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Old 11-18-2006, 09:06 PM   #1
SusanV
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Question First Herceptin on 11/27

Hello Everyone !!!

Monday the 27th, I will be receiving my first infusion of Herceptin, and I am nervous ! I am not sure what to expect the first time, but I am hoping that it is not a problem.

Any advice for things to do ahead of time ? Or any stories to share about your first infusion of herceptin ?


Happy Thanksgiving to ALL
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Susan V - Pittsburgh PA
DX Age 37 on August 3, 2006
Stage 1 Grade 3
ER/PR + (Highly Positive)
Her 2 +++
1.3 & 1.2 tumors right breast
node negative
lumpectomy 8-15-06
A/C Began 9-5-06 Finished A/C 11/6/06
Port Placement 9-15-06
Negative Test for BRAC1 & BRAC2 10-25-06
Began Tamoxofin November 21, 2006
First Herceptin November 27, 2006 Continues every 3 Weeks
First Radiation Treatment December 11, 2006
35 Rads Completed
Final Herceptin Treatment November 12, 2007
Port Removal November 19, 2007
Living Life to the Fullest !!
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Old 11-18-2006, 09:52 PM   #2
saleboat
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Hi Susan,

I think you'll find Herceptin pretty uneventful. I had mine along with Taxol, so I'm sure I noticed the Taxol more than the Herceptin. The main side-effect that I had with Herceptin is a runny nose. I finished a year of H in July, and my runny nose has stopped.

Are you on a hormonal treatment too? Tamox or an AI, plus Herceptin, is a great combination.

Jen
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dx 4/05 @ 34 y.o.
Stage IIIC, ER+ (90%)/PR+ (95%)/HER2+ (IHC 3+)
lumpectomy-- 2.5 cm 15+/37 nodes
(IVF in between surgery and chemo)
tx dd A/C, followed by dd Taxol & Herceptin
30 rads (or was it 35?)
Finished Herceptin on 7/24/06
Tamox
livingcured.blogspot.com

"Keep your face to the sunshine and you cannot see the shadow." -- Helen Keller
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Old 11-18-2006, 10:39 PM   #3
momdeeco
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Susan,

I've only had 2 doses of Herceptin, but so far I am feeling really good. With the first dose I was really tired, had a headache, and slight nausea for about 16 hours. However, the 2nd dose went great. (First dose could have been stressed related!) I took 3 ibuprofen about an hour before my appointment. That evening I went grocery shopping and the next morning worked out at the gym. I do have a runny nose, but also have allergies, so not sure what to make of that yet. Good luck on the 27th!
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Karla
8/05 NORMAL MAMMO
11/05 DX AFTER FINDING LUMP AGE 47
STAGE 1 HIGH RISK
1.1 CM/NODE NEG
ER-/PR- HER 2 +++ GRADE 3
12/05 PARTIAL MASTECTOMY
1/06 CHEMO AC DD X 6
5/06 RADS X 30
10/06 STARTED HERCEPTIN AFTER 3RD OPINION
3/07 GENETIC TESTING-GENE VARIANT FOR BRCA 1 AND 2
3/07 STOPPED HERCPTIN DUE TO LOW EF
BSO 8/08 (P53 SIGNATURE--PRECANCEROUS CELLS)
11/08---IN A STUDY/MRI EVERY 6 MONTHS/MAMMO EVERY YEAR
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Old 11-19-2006, 05:45 AM   #4
Sheila
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Susan
I have been on Herceptin over 3 years...the first infusion takes the logest as they have to run it slower and give a larger loading dose....I had no pre meds, I did feel achey after the first...kind of flu like achiness...since then only the runny nose and watery eyes...it is a breeze. I have never had nausea, or anything but the achey feeling the first time.
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Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 11-19-2006, 08:36 AM   #5
kari
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Hi Susan,
Just had my first Herceptin the 16th. The only pre-med my onc ordered was 650 mg Tylenol (for fever, aches or whatever, I assume). The infusion started at 11am, we watched for any adverse reaction (chest pain, difficulty breathing, etc), I dozed a while, and by 12:30 I was finished & having lunch. Didn't experience chills, or aches or anything like that. Had to wait 60 min post-treatment. I found I was tired afterwards--fell asleep on the sofa by 9pm. The only thing I felt when I went to bed was kind of "woozy", like light-headed or dizzy. OK by the next day. I do feel stiff joints and sometimes my knees and feet hurt, but I think that may still be from the Taxol. No runny nose (yet).
Hopefully you will sail right through. Good luck.
Take care,
Karen

The Good Lord gave us mountains, so we could learn how to climb!
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Old 11-19-2006, 01:29 PM   #6
SusanV
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Ok, breathing easier now...thank you for all of your posts. It is the greatest source of reassurance when I need it to seek out your advice and thoughts.

Love to all of You
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Susan V - Pittsburgh PA
DX Age 37 on August 3, 2006
Stage 1 Grade 3
ER/PR + (Highly Positive)
Her 2 +++
1.3 & 1.2 tumors right breast
node negative
lumpectomy 8-15-06
A/C Began 9-5-06 Finished A/C 11/6/06
Port Placement 9-15-06
Negative Test for BRAC1 & BRAC2 10-25-06
Began Tamoxofin November 21, 2006
First Herceptin November 27, 2006 Continues every 3 Weeks
First Radiation Treatment December 11, 2006
35 Rads Completed
Final Herceptin Treatment November 12, 2007
Port Removal November 19, 2007
Living Life to the Fullest !!
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Old 11-19-2006, 07:38 PM   #7
rinaina
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I have been getting herceptin since late August and my first one as well as the others that followed went fine with no reactions whatsoever. I did get some headaches following each treatment but nothing terrible and just plain old tylenol took care of them. Had Benedryl along with the first dose of herceptin in case of a reaction but had none. Good luck and hope it goes as well for you as it is for me. My only problem so far has been swollen ankles so onc put me on a diuretic and that took care of that problem. All the best to you.
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~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-19-2006, 08:32 PM   #8
Barbara2
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Not to worry

I had a very tough time with chemo, so weekly herceptin seemed mild.
I didn't experience much fatigue.

