Herceptin + Navelbine for bone mets
Comments
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Hi
Have just started treatment with Herceptin + Navelbine for bone mets. Wanted to touch base with others who have been through this and what their experience has been.
Thanks
Shafali
(Initial diagnosis in 2003 at age 32, Stage II (30 out of 36 nodes +, ER+, PR+, Her2neu+++), Sectional masectomy, 4CEF + radiation + 4 Taxotere
NED till April/07 (Tamoxifen for 3 years , Arimidex for 6 months)
Bone mets in one area on spine in April/07
3 months of Aromasin + Bondronate
Done 2 cycles (21 days) of Herceptin + Taxotere
Now doing 10 cycles (21 days) of herceptin + Navelbine (started Sept 07)
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Hi Shafali,
I did herceptin and navelbine for a chest wall reccurance. My onc said the navelbine potentiates the herceptin and that was why she used that combo.
The treatments were 2 weeks on and 1 week off. I did navelbine + herceptin for 6 months and then herceptin alone for an addition 6 months.
My only big concession was I had to have a PICC line for the navelbine because it can cause severe arm pain if given by a peripheral IV. The navelbine was easily tolerated, no real side effects at all. My WBC would drop and I had to give myself a neupogen injection on the off week to insure I stayed on track. All things considered I found radiation to be more difficult to tolerate.
Let me know if you have any other questions,
Bev
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Thanks Bev.
I do have a port and am taking all meds thru that.
My WBC counts runquite low. Had to delay the current cycle by 1 week because of low counts.
My doc too says that Navelbine boosts Herceptin. Am only on the 5th cycle.
Did you have scans in the middle of the treatment to see if its working
Thanks
Shafali
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Hi Shafali,
My treatment was proactive so there was noting to scan. My reccurance was on the skins surface, removed surgically and we got clean margins.
I had my MUGA scans every three months and that was it. I finished navelbine in February and herceptin in August.
If your onc will let you do the injections yourself it really is easy and I had very few side effects (achey joints for 24 hrs but not bad). The needle is the same size as an insulin needle (very, very thin) and all I had to do was aim for the fat on my hips...plenty of target area!
Hugs,
Bev
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Hi Bev,
Isn't MUGA just for the heart?
Thanks
Shafali
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Yes it is only to test the ejection fraction (EF) of the left ventricle. Like I said when I did the navelbine + herceptin combo it was proactive. My scans were all clear after the recurrance was managed.
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