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08-11-2009, 01:14 AM
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#1
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Senior Member
Join Date: May 2006
Posts: 157
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No more Ixempra to me
Hi, my friends,
After being on Ixempra/Herceptin since October last year (12 treatments), I had progression on my lung mets, just when my body was getting used to the combo, and the side effects were getting better, even though the neuropathy was getting worse. According to my nurse, I was the only one still on Ixempra, everybody else gave up because of the side effects, so the doctors were keeping an eye on me.
I will be starting Tykerb/Xeloda as soon as I receive the drugs. I am worried about this combo, because I had Xeloda before with Herceptin for 3 months, and it did not work for me, the side effects were very strong as well. I wonder how it is going to be with the added Tykerb, besides, after being on Ixempra for so long and 4 years of different chemo/Herceptin, my body is not the same, I feel tired, I move slowly, I have short of breath lately, I do not have the same energy that I had when I took Xeloda before, and my feet are already very dry and numb from Ixempra. I wonder how it is going to be this time.
I need your prayers, wonderful people, for this combo to work and for the side effects to be doable. I need your experience with this combo as well.
Thank you.
God bless you all.
Kavy.
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08-11-2009, 05:03 AM
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#2
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Senior Member
Join Date: Sep 2005
Location: MN
Posts: 731
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Re: No more Ixempra to me
Kavy - I hear the anxiety in your writing about changing chemos. I understand the feeling very well. Each time I have to start a new combo I fear what the side effects are going to do to me. I have not had ixempra, but from what I read on this site it's not an easy one (like any are!) so you have done well to manage it for almost a year. I was on xeloda/herceptin for about 3 yrs, then xeloda/tykerb for a few months. I did have the hand/foot problem, sometimes very painful, but all in all I felt great otherwise on this combo. I didn't notice any difference in s/e switching from the x/herc. to x/tykerb. When my onc. reduced the dose of xeloda my feet were much better. I've heard of people using some henna treatment on their feet when on xeloda which I didn't know about when I was on it. If I was to go back on xeloda I'd check that out. Google it. Also maybe xeloda will be easier on you this time - or at least easier than the ixempra and you'll be able to gain back some of the stamina that you wrote is compromised. Let me know how the new combo is working for you. I hope it goes super and pushes the progression back to remission.
__________________
Pam
6/01 IBC er+ her2+stage IIIb; mastecomy
7/01 AC, taxol; radiation
2/02 tamoxifen
9/02 stage IV bone mets femara
1/03 taxotere/herceptin/aredia
6/03 herceptin, aredia & faslodex
1/04 navelbine, herceptin, aredia
2/05 herceptin/aredia
7/05 xeloda/herceptin/aredia
3/07 xeloda/tykerb/aredia
5/08 taxol/avastin/aredia
2/09 gemzar/herceptin/zometa
7/09 Taxol/Carbo/Herceptin, zometa
10/09 navelbine/herceptin & zometa
2/10 herceptin & tykerb & zometa
4/10 add xeloda &aromasin
10/10 dx with dermatomyiositis triggered by cancer
11/10 restart herceptin, tykerb, zometa
12/10 surgery-place rod in R femur to stabilize bone
1/11 radiation to R femur - 20 tx
2/11 2nd surgery - rod in Left femur
2/11 tx eribulen -- suspended dx brain mets
3/11 brain mets wbr 20 tx
4/11 halaven; discontine 8/11 not working
8/11 radiation to left femur 20 tx'
8-9/11 rad to lower spine
9/11 abraxane/herceptin/zometa
9/12 xeloda/herceptin/zometa
12/12 ablation of liver
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08-11-2009, 07:26 AM
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#3
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Senior Member
Join Date: Oct 2006
Location: I live in Christmas, MI - located on the shores of Lake Superior.
Posts: 606
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Re: No more Ixempra to me
I understand your anxiety about changes, but I will hope and pray that you will tolerate it well and it will work.