After several treatments, I decided to decline the offer of Benedryl as it really makes me sleepy. In time, I declined the Tylenol, too. Figured why take it if I don't need it.

Thankfully, the first treatment was uneventful. You'll do fine, too.
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Blessings and Peace,
Barbara

DX Oct 02 @ age 52 Stage 2B Grade 3 Mastectomy
"at least" 4.5 cm IDC 1+node ER+61% /PR-
Assiciated Intraductual component with Comedo Necrosis
Her2+ FISH8.6 IHC 2+
5 1/2 CEF Arimidex
Celebrex 400mg daily for 13 months
Prophylactic mastectomy
Estradiol #: 13
PTEN positive, "late" Herceptin (26 months after chemo)
Oct 05: Actonel for osteopenia from Arimidex.
May 08: Replaced Actonel with Zometa . Taking every 6
months.

Accepting the gift of life, I give thanks for it and live it in fullness.
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Old 11-19-2006, 10:29 PM   #9
chrislmelb
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i had my first dose 18 mths after chemo........

and i found it such a breeze. I went in expecting the worst but jumped out of my chair feeling no ill effects. I had no meds at all with it. But people do have reactions.

All the best

Christine
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Christine

DX Sept 03 age 40 Stage 2B Grade 3 mastectomy (after 2 prior breast conserving surgeries)
"at least" 2.3 cm 3/12 nodes ER+/PR+ Her2+++
8 FEC. Tamoxifen then Arimidex. Ovaries out.
"late" Herceptin for 2 years (18months after chemo) on HERA trial. finished Herceptin Nov 2007.
Multiple bone mets May 2012 and now liver August 2012.
Abraxne, Herceptin and Zometa.
June 2013 Tykerb, Xeloda and Xgeva
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Old 11-28-2006, 02:16 PM   #10
SusanV
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Hey Guys,


Just wanted to update you that the First Herceptin went without any complications !! No problems at all. It was a breeze ! A few chills the last half hour, nothing a few tylenol couldn't handle.

Now, on the other hand, later that day I went in for my preliminary CT Scan and markings for radiation. YOWZA !!! Did the little tattoos Hurt ! Whoa... Glad that part is over.

LOVE TO ALL
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Susan V - Pittsburgh PA
DX Age 37 on August 3, 2006
Stage 1 Grade 3
ER/PR + (Highly Positive)
Her 2 +++
1.3 & 1.2 tumors right breast
node negative
lumpectomy 8-15-06
A/C Began 9-5-06 Finished A/C 11/6/06
Port Placement 9-15-06
Negative Test for BRAC1 & BRAC2 10-25-06
Began Tamoxofin November 21, 2006
First Herceptin November 27, 2006 Continues every 3 Weeks
First Radiation Treatment December 11, 2006
35 Rads Completed
Final Herceptin Treatment November 12, 2007
Port Removal November 19, 2007
Living Life to the Fullest !!
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Old 11-28-2006, 02:22 PM   #11
rinaina
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So glad all went well with your first herceptin. As for the mapping for radiation....the things no one tells you. I too found that little tattooing painful but thankfully it only lasted for a few seconds. A minor detail no one ever mentioned to me either. I haven't had much trouble at all with herceptin, a bit of fatigue and a few headaches right after treatment but all manageable. Good lluck with the rest of the treatments.
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~Rina~
Dx:3/06 had a lumpectomy April 19, 2006
Her2+ er/pr- Stage I Grade 3 tumor size 1.4 cm, node negative
AC 4 dense doses
34 radiation treatments including booster doses
receiving herceptin every 3 weeks since late August 2006 for 12 months
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Old 11-29-2006, 04:57 AM   #12
VirginiaGirl
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Susan, glad your first Herceptin went well. I, too, have had very little trouble from the 3 txs I've received so far. Best of luck!
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Liz
3/05 Initial dx invasive dc 2 cm lump, age 39
lumpectomy & 3 of 5 nodes +, ER+/PR+, Her2+++
alternative chemo 5/05-7/05, rad 8/05-10/05
7/06 dx mets to vertebrae, pelvis & chest lymph nodes
8/06 - 10/06 tamoxifen, herceptin, oophorectomy & zometa
11/06 PET/CT showed continued bone mets, new spot on liver
12/06 began taxotere/herceptin 1x/3 weeks,
2/07 - 2-08 NED!
3/08 progression, start taxol/herceptin weekly, monthly zometa
8/08 start ai & herceptin
12/08 - progression, start weekly navelbine/herceptin thru 6/09 & monthly zometa
7/09 - PET/CT showed improvement in spine, but 2-3 lymph nodes in chest became active
9/09 - 11/09 - weekly abraxane/herceptin
12/09 - PET/CT - chest lymph nodes resolved, progression in spine & pelvis
2/10 - 6/10 - start tykerb/xeloda, progession in spine & pelvis
7/10 - start taxotere/carboplatin/herceptin

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