side effects you had on AC
I'm starting my first treatment on Friday. I will be going every two weeks for 4 rounds of Adriamycin/cytoxan to start followed by taxel, perjeta, and herceptin once a week for 12 weeks with surgery after the 5 month mark..I am wondering if anyone had the same regimen, side effects you had, and ways you remedied the side effects.
Also, did you work or were you able to work throughout treatment?
Comments
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hhuey, I had 4 rounds of dose-dense AC several years ago. I worked part-time as the remainder of my time was spent with grad school and internship, all requiring a two-hour round-trip commute each day. It was tough, no doubt, but doable.
I scheduled treatment on Thursday morning and felt good that day. I had the Neulasta shot on Friday and usually felt okay then too. Saturday and Sunday were definitely the worst days; fatigue, flu-like symptoms, body and joint aches. I rested a lot on those weekends. By Monday I was feeling better and able to be fairly "normal" in my activity. However, after the fourth and final round, I had to have my husband drive me to my Saturday class, I was simply too tired.
I lost my sense of taste, and certain things smelled really funny or bad - including my DH, bless him, I had to light a candle whenever he would come in from running or working out, his scent was awful! I had to give up coffee, it tasted terrible. Even water was horrible so I switched to LaCroix sparkling and that helped. Otherwise I didn't have much, if any nausea. Drink lots of water - more than you think you can, it's imperative to keep the chemo moving through your body. I found sucking on Gin-Gins very helpful (natural ginger candies), drinking Lemon Zinger tea, and nibbling oyster crackers.
The chemo and steroids can through your gut into disarray. I faithfully used Miralax every night before bed and it helped immensely. Dried fruit like plums and apricots can also help keep you regular.
Good luck this week
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Hi Hhuey,
I did 4 rounds of AC that started on December 16, 2016 every other week. I just finished my final chemo treatment on May 12th (12 rounds of Taxol with some Carboplatin). AC is a rough treatment. I had every side effect that the chemo nurse educated me about. I had treatments on Friday and felt really bad for about 7-10 days after - the worst being days 3 - 7 and then you slowly come out of it. I was fortunate to be able to work from home during my treatment. I don't think I would have been able to go into an office for that first week following treatment. Maybe the second week - leading up to treatment?
Best of luck to you with your treatment!
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Hi! I finished chemo on March 27th, my first 4 rounds were AC, it wasn't so bad...so hope for the best but prepare for the worst! Take your nausea pills like clockwork! even if you don't feel nauseous, don't wait until you do feel sick, its harder to get it under control..at least for the first 4 days or so, keep a log book of your side effects and how you feel each day so when you get to round 2 etc you know what to expect and when. drink A LOT of water to help flush it out of your body, don't be surprised if you pee red a few times....I would feel fine on chemo day and fine the day after, I worked through my WHOLE chemo...I'm a teacher. I went on Fridays. My neulasta shot went off Sat afternoon...(get it in your belly, I had less side effects then on my arm) by Sunday I felt bone pain, tired and achy....take claritin to help with the bone pain, I wouldn't feel great on Monday but still worked...by Tues/wed I was feeling better, by the second week I was back to normal until my next chemo day...but remember everyone is different, I have a friend who went thorugh chemo the same time as me and was very nauseous and sick all day every day... eat what you feel like eating (I ate a lot of mashed potatos lol) and rest when you need to.
good luck! I just had my double mastectomy and I"m about to start radiation in about 2 1/2 weeks....
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I did 4DD A/Cs neoadjuvant but my 12 weekly Taxol were adjuvant.
A/C was not bad - did not slow me down at all. Taxol was not 'nice' - I was completely and utterly EXHAUSTED the entire time basically existing either laying in bed or on couch in front of the TV.
The first A/C, the Adriamycin was started a bit fast for me and did develope a 'brain freeze' (like when you eat/drink something that's really cold too fast and it hurts). The RN slowed it down and brain freeze was quickly gone. Never had it 'brain freeze' again as they did the A. slowly for the next 3.
