Continuing Herceptin? Starting Tamoxifen? Poster Child for SE's!

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NotVeryBrave
NotVeryBrave Member Posts: 1,287

I'm reaching out to you all for advice about a few things. My stats are below.

I've been having pain and stiffness in the joints in my fingers, wrists, and knees for about 7 weeks. It started while I was on Zyvox and Cipro following hospitalization for a breast infection. The ID doctor took me off the Cipro and said it should improve within a few weeks. Nope.

If anything - it's gotten worse. I now have shoulder pain at times and my feet hurt in the morning. My fingers are so stiff when I wake up that I can't make a fist. I have to do the stairs one at a time until my knees loosen up and then they still hurt.

It doesn't sound like classic Cipro problems. I started to worry that maybe it's the Herceptin. I've been on it since December. Has anyone had this kind of problem this late in the game? Did you quit? Did it go away?

I talked to my MO 3 weeks ago about it. Discussed Cipro. He was pushing starting Tamoxifen but agreed to wait until this problem was better. I'm so sick of meds that lead to SE's that lead to meds!

I saw a rheumatologist this week. He had no answers. Said he didn't think it was the Herceptin. Drew a bunch of blood for testing. Put me on Meloxicam. So I wait ...

Called my nurse at MO's office today since due for Herceptin tomorrow. Now taking a "break" from Herceptin - no infusion tomorrow - with MO's okay. Will reassess next week and go from there.

I was a healthy person before BC. Right now I feel pretty crappy. I'm not sleeping well. Something hurts all the time. Not excruciating - just a deep ache mostly.

I worry about continuing treatment. I worry about stopping treatment. I'm thankful I had such a great response. I don't want to be complacent, to not take things seriously enough. I did all the chemo. I did the BMX. Do I really need Tamoxifen? Is 9 months of Herceptin enough? I fear a recurrence, but I'd like a life as well.

Your experiences?


Comments

  • BucsGirl
    BucsGirl Member Posts: 191
    edited August 2017

    I have the stiffness in the joints (mainly in my hands) when I wake up in the morning. It's in my shoulders as well. That started about a month ago. I have about 3 more Herceptin treatments to go. I believe November will be my last one. I didn't have pain in the joints until the last couple of weeks. 

    I've been taking Tamoxifen since February. I was thinking it could be an SE of Tamoxifen (or a combination of the two). I guess not since you haven't even started Tamoxifen yet. The left hand and shoulder feel worse for me because I also have lymphedema in my left breast. I'd think any kind of swelling would increase that type of pain.

    You're triple positive like me. You definitely need Herceptin and some form of hormone therapy. I can't tell you what to do, but I can tell you that I will continue to follow the protocol that my MO prescribed regardless of the SEs. I want to knock this sucker out as soon as possible. I'll do anything to decrease the chances of a reoccurance. That's my 2 cents.


  • BellasMomToo
    BellasMomToo Member Posts: 305
    edited August 2017

    I had my 8th herceptin only infusion two weeks ago. I finished chemo on 2/14/17 and had my UMX on 3/27. About a month later I started jogging/running on the treadmill again. I felt fine and worked my way back up to 4 miles a session (my pre-chemo routine). About a month ago I noticed that my legs/knees are becoming stiff and kind of weak. It's harder to run/jog and I can't do a lunge without holding on to something. Walking is still OK. I was dx'd with osteoarthritis in my right hand two years before BC. I noticed that the hand stiffness started again about a month ago.

    I was on cipro back in March for an abdominal abscess. I didn't think any of my latest issues are related to cipro, but I guess it's possible cause cipro can have bad, delayed SEs like tendon damage.

  • BucsGirl
    BucsGirl Member Posts: 191
    edited August 2017

    Now, this is very interesting. I also have issues walking up stairs too. My legs feel heavy. I thought it was because of my recent back surgery on a herniated disc that was compressing my sciatic nerve. This all makes sense now. I actually told my physical therapist today that I'm still having troubles with stairs. I don't have any pain in my legs, but they just feel heavy. He said it may be more of a chemo thing than a back or nerve issue. Huh, I thought the weakness in my legs was unrelated. The physical therapy has helped me gain more strength in my legs.

    I'm starting to wonder about this now. I'll have to watch this possible SE more closely.


  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2017

    ladies - how fast are your Herceptin infusions? If they are being infused in under 90 minutes, request that they be extended to the full 90 minutes and you may notice fewer pain related side effects.

  • BucsGirl
    BucsGirl Member Posts: 191
    edited August 2017

    Hi SpecialK,

    Yes, I was reading what you posted in the Triple Positive thread about the infusion times. I think that will be very helpful. I'm definitely going to ask for that next time. I am currently being infused under 90 minutes. I'll try anything at this point.

