Is Taxol worse the Adriamycin?

Is Taxol worse the Adriamycin?
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  • SuperMujer
    SuperMujer Member Posts: 100
    edited May 2008

    I just finished dose dense adriamycin. I hear alot of horror stories about Taxol which I start in one week. I'm really concerned about the SE such as black nailbeds, peripheral neuropathies and the like.

    Is it that bad???

    LA

  • conniehar
    conniehar Member Posts: 954
    edited May 2008

    I felt that Taxol was easier.  I didn't have that yucky feeling like I had on AC.  I did have a lot of pain in my legs during Taxol, but it would only last 2 days and then the rest of two weeks I felt like my normal self.  I used Vicodin to help at night, but it didn't help much.  The pain was pretty bad.  I didn't have nail issues, but I did have neuropathy in my fingers and feet.  My fingers are pretty much back to normal but I still have numbness in my feet that I don't think is going away.  I finished Taxol in October.

    Good luck to you sweetie!

  • HeatherBLocklear
    HeatherBLocklear Member Posts: 1,370
    edited May 2008

    Hi all,

    I'd like to ask the same question as Super Mujer. I'm finishing up my four Taxoteres this coming Monday, and then will start A/C after that. Which is worse, and why?

    Gracias,

    La media naranja

  • NancyM
    NancyM Member Posts: 289
    edited May 2008

    For me, AC made me feel flu-like and nauseous, but then I'd have some days of feeling pretty well (then it was time for the next dose, of course!) On Taxol I remember feeling less "sickly" but then I didn't ever get the nice days - every day was kind of crummy.  I lost both large toenails, but they grew back.  Most of my fingernails started to come loose, but they didn't fall off.  I have neuropathy in my feet (barely noticeable now, 2 1/2 yrs later) and just a tiny bit in my the tips of my fingers.

    Some people have NO problems on Taxol, so don't let my experience bother you - I'm just putting it out there because I think knowing what to expect makes it easier in the long run!! I hated having side effects that no one warned me about!  And my friend NoSurrender told me "General Patton didn't worry about his toenails when he went into battle."   It's true - you are fighting the big war here, and you need the good ammunition.

    Good luck to you both - go, fight, win!!!!!   You are half way through and you're almost to the finish line!!

  • booklady
    booklady Member Posts: 70
    edited May 2008

    Hi all, I had a taste of all three drugs and each has its own set of SE's.  AC really affected my taste buds -- everything tasted like metal but I was able to work everyday except treatment day.  Did 15 weekly doses but last few doses were tough.  I did a couple of Taxols - taste buds came back, hair started growing back, legs ached for about 3 days each time, neuropathy in hands and feet started.  Nails discolored on AC - didn't get worse.  Taxol was easier but didn't agree with me so I tried Taxotere which is closely related to Taxol.  Taxotere was the hardest for me or maybe I was just tired of chemo.  Just make sure you get good nausea meds.  Good luck.

  • SuperMujer
    SuperMujer Member Posts: 100
    edited May 2008

    Booklady,

    Did I hear you say that your hair started to grow back while on Taxol???

    The Adria took all of my energey after the last one but at least I still have my toenails!!

    ARGH!Yell Just not looking forward to it!

    Thanks ladies!

    LA

  • HeatherBLocklear
    HeatherBLocklear Member Posts: 1,370
    edited May 2008

    Hi all and thanks for your answers.

    The Taxotere makes me very tired and fluish for about six days. Then I gradually get better. No discoloration of nails yet, and only a slight tingling in the tips of my thumbs. Of course, all the hair on my head and body has fallen out; still have eyelashes and eyebrows, though.

    My oncology nurse said he's going to give me Emend rather than Compazine for the A/C. So far, with the Taxotere, I've had no nausea, but he said I probably will with the A/C, so he'll give me the stronger of the two anti-nausea meds.

    Good grief. Did anyone ever find anything positive about breast cancer? Aren't we supposed to learn something good or gain strength from each experience we go through? I am laughing through my tears; the only thing I've learned from BC is that I know for sure I don't like it. No, definitely not. I think I'll pass on a recurrence too, if nobody minds.

    Annie

  • booklady
    booklady Member Posts: 70
    edited May 2008

    Annie, one positive I had while on AC was that my finger nails grew and looked nice for the 1st time in my life.  My nails have always reached a certain point and would always break.  I never had 10 long nails at the same time until AC.  As soon as I came off AC- nails started breaking again.  It seemed strange that while hair falling out, my nails were growing.

