TRIPLE POSITIVE GROUP
Comments
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Musogirl, I have the same thing happen with Herceptin only... my neuropathy worsens in my hands and feet after a few days
Alana
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Yup. Herceptin makes my toes tingle for a couple of days, too. I'm staying on the B6 for the foreseeable future
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Hi to everyone,
Me and a group of friends are trying to help a common friend find information on treatments that can help her. She has triple positive breast cancer with solitary brain metastases. I have a few questions and maybe someone can be of help to us:
1) Does someone here have the same diagnose and tried taking Metformin in addition to his regular treatment? Any personal story for Metformin will be very appreciated.
2) Did anybody with the same diagnose ever try the Cellect-Budwig Protocol and say if it helped him at all?3) Do you know where i should look for more types of treatments for someone with this type of cancer.
any information about a special treatment of any kind will help my friend very much, we are all really trying to do our best and provide her with as much information as possible. -
The women in the Stage IV forums will most likely have the information you are seeking. There may be someone on this thread to help, but I think you might find answers quicker over there. Gentle hugs to you and your friends.
Edited to add: Herceptin and/or Perjeta link from Stage IV forum
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Durham girl- Yes ME TOO! I finished 5 of my 6 cycles of TCH before the neuropathy got bad enough for them to say 'stop'. BUT, when i started the Herceptin, which I had dubbed the "easy chem" stuff got bad. Severe body pain, my shoulders hurt so badly I have trouble getting dressed. I'm only 50, and an avid cyclist. I cycled and lifted weights everyday of the 'bad ' chemo, and I never even took meds when I had surgery and radiation. Now I wake up everytime I move at night. It is hell! And my onc claims this couldn't be from the herceptin. Are you kidding me? For the record, I'm a physician, so I'm pretty annoyed she has the nerve to say this to me. Clearly this happens to some people. Anyway, I'm a few cycles along, and it's a little better. I have found that if I avoid strenuous activity, it actually helps the pain, but sitting on the couch is the worst thing for it. ( if that makes any sense).
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runaway--thanks for the info. I can't imagine by what mechanism the herceptin/perjeta alone (i.e. without the bad chemo) makes my body ache more than the whole cocktail. but i really do feel it more. maybe the general chemo fog from the combined drugs just masked the aches and pains? I have done a few long walks with the dog and some time on my elliptical machine, but none of it seems to be in proportion with the degree of body aches I am experiencing. I would so much love a soak in my hot tub, but the RO says no. Sigh...
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Vaginal estrogen is safe for breast cancer survivors suffering from such urogenital symptoms as vaginal atrophy, vasomotor symptoms, and lower urinary tract infections, and there is no evidence of increased risk of cancer recurrence with the treatment, according to a statement from the American College of Obstetricians and Gynecologists (ACOG).
However, the decision to use vaginal estrogen should be made in consultation with a woman's oncologist, and only if "first-line choices" for managing urogenital symptoms -- which should be nonhormonal products such as lubricants -- are ineffective for breast cancer patients, reported ACOG's Committee on Gynecologic Practice, writing in Obstetrics and Gynecology.
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My onc theorized that possibly the stopping of the steroids was the reason I feel worse with just the herceptin than with all three. We tried to add back the steroids, and it did help to some degree. This past cycle I stopped the steroids and I have to admit, I now, don't notice any difference with or without them. What seems to help me the most is NOT using my muscles. I used to weight lift two or three times a week and now I stopped it. Finally my arms seem to be improving.
Oh, btw I am a gynecologist, so I've been treating vaginal atrophy in cancer and non cancer patients for years. I have made the choice to use vaginal estrogen, despite the 'unknown' risk. My surgeon and my onc are both ok with that, and I feel a lot better about it. I've seen some scary things happen to people! I don't like tamoxifen, but I'm going to do my best to stay on it for the ten years. ( For now at least, I'm voting against an aromatase inhibitor because as a cyclist, osteoporosis would really be a bad thing, and there's no head to head studies to prove it's way more effective....)
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This whole thread on muscle pain/Herceptin is fascinating to me.
I honestly thought it was the rads that knocked me on my butt this past weekend, but now I wonder if Herceptin didn't creep up on me. I had my infusion Thursday, after going to an exercise class. . . Went to yoga on Friday, and could barely walk all weekend; actually, the hardest thing was sitting on the toilet (of all the things in the world). Sunday I went to yoga again, and by Monday my legs were on the mend, but my shoulders and neck were sore. I finally broke down and took Tylenol yesterday afternoon, but I don't want to become dependent on OTC anti-inflammatories.
