Taxotere and permanent hair kiss

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OneKT
OneKT Member Posts: 5

I’m set to start TC and saw that Taxotere is known to cause permanent hair loss in about 6 to 10% of patients. That’s too high for my comfort. My onco didn’t tell me this. Did anyone experience this? There’s currently multiple lawsuits on this issue. I’m thinking I should request an alternative

Comments

  • Meow13
    Meow13 Member Posts: 4,859
    edited February 2019

    Or maybe check out cold caps. Taxol I believe is a substitute for taxotere. My oncologist didn't warn me of any permanent side effects either.

  • wanderweg
    wanderweg Member Posts: 549
    edited February 2019

    I lost my hair on taxotere and it’s growing back fine. I did not cold cap.I am 14 weeks out and actually really like how it looks now and get lots of compliments.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited February 2019

    Taxol is not exactly a substitute for Taxotere as it is a smaller dose, but can be substituted in cases of allergic reaction, as can Abraxane. There are lawsuits associated with the permanent hair loss but they do not stem from the hair loss itself, but rather from the lack of warning on the package label. The labeling was put on a number of years ago so anyone treated after that point in time has no basis for the class action suit. None of those suits have been settled as of yet.

  • Meow13
    Meow13 Member Posts: 4,859
    edited February 2019

    Something to discuss with your oncologist but there are different treatment options that are considered equally effective. Something to read

    https://www.healthtap.com/topics/taxol-as-an-alter...


  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited February 2019

    I was warned -- I signed the form that I had been warned. Luckily my hair is coming back fine.

  • OCDAmy
    OCDAmy Member Posts: 873
    edited February 2019

    My hair came back fine too!

  • AnxietyGirl85
    AnxietyGirl85 Member Posts: 74
    edited February 2019

    I'm not surprised that you weren't told about that particular risk. When I first met with my MO last January before starting chemo, he told me that I'd be getting Taxotere (docetaxel) and I told him that I didn't want that because of the risk of permanent hair loss, since where I live, cold caps aren't permitted (they're safe and approved for use, but the Cancer Agency here doesn't permit them in their facilities). He became very agitated with me for disagreeing with him, he refused to discuss the risks involved or even admit that permanent hair loss could occur (so I would never have known if I hadn't researched for myself), but I was adamant and insisted on a different regimen (he was never going to offer a different option otherwise). You have to look out for yourself. Don't hesitate to speak up if something is bothering you, you're allowed to question your doctors, even when they don't like it. You need to know what they're planning for you and you need to be comfortable with it, you're the one going through it, not them.

    I ended up on AC-T (Taxol) instead and was told by another oncologist that it is a very effective treatment, so I feel like I made the best decision for me. If you're concerned about your treatment plan, ask what are other options available instead. It's your life, your health, your body, your treatment, make sure you're comfortable with the decisions being made.

    (Foe the record, I did lose all my hair, but it's growing back now, and just as thick as before.)

  • LeesaD
    LeesaD Member Posts: 383
    edited February 2019
    I had Taxotere as well. My MO told me my hair would fall out on day 14 and it did. I asked him about permanent hair loss and he said it’s rare but it happens and he personally in his practice had never seen hair not come back. I feel blessed that mine grew back. There are definitely women on these boards who’s hair did not grow back from Taxotere and my heart breaks for them.
  • Flower216
    Flower216 Member Posts: 119
    edited February 2019

    I started with taxotere and due to an allergic reaction, switched to abraxane (which is same drug group and same side effects). I did ask about permanent hair loss and they have never seen it in this practice (it is a huge cancer center in NJ). It was also mentioned that they only saw one patient who was successful with the cold cap, and most people gave up after two treatments. There definitely is a risk of hair not growing back, a very scary thought, but getting rid of this cancer is my priority.

    Be well all!

  • Meow13
    Meow13 Member Posts: 4,859
    edited February 2019

    If your oncologist gets angry or combative it is a sign to walk out the door and see someone else. Most of our treatment is based off statistics. Being the one in charge is a good way to go. I wish in some ways I could go back and do more research but after getting diagnosed I was looking for quick answers. I would really have liked to have seen more on hormone therapies side effects and results. It is very encouraging to read posts from long term stage 4 survivors but there are some that try everything with no success. We desperately need better medicines hope I live to see it.

  • OneKT
    OneKT Member Posts: 5
    edited February 2019

    Thank you everyone for your posts. I've delayed my chemo and am meeting with my onco to go over alternatives. We are our best advocates, and we are the ones who have to live with our decisions. After researching like crazy, there are options for chemo drugs. It depends on what risks each person is willing to take for her/his quality of life. I also have set up a second opinion for later this week. Very grateful for the responses here. I hope all of you weather your treatment as well as can be. Know that you have a fellow sister and survivor in the Bay Area, who has your best interest at heart and is sending healing wishes your way. Continue to be the strong, resilient women you are!

