Triple Negative treated with Taxoter and Carboplatinum

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cefinkc
cefinkc Member Posts: 86
edited September 2018 in Triple-Negative Breast Cancer

Hello All -- I'm starting chemo August 1st with a Taxoter/Carboplatinum cocktail. Has anyone else had this combination? I will be having 4 treatments (spaced every 3 weeks). If so, what were your side affects? They are giving me this combination since I also have Polycythemia Vera (a blood disorder).

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  • Giveityourall
    Giveityourall Member Posts: 71
    edited September 2018

    Cefinkc,

    I had taxotere and carboplatin. I was originally diagnosed as HER2 positive. My invasive ductal carcinoma was right around 2 cm - 1.9 cm to be exact. My original treatment was taxotere, carboplatin, Herceptin and Perjeta. After my July 23, 2018 double mastectomy, the pathologists were able to do extensive tests. Now, the doctors believe my tumor is HER2 positive and triple negative. So, the medical team wants me to take Xeloda- another chemotherapy type drug - but it is oral.


    Anyway, I digressed. You wanted to know about taxotere and carboplatin effects. Taxotere caused more side effects than carboplatin. My biggest problem was fluid retention and anemia. The fluid retention is because taxotere makes your capillaries “leaky". This means the water in your plasma leaves your capillaries, your smallest blood vessels, and sits in the surrounding tissues. I gained twenty pounds of fluid. I don't want to scare you. It is a common side effect. I took Lasix and elevated my legs to manage my water weight. Please know that my retention went away two months after my last taxotere treatment. As for anemia, my hemoglobin dropped to 8. That is low and I was very symptomatic. If your hemoglobin or red blood cell count or MCHC begins to drop, ask your doctor to suggest prophylactic steps to counteract exacerbation. For instance, possibly take an iron supplement? Increase vitamin C? Increase vitamin B? Increase protein intake?


    My best. Giveityourall

  • cefinkc
    cefinkc Member Posts: 86
    edited September 2018

    Thank you for the great info! I just finished my second infusion Wednesday with no water retention yet. Fingers crossed. It’s day 4 so you know that means fatigue! I’m plowing through it.

    They keep an extra eye on my blood counts since I already have polycythemia Vera.

    Thank you again!!!

  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited September 2018

    I am on taxotere and carboplatin too. They have me down for 6 rounds. (Are your 4 treatments "dose dense"?) I have had 2 so far. No fluid problems for me either.

    w/ Taxotere: do ice your feet and hands during infusion, to avoid neuropathy.

    The main side effects I have had are 1. total cancellation of my digestive tract for several days (zero appetite, constipation), 2. Mental fogginess, and 3. flu-like fatigue. I took zofran every 8 hours for the first 3 days (prophylactically) and have avoided nausea. The first time, I felt very weird and polluted - throughout my body - but it was not a terrible feeling, just a weird feeling. My eyes were also stingy. I used saline eyedrops and that was enough to solve it.

    The second round, I went in for a nutritional IV the day after chemo. That helped me a lot... maybe even just the extra fluids helped. I did not get stining in my eyes, my fatigue was less, and my overall polluted feeling was less. I am on day 5 now and back to feeling pretty good.

    I think I have been very fortunate re side effects. Am also really careful on nutrition, supplements, and other things within my control.

  • cefinkc
    cefinkc Member Posts: 86
    edited September 2018

    Wow! Day 5 and you feel good? That’s awesome! On round one I didn’t feel well until day 7. Im on day 4 now and fighting off the nausea and am not hungry. Have been taking anti nausea meds too. I iced my fingers at both infusions and no neuropathy yet. How often are your treatments? Mine are every 3 weeks (4 rounds). Carol

  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited September 2018

    Mine are are every three weeks too. I think there can be 4 stronger doses or 6 weaker doses? Not sure but it sounds like other than that we're on the same path. I hope you feel good very soon. :-)

  • yellowdoglady
    yellowdoglady Member Posts: 349
    edited September 2018

    cefinkc and santabarbarian,

    I did the same combo in 2009. Six rounds of chemo, three weeks apart, then seven weeks of radiation. My hard earned lesson: do NOT snorkel down a bowl of potato chips and expect to find a vein the next morning. I had to run to the hospital to have a PICC line installed as I'd opted not to have a port.

    The good news is that particular cocktail works very well on TNBC. So do what you need to do, and make some fun plans for what you will do after you've finished treatment and gotten a bit of rest. You can do this! It's annoying and frightening and necessary. But it's doable and it's temporary.

  • cefinkc
    cefinkc Member Posts: 86
    edited September 2018

    Thank you, Yellowdoglady,

    I am definitely planning something fun for after treatment. I'm on day 8 now after round 2 -- which is when I'm fighting my bowels -- It's excruciating. Hopefully they'll give me an IV bag today at my blood check. So glad to have this forum!!!