__________________
Barb
10/03 Radical Mastectomy 3 cm tumor - 1/17 Nodes Stage II B, Her 2 +++ ER-/PR- 11/03 4 AC 4 Taxol 12/05 Stage IV - Lung met , Bone mets - Carbo, Taxotere, Herceptin 9/06 - 2 cm brain tumor 10/06 - Tumor removal surgery - Herceptin Halted 12/06 gamma knife tumor base.1/07 Navelbine/Herceptin 4/07 Rads to R femur 5/07 Stereotactic - new 2 cm brain tumor 4/07 Start Xeloda 5/07 Tykerb added 7/07 Brain MRI clean 10/07 .055 cm brain met found. 12/07 Stereotactic -1 cm brain tumor Start Tykerb 11/07 Abraxane/Herceptin 5/08 Cisplatin, Gemcitabine/Herceptin 6/08 Stereotactic to 1cm 9/08 Stereotactic repeat (growth). 11/08 Pet Scan Good but new tiny met on L lung/dead Brain surgery (no cancer cells found/scar tissue) 1/09 Chemo restarted 2/09 Pet Scan Bad - R larger very active/active L active lymph nodes both sides of chest MRI- mets slight increase 2/09 Start Doxil/Tykerb Treatment
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08-11-2009, 11:37 AM
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#4
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Senior Member
Join Date: May 2006
Posts: 3,142
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Re: No more Ixempra to me
Good luck with your change in treatment. I have my fingers crossed that it will work for you.
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08-11-2009, 02:18 PM
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#5
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Senior Member
Join Date: Jun 2006
Location: san luis obispo, ca
Posts: 1,150
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Re: No more Ixempra to me
Wow! It's amazing that you could be on Ixempra that long with good results and few se's. I had to stop after 2 treatments due to progression. I am crossing my fingers and throwing in some prayers for your next treatment.
Love, Vickie
__________________
Love and Hugs, Vickie
Life's not about waiting for the storm to pass,
It's about learning to dance in the rain.
Feb 04 IBC IIIC/IV er-/pr- her2+++
3/04 TCH X4
7/ 04 MRM 9/04 Taxol/herceptin wkly 1 yr 33X rads
11/04 skin mets 33x rads,10/05 Avast/Herc. 11 mos.
8/ 06 PET mets lymphs, neck
9/ 06 Navelbine/herceptin
11/ 06 PET NED
2/ 07 skin mets, 4/07 Xeloda, 5/07 add Tykerb
2/ 08 Tykerb failed. Doxil /Herceptin 6 months
8/08 PET skin mets, 8/08 Abraxane/Avastin
11/ 08 PET prog., skin mets
1/09 PET/CT progress, 1/09 Ixempra, 2/09 add Xeloda and low dose Naltrexone
2/09 off Ixempra/Xeloda
3/09 navelbine/herc/cytoxin 4/09 PET shows regress.7/09 start Topotecan. Failed.
8/09 extensive mets rgt brst, back and torso. starting Pazopanib clinical trial.
Last edited by vickie h; 08-11-2009 at 02:40 PM..
Reason: spelling
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08-11-2009, 02:21 PM
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#6
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Senior Member
Join Date: Jun 2006
Location: San Antonio, TX
Posts: 2,357
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Re: No more Ixempra to me
Hey Kavy!
I want to add my best wishes and prayers to a good ride with your new treatment! ma
__________________
MA in TX.
Grateful for each and every day....
Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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08-11-2009, 07:01 PM
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#7
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Senior Member
Join Date: Jun 2007
Location: RHODE ISLAND
(Ed getting me a latte on 2nd Cancerversary Cruise 2008)
'BELIEVE': To accept as true or real, To have faith in, To presume
ALWAYS BELIEVE
Posts: 2,999
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Re: No more Ixempra to me
Kavy, I am so sorry about the progression. I think of you all the time and prayers for your continued strength. I know those feelings of needing to start another regime, the anxiety and sadness of it all. Remember that this is not the same combo as before and maybe those Xeloda side effects will not be so severe. Either way Sweetheart, you did 12 cycles of Ixempra and although your body is beat up, I think the next regime has to be better. Keep working on your nutrition, we all know how important that is. You are such a large part of my thoughts, especially since beginning this regime. Please know that you are right here in my heart and I will be following the new twists to your journey. The only thing I wonder about is that shortness of breath, please keep me updated on that.
