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Old 02-27-2013, 06:30 PM   #1
Dylanemmalexbenj
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Unhappy neulasta bone pain

Anyone else out there finding that the neulasta hurts like fricking crazy? We were told to take Claritin q 12 for three doses the day before and the day of treatment, but have heard others got some relief if you kept taking it for a while afterwards. The pain meds help a bit but make her feel goofy.
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Old 02-27-2013, 07:59 PM   #2
sassy
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Re: neulasta bone pain

Hey guys, hang in there!

Neulasta probably caused me the most pain/discomfort of anything during my treatment. Largest bones suffered most, and my sternum was particularly painful. If pain meds are something you are comfortable switching, give it some thought. I worked the entire time during chemo, only missing on treatment days. (It was mostly for my mental health!) So fatigue probably intensified the pain. I took low dosage Darvoset. Really took the edge off the pain and didn't seem to affect my mental acuity greatly. Some of the other pain meds really messed with my head!

How long will she be on Neulasta? You should see improvement shortly after discontinuation.

My best to you,
__________________
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dx age 45
DX 2/15/05 Stage IIb (at surgery)restaged IIIa
Left mast .9cm tumor 5 of 14 nodes
Triple Positive
4 DD A/C
12 Taxol/Herceptin
33Rads
Strange infect mast site one year aft surg, hosp 1 wk
Herceptin for total of 18 months
Lupron Monthly 4 yrs
Neurontin for aches, pains and hot flashes(It works!)
Ovaries removed 11/09 stop Lupron and Neurontin
Arimidex 6 yrs (tried Femara, no SE improvement)
Tried Exemestane-hips got so bad could hardly walk
Back to Arimidex for year seven
Zometa 2X Annual for 7years, Lasix
Stop Arimidex 5/13
Stop Zometa 7/13-Bi-lateral Stress Fractures in Femurs from Zometa
5/14 Start Tamoxifen
3/15 Stem cell transplant to stimulate femur bone growth/healing
5/15 Complete fracture of right femur/Titanium rods both femurs
9/16 Start Evista stopTamoxifen
3/17 Stop Evista--unwelcome side effects!
NED and no meds.......
14YEARS NED!

Last edited by sassy; 02-27-2013 at 08:02 PM..
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Old 02-27-2013, 08:08 PM   #3
Gerri
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Re: neulasta bone pain

I never had bone pain with neulasta but did have pain with the injection. Around the third time I went in for the shot, the nurse rolled the syringe quickly between her hands for several seconds before injecting me -it was a LOT less painful! She explained that the medication has to be refrigerated until it is time for use, but if it is warmed up briefly before injecting it stings a heck of a lot less - worked for me! After that, I made sure to pass that tip on to whomever was giving me my shot that day. Sorry I can't give any advice about the bone pain, but if the actual injection is painful this may be of some help.

Best of luck
__________________
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Dx: 11/23/05, Lumpectomy 12/12/05
Tumor 2.2 cm, Stage II, Grade 3, Sentinel Node biopsy negative
ER+ (30%) /PR+ (50%), HER2+++
AC X 4 dose dense, Taxol X 4 dose dense
Herceptin started with 2nd Taxol, given weekly until chemo done
then given every 3 weeks for one year ending on March 16, 2007
Radiation 30 treatments
Tamoxifen - 2 yrs (pre-menopausal)
May 2008 - Feb 2012 Femara
Aug 2008 - Feb 2012 Zometa every 6 months
March 2012 - Stop Femara, now Evista for bone strengthening
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Old 02-27-2013, 11:24 PM   #4
Jackie07
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Re: neulasta bone pain

I remember my legs (calves) feeling very 'heavy' after the (bone-strengthening) shots. It took quite a while (2 weeks?) before it went away.
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Old 02-28-2013, 05:14 AM   #5
jaykay
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Re: neulasta bone pain

My upper legs (thigh bones) feel heavy for about 5-6 days after the shot. It's not really what I would consider pain, but I have taken Aleve a couple of times and it seems to help me.

