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Old 09-02-2013, 08:09 AM   #5
michka
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Join Date: Feb 2007
Location: Paris, France
Posts: 858
Re: Has anyone been on TDM-1 for more than 2 years?

My dosage is now 2.4. I am in the Theresa trial. TDM1 is not announced yet in France. I first was on 3.6 for 10 rounds then on 3.0 for 8 rounds and since April I am on 2.4 It is the minimal dosage allowed for this trial.
I already wrote about my SEs. The doctors decided to lower the dosage because of the breathing problems but also the fatigue.
The 10 first rounds were really tough for me. The first dosage reduction made me feel better. I could get up but I was still very tired and handicapped by my breathing. The second dosage reduction made a big difference. I still feel TDM1 is very toxic for me since I have pain fatigue neuropathy nausea and dryness. (and other minor problems) but I can live much better.
I do not know how much time the doctors will recommend us to take TDM1 and I figure they do not even now. I do not want to stay on Herceptin alone since I know it doesn't work for me and I am afraid to stop TDM1.
I however understand your question so well. I dream I could stop but I know I cannot. I also know how lucky I am TDM1 is working for me.
Fern you can ask for a dosage reduction first before stopping and see if you feel better. The last dosage reduction improved my dryness problems for example. Before it was horrible for my eyes,nose, mouth. Now I can manage.
Kathy you give me hope with your 4 years on TDM1. What does stable mean in your case?
Phil, do you have an opinion? You are our TDM1 "specialist".
Love to all. Michka
__________________
08.2006 3 cm IDC Stage 2-3, HER2 3+ ER+90% PR 20%
FEC, Taxol+ Herceptin, Mastectomy, Radiation, Herceptin 1 year followed by Tykerb 1 year,Aromasin /Faslodex

12.2010 Mets to liver,Herceptin+Tykerb
03.2011 Liver resection ER+70% PR-
04.2011 Herceptin+Navelbine+750mg Tykerb
06.2011 Liver ned, Met to sternum. Added Zometa 09.2011 Cyberknife for sternum
11.2011 Pet clear. Stop Navelbine, continuing on Hercpetin+Tykerb+Aromasin
02.2012 Mets to lungs, nodes, liver
04.2012 TDM1, Ned in 07.2012
04.2015 Stop TDM1/Kadcyla, still Ned, liver problems
04.2016 Liver mets. Back on Kadcyla
08.2016 Kadcyla stopped working. mets to liver lungs bones
09.2016 Biopsy to liver. no more HER2, still ER+
09.2016 CMF Afinitor/Aromasin/ Xgeva.Met to eye muscle Cyberknife
01.2017 Gemzar/Carboplatin/ Ibrance/Faslodex then Taxotere
02.2017 30 micro mets to brain breathing getting worse and worse
04.2017 Liquid biopsy/CTC indicates HER2 again. Start Herceptin with Halaven
06.2017 all tumors shrunk 60% . more micro mets to brain (1mm mets) no symptoms
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