managed to keep the pain tolerable with Oxycodone over the weekend. Didn't need it today. I will only be getting Ixempra next cycle as my xgeva is every 6 months and my Faslodex is monthly. It will be interesting to see the difference.
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hi lxempra people
Lori sounds like first lxempra hasn't been too bad so far. My 4-5 days are my down days. After 10 days recovery.
Got #6 today. Will have one more then scans end of September. 5 months of tx. I feel better besides SE. Liver function in normal except for alkaline phosphate. That elevates b/c of neulasta shot especially week after shot. Kidneys are working at 90%. TM three weeks ago 985 shot up. Hoping dead tumor cells. I feel better then I did a year ago. Except for SE. Hair is coming in . Body aches.
Brenda hope you are finishing up rads. Feeling ok with minimum SE
Kelly think about you all the time. Prayers for feeling better.
The beat goes on. Hang in
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Diana, thanks for making that comment about the alkaline phosphate being up because of the neulasta shot. I was worried that mine had gone up because I know sometimes it means there's cancer activity going on in the bones. Otherwise, my liver numbers are good. (My AST had gotten as high as 67 and now it's down to 46, where the normal range is 11-45.)
I'm still doing pretty well on Ixempra. Day 8 of my second cycle. The tricky thing for me is the fatigue and seeing if there is a pattern to it. I feel so well on Days 1, 2 and 3 because of the steroid but like others I crash on Day 4 and 5. Even now though I'm not sure how much energy I'll have and it's hard to plan outings.
My hair is actually really falling out and I got it shaved very close to my head. Thankfully, I like the wigs I have.
Diana, it sounds like you're doing pretty well. Hooray for that. Also hoping that Kelly and Brenda are doing well.
Lori, welcome to our little group. Interesting that you are also doing Faslodex with Ixempra. I did Faslodex by itself (well, with Zometa) as my first line treatment after my MBC diagnosis. Ultimately, it didn't work for me but I loved that treatment because I had no SEs from it. It will be interesting to see how you do on just Ixempra alone. I would think it would be easier.
Well, I guess that's it for now. Just wanted to check in.
Pat
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Hello ixempra ladies! I have 4 more WBR sessions to go!!! I am still doing really well side-effect wise. I take nausea meds round the clock. I also take pain meds once or twice a day. After being constipated for 3 days I was told to have milk of magnesia. That gave me the dreaded diarrhea, but I am glad to have gotten ride of the crap! I took diarrhea meds and I feel good at the moment.
Diana, you are very close to the end of your ixempra treatments, right? There's this lady on bcmets.org who is doing well on it, but after 5 infusions she complained about the heavy-duty s/e's so her doctor lowered her dose. I think the lower dose is still working for her. Her cancer is almost gone. Just a few liver issues which are said to be healing.
Lori, yes it would be nice not to have the bone, muscle, etc. issues on top of chemo! Hang in there!
Pat, I've never used TM markers. I guess they were not really significant in my case. My MO said my markers never change, and when they do they are not accurate. You and Diana are lucky to have markers you can depend on.
Hugs and love,
Brenda
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- Went out by myself for the first time since last Wed...to the grocery store. It flat wore me out and it was only 10 items! I did manage to get a few niggling things done around the house and am hoping tomorrow is a better day. My pain is more manageable and afternoon naps are helping with the broken sleep. I wake up with foot/leg pain and a general restless feeling about 4 am.
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good to hear from you all
Best remedy for constipation that has worked for me is prune juice. I drink two glasses night after infusion and one a few days after. Plus I still take Slow Mag. The biggest side effect I have is pain now. Legs, arms feet. The worst second week. I also rest every day lol
My tumor marker is now 1130. Has risen on this chemo. I had widespread cancer in belly and liver. All blood work very good. Thinking it is cancer kill off and eventually will come down. Onc doesn't say anything. I don't know how many lxempras I am doing. It will all depend on scan, end of sept. My hair is coming in from the taxol. I was supposed to lose it on this chemo but I'm not. Hmmmm. Hope not a reflection on if this stuff is working. Anyway. Good to hear from you all. Hang in and one day at a time.
Hugs
Diana
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Diana, not everyone loses their hair on ixempra. Mine started to grow until I had to start radiation.
Hugs,
Brenda
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Brenda.
Thanks.
Pat glad liver marker is coming down.
My liver enzymes are in the 20's. AP S I said elevates b/c neulasta shot but then comes down within a couple of weeks.
My TM have always been accurate but the problem is I went one and half years with elevating TM but clear scans. Then the shit hit the fan and ended up with mets to belly and kidney dysfunction. Never showed on three Pet scans b/c mets so diffuse. Low SUV too
Because of my kidney injury (90%) working I can't have scans too frequently. So now I sit with elevating marker; but good blood work liver and acceptable kidney function. Have to wait till end of September for scan and protocol is to not change tx on tumor marker.
Grrrr. I hate cancer. I am a little stressed on 1100 TM and only upward slide since I started Lxempra Onc is in Romania for a month. Sigh she has someone covering but I don't want to change until scan and she gets back thinking a month won't make that big of a deal. If other blood work was bad I'd feel different Plus I've had liver biopsy and spinal tap in the last couple of months My body has been through a lot . False hope?
Thanks for listening. This cancer is the Pitts isn't it ?