    What I really learned was that as women, we're stronger that we give ourselves credit for.  We just suck it up and do what we have to do.  These boards and a few good friends helped me stay sane.

    SuperMujer, yes, my hair did start coming back while on Taxol.  It was just little fuzz.  eyelashes did fall out while on Taxol though.

    If you made it thru AC, Taxol was more doable because SE's only last for a couple of days.  I read somewhere on boards that if you sip on ice chips during infusion, it cuts down on neuropathy.  Good luck.

  • NancyM
    NancyM Member Posts: 289
    edited May 2008

    Annie, I did a lot of soul-searching during chemo.  I felt I already appreciated life, so why did I need this "lesson?"  I wanted to scream every time someone said "cancer is a gift." 

    Now (3 years after diagnosis) when I look back I'm amazed at what I've survived and how I've changed emotionally.  I feel that my heart is really open to new and deeper experiences.  It's really hard to describe.  It's just part of the journey, I guess.  

    I found the book "Dancing in Limbo: Making Sense of Life After Cancer" to be a great thing to read.  I also read "From This Moment On" and that was good, too.  Go ahead and cry and laugh and give yourself permission to be confused and angry right now.  And you will feel better as time goes on.

  • otter
    otter Member Posts: 6,099
    edited May 2008

    booklady,

    I just had to comment on this: "...I read somewhere on boards that if you sip on ice chips during infusion, it cuts down on neuropathy."

    I think maybe you have two SE's mixed up.  The story is that if you sip on ice chips or hold ice chips in your mouth during the infusion, you won't get mouth sores.  I don't know if that works or not.  I'm getting Taxotere & Cytoxan, which definitely can cause mouth sores; but I haven't had any even though I just sip on cold orange juice.

    OTOH, I'm not aware of anything that says sipping on ice chips will help with the neuropathy caused by Taxol.  There's no connection between keeping your mouth cold and protecting the ends of the axons that go to your hands and feet.

    Sorry.  I wish it were true.

    otter 

  • sherric
    sherric Member Posts: 5
    edited May 2008

    Annie, Thanks for the humor!  I have finished the horrible nauseating a/c rounds and on to the taxol.  I can't imagine the taxol will be worse for me as I am nauseated almost 10 days on the a/c.  I have a high pain tolerance and a heating pad!  I hope none of us have recurrences. 

    Take care and best wishes,

    Sherri

  • sftfemme65
    sftfemme65 Member Posts: 790
    edited May 2008

    First off I'd like to say...Yea Nancy 3 years!  You girl give me soooo much hope it brightened my day...thank you.

    I did 4 DD a/c and now am on taxol today I did my 9th one.  My fingernails are yucky, some may come off.  No real neuropathy but I'm waiting for it.  The steriods make me cry and rant for 24 hours after treatment .  I take 2 mg of ativan to try to sleep on monday nights and it doesn't really help.  My hair start growing back in during A/C and last week....it feel out AGAIN.  Ok that did piss me off.  Eyebrows are still here, eyelashes are thin but hanging on.  Body aches?  Oh yea I got those, they seem to worsen with each treatment but honestly not that bad really.  Take drugs.

    So thats it in a nut shell....the short answer is I would gladly take 12 more of these bad boys over A/C.  A/C made me sick in ways that are hard to explain.  I felt so out of it and honestly it scared the heck out of me. 

    Hang in there because A/C, taxol, or whatever you need to take to kick this cancer's butt is doeable...and you can do it!

    Teresa

  • myheidiscrapbooking
    myheidiscrapbooking Member Posts: 245
    edited May 2008

    Im so glad someone asked this question. I am scheduled for my 4th AC in 1 week and I am SO glad to be done with this. This fatigue has slammed me. I do have anemia which they are trying to control but not much luck. Im literally praying that taxol will be better. I sometimes feel I can't get thru this and am praying to god that Taxol will be easier. It sounds it.  I don't like the sounds of the steroids but does anyone know why they put them in there? also, does it put you into menopause? I just turned 48 and was just wondering since I havent gone thru it yet. And Lastly, is the fatigue any better? this is awful.

