Vent about Permanent Neuropathy

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  • Lanne2389
    Lanne2389 Member Posts: 229
    edited April 2018

    NotBtoken, I am thinking the same thing. I’m on gabapentin and Zoloft ... wondering if cymbalta could cover for both? I’m going to email my dr. ..

  • NotBrokenJustBent
    NotBrokenJustBent Member Posts: 394
    edited April 2018

    Lanne, let me know what your doctor says. I spoke with mine and she said both Lexapro and Cymbalta are good drugs for anxiety/depression. While Lexapro does not have the neuropathy benefits that Cymbalta has, she likes Lexapro. She left it up to me, but because I did not tolerate the Celexa well, she thought Lexapro might be a better fit. She says she uses it often and her patients have few if any SEs and very safe.I went with her thoughts after being on the Celexa and having terrible scary breathing issues. Ugh...I dislike taking meds but sometimes it is less of two evils. When/if I get to the bottom of this crippling fatigue I will thereafter address the neuropathy. Always something since BC.

  • Lanne2389
    Lanne2389 Member Posts: 229
    edited April 2018

    Hi NotNroken

    My Dr is very supportive of the switch from Zoloft and Gabapentin to Cymbalta to cut down the # of perscriptions I take (she already called in the Rx). She says to stop Zoloft and start Cymbalta on the same day, wean off Gab over 1-2 weeks, monitor my neurothapic pain, and see her in 2 months! I'm going to give it a try.

    Lanne

  • gardengypsy
    gardengypsy Member Posts: 769
    edited April 2018

    Blownaway ~ It is good to hear that you weaned yourself off of the drugs. I just don't think I can do that right now.

    How did you do with Cymbalta? I think the Gabapentin works during the day but the night time is just awful. I have suspected, all along, that this is a combination of the Tamoxifen and CIPN. But I think I should stay with the neuropathy diagnosis so there are not insurance conflicts.

    Are you taking an AI instead?

  • Blownaway
    Blownaway Member Posts: 760
    edited May 2018

    I was off Tamoxifen for about 4 months (gave myself a vacation). The bone pain stopped but not the hot flashes. I had been taking 900 mg Gabapentin at night and duloxitine (Cymbalta) during the day for pain, along with the Tamoxifen. Apparently, you have to keep bumping up dosages because you build up a tolerance. I have restarted the Tamoxifen at 1/2 dosage (3 weeks ago) and the bone pain is back. I'm losing hair like crazy. I get the fast come/go nerve pain here and there (I call them zingers)but am willing to deal with that for now, just to be off some of the Meds I was on.

  • Lanne2389
    Lanne2389 Member Posts: 229
    edited May 2018

    Blownaway, have you tried loratadine (Claritin) for your bone pain? It helps with mine. I've also started turmeric tablets and waiting to see how/if it works. I’ve has two “good days” for the two days I’ve taken it

    Laurie

  • Blownaway
    Blownaway Member Posts: 760
    edited May 2018

    Just plain Claritin or Claritin D? I'll give turmeric a try also

  • Lanne2389
    Lanne2389 Member Posts: 229
    edited May 2018

    plain. Loratadine 10mg is the active ingredient, which you can buy much cheaper off brand. I get mine at Target. My MO recommended it for bone aches with chemo.

    Lanne

  • Lanne2389
    Lanne2389 Member Posts: 229
    edited May 2018

    actually, it was for pain caused by the drug you take to elevate white blood cells during chemo - residual chemo brain prevents me from remembering the name!

    Lann

  • Ozoner
    Ozoner Member Posts: 128
    edited May 2018

    Hi Blownaway and Lanne,

    Panera has blood orange lemonade with tumeric. Probably just trace amounts, but I feel virtuous when I drink it. I also get happy when I eat Thai curry because of the rush from the Thai chilies, tumeric, and ginger.

    People who are not on these pain inducing drugs might not be able to relate to us. Taking Tamoxifen is not attractive if I think about it, so it's just there in the pill box. I'm grateful, though, and my Cymbalta helps somewhat.

    I took Kadcyla for my chemo in the ATEMPT drug trial and went to straight to Herceptin after 7 months because of increasing neuropathy.

  • NotBrokenJustBent
    NotBrokenJustBent Member Posts: 394
    edited May 2018

    As for me I seem to be doing a bit better lately. I fluctuate a lot but for whatever reason the burning has decreased, though the weakness persists, but in thinking back to where I have been when at my worst even that is improved. I can remember mornings when I would stumble and hang on walls to get to the kitchen to make my coffee, or awakening in the night and struggling to get to the bathroom. I have not been like that in over a year. I am four and a half years out from my last chemo and I have to believe it will only continue to get better. It is very slow progress but progress none the less.