  • pingpong1953
    pingpong1953 Member Posts: 362
    edited February 2019

    My hair was coming back great after the taxotere but about 6 months after I started taking letrozole my hair started thinning again. It's hard to know which to blame.

  • Lunalin
    Lunalin Member Posts: 63
    edited February 2019

    Hello Flower. I am also in NJ and use a large group in central NJ. I will start Abraxane tomorrow. I have already purchased a wig and dread being hairless again. I wanted to get my hair cut short today but the weather is not cooperating. Best of luck to you

  • Runrcrb
    Runrcrb Member Posts: 577
    edited February 2019

    lost my hair on day 14. had enough to stop wearing a wig 6 months later. Have had a full head of healthy hair ever since - curlier than before but that is starting to relax. good luck with your decision and treatments

  • Flower216
    Flower216 Member Posts: 119
    edited February 2019

    Hi!

    Lunalin….Good luck tomorrow!!  You mention a wig-I bought one before my first treatment and I haven't worn it yet. I am more comfortable with my little beanie hats, which I can get away with in the winter. By the way, I am also in central NJ. Let us know how you do tomorrow!

    Runrcrb-so wonderful that you have a full head of hair!!!!! Do you mind me asking, did your hair come back the same color?

    Be well everyone!!

  • Runrcrb
    Runrcrb Member Posts: 577
    edited February 2019

    flower216 - my hair color is largely the same. If you look in the Chemo Curls Girl thread I posted before during and after pictures.

  • wintersocks
    wintersocks Member Posts: 922
    edited February 2019

    Pingpong

    That is my experience too. It's seems impossible to find someone who can confirm their hair has grown back completely after finishing Letrozole.

  • lcookster
    lcookster Member Posts: 3
    edited February 2019

    I don't want to unduly alarm you, but I wish my Doctor had been more clear. I have had permanent hair loss from Taxotere. My hair came back in some places, but I look like I have male pattern baldness. Totally look like a bald guy. I have a wig, but I also shave my head now because that looks better than the bald spots, receded hairline and seeing through to my scalp. I had a real sensitivity to Taxotere, but many don't. It was sold to me as being a chemo drug which is less damaging to the heart, and research supports that. I was seen at Mass General and to be fair, neither my oncologist or my surgeon said they had seen this happen before. I went to a medical hair loss Dermatologist specialist at MGH also- nothing to make the hair grow back, only a drug to help me keep what I have. Frankly, I would rather be permanently bald all over so I said no thanks. She did say that I should give it three years but that she has seen this before and often damage is permanent. I am currently 1.5 years post completion of chemo. None of these drugs are a picnic. Best of luck!


  • pinkgirl09
    pinkgirl09 Member Posts: 19
    edited October 2019

    Hello I am very frustrated I had my last chemo in 2012. My hair is horrible I have total hair loss it never grew back and I have been wearing a wig ever since 2011 my first chemo. I am in my high forties. This is very difficult for me. My oncologist says oh you look good. He never saw me without the wig I told him but it’s a wig. Anyway if anyone has any advice please I would appreciate it if you share. Good luck to all the people.

  • pinkgirl09
    pinkgirl09 Member Posts: 19
    edited October 2019

    Hello I am very frustrated I had my last chemo in 2012. My hair is horrible I have total hair loss it never grew back and I have been wearing a wig ever since 2011 my first chemo. I am in my high forties. This is very difficult for me. My oncologist says oh you look good. He never saw me without the wig I told him but it's a wig. Anyway if anyone has any advice please I would appreciate it if you share. Good luck to all the people.


  • kaaadams
    kaaadams Member Posts: 43
    edited October 2019

    Re: hair loss - I am cold capping with the Paxman system during my Taxotere chemo treatments x4 every 3 weeks. This likely will not prevent enough hair loss to look ok, so I plan to shave my head when it looks bad enough. The reason I'm doing it is to do everything I can to prevent PERMANENT hair loss. Same with icing (cryotherapy) my feet and hands. There is statistical evidence cryotherapy helps decease the chances of permanent peripheral neuropathy (CIPN-Chemo Induced Peripheral Neuropathy) and hair loss. My experience with my MO and her nursing/PA staff is that they pull out numbers to say how unlikely these SEs are, but do not provide evidence. Honestly, I think it's anecdotal/what they've seen in clinic vs. real studies done. Ask for the evidence to back up their assertions. A nurse told me only 1% get permanent hair loss and my MO said 30-40% get peripheral neuropathy. I have to clarify her % to know if that's temporary or permanent. Big deal for me. I get more info from this site as far as SEs. There is a confounding LACK of studies about long term, permanent SEs from chemo. "Chemo brain"/cognitive decline, CIPN, blood cancers like leukemia and permanent hair loss are the main ones. I'm a nurse and question the lack of these studies. Without evidence-based studies, there is no treatment or solution. After chemotherapy is completed, statistical tracking seems to be focused largely on cancer recurrence, leaving out quality of life issues re: chronic SEs of chemo.