Hugs
Diana
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Cancer is the pitts! In a lot of ways tumor markers are a curse. Mine generally have been reliable so I hate when I see rising numbers but otherwise things seem to be going well. So hard to know what's really going on. And my doctor won't make a change without doing a scan so sometimes I just have to sit and wait. I'm so jumpy about all numbers now that's why I wasn't happy seeing my alkaline phosphate go up twice in a row lately. I know enough that the chemo could be working on the liver mets but not the bone. I probably won't be scanned again until early October. For the short term, I just want to feel well next week when we fly to Seattle for the second opinion. It's my third week so I'm expecting to do OK but I haven't done anything so ambitious as travel by air since I started the Ixempra.
Lori, I think you're doing pretty well to have gotten out to the grocery store on your first week on Ixempra. The fatigue is hard in the beginning of the three week cycle.
Brenda, I'm so happy to hear that you're doing well with the brain radiation. It's amazing what we're able to handle well in fighting this disease. So much is the fear of the unknown. It sucks that we have to do this stuff though.
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Today is day 8. Feeling better today...still some neuropathy going on in the feet. Legs don't ache as much though. Stomach/abdominal muscles feel like I was kicked but are more tolerable.
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good Lori it gets better farther away from infusion. I notice at day 10 I'm recovering. More body pain second week for me but probably b/c I've had 6 infusions.
Read up on TMs. Says shouldn't even test for 90 days after starting new Tx. Also ca26.29 is sensitive to kidney disease which I have going on. As long as chemistry is normal I'm good. Liver and kidney blood work ok. Anxiety makes me crazy every once and awhile. 😱😱
Best to everyone. Hugs
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My last rads is Tuesday! I will miss those angels who made sure my lesions got zapped. Can't wait to start chemo again. Do you think I am crazy? Yes, I am kind of crazy. I can't wait for the chemo to kill my regular body cancer. Who knows where they are now? Presently, when I try to reach my hip bone my fingers are met with a solid, pea-like thing that's been in the freezer.
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Brenda
You aren't crazy. I see chemo as my life line (as long as it's working) glad you are almost finished with rads. Woot. Those cancer cells are long gone.
I'm actually having easy time on the lxempra. #7 sept 21. Not bad SE. Thinking my body has adjusted or I'm just getting better dosing with the magnesium and potassium. Body pain is my major complaint and nausea for a few days after infusion. I'm actually hoping my scan end of sept is stable so I can stay on this.
Here's hoping you all are hanging in and doing ok. I get really sick of this. But then I'm grateful for the blessings I do have.
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I agree. Chemo is what makes me feel good these days. In comparison, when I'm not on it and the cancer is running amok, I feel terrible. But chemo works for me, at least for awhile. Fingers crossed that we all do well on Ixempra for a long time.
Brenda, I'm glad you're almost done with radiation. It sounds like it wasn't too bad.
Diana, I just wanted to mention the L-Glutamine powder I take twice a day. On Day 6 I got lazy and didn't take it and the next day I was nauseous. I started right back up and everything settled down. For me, at least, it really seems to help me.
Enjoy your holiday weekend, everyone!
Pat
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thanks pat. I need to get some of that L -glutamine powder. I have to put it on my list or I forget. Thinking good for neuropathy too
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Thank you for all the wonderful tips and advice. I love this group!
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Today I received a "diploma" and certificate of completion from the radiation staff. I also received (because I requested it), the mask that they used to keep my head down and ready for WBR. I have an appointment to get another MRI end of October.
I am hoping to get some energy back. I will call MO tomorrow and see what's next.
Hugs to all of you!
Brenda -
Brenda
Thanks for update. Cancer is gone in your head. You keeping the mask is something I would do. 😎
Rest up. Your whole body needs to recover from the rads. Glad you are finished. Hope you will be feeling better and better. 👍
Diana
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Thanks, Diana!
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Hooray for finishing rads, Brenda!
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Hi everyone! I just wanted to check in and say that it makes me happy that most everyone is tolerating the Ixempra well. For me, the SE were pretty debilitating. Brenda, I wanted to let you know that my WBR went pretty well. It sounds like you did really well.:). About a month after my 7/10 treatments ,since I couldn't finish, I think I'm doing pretty well. I had extreme fatigue for about a month, was dizzy and my balance was not great. Now that time has gone on all of those SE seem to be gone, or at least better. My balance is getting better, normal even, and the fatigue is also improved. I love that you kept your mask!!! I wanted to but didn't have the opportunity....I pray that everyone has good response to the Ixempra. I feel really good on the palliative care. Of course not having chemo helps.:). The only change I did, even though I am triple negative, was to add an estrogen inhibitor. They think it may help with androgen receptors. I suggested it and my onc was more than happy to try. She is awesome. Frankly, I think she is kind of surprised how well I am doing. I've already outlived the leptomenigeal mets potential time expectancy.That's part of why I think the WBR helped. Yay! Sorry, I feel like I am rambling.... Come on Ixempra....kick some a##. Kelly.
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Kelly
So good to hear from you. It sounds like you are feeling good and healing from rads. Great idea to try estrogen inhibitor.
I think about you often. Being off chemo has its advantages. 👍. I have #7 on 21st. Then scan and we see how the response is.
Good to see 👀 you. Hugs
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Hello lovely ladies of ixempraland! I need to gain 5 pound before I get my next ixempra! Right now I am 90 lbs.
Love,
Brenda
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