Of all the things in the world to say. As if OTC anti-inflammatories are on the list of concerns!
My MO thinks I'm nuts when I say anything about Herceptin causing any of these symptoms. It was bad after my first H-only infusion, too--her response was that I may have had a "little flu." Second and third infusions didn't cause any muscle pain or fatigue, but the fourth (this past one) was hard. The steroids thing occurred to me, too, but I'd just as soon never take Decadron again, given the reactions I had to it during chemo.
To top it off, we've delayed my next echo, because I'm getting left-sided chest-wall rads--I can't imagine what it would be like to have an ultrasound probe jammed into my ribs just now. Fingers crossed that my mitral valve is behaving itself this time around. That was another mystery: trace regurgitation on my baseline echo; then it went away; then it became "mild." As long as it stays mild, I guess I'm okay with it, since there's not much that can be done about it.
DOES THIS NEVER END?
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KateB79 Could it be the Tamoxifen? Are you taking that yet? (I'm not one to know if it would cause similar aches since I'm still relatively new.) The other thought I had was taking Claritin - I've read on the January Chemo board that many people take Claritin for muscle/bone pain, I asked the nurse practitioner last week about it and she said yes, especially later. I don't have that kind of pain as of right now so I can't really vouch for it, but it may be worth asking.
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Springtime's post on the tamoxifen thread, brings up muscle cramping and muscle tearing.
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KateB79, well, we are in the same boat... I had Herceptin on Monday and today my thighs are killing me! Muscles aches galore. When I spoke to my MO on Monday the conversation was interesting. I told her I had mild muscle aches, and flu like symptoms from the HErceptin, in addition to the neuropathy worsening for several days after infusion. Her response was, I have one other patient who has the same symptoms with H, but in all the years of giving H, you two are the only one. I told her she really might want to look at BCO, because there are many women with the same symptoms on H only. This is not in our minds, ladies. I talked to 4 other patients on MO at infusion, and they all said the same thing.
The chemo nurse suggested Claritin for the bone/muscle pain. We'll see. Fightergirl, sounds like we're getting the same advice. I don't want to rely on an OTC med like that for pain, and certainly won't take Decadron again.... that stuff nearly killed me during chemo. Then adding into the mix the Arimidex... geez! I want to get away from pills and get back to health, not keep adding to the pillbox to get through the day!
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So I did not start Tamoxifen for a while - after two doses of just herceptin. Once I did, it didn't seem to worsen the symptoms. I know Tamoxifen can do it, but my problems started before the tamoxifen did. Anyway, yes, it seems like I injure one joint and then a few weeks later, it sort of improves and something else goes. The slightest provacation will cause an injury. It is highly frustrating. I've given up on not taking meds for it- I alternate ibuprofen, tylenol, ativan and percocet. Hate doing it, but sometimes the narcotic specifically, offers me a break from the unremitting pain.
Mostly I just really hope it goes away when I'm done. I have 6 cycles left, I understand this really can be a life saving drug, but I would not want to survive if I had to feel like this forever. But I try not to think that way. I'm pretty sure it will go away when I'm done. In the meantime... just trying to have a decent life right now!
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Hi ladies,
I start Herceptin alone this Saturday and I'm wondering at what rate you have them running the Herceptin? Over an hour? Longer? Shorter?
Thanks very much.
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From what I've seen posted on this board, running Herceptin for 90 minutes can really help. Special K? Mine was run at 60 minutes and I wish I had them run it at 90. One other thing I wanted to mention is that I drank 2 quarts off water every day for my year of treatment.
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I have tried both over 30 mins and over an hour. I definitely felt a bit better when it went in over an hour. But I'd love to hear what everyone else says...
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Sorry to be repetitious to those who have been here for a while, but this questions comes up periodically. I had Herceptin over 90 mins when I was concurrently receiving Taxotere and Carboplatin. The infusion instructions from the manufacturer indicate it can be run anywhere from 30-90 mins once the loading dose has been given and tolerated without incident. I did not have bone or joint pain during chemo proper, but on the first Herceptin only infusion - run over 30 mins - I had debilitating pain, so severe I could not stay in any position longer than 15 mins, including laying down to sleep. The pain lasted for several days. On the subsequent infusions I requested that we revert back to 90 mins, and never had another problem. There are long-time members who had no issues with a faster infusion, but anecdotally, there are enough of us who have done better with a longer infusion time that it is worth trying if you experience discomfort.
