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Old 04-25-2007, 09:45 PM   #1
Esther
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Tykerb Cares Program

Apparently everyone who is being prescribed Tykerb will be getting a call from Tykerb Cares program.

I had actually called in for information on the reported rashes, and ended up having my phone call yesterday.

It ended up taking an hour and a half, and was given no additional information than what i already have. They would not even give me any information or suggestions on how to help heal the rash. They just directed me to ask my onc, which I had already done, but I was curious if there was anything in particular that had worked well in the trials. They would not share any information of that type at all.

For me, this was a waste of time and not helpful at all....They are probably spending alot of money on these people being asked to call all the Tykerb users, and in my opinion, those resources would be better spent in some other area.
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Old 04-25-2007, 10:40 PM   #2
Sherryg683
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Esther, what type of rashes are you having and is this a side effect of Tykerb? I'm going to start on it soon and would like to know what to expect so I don't freak. Are they itchy and where on your body..sherryg683
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Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

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Old 04-26-2007, 02:19 PM   #3
Esther
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Actually that was the one useful piece of information I got from the Tykerb Cares nurse. She said the rash was the most frequently mentioned side effect since Tykerb was released in mid March.

The rash typically appears on the arms or sometimes the face, is red, and has little pimple or blister like eruptions. It itches at first.
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Old 04-26-2007, 09:19 PM   #4
Sherryg683
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That sounds lovely, I will probably end up with a rash that looks like another out break of the shingles that I am suffering so much with now and confuse my poor doctors even more. .lol..sherry
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Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

Life is not about avoiding the thunderstorms, it's about learning to dance in the rain!
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Old 04-26-2007, 09:22 PM   #5
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Esther, I don't know if this will help but whenever I get rashes or skin irritations, I bath in epson salt water, it helped with my shingle outbreak. I get the half gallon size salt at the drug store..it would be worth a try..sherryg683
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Sherry

Diagnosed: December , 2005 at age 44
13+ positive lymph nodes
Stage IV , Her2+, 2 small mets to lungsChemo Started: Jan, 2006
4 months Taxotere, Xeloda, Hercepin
NED since April 2006!!
36 Rads to follow with weekly Herceptin indefinately
8 years NED now
Scans every year

Life is not about avoiding the thunderstorms, it's about learning to dance in the rain!
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Old 05-01-2007, 04:31 PM   #6
bailey
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Sherry and Esther - you can also try aloe gel/cream on the rash as that may help as well. I will be starting both next week so we'll see how it goes. I swear by vaseline petroleum jelly on my feet now so maybe that's another way to go, put socks on and do your hands at night with cotton gloves - worth a try.
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Old 05-01-2007, 10:03 PM   #7
Adriana Mangus
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Post Anyone, Please Comment/share Info With Me

Today, I could have started tykerb+herceptin, due to progression of disease,( it has grown a little for the last 4 months and CA2729 reading is up to 58 from 44), normal CBC, heart, liver, brain etc.; but I opted to go back to navelbine+herceptin since this combo worked really well for me. I have been reading everyone postings about Tykerb and the side effects; based on that, (and my gut feelings) decided to postpone its use.

I'd like to add that I have been pretty lucky since recurrence in 2003, with no major problems, or annoying side effects. It will be four years in August...

My onc and I decided that if this does not work, then we may switch to tykerb and herceptin, not xeloda.

Esther: I took your posting regarding tykerb+herceptin use post-clinical trialsto my oncologist; he will be doing some homework regarding this combo, since he said he's never heard of this combination. His opinion his that Tykerb should do the job that Herceptin is currently doing for us. Basically he' s saying Tykerb+Xeloda would be a better and effective combo w/o Herceptin. Thank you for sharing the info with us.

Any toughts/comments will be very much appreciated.
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1994 - rt brst, .lump, underarm node dissection,chemo+rad 1.2 cms, Grade 3.
28 nodes neg
Er,Pr, Positive HER2 status unknown
2003- Recur to rt lung.July 16 ( B-Day!)
Her2+++ Er,Pr, Negative
2003 - Aug04--Navelbine + Herceptin
2004- 2007--
NED - Herceptin, only
2007 Feb-April Xeloda added to hereceptin
2007-May Back on Navelbine+Herceptin
2008-Feb-Mar 15 Ses Rad to Rt. Lung
2008- Oc 17 Add Tykerb to Herceptin
2009- June-- Discont Tykerb
2009 July 7--Current Taxol + Herceptin
2009 Dec--Discontinued treatment due to progression. Looking into cyberknife.
2010-Aug Accepted to TDM1, no SE, except liver count went up.
2010-2011 September got kicked out of the trial, due to a small spot found on lung.
2011- 2012 September thru early 2013 on Herceptin
2013- March Bone density shows small spot on 5th rib.
2013 - April 4th appt with onc. will post after discussing course of treatment.
2013-March-April Cyber knife to brain and radiation to rib. Chest --base line before chemo-CT-Scan stable for lung issue. CA2729 Normal.
2013 April Herceptin- TDMI
2013 Sept Herceptin + Perjeta . CA2729 within normal range. Brain and Pet scans October 31st. will post results.
2013 October Brain MRI- mixed response. Will see Onc/rad on Halloween.
2013 October/November Brain-MRI nothing new. Repeat MRI next year in May.

2013 December Continue Herceptin and Perjeta. Stable at the moment.
2014 February Brain MRI -clear!
2014 January Added Taxotere to Perjeta+Herceptin.
2014 March Stopped chemo-chest ct-scan next.