    Thanks everyone,

    Heidi

  • Wintermoon623
    Wintermoon623 Member Posts: 119
    edited May 2008

    I had four A/C and am having my third (of four) Taxol this week.  The nausea is much less with the Taxol.  In fact, I haven't had any.  I take the Emend, but I wonder if I even need it.  I don't have to take any of the other anti-nausea meds.  The bone and muscle pain is quite bad.  It lasted two days after first treatment, almost four days after the last one.  I am preparing for a week of discomfort this time, but I am hanging on to the fact that after this week I'll only have one treatment left.  I haven't had any tingling in fingers or toes yet...does that come later?  Eyebrows are nearly gone, eyelashes are sparse.  I have fuzz on my head, but I don't think it's new growth, I think it's just what was left behind. 

    I am praying for all of us that we never have to do this again!

  • lusianagal
    lusianagal Member Posts: 21
    edited May 2008

    I did well on taxol, minor bone pain, my hair did begin to grow back while on taxol. Anything would have been a breeze after AC!!  Good luck to you. 

  • sftfemme65
    sftfemme65 Member Posts: 790
    edited May 2008

    I am 42 and I am in menopause now.  I have hot flashes but not too bad.  I thought it would be worse. I don't know if it will come back after or not. 

    I take nothing for nauseau, I took emends with the a/c but I do not need it for taxol, the dr told me I wouldnt and he was right.

    the steriods are to help you not have a reaction to the taxol, same as the benedryl.  I know someone who decided to not take the steriods and she had a nasty reaction.  I think its just better to take it.  I get so dang emotional on it, its making me crazy

    I am taking 12 weekly taxols so I think it makes my se easier.

    Teresa

  • otter
    otter Member Posts: 6,099
    edited May 2008

    Heidi, the steroids are given to prevent some of the SE's that are likely to occur otherwise from the Taxol.  The same thing is true for Taxotere, which is a relative of Taxol--oncos give steroids with that chemo drug, too.

    The taxanes (Taxol and Taxotere) have a high probability of causing allergic-type reactions unless we are pre-treated with steroids (before the chemo infusion) and continue to take steroids for a day or two afterward.  Also, with Taxol, the material it is suspended in--Cremophore--can cause reactions in some people.  Finally, both Taxol and Taxotere cause fluid retention that can get pretty bad in some people; the steroids are supposed to help reduce the fluid retention.

    In the case of Taxol and Taxotere, steroids are your friends.

    otter (currently on Taxotere & Cytoxan) 

  • myheidiscrapbooking
    myheidiscrapbooking Member Posts: 245
    edited May 2008

    Hi Otter, thanks so much for letting me know. I had no idea. Your response helps a lot.

    Heidi

  • Yogi70
    Yogi70 Member Posts: 654
    edited May 2008

    I just finished A/C two weeks ago and I did okay on it.  The 3rd and 4th tx left me in bed for a couple of days after but other than that I had mostly good days. I already have the black nailbeds which I cover with nail polish. I am apprehensive about Taxol though.  I was told it would be easier than adriamycin but the horror stories are messing with my head too. I start on May 13.

  • tiff2008
    tiff2008 Member Posts: 278
    edited May 2008

    I was told the steroids are to help the anti-nauseau meds work better.  I'm doing A/C x 4 and was given steroids only during my infusion, I took anti-nausea drugs for the first 3-4 days.   I was really nauseated the first 3 days.  I'm hoping next time (5/14) I'll get something stronger for the nausea.  Other than the nauseau, I've had no other se's.

    I think truly everyone reacts differently to each drug!

    Good luck to everyone!

  • carol1949
    carol1949 Member Posts: 562
    edited May 2008

    I have so far only had the a/c first treatment and the only uncomfortable side effect I had, was a little achy spleen and bad b/o and metal breath.  I have several meds for nausea and only had to take the emend and take the compazine about 3 or 4 times in 2 weeks.  My oncologist loaded me up with scripts though and said if I was still nauseous to call... that no one should be miserable and they have tons of different meds.  So, maybe if any of you are that uncomfortable, they can offer a different med. 

  • mthomp2020
    mthomp2020 Member Posts: 1,959
    edited May 2008

    I did a total of 6 A/C, 4 dose dense followed by surgery, and 2 more after surgery.  The only SE I had was some queasiness for a few days the week of my tx.  I had compazine for that, but it really didn't seem to do anything.  Eating actually helped that a great deal.  I was given Emend, with Aloxi and Decadron IV.  The Decadron didn't bother me, in fact I felt pretty darn good for a couple days.  Didn't find myself getting tired.