Of course, hair did 'go bye-bye' however only about 1/2 of eye lashes and brows left. I lost all sense of taste and smell. Nothing tasted good/bad/anything - just had no taste at all. Could not smell anything at all - flowers or skunk . Lost appetite - just never thought about eating at all. Hubby would call me several times a day to remind me to eat 'something'. Habit took over with drinking water though and it was not a problem to get enough - I'm a 'waterholic' and always have water close at hand.
I had no nail issues as I used OPI Nail Envy on them. Nails were actually better after Chemo than had been before.
Neulasta shots - only SE I had with them was almost to the minute, 2 hours post injection I would go to sleep for 2 hours.
Taxol - nasty! Started it 5 weeks after last A/C (UMX 2 weeks post A/C then 3 weeks til Taxol). Everything experienced with A/C continued. The hair that had not already fallen out did. No appetite, taste, smell but a couple of other issues developed - EXHAUSTION and very low temperature. For my Taxol infusions I had to have one of the glasses in cubicles with it's own thermostat and piles of warmed blankets piled on me to keep temperature above dangerous range ( I know that I was down to 94F ). 1/2 way through Taxol my K (potassium) level dropped drastically requiring mega doses of it (still have to take to keep K within normal levels) and LE developed.
Arm yourself with all the knowledge you can but remember that we are each UNIQUE. You will experience your own issues - not what anyone says you will.
Added: my TX plan was different than most who do neoadjuvant as 'usually' 2 different Chemo are done when neoadjuvant is used. Not me, I did neoadjuvant and adjuvant. It worked for me - Aug will be 8 yrs since DXd IBC and still 'here' and still NED.
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kicks explained so well. Just would like to add two more items.
1. DD AC damaged and lowered liver function quite a bit. Kidney function can be helped by drinking a lot of water. Liver function needs some special foods such as carrots beets brussels sprouts walnuts etc. I am no doctor but I think brown spots appearing have something to do w liver toxicity.
2. Heart Palpitations from red devil can be unnerving. Even moderate exercise helps. Ativan helps.
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Rebamcfan - I've had no liver (or kidney) issues but did develope Gall Bladder Sludge. (Yes - sludge is a correct medical term.). The only reason I know I had it was that I was starting Rads the week after last Taxol and the Rads Dr insisted on a new MRI with contrast (last one had been before starting neoadjuvant A/C so had one just before the last infusion. It showed the Sludge. As I understood it - it's caused by a lot of cells breaking down from Chemo and overloading the gall bladder. It can go on to 'go away' or form gall stones. A couple of years later I had another MRI and it showed that in my case, it had formed stones but I've never had any issues so - - I don't worry about it.
I had no issues with 'palpations' either. I was/am a very active outdoor woman so exercise is just part of my life. Yes - during Taxol I didn't do hardly any that I would normally have done but did make sure I did get some exercise.
Depending on age - 'brown spots' are just a part of ageing. I have a few small ones and that's what my Derm. tells me.
I was 63 when DXd and did TX - will be 71 next month. Still living and loving every day to the utmost.
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Currently going through AC right now. In fact just had treatment today. I also had 12 weeks of Taxol first. Here are my SE
With AC..... Loss of taste, headache, drippy nose, mouth sores, of course I lost my hair with Taxol, very tired, nausea (take your pills for the first 4 days no matter what), hot flashes, drink lots of water then drink more!
When my nuelasta went off I had massive body pain. Take Claritin for a week. helps a lot.
I also found that if I toke a pepcid daily it helped.
I had no appetite at all. Drank a lot of Ensure drinks. Blend them in Ice and make a shake it helps.
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My side effects included lack of appetite, had aches and pains similar to the flu, extreme fatigue, lost all my hair, had a terrible time thinking clearly (couldn't concentrate), liver enzyme numbers fluctuated, developed pneumonia and anemia, nausea, and, weirdly, everything I drank tasted salty - even water. I had a hard time staying hydrated because of it. Tried every liquid I could think of and ended up being able to tolerate grape juice and tomato juice. Yuk!
Fortunately for me, I am retired and did not have to work. I truly doubt if I would have been able to work. I'm in awe of those who manage to work, take care of children, etc.