  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited September 2018

    cefinkc, magnesium citrate works to improve constipation. My constipation is the worse SE I have. That and feeling very hungry but with no appetite and nothing appealing to me. We are neck and neck as I am on day nine after round 2.

  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited September 2018

    Yellow dog lady I love to see posts from people like you who are doing well years later!!!

  • cefinkc
    cefinkc Member Posts: 86
    edited September 2018

    So awesome to know you are out there Santabarbarian and YellowDogLady! This is the day I get my weekly blood work -- and Day 8. Luckily, my BCO gave the green light to a heavenly bag of serum while I was there. I didn't even pee while I was getting it! Meaning I was really dehydrated. It's so hard to eat and drink on the tail end of SE's. I'm looking forward to the weekend and REAL food and an appetite and taste as the icing on top!!!

  • yellowdoglady
    yellowdoglady Member Posts: 349
    edited September 2018

    My First Trip of a Lifetime was a cruise through the Panama Canal a few months after ringing the bell at the end of radiation therapy. Awesome, and not too strenuous. Having something amazing to look forward to really did help pass that sucky time during treatment.

    There are many, many triple negative survivors out there who are just fine. We just don't stop by here very often because we're out living our lives and savoring every moment. I pop in every now and then because I remember that scary time well and figure that folks in that place need to hear that not all TNBC news is grim. Yes, TNBC is aggressive and needs to be addressed strongly and asap. But it is more responsive to chemotherapy than its hormone positive cousins. And once you hit that five year mark, you are pretty much good to go.

    The key is to stick with the program as best you possibly can, keep up your strength as best you can, and hang on to a positive attitude. Forget the little stuff just now. The world will keep spinning. Let people be helpful. My sisters (not local) sent a big box of frozen gourmet meals so I could feed myself by sticking little trays in the microwave. I loved it, though the selection was really heavy on their favorites rather than mine (about 1/3 were chocolate deserts). But hey, if caring manifests itself as chocolate, I'm good. In short, do only what you truly need to do when you don't have the energy. Cut yourselves a whole lot of slack right now. You can make up for slacking later when you've finished this chore and had some time to recover. Right now, you've got a job to do.

    Most of all, be kind to yourselves.

  • cefinkc
    cefinkc Member Posts: 86
    edited September 2018

    Oh my goodness. Thank you YDL! Many blessings to you!!! This meant so much to me.

  • yellowdoglady
    yellowdoglady Member Posts: 349
    edited September 2018

    Just so you guys feel better, I was Stage IIB, and lost 4 axillary lymph nodes out of the 14 taken. You CAN DO THIS! Be mighty, and stay mighty. Life is better on the backside of all of that hassle. You just need to get there. Use everything in your arsenal to get through and beyond.

  • Redporchlady
    Redporchlady Member Posts: 113
    edited September 2018

    I had had Taxol for 12 weeks with Carbo every 3 weeks.  I did great on the Taxol weeks and the week I had the Carbo in there it knocked me on my butt for a couple days.  By the time I got down to my 8th week I was doing nupogena shots to help my white blood cell count and one time I was too low for my 11th week of treatment so they made me skip a week.  The only thing I did start getting at the end was tingling in my hands and feet.  I still have issues with that today and I am over three years out from my last treatment.  My ONC just moved me to coming in every 6 months.  I got the Taxol Carbo mix because a study had come out at that time that showed my chances of getting a PCR were higher with it and then they hope your prognosis is better.  I did get the PCR and I can live with tingling in my hands.  (Just reminds me I am alive and living life!)

  • cefinkc
    cefinkc Member Posts: 86
    edited September 2018

    Congratulations, Redporchlady with getting your check-ups spaced out to every 6 months!! You have a wonderful attitude towards your neuropathy. How did your radiation treatments go? Since I've been through 2 T/C treatments, I know what to expect with them -- but radiation is a mystery to me.

  • yellowdoglady
    yellowdoglady Member Posts: 349
    edited September 2018

    Radiation therapy is a bit of a walk in the park after chemo. You will be a little tired, but not sick in the way that chemo can make you. And, at least for me, it was ten minutes a day before work so it did not entail days off and working around a schedule and such. I just got there at 7 a.m. and did my thing and then went on my way. And the framework given me at the time (though many here had a different one) made sense. I had a lumpectomy and it turned up cancer. Then I did chemo to cleanse my entire body of whatever may have escaped that tumor. Then the radiation disinfected the surgical sites to be sure that nothing was lingering in the incision areas that don't get good bloodflow what with the scar tissue. It worked, and I am happy for that.

  • cefinkc
    cefinkc Member Posts: 86
    edited September 2018

    that sounds like my journey so far. Lumpectomy tobremive the cancer, followed by four rounds of chemo to cleanse, followed by radiation. So glad to hear there won’t be the nasty side effects. How many weeks was your rafiation

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