  • Lanne2389
    Lanne2389 Member Posts: 229
    edited May 2018

    so I am in my third week of switching from Zoloft and Gabapentin to Cymbalta and Tumeric. So far I've noticed that taking the full dose of Tumeric in the morning works better than splitting it into 2, and I still need 200 mg of Gab in the morning for my chest (skin) pain to get through the day. But that's down from 600 mg daily total so I consider it a win. Hope I can wean off the 200 mg at some point. My feet seem to be doing ok - even feeling a bit better.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited May 2018

    I went to have testing to see if Vestibular Rehabilitation might work for me. Lisa from San Diego reported on this & if I remember correctly, it helped her. Since I lost all my hair, it stands to reason that the hair in the inner ear was affected. And did it grow back? Obviously they can't see the inner ear, but they have ways to see how your body/brain/eyes/ears are working.

    The tests were over 2 hours long and sort of obnoxious - but worth it to me if my balance can be improved. I haven't heard from the doc yet, but the tech didn't think there were any major problems. Still she believes the doc can give me some tips to help my balance. It would be so nice to wash my hair in the shower w/o losing my balance; or walk along with out having to focus continually on my feet instead of the trees or birds or oceans.

  • SoCalLisa
    SoCalLisa Member Posts: 13,961
    edited May 2018

    I take 200 mg of Lyrica in AM and PM

    I still use a chair in my shower to wash my hair etc so I don't lose my balance.

  • proudtospin
    proudtospin Member Posts: 5,972
    edited May 2018

    i have done vestibular rehab, hard to say if it helped, vfery much based on the therapist. For me what is helping lots is the pt at my cancer center, therapist is much better and she has access to all my tests and treatments. She also suggested i do occupational therapy as that is a separate linenitem under medicare. My therapist there is also bug help. My cancer center is Sloan Kettering and i am really pleased with how they organize things

  • Mucki1991
    Mucki1991 Member Posts: 294
    edited May 2018

    My LTD insurance has required me to apply to SSDI which I have now completed the application. My neuropathy is still here and that's why I have been unable to go back to work. I see that some of you have qualified because of the neuropathy, was it difficult to get approval based on that? I understand that SSDI will prob send me to one of their DR's. I'm curious to see how my difficulties with neuropathy compares with others. I get the "zaps" that will stop me dead in my tracks as they hurt like crazy. I sometimes have issues with balance, I have pain in my feet and lower back. I drop things on the regular and I have issues with lack of feelings in my hands and feet.

    Thanks in advance for sharing

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited May 2018

    Mucki - if you haven't been to see a good neurologist, that would be my next step. There are tests they can do to confirm CIPN and drugs for the pain. I was told that nerves connections can improve for several years post chemo - although better may not be back to where you started.

    Are you on your feet a lot with your job? Is there lots of walking?

    I'm fortunate - I just have dead feet. Sounds funny since we all know the balance & injury issues that come with that, but I don't have pain. It hasn't stopped me from doing much, I just have to do it slowly and watch my feet all the time so I don't trip on cracks I can't feel in the sidewalk.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited May 2018

    Below is a link that I got from the tech who did my Vestibular Rehab testing. I'll see a PhD next month who supposedly is writing a request for grant along a similar notion. In the mean time, she will supposedly give me some tips to improve my balance.

    https://www.ncbi.nlm.nih.gov/pubmed/25450133


  • Humblepeace
    Humblepeace Member Posts: 118
    edited May 2018

    Hello All,

    I have question that may be answered here. I developed neuropathy during chemotherapy. It wasn't painful, but it was tingling and numbness that I felt. It started with my toes and by the end of chemo (8 sessions) it also included my fingers....just tingling and numbness, no pain. Chemo ended November 2017. Well to speed things forward I went to Primary Doctor who prescribed Gabapentin 300mg in February 2018. I waited until March 2018 to try them. It did not seem to help the neuropathy, but did wonders to help me sleep 💤 through the night. Well, I took them on and off from March until recently (the bottle had 30 capsules) I have 3 left. Last night I noticed increased tingling in my fingers but as I had fallen asleep in the lounge chair, I kinda ignored it on the way to my bed. However, today first thing in the morning it was still going on and throughout the day. It is as intense as after chemo. I’m also on Tamoxifen for 6 months now. I did get another manufactures brand this time, and I’m at the end of this bottle. I would appreciate any insight you all may have. Thanks so muc

  • Lanne2389
    Lanne2389 Member Posts: 229
    edited May 2018

    Humblepeace

    300mg may have been too low of a dose. My neuropathy sounds about like yours and I was on 900 mg. This drug builds up in your system so it works best if you take it regularly and if you stop taking it, you should wean off over a week or two. My radiologist suggested (to me) to take 300mg at night and 100mg 3 times a day so I wouldn’t feel quite as sleepy during the day. Gab also helps with hot flashes. I have nerve pain in my chest (&;?/# TEs) and it helps that enormously.

    My neuropathy is never quite the same two days in a row - some better, some worse. If you haven’t tried it, acupuncture does help quite a bit.

    I’ve recently switched to Cymbalta as an antidepressant and for neuropathy and have cut my gabapentin to 100 - 200 mg a day. It seems to work well for me (and I’ve lost 5 lbs!). I’m also on Letrozole instead of tamoxifen.

    Lastly, I’ve found that wearing very supportive shoes (like Vionics) that provide an even pressure and a bit of even massage gets me through longer periods w/o paying for it the next day.