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I'm going with 90 minutes next time, just because I'd rather sit there for an extra half-hour than be in pain!
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Me, too, on the 90 minutes... I had 45 minutes this last time and I feel like garbage! Definitely makes a difference for me.
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Adding my voice to the "what's the hurry?" group on Herceptin infusions. I had only minor issues (bloody noses, watery eyes) with HERCEPTIN for approximately 15 treatments. A nurse who had never done my infusions said let's speed it up since you've sailed through so far. I don't even know how I got home...an hour away.. that day. I was so dazed, confused, sore that I didn't even know I was dazed and confused. It actually took me a few days to figure out what had happened and a few weeks to recover.
Most do well but why take the chance
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I second the notion that 90 minutes is better. My oncologist said my aching thigh pain was due to carboplatin and that drug took a long time to clear. Lymphatic massage by an oncology massage therapist helped greatly
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This is all very good to know once I get to the stage of Herceptin only later this year. I'm definitely going to ask about the slower infusion times. I haven't had too many problems yet (7 doses of Taxol, 3 doses of Perjeta and Herceptin) other than a fierce Perjeta rash that first week, and a lingering rash on my face and scalp. But no aches and pains like described here.
(Side note - actually scared to death about the 4 AC treatments I still need, more so than anything else so far!)
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Runaway - I'm a PA and I hate it how my MO treats me like I should know better. Seriously...these symptoms are real!!! I realize it may not be the 'norm' but what ever happened to listening to your patients? I'm not making this shit up...I'm in pain! Ugh.
Anyway, I'm treating with 2.5 mg Percocet, Ativan, or Fiorcet (I know it's for migraines but it helps). I alternate the meds as best I can. I can't take NDAIDS because I've had gastric bypass so I'm trying to get by with what I have left over from surgery.
Only 2 more Herceptin to go and hopefully the pain will go away. I'm REALLY hoping the pain is from Herceptin and not Tamoxifen because I still have 9 years and 9 months of that...
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rleepac-- please let me know if it goes away!! In the meantime, i'm going to get them to run it slower to see if that helps. This last time they ran it over 30 mins , but I drank 50 ounces of fluids ( yes I was urinating every 15 mins all night) and I'm doing somewhat better. But I really , REALLY , really, want to hear that this will end with the herceptin! I have 10 years of tamoxifen to go also.
I hate meds and I hate that I'm taking a ton... but honestly, I can't go forward in daily pain without at least the HOPE of making it better somehow...
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i am currently doing 90 minutes. Did anyone see the article on BCO today about neratinib? Anyone in the clinical trial on here or thinking about it?
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My onc actually brought it up at my appt on Monday... Said that it may be approved by the time I'm done Herceptin... not sure if I want to take more drugs though... Herceptin seems to be key... watching and waiting...
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I would totally take neratinib (and prophylactic Imodium) if given the opportunity.
I plan to ask my MO about it when I see her in March.
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90-60-30 Herceptin. What's the difference. 30 minutes gets you out of the chair sooner so someone else can take it. If you need 90 or 60 minutes demand it! I was lucky. 30 minutes worked just fine for me.
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i had to stop H after 2nd only H infusion due to my heart EF. I'll always wonder if I had had it slower if it would not have been so bad that I had to stop. But whatever. So far so good.
My AI, gives me trigger fingers and aches and pains. I just had a cortisone shot in my shoulder on Tuesday.
Rotator Cuff acting up. I've had those trigger fingers since bout 6 months after Arimidex. But overall it will be 4 years for that in August. As long as cortisone shots help me open my hand after I pick things up, I'll live with it. My bone density isn't great but not osteoporosis yet. And my dental Xrays show no bone loss so I'm grateful.
Much live to all
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Tresjoli2 - I started taking Neratinib & Imodium 2-15-16. The nurse over the clinical trial department at my oncology group contacted me about being part of the trial and after a little reading up on it I decided to try it. So far I've had no side effects and I hope it continues that way. I look at it as just another bullet in the cancer fighting gun to keep this stuff from coming back and that I have tried everything offered to me.
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