    Thanks! You always offer great advise. Smile


  • NotVeryBrave
    NotVeryBrave Member Posts: 1,287
    edited August 2017

    Thanks for the input. I'm really not sure what is going on with me. It could be something new that's totally not related to Herceptin at all.

    Skipping this week's dose was the advice from the MO, figuring we can't tell if it's the problem if we don't stop it and see. I've read about people having a break from Herceptin for one reason or another. I'm not sure if they went back on it or not.

    My MO has always told me that what he is recommending is based on research studies. There is no way (currently) to know if 9 months of Herceptin is enough for me vs 12 months. The studies just did 12 months. I know that they did determine that 2 years was not any better than 1 year.

    I certainly don't want to ever do any of this again. I would be so upset to hear that I had cancer again. And yet ... with a complete response - NO cancer found at time of surgery - I do wonder how much more is necessary.


  • MAP1002
    MAP1002 Member Posts: 61
    edited August 2017

    New to forum. Without going into too many long boring details, I'm +++, finished 6 chemo infusions ( drugs) end of April. While healing from my lumpectomy and going through the screening process for my upcoming radiation, I mentioned the achiness in my legs, especially after sitting for any extended period. I attributed it to lack of working out and being 51! I was told, OH, no. That it is due to residual chemo side-effects. It only appears 3-6 months AFTER the end of the chemo. (taxotere/carboplatin).

    I, too, am on Herceptin only now. I get it every 3 weeks until Jan, putting me at the one year mark.

    These days I have no idea what drug is causing which side effect. Overall, I've done pretty well. I've prided myself on never throwing up from chemo and being able to stay working through out the entire process..I've been pretty lucky.

    Now, I get achy and skin a little tingly, the occasional tingles in the feet and some dropsies with my hands. Oh, and don't forget about the lovely hot flashes! never ending...


  • MAP1002
    MAP1002 Member Posts: 61
    edited August 2017

    NVB<

    We have very similar diagnosis/treatment and almost the same timing (diagnosed in Dec, treatment started in Jan)! I had complete path response to my 6cm tumor.. I opted for the lumpectomy though with a "lift" on the other side. Surgery in June.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2017

    notverybrave - there is a study that looked at 6 months of Herceptin versus 1 year, the 1 year group had fewer recurrences. Here is the link:

    https://www.ncbi.nlm.nih.gov/pubmed/25935793

    All - keep in mind that, generally speaking, it will take at least as long as treatment did to recover.

  • BucsGirl
    BucsGirl Member Posts: 191
    edited August 2017

    Ah, hot flashes! The gift that keeps on giving. Happy

    Welcome to the forum!

  • NotVeryBrave
    NotVeryBrave Member Posts: 1,287
    edited August 2017

    I actually had looked at that study before - comparing 6, 12, and 24 months. The consensus was that there was a benefit to 12 months over 6 months but not for 24 months. Thank God!

    What I was trying to say is that because we are all so different - both as individuals as well as cancers - it's not known what our personal best plan of care would be. I almost quit chemo after 3 rounds because of so many SE's. I couldn't feel the lump after the first round and wasn't sure that the best course of action for me would be to continue and possibly face long term problems. Of course - I ended up doing just that due to a fear of recurrence after not following standard of care.

    One day they may be able to tailor the plan to the individual precisely. Wouldn't that be something!


  • NotVeryBrave
    NotVeryBrave Member Posts: 1,287
    edited August 2017

    MAP1002 - Thanks for the input about your legs following chemo. I guess if it was just my legs in general than I'd be less worried. My hands are a mess and my knees really hurt. Are you taking any form of hormonal therapy?

    There are so many residual things - fatigue, GI issues, slight neuropathy, hot flashes, some continued discomfort in the breasts. I wonder if I'll ever feel normal again. It's a good reminder from SpecialK about the time it takes to recover. I feel like I should already be better and I'm actually still on a therapy.


  • MAP1002
    MAP1002 Member Posts: 61
    edited August 2017

    hang in there! My husband and my entire support system keep telling me I'm still healing even though I feel like I should be done with this already!

    Hot flashes are never ending. I'm even on some efexsor to help although I'm not sure it is. Can't wait to get back to the gym and be normal again too.

    Keep moving forward! We got this




  • MAP1002
    MAP1002 Member Posts: 61
    edited August 2017

    oh, one other thing. I get tightness or heaviness in my chest. Not horrific but noticeable. And the occasional passing lightheadedness/dizziness. Weird almost as if I'm imagining it!

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