Sorry you're having problems!
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March, 2000: 48, Post menopausal (5 yrs HRT) Left breast, IDC 3mm/DCIS 1.6cm, ER+/PR-/Her2+++, mod differentiated, MIB low, lumpectomy, node neg via SNB, rads=33 Stage 1a
June, 2000: Tamox 4.5 years,Femara for 5 years (end in Jan. 2010)
Sept, 2012: 61, Via mamm, ultrasound, biopsy, right breast, 2.3cm tumor, ER+/PR-/Her2+++, poorly diff, KI67 60-70%
BRCA 1 and 2 negative
October, 2012: Bi Mast with tissue expanders, port placement
Final Path: IDC 2.8cm, DCIS, 1/4 sentinal nodes positive (@#$%). Stage IIB
Nov 29, 2012: Begin TCH/6x/every 3 wks, H for 1 year/every 3 weeks.
March 14, 2013: Finished chemo
April 9, 2013: Begin radiation 28x
May 22, 2013: Finished rads
June 1st, 2013: Started Aromasin for 5 yrs.
July 15, 2013: Switched to Letrozole (Femara). Probably for the rest of my life
October 16, 2013: Exchange surgery
October 31, 2013: Finished Herceptin
December 5, 2013: Port removed
Glad this year is over!
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Old 02-28-2013, 05:57 AM   #6
NEDenise
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Re: neulasta bone pain

Oh! How I remember that ache! My heart goes out to you.
As always...my advice is check with your team,
let them know what you're feeling,
what you've tried and
ask if there is something else that might help more.

Pain is not helping you fight cancer...it's stealing your mental, physical and emotional strength. There are PLENTY of things we have to be "brave" about. This might not be one of them! Please check. You deserve all the relief you can get!

Thinking of you!
Denise
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1/11-needle biopsy
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3/11 - Post-op staph infection,cellulitis, lymphedema,seroma,ARRRGH!
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8/26/11 finished Taxol!!!
10/7/11 mastectomy/DIEP recon
11/11 radiation x28
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Old 02-28-2013, 08:17 AM   #7
snolan
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Re: neulasta bone pain

After my first injection it felt like someone was stabbing me with a knife in my thighs. Had to leave work it hurt so much. After that it was just achy in my thighs and sacrum.
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dx: DCIS 6/8/10, HER 2+ 7/26/10; Stage I Age 41
Double mast w reconstruction
6 TCH w 1yr herceptin
Tamox.
25 radiation tx
Removal of expander on L due to infection. Tried to save it had 3 bouts of antibiotics and went to see plastic surgeon 2-3x wk to get drained. Saving it was my idea not his. But lost it anyway.
Reconstruction set for December 21st,2011
Finished chemo 12/2010
Finished Herceptin 8/26/11
Reconstruction 12/21/11
Expanders exchanged for silicon 3/19/12
Nipple reconstruction 5/18/12
Nipple tatooing- 7/9/12- All done yay!
11/22/12-Went back to get scar tissue stretched to even the outside of breast, didn't work due to it being radiated skin.
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Old 02-28-2013, 07:23 PM   #8
starwishn2
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Re: neulasta bone pain

I took Claritan and Aleve at the same time. That is what my oncologist suggested and it helped. I took it right before I had the Neulasta shot and then for several days after. My pain wasn't too bad.

You're in my thoughts! I'm not that far removed from treatment and that dreaded pain.

Jeri
__________________
Diagnosed 16Dec1993 ITP (auto immune disease - low platelets)
Splenectomy 11Nov2009
Rituxen May2011
ITP playing nice
Diagnosed 3Jul2012 BC

2 cm - Grade 2 - Stage IIB
HER2+++

ER+/PR+
bilateral mastectomy 20Jul2012
Metastasized cancer found 1 lymph node
expanders placed during surgery
TCH chemo "cocktail" started 24Aug2012
every 3 weeks - 6 treatments
Herceptin - 18 treatments
LAST treatment Taxotere & Carboplatin 7Dec2012 -yay!
Continue with Herceptin 26Dec2012

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Old 02-28-2013, 09:17 PM   #9
CoolBreeze
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Re: neulasta bone pain

Yeah, I refuse to take it now. At my stage, I don't see the point of going through that much pain. Unfortunately, I had it really bad, to the point where I couldn't function. It hit my neck and my head and spine. I felt like I was delivering a baby through my spine. Awful drug for me.
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08/17/09 Dx'd.
Multifocal/multicentric IDC, largest 3.4 cm, associated ADH, LCIS, DCIS
HER2+ ER+/PR- Grade 3, Node Negative