    Lanne

  • MexicoHeather
    MexicoHeather Member Posts: 365
    edited May 2018

    Well, I think things can be variable : recede and flare up. I have had CIPN in the tips of my fingers and toes since the final chemo. Things were mostly okay, but since Nov. I had increasing tingling. I'm in physical therapy now and am going to get nerve testing. Radiation may have caused minor cording, which can make your hand tingle. Try some moist heat



  • SoCalLisa
    SoCalLisa Member Posts: 13,961
    edited May 2018

    if you take neurontin or lyrica you have to take it every day, not just when you have symptoms. I needed too much neurontin for the neuropathy so I switched to lyrica only taken twice a day. It works well.

  • proudtospin
    proudtospin Member Posts: 5,972
    edited May 2018

    i do not seem to get any relief from nuerontin, was doing 300 tab 3 times a day

  • Humblepeace
    Humblepeace Member Posts: 118
    edited May 2018

    Thanks ladies for the informative responses. The tingling seems somewhat improved now (two days later) but not as good as it felt prior. The increased tingling happened overnight.

    I will call soon to set an appointment with my oncologist to discuss these changes and of course se’s of tamoxifen. Six months in on Tamoxifen and I have bone/joint pain, had blurred vision which stopped. Dizziness which came on after taking it for 3 months but has lessened some and my eyes twitched during chemo, got better, but never completely went away. Now has returned. Chemo ended 6 mos ago and all active treatment ended January 2018.

    I always look forward to the tremendously supportive ladies on this forum. Thanks agai

  • SoCalLisa
    SoCalLisa Member Posts: 13,961
    edited May 2018

    get a referral to neurology to get a good evaluation

  • Lanne2389
    Lanne2389 Member Posts: 229
    edited May 2018

    Humblepeace - also, changes in how your neuropathy feels are also part of its evolution and demise. What mine feels like now is nothing like it felt initially. As I get more feeling back I've noticed that certain parts of my feet feel better and some feel worse. As numbness wears off, the new “feeling" is anunderlying tingling. I’m hoping it’s progress.

  • Humblepeace
    Humblepeace Member Posts: 118
    edited June 2018

    Thanks to all of you wonderful ladies for all your replies. I saw the oncologist this week Thursday and he stated it was unusual for neuropathy to be on the mend and then to overnight feel like it did right after chemo. He referred me to a neurologist???? I will keep you all posted. This is quite annoying!!! I’m trying to be patient with my body.

    H

  • proudtospin
    proudtospin Member Posts: 5,972
    edited June 2018

    i have seen nuerologist, they all did funky test and all 3 agreed i had nueropathy but no one had a solution

  • exercise_guru
    exercise_guru Member Posts: 716
    edited August 2018

    Hi ladies humble peace and I have been pming about symptoms and such so I came to his thread. I notice many of you had AC (cyclophosphamide, doxorubicin) then taxol? Anyone have ((Docetaxel(Taxotere) + Carboplatin + Trastuzumab) chemo followed by long term neuropathy? I also had Herceptin but while it says it can cause Neuropathy no one talks about it.

    I would be very interested what you guys think of the new webinar on the homepage about neuropathy. He mentioned that certain chemo hits the nerve axon and certain chemo hits the DNA. He described my neuropathy perfectly as it came on about 4 months after chemo and was on both hands and feet.

    He didn't have a lot of great solutions though.

    I was on arimidex but the bone ache was horrible, I could deal with it in combination with the weakness and tingling in my hands. I tried fears and then moved to tamoxifen combined with effexor.

    I have thought about moving back to arimidex because more medications in the SSI category are available. For example Lyrica I don't think I can take with Tamoxifen. I have to say that effexor in the lowest dose does knock out the hot flashes and give a bit of relief of the neuropathy.

    Gabapentin was not helpful as a sustainable treatment as it wiped out my feeble remaining chemo brain short term memory. When driving I would pull over and not know where I was going (I am 45)

    I also tried chlonadine (I think that is the name) but it made me light headed and I felt faint.

    Because I have exhausted what I think I can do pharmaceuticaly on tamoxifen I am branching out to other area.

    Right now I am pursuing methyl vitamin B complex and B12 shots and vitamin D . I am also cosidering a more drastic diet change for 12 weeks because I read of a small study where diabetic neuropathy improved quickly with a vegan diet. I could do it for that long but I know that chemo neuropathy is different. I will report back if it helps it isn't a difficult diet for me to try as I am raised in farm country and already don't drink Dairy. I am one of those wierd people that likes almost any kind of vegetable.

    I have the option to do either intense tens therapy on my hands or acupuncture will try that in September as it's off my insurance and I am saving up for it.


  • SoCalLisa
    SoCalLisa Member Posts: 13,961
    edited August 2018

    I did neurontin and it didn't work but Lyrica does. My acupuncture worked some. I too enjoyed the webinar and am looking forward for the transcript. I think my neuropathy was caused by paraneoplastic syndrome but he didn't cover that type.

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