2014- March Scans shows tumor's larger, CA2729 higher. Discontinue Herceptin.
2014 April Perjeta+ Halaven
2014 April CA2729 went down 60 points after one cycle. Cough does not want to go away.
2014 June Continue on Perjeta + Halaven-- no more cough. Stable
2014 June Back on Herceptin + abraxane
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Old 05-02-2007, 07:18 AM   #8
bailey
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Adriana - although I have not started the ty/xel. combo I am still doing it. Everything I"ve read about it is so positive and I know the onc. can adjust your xeloda so that the side effects aren't too bad. I was on Herceptin and now just the ty/xel. starting next week - I"ll deal with whatever I have to I guess and talk to my onc.
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Old 05-03-2007, 03:25 PM   #9
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Adriana; My onc started me on Herceptin/Navelbine in 2001 when I first recurred. Like you, this combo was very good for me. I've had a total of three recurrences, each time treated by adding Navelbine, for 6 months, to my maintenance Herceptin. However, each response was less "vigorous" and by the third recurrence I was "only" stable on the combo but we strung it out as long as possible before finally saying goodby to Navelbine last year when I started Xeloda. I think if you have a chance of getting another run with Navelbine, in my experience this tactic has worked well so far.
Good luck, and keep us posted.

<3 Lolly
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Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.

Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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Old 05-03-2007, 03:32 PM   #10
bailey
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Lolly (or anyone plse.) - I am starting xeloda and tykerb next Wed. Did you loose your hair with xeloda? They tell me there is a possibility one time when I called the company and the next time they said there were no reported hair loss stories.
I'd appreciate your comments.
Thanks
B
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Old 05-04-2007, 08:39 PM   #11
Lolly
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Bailey, hi. No, I didn't lose my hair with Xeloda, although it seemed it thinned a bit. However, it remained healthy enough that I carried on with getting highlights, so hope your's does as well! I've known several others at my treatment center who also didn't lose their hair on Xeloda. Good luck!

<3 Lolly
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Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.

Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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Old 05-05-2007, 08:06 AM   #12
bailey
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Lolly - thank you so much for that. My Onc said I MAY loose some but not alot - I haven't heard of anyone else even mentioning it thinned a bit so not sure who else that has happened to. I'll keep you all posted.

B
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Old 05-06-2007, 07:04 PM   #13
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Question

Esther,

I just posted on another board but I have having the same rash on my face. Have you found anything that worked yet? My cheeks are all splotchy and I have little blisters that I thought were pimples. This is about my 7th day on Tykerb. Has your rash gotten better or worse with more days of Tykerb? Look forward to hearing from you.

Pam
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Old 05-07-2007, 05:53 AM   #14
bailey
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I think that is from the xeloda but not sure - goes along with the hand and foot thing. Try a good make of Vitamin C Cream - try Jan Marini C'esta Cream - you will have to find an aesthetician in your area and get it from her - it's expensive but you only need to use a bit a.m. and pm - if you use moisturizer you would use the Vit C cream first plus it's an amazing product anyway for the skin. I'm a Lic. Aestetician and have been using it and selling it for years and it was the one product that really kept my skin awesome even through all my chemo. Although I have not started the meds yet I am sure it will work - make take time to settle it down but worth the try - it's a fabulous product. We recommend it for our patients with rosacea as well and it's great.

Let me know how it goes.
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Old 05-08-2007, 08:31 PM   #15
Esther
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The rash and pimples get better with time and are supposed to go away within 4-6 weeks.

I used an Olay face cleanser, a clay mask, and used the infrared sauna to cleanse pores. Any kind of acne cream used overnight helps to finish drawing it out and drying quicker.

I'm down just an occasional pimple now, hopefully that will be it for me.
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Old 05-08-2007, 09:35 PM   #16
Lolly
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good to know; after less than a week my face looks like "oatmeal and cream"! I've got a medicated clay mask from my dermatogist, that's helping somewhat. I guess time will do the rest.
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Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.

Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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Old 05-09-2007, 08:21 AM   #17
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I'm glad to know, too, that the rash can abate over time. I am also grateful for everyone's tip and hints on how to deal with the breakouts. As I mentioned before, I battled acne for YEARS and only in the last 5 or so years have I had the skin I always wanted. I also have hair I like again. And while I'll admit a certain amount of vanity, it is also a matter of looking HEALTHY. It does so much for the outlook when on the outside you look healthy. I was told today at school by a friend that I looked 'radiant' for some reason. And as I posted on the main board, I think it is being off herceptin for the first time in 41/2 years. I'm pretty sure xeloda and tykerb will take care of that radiance though.


Most importantly I want this treatment to beat the snot out of the cancer, but I can't help but hope that I'll keep my hair and that my skin can eventually look the way it does now.
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dx stage I 2/2000*er/pr+; her- per IHC*lumpectomy*4 rounds A/C*30 rads*tamoxifen*dx stage 4 5/2002*huge mets to liver*tiny mets to lungs*stopped tamoxifen*5/02 taxotere/xeloda*her 2 checked with FiSH-her2+++herceptin *2/03 stopped chemo femara w/herceptin*zolodex*04 switched to aromasin w/herceptin*05 high estrogen tx*11/05taxol/carbo*7/06 stopped chemo; megace/herceptin*9/06navelbine/herceptin*5/07tykerb/xeloda great response*4/08 progression in liver; ooph/ faslodex /herceptin
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