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Old 04-26-2009, 01:36 AM   #1
DonnaNY
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Tykerb questions for mom

Hi all, My mom maybe put on Tykerb, Doc wants to see her latest Pet scan, but she has some questions, how big are the pills ? she is terrified of swallowing big pills , can the pills be broken or crushed? She would have to take it 5 times a day , do you have to take the pills with food? Also of those here who have been on Tykerb, did you continue on Herceptin too? and what were your experiences with this drug? She and I would appreciate any info you could provide. I thank you all so much. God bless


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Old 04-26-2009, 02:12 PM   #2
gldouglas
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Hi Donna- I recently started the treatment of Tykerb and Xeloda. I take 5 pills once a day in the morning on an empty stomach. The pills are a good size so I normally take two or 3 at once and swallow slow. From documentation it states not to crush them, I believe they are to be taken whole and that is how I take them. I was on herceptin but now Tykerb takes the place of herceptin and I take the pills everyday with no break. Definately take on an empty stomach and wait about 1 hr min before eating a meal after taking it. So far no real SEs other than some acid reflux and some occassional gas. Some of my SEs might be from the Xeloda that I am on as well. Hope this info helps a little.
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04/08 FOUND LUMP AFTER CLEAR GYNO VISIT IN MARCH
05/08 HER2+++, 4.2CM LUMP IN RIGHT BREAST; LIVER AND BONE METS AT DX AND DISCOVERY OF FRACTURE IN LOWER LUMBER
05/23/08 TURN 29 YEARS OLD
05/25/08 LUMPECTAMY
06/08 RADS TO LOWER LUMBER AND BEGIN HERCEPTIN
07/08 BEGIN TAXOL, CARBO, HERCEPTIN, ZOMEDA TREATMENT-EXCELLENT RESULTS!
12/08 STABLE IN LIVER AND BONES
01/09 HERCEPTIN EVERY 3 WKS AND ZOMEDA EVERY 6 WKS
01/09 BRAIN METS! NUMEROUS
01/09 WHOLE BRAIN RADIATION - 15 SESSIONS
03/12/09 CAT/PET SCANS SHOW POSSIBLE SLIGHT REGRESSION OF LIVER METS--
03/20/09 BRAIN METS SHRINKING & NO NEW LESIONS
04/10/09 BRAIN SCAN SHOWS REGRESSION AND NEW BRAIN METS
04/16/09 STOP HERCEPTIN BEGIN TYKERB AND XELODA AND CONTINUE WITH ZOMEDA
04/23/09 CAT/PET SCANS: LIVER IS STABLE
04/25/09 FULL MRI OF SPINE SHOWS A NEW 3MM SPOT IN THE ACTUAL SPINAL CORD IN T9 THORASIC SPINE
CONTINUE WITH TYKERB, XELODA AND ZOMEDA
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Old 04-26-2009, 06:01 PM   #3
hutchibk
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She will take 5 pills once a day. I take mine at night at bedtime on empty stomach. You are not supposed to break them. I used to have a hard time swallowing pills, too, but once dxed with bc, I somehow got over the hump and now have no problem at all. I take them all at once, sometimes. CRAZY, I know, especially for someone who used to spit out more pills and vitamins than she ever was able to get down...

I am on Tykerb and Herceptin. But I was on Tykerb with Xeloda first (for 18months), which is the FDA approved combination. Tykerb with Herceptin is still in trials. Some of us who have had progression on Tykerb/Xeloda are able to get Tykerb with Herceptin, but it's not the first Tykerb combo that they will put her on, I believe.

In my case, once we added the Herceptin in with Tykerb (and dropped Xeloda) - I had to drop the number of Tykerb I was taking to 4 from 5. Five was causing me to have uncontrollable diarrhea, so we pulled back a little. I have done fantastic on both combinations, and couldn't be happier.
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 04-29-2009, 11:28 AM   #4
Believe51
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Donna, how are things going for Mom? Thinking about you both and sending you two powerful healing thoughts.>>Believe51
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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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Old 04-29-2009, 12:38 PM   #5
Ceesun
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My onc just upped me to the full 5 pills 2 days ago in combo with xeloda. Ceesun
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Old 05-04-2009, 10:45 PM   #6
Believe51
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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
Donna, how is Mom making out?? Please let us know whenever you get a moment.>>Believe51
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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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