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hhuey - hope you are doing well. I had 4 rounds of DD A/C. Even with the premeds - the nausea hit me early. As long as I took zofran and compazine like clockwork - I was ok. Compazine made me very sleepy, so I slept alot. I had chemo on Thursday, and by Monday I was feeling back to normal. I took Clariten everyday and never had any bone pains or aches from the Neulasta. I did not have a great appetite and sense of smell was exagerated .... much like pregnancy for me. I did have certain foods that sounded good and that is what I ate. Your body will let you know. I do suggest that you stay away from your favorite foods. I tried to eat some of mine and now don't know if I will ever eat them again. A few things that helped - Biotene mouthwash, toothpaste, and spray. I kept the spray in my purse and one at my bedside for the middle of the night. My dentist said that keeping your mouth moist helps prevent mouth sores. I only had a few. Aquaphor lip therapy - again, one in purse and one at bedside. It is unbelievable how very dry EVERYTHING becomes. A good moisturizer as well. Eating with plastic utensils helps with the metal taste. I could NOT drink water the first days after chemo, but found I could sip on fruit tea. Everyone is different and we have to find what works for us. Prayers that things are going as well as they can ♡.
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hhuey,
sorry your having to go through this lady....I also had 4 rounds of AC every two weeks..My hubby drove me to every treatment..I had my infusion on Fridays...I felt bad day 1 - 7....My worst days were days 1 - 5.....I also had the flu like symptoms, extreme naseau(zofran/compazine saved me), my body ached, contipation...I got the nuelasta injection on Saturdays,..after the injection my bones hurt real bad...it was a feeling I have never felt before, I tried to take the claritin to keep from having the bone pain, but it didn't work for me like it worked for others...I didn't start feeling better til probably that Monday on my off week from chemo...I also worked the entire time...like everyone else says its a rough treatment, but working also was doable for me b/c I work in a pharmacy...but I wouldn't have been able to work if I worked doing hard labor..like in a plant...good luck to you...you will do great:)
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kicks- question about your low temperature: i have had 4 DD A/C and 2 of 12 Taxol's so far. Today is the 2nd day (not in a row) where I am freezing as I sit at my desk, working. Body temp 95.7. I put on a hat, trying to keep heat from escaping my bald head and have a light blanket across my lap.
You mentioned having lower body temps and what the infusion center did for you. Is that. SE that continued or did it improve as potassium levels increased?
Thanks for sharing your experiences.
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DodgersGirl - Still low temp after 7+ yrs. Usually between 96 and 97f. Potassijm levels are kept in the 'normal' range with supplimental potassium daily. Occasional have to encrease it for a day or two. Thankfully my ankles let me know when low so I take extra. It is important to not just be taking potassium unless you know for sure that you are low as too much h of it can cause problems. Back during Taxol (12 weekly adjuvant), low temp started immediately but low potassium did 't start for 6 weeks.
I've always been colder than most anyway. My usual winter 'uniform' consists of 'thermies', a turtleneck under a sweater, sweatshirt or button flannel and of course jeans. Even during summer I always have to be sure I have a zip hoodie or light jacket to wear in stores or I 'freeze'.
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kicks- thank you for responding. My normal temp is 97.7 and potassium levels in my blood tests are within normal range. I will mention this to MO and will just accept wearing a hat when in air conditioning to retain body heat for now.
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I'm doing well..I had my 3rd of 4 dd AC last Friday. This one has been a bugger but doable. First 2 days tired, then burpy for 2 daus, followed by 2 days of aches and tension headaches or migraines..but I keep reminding myself it could be worse and I will get through this. I start 12 weekly THP treatments come July 28th which I'm a little nervous about. I hope I tolerate it well so I can get then done and move on.
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I am just chiming in.
I live in FL and temp is 90 plus w lots of humidity. I wear long dress and a light sweater always. Cannot tolerate more than 2 degree temp change indoors. My poor DH is in mini sauna bc of me.
Mimi
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I live in Florida too Mimi..central on the west coast..Me on the otherhand I feel like I am melting most days..outdoors is almost near able during the day but later in the day I am good to go..
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I live in Florida too Mimi..central on the west coast..Me on the otherhand I feel like I am melting most days..outdoors is almost near able during the day but later in the day I am good to go..
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