    I plan to do all I can to prevent these! Can't blame me for trying!

  • SarahSmilesatMe
    SarahSmilesatMe Member Posts: 69
    edited October 2019

    Quoting from another post (somewhere), I’m rowing with kaaadams. I also have TC for four treatments total. I’m using the Penguin Cold Caps to hopefully mitigate any chance of permanent hair loss. I also asked my MO and her staff for the statistics, and the answer was “it’s low.” When I asked for the definition of “low,” I received more descriptors; i.e., rare, low, etc. Pressing further for any personal knowledge of women undergoing treatment at my cancer center, I was told “maybe 2 women in the past 5 yrs had permanent hair loss.” I recognize that their “business” is saving lives (not hair), but geez, my entire treatment is primarily based on statistics, why rely on “dr. Google” for permanent hair loss information. My discussion with my team took way more energy than I had at that moment. Hate to admit that I gave up on the discussion and decided at that exact moment to cold cap! (Sorry, a small vent session for me).

    I’ve completed one treatment and even with the Penguin, I’ve already lost probably 20-25% of my hair. My hair is really, really thick. I read somewhere that thick hair may not respond as well to cold-capping as the scalp is more insulated. Not sure if this is true or not, but it’s not going to stop me from capping. My theory is that as my hair continues to thin out, the scalp contact will increase. I’m going with that !! I also have a wig “on standby” if needed.

    I’m icing my hands and feet going forward. (I didn’t ice either during my first treatment), but have read too much info on this site to not give it a try.

    Pinkgirl09 - I’m sorry for what you’re going thru and that I can’t offer any suggestions to assist. Please stay strong.

  • trinigirl50
    trinigirl50 Member Posts: 343
    edited October 2019

    Absolutely ice your fingers and toes going forward. I still have peripheral neuropathy 4 years later even with the icing. It isn't painful though. Mainly pins and needles and some numbness. It waxes and wanes. I also had permanent hair loss with Taxotere with my eyebrows and some eyelashes. My head hair grew back okay but is now thinning again due to Femara.

    Nobody said a word to me about permanent hair loss. I would have still proceeded anyway but it would have been nice to have been told.

  • OnTarget
    OnTarget Member Posts: 447
    edited October 2019

    I cold capped with Penguin caps for 4 TC treatments and I kept enough hair to look pretty normal.

    I did start with really thick hair, and I have had thinning and some bald spots, but strangers have no idea that my hair is not normal for me.

    It was totally worth it to not worry about permanent baldness. My MO encouraged me to cold cap, while her nurse implied it was a waste of time/effort.

    image

  • Jackster51
    Jackster51 Member Posts: 357
    edited October 2019

    I have permanent hair loss, neuropathy and chemo brain 8 years after Taxotere! I wish I would have been warned of these beforehand so I could have made an informed decision regarding my treatment. It's been really really really tough.

  • OneKT
    OneKT Member Posts: 5
    edited October 2019

    I am sorry Jackster51 and all of you who have suffered permanent hair loss without the proper warning ahead of time. I think it is really awful. Feel free to disregard this suggestion but I would look up these Taxotere trials and perhaps contact one of the law firms handling the multiple class action lawsuits for the lack of warning pre-2015. Even though it can't change what has happened, there may be other ways you can hold the pharma accountable and perhaps get some type of restitution to be able to use toward care now. I ended up doing a different treatment and getting a second opinion. Risk for hair loss versus risk for CHF are not always equal for different meds. For example, with Taxotere, the risk is up to 10% for permanent hair loss. With Adriamycin, the risk of CHF is about 1%. I chose the latter because I am young with a healthy heart, and I could deal with that risk number relative to the stage I have. To all those growing through treatment, it's easy to feel overwhelmed and feel rushed to consent to treatment. It is important to do a lot of research and ask questions, seek second opinions, so you know everything you need to to make an informed decision. I got this advice on this website and it helped me a lot. Oh definitely ice your hands and feet and eat ice cubes during infusion! Very important to prevent neuropathy and mouth sores. This is such a tough journey we are all on, and I wish each of you strength and clarity in the process. With much love from the Bay Area.

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