Carboplatin /Taxol and Vertigo
Hello,
I am currently getting weekly Taxol treatments with Carboplatin added every 3rd week. I have completed 4 treatments (2 Carbo/Taxol and 2 Taxol only) and in the weeks following Carboplatin I have had 2 "episodes" of vertigo. I call them episodes because I don't have general dizziness, they are more acute episodes of sudden vertigo. Both times I was watching TV and suddenly felt the room spinning, and the feeling only lasts about 10 seconds. The feeling is intense, but because it is over so quickly doesn't cause any nausea or any other side effects. I did see vertigo can be a more rare side effect of Carboplatin or Cisplatin. Has anyone else experienced anything similar? I have no previous history with vertigo, and this has only occurred since starting Carboplatin. Thank you!
Comments
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Sorry for your vertigo. No, I did not have any similar side effect with carbo.
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Sam062- I did not have vertigo as you describe during chemo, but got tinnitus from Carboplatin which still hasn't resolved, 8 weeks PFC. The erratic throbbing in my ears at random times, even when there is nothing but silence made me nuts.
You should tell your doctor about it. I suspect that the Carboplatin (or taxane!) is affecting the growth of cilia in our ears which can cause vertigo spells, tinnitus. Hopefully it is not a sign of an ear infection, although I suspect you would know, being in pain or with fever if that were the case?
Take care.
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Thank you, Burner. I mentioned it to my MO today, and she wasn't concerned and definitely thought it was due to the Carboplatin. They want me to watch it, and if it gets bad they may order some imaging or can give me medication to help with it. I did have her check my ears for infection because I have had random achy pains in my ears (luckily no ringing or hearing loss) but they were fine. I have heard permanent hearing loss can happen, even after treatment so I want to make sure to watch this closely. I considered having her refer me to an ENT, just to see if there has already been damage. I guess I'll wait and see if it happens again.
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Oh, I'm so sorry that you're going through this. I remember the nurses telling me that "not everyone gets all the side effects", but that I appeared to be one of the ones that got even the "rare" side effects.
I'm with you - perhaps get a referral to an ENT just in case? Our hearing and vision is so important, and I worry about permanent damage, too. But you may be like me- so sick and tired of spending most of my time in doctors' offices these days, that I wait until things get bad to take any action...
All the best to you during and after treatment!
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Haha! I hear you with the rare side effects. I've noticed my vision getting progressively worse with each treatment as well. My MO said it could last as long as 6 months after treatment! They never mentioned this in the beginning! I'm overall pretty happy with how I have tolerated things, I mean chemo hasn't really prevented me from doing anything or living my life, but I am young and was in good health before this so it is so annoying to have all these new ailments all the time! And don't get me started on my medicine cabinet, it's ridiculous how many different medications I have now!
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I hear you! The biggest surprise to me were the new SEs I developed PFC. I never had neuropathy or nail issues until after I completed my 6 rounds of TCHP. And then that's when I finally told the nurses that yup, I had finally gotten all the SEs, head to toe, that they listed.
I was surprised by how many SEs I got hit by as well, having been in great health. Most were just annoying - not enough to land me in the hospital - but enough to severely impact my quality of life. Thankfully, I'm starting to notice *some* recovery, finally- almost 2 months out. The tinnitus isn't AS frequent, and my watery, itchy eyes aren't leaking constantly!
Hang in there - I hope your SEs go away, and that in the meantime, keep reporting them to your doctor and nurses. The remedies they offer can be helpful, and if anything, you want to be sure you're doing what you can to prevent permanent damage. Good luck!!
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burner - when you get a minute, go to My Profile and enter your diagnosis & treatment information. It will help us follow better.
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Hi,
' m a 5 year survivor of triple negative BC. I had dose dense ACT chemo followed by rads. I had acute vertigo 2 years post treatment that landed me in the ICU for 3 days. Then 3 years later, this past April, I had another acute vertigo attack with 4 days of hospitalization. Both times all brain CT and MRIs were negative. After the second attack, it took me about 6 weeks to walk without a walker. I still don't feel totally normal. Dx was acute vestibular neuritis. I never had inner ear problems or vertigo before BC treatment. Since I was never on carboplatin or tamoxifen, etc., I suspect the ACT chemo permanently compromised my immune system and or damaged the nerves in my inner ear, making me prone to acute vertigo. I found a 2005 NIH study that mentioned that BC patients report what appears to be a higher incidence of vertigo. Vertigo may be a latent effect of chemo that has to be studied more. I've seen my MO, neurologists, and ENT doctors. The problem I've encountered is that all of the doctors are so specialized that it's hard to find someone who knows if treatment in one area (MO chemo for BC) resulted in an acute problem in another area (ENT vertigo). If anyone knows of any other studies linking BC treatment to acute vertigo (vestibular disorders), please post the information. Thanks.
Susanella, NY
2011 -- DX TNBC; rt lumpectomy 1.9cm; micromets; grade 3; 1 SN, 1 IM gland, Stage IIA; re-excision - clear margins; ACT chemo; 30 rads; 2012 - UC: total hysterectomy, 0 lymphs; 2014 - acute vertigo; 2015 -- DX LCIS left; BDMX; Bilateral DIEP flat reconstruction; 2017 - acute vertigo - brain CT & MRI neg., bone scan neg.
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