I wish I could help you somehow but all I can do is say, "I know Darling, I know." I send you love and smiles tonight as I leave this post.....I have alot of praying to do.>>Believe51
__________________
9/7/06Husband 50yrs=StageIV IBC/HER2+,BoneMets10/06TaxotereX10,'H'1X wk,Zometa,Tamoxifen4/12/07Last Tax5/18/07Pet=Rapid Cell Activity,No Organ Mets,Lytic Lesions,Degeneration,Some Bone Repair5/07ChemoFail6/01/07Pleural Thoracentisis=Effusions,NoMalignantCells6/19/07+7/2/07DFCI
6/25/07BrainMRI=BrainMets,Many<9mm7/10/07WBR/PelvisRad37.5Gx15&Nutritionist8/19/07T/X9/20/07BrainMRI=2<2mm10/6/07Pet=BoneProgression
10/24/07ChemoFail11/9/07A/Cx10,EndTam12/7/07Faslodex12/10/07Muga7512/13/07BlasticLesions1/7/08BrainMRI=Clear4/1/08Pet=BoneImprovement,
NoProgression,Stable4/7/08BrainPerfect5/16/08Last A/C8/26/08BrainMets=10(<9mm)9/10/08Gamma10/30/08Met=5mm12/19/08Gamma5mets5
12/22/08SpinalMets1/14/09SpinalRads2/17/09BrainMRI=NoNewMets4/20/09BoneScan5/14/09Ixempra6/1/09BrainMRI=NumerousMets6/24/09DFCIw/DrBurstein6/26/09Continue
Ixempra/Faslodex/Zometa~TM now lower7/17/09Stop Ixempra By Choice9/21/09HOSPICE10/16/09Earned His Deserved Wings And Halo=37 Month Fight w/Stage 4 IBC, Her2+++,My Hero!!
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08-12-2009, 08:31 AM
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#8
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Senior Member
Join Date: Oct 2007
Posts: 1,851
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Re: No more Ixempra to me
Kavy,
You are in my prayers for the Xeloda/Tykerb combo to knock out those mets.
Joan
__________________
Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2021 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!
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08-12-2009, 12:08 PM
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#9
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Senior Member
Join Date: Jul 2008
Location: Durham NC
Posts: 73
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Re: No more Ixempra to me
Kavy, Maybe take a short break, rest and go in with a good attitude with the Xeloda. I know the side effects are not easy, but there are so many good outcomes with X! Maybe you could try a lower dose? And maybe you will find after all this time on I, that X is not so bad!!
Hang in there! Beth
__________________
4/06 Found small lump, biopsy + at 34 yrs.
5/06 Diagnosed IIIC, lumpectomy, 11/11 nodes HER2+
6/06 port placed. 4 Ad/Cyt and 4 Tax.
11/06 bilateral mastectomy
12/06 begin Rads
1/07 Finished Rad-started H, weekly for one year.
1/08. Finished H, scan showed activity in nodes, Doc says 'not to worry about it' and sends me on my way.
7/08 Scan shows numerous involvement in armpit, also large active nodes in supr. clav.
Doctor refused to give me HER2 meds.
8/08 fired doctor, found another. Started Tykerb/Xeloda. After one round, nodes are shrunk and normal sized!
12/08 NED continue Ty/X
3/09, 6/09, 9/09, 11/09, all scans show NED
Dropping X, continue Tykerb
As of 6/10, 3/11 still negative, continuing Tykerb...
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08-15-2009, 12:29 PM
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#10
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Senior Member
Join Date: May 2006
Posts: 157
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Re: No more Ixempra to me
Thank you all for your prayers, good wishes and for sharing your experience with me.
Today is my 5th day since I started this combo, and so far so good. No nausea or vomiting, no diahrrea, no tiredness (felt tired the first two days), and hands and feet are OK so far, but I am already thinking about getting henna, because I also read that it helps to minimize the hand and foot syndrome.
Marie, I have not had short of breath or cough since the second day I started this treatment, what makes me believe that it was mets related, not Ixempra side effects, but I will keep you updated.
Wow, Pam, 3 years on Xeloda, that is amasing. I am so happy for you. Xeloda was almost your wonder drug, and after a while, it might work for you again . I hope it will do the same for me.
My regime is daily Tykerb (5 pills on a empty stomach), and Xeloda (2 pills after breakfast, 2 after dinner during the week, but weekends off), before I had Xeloda 2 weeks on, 1 week off. Have any of you heard about Xeloda off on the weekends only?
Marie, how is Ed doing? Know that you both are in my daily prayers, and so are all my dear sisters on this site.
Thank you all for your help.
God bless all of you.
Have a wonderful weekend.
KarlaV.
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