    I've finished 6 Taxol with Herceptin every 3 weeks.  I got the joint pain days 3-5, and I started getting numbness immediately, but no tingling or pain in my hands and feet.  I was given Neurontin for the neuropathic pain, and that actually helped a great deal.  I didn't take it immediately after the first tx, since I wanted to get an idea of what my SE's would be.  On the 3rd day, I had weird, traveling pains through my legs and hips, almost like electric jolts.  After taking Neurontin, that went away, and I just had the usual joint pain.  The joint pain went away after about 3 days until my 6th tx, then my hips really got affected (I have some arthritis), and they still bother me after 2-3 months, but have gotten a little bit better.

    Overall, the A/C was easier for me, since it didn't leave me with any problems after I finished - at least so far!  I still have the numbness and my hips still are stiff/sore since the Taxol.

  • emv0322
    emv0322 Member Posts: 13
    edited May 2008

    Im currently going thur taxol treatment just has my third treatment and have nine more too go so far i have had no troubles at all..just some minor leg cramps but take pain pills for that...goodluck you'll be ok...

  • emv0322
    emv0322 Member Posts: 13
    edited May 2008

    So how are your treatments now... We were diagnosed around the same time and are currently both going thru the weekly taxol treatments so how are you doing on them currently?  I have some minor aches but nothing that extremely painful.... im just an emotional wreck all the time... i hope this subsides after all this...

  • myheidiscrapbooking
    myheidiscrapbooking Member Posts: 245
    edited May 2008

    Any fatigue on Taxol? is it as bad as AC? anyone? also, does Taxol bring you into Menopause? I am 48 and just curious. ..wouldn't mind getting it over with to tell you the truth!

    Heidi

  • pdm
    pdm Member Posts: 168
    edited May 2008

    I just finished A/C and I was suppose to have Taxol..they decided to give me Abraxene..they said it would be easier on my body..I had a horrible time with A/C..was in the hospital and this last one they wanted to transfuse me...

    Has anyone had any knowledge about Abraxene..I have been told the s/e are very low..any info is welcomed

  • mthomp2020
    mthomp2020 Member Posts: 1,959
    edited May 2008

    From what I've read, Abraxane doesn't cause the allergic reactions that Taxol/Taxotere cause, as it isn't dissolved in cremophor, which is what usually causes the reactions.  Another plus, if you do it on the 3 week schedule, the infusion takes an hour or 1 1/2 hours, as opposed to the 3 hours the Taxol takes.  I've read that the neuropathy and bone/muscle se's can sometimes continue well after tx is over, but resolve quicker with Abraxane.  On the other hand, in the same article, it said that the Abraxane was somewhat more likely to cause peripheral neuropathy. 

    Everyone seems to react differently to each chemo.  For me, the A/C ended up being easier in the long run, since it didn't leave any lasting se's (unless I end up with future heart problems!).  My hips weren't giving me any trouble before my last tx, but after the 6xth one my arthritis really kicked in again.  I also have numbness in my fingers, and that might never go away.  At least I didn't have the neuropathic pain, though.

    Some people have no se's from Taxol at all. 

  • pdm
    pdm Member Posts: 168
    edited May 2008

    I am on a 3 week schedule...12 infusions an all...is there anything on being sick in the stomach..I just want to know what to expect with this..I am so glad A/C is over..this has been a real bear...I just want my energy back...grrr

  • pdm
    pdm Member Posts: 168
    edited May 2008

    I am on a 3 week schedule...12 infusions an all...is there anything on being sick in the stomach..I just want to know what to expect with this..I am so glad A/C is over..this has been a real bear...I just want my energy back...grrr

  • WildRose
    WildRose Member Posts: 244
    edited May 2008

    I was allergic to the A/C so I had the WORST time with it. The se's weren't nearly as bad as the allergic reaction, which included tightness in my chest, laryngitis, insomnia for days, dizzyness, and so on. The only real SEs I had were some nausea (and beer really helped LOL) and occasional pain in my hips and legs from the Neulasta shot. By my third treatment, the A/C was hellish.

    I had my first paclitaxel (Taxol) treatment on Tuesday and it was not nearly as bad. I had a nearly immediate but mild allergic reaction which the nurses nipped in the bud with some meds (kudos to them; they were keeping a discreet eye on me), and except for a day or two of mild laryngitis, I've been fine since. I do have a tiny bit of tingling in my toes occasionally, and I've been aching pretty bad from the hips down, but no insomnia like I had on A/C. It's still early in the "tree" part of my "tree"tment and I think the Pacific Yew must like me because I'm doing so much better (so far) on the paclitaxel.   

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