10/20/2009: Right mastectomy, reconstruction with TE
12/02/2009: Six rounds TCH, switched to Taxol halfway through due to neuropathy
03/31/2010: Finished chemo
05/01/2010: Began tamoxifen, the worst drug ever
11/18/2010: Reconstruction completed
12/02/2010: Finished herceptin
05/21/2011: Liver Mets. Quit Tamoxifen
06/22/2011: Navelbine/Zometa/Herceptin
10/03/2011: Liver Resection, left lobe. Microwave ablation, right lobe - going for cure!
11/26/2011: C-Diff Superbug Infection, "worst case doctor had seen in 20 years"
03/28/2012: Progression in ablated section of the liver - no more cure. Started Abraxane, continue herceptin/zometa
10/10/2012: Progression continues, started Halaven, along with herceptin and zometa.
01/15/2013: Progression continues, started Gemzar and Perjeta, an unusual combo, continuing with herceptin and zometa
03/13/2013: Quit Gemzar, body just won't handle it. Staying on herceptin, zometa and perjeta.
04/03/2013: CT shows 50% regression in tumor, so am starting back on Gemzar with dose reduction, staying with perjeta/herceptin/zometa. Can't argue with success!
05/09/2013: Discussing SBRT with Radiology due to inability of bone marrow to recover from chemo.
06/07/2013: Fiducial placement for SBRT
07/03/2013: Chemo discontinued, on Perjeta, Herceptin and Zometa alone
07/25/2013: SBRT (gamma knife) begins
08/01/2013: SBRT completed
08/15/2013: STABLE! continuing with Perjeta, Herceptin, Zometa
06/18/2014: ***** NED!!!!***** continuing with Perjeta, Herceptin, Zometa
01/29/2014: Still NED. continuing with Perjeta, Herceptin. Zometa lowered to every 3 months instead of monthly.
11/08/2015: Progression throughout abdomen and lungs. Started TDM-1, aka Kadcyla. Other meds discontinued. Remission was nice while it lasted.

5/27/18: Stable. Kadcyla put me right back in the barn. I have two teeny spots on my lungs that are metabolically inactive, and liver is clean.

I’m beating this MFer. I was 51 when this started and had two kids, 22 and 12. Now I’m 60. My oldest got married and trying to start s family. My youngesg graduates from Caltech this June. My stepdaughter gave me grandkids. Life is fantastic.
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Old 03-01-2013, 04:58 AM   #10
Paula O
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Re: neulasta bone pain

A friend of mine's doctor also put her on Clariton before and after the Neulasta, but for a longer course than you are on (I forget, seems like it was about a week?). She forgot the Clariton once and woke up feeling like she was run over with a truck--she's never forgot again and she said it's made a big difference in the bone pain.

Hope you get some relief,

Paula
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Old 03-09-2013, 08:25 PM   #11
suzan w
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Re: neulasta bone pain

That bone pain was AWFUL...nothing helped for me...except time! Hang in there, it will become a vague memory some day!
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Suzan W.
age 54 at diagnosis
5/05 suspicious mammogram-left breast
5/05 biopsy-invasive lobular carcinoma with LCIS,8mm tumor,stage 1 grade 2, ER+ PR+ Her2+++
6/14/05 bilateral mastectomy, node neg. all scans neg.
Oncotype DX-high risk
8/05-10/05 4 rounds A/C
10/05 -10/06 1 yr. herceptin
arimidex-5 years
2/14/08 started daily self administered injections..FORTEO for severe osteoporosis
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8/17/09 prophylactic salpingo-oophorectomy
10/15/10 last FORTEOinjection
RECLAST infusion(ostoeporosis)
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8/2010-18%increase in bone density!
no further treatments
Oncologist says, "Go do the Happy Dance"
I say,"What a long strange trip its been"
'One day at a time'
6-14-2015. 10 YEAR CANCERVERSARY!
7-16 to 9-16. Extensive (and expensive) dental work done to save teeth. Damage from osteoporosis and chemo and long term bisphosphonate use
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Old 03-10-2013, 10:24 AM   #12
IrvineFriend
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Re: neulasta bone pain

I just gave myself my shot this AM and will try the Clariton to prevent the pain you all have experienced. I'm taking Tramidol for my headaches and that seems to help the general chemo pain. Finally taking it easy today.
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Live in Orange County, CA

Diagnosed with DCIS Oct. 2012

Bilateral Dec. 19, 2012
IDC, ER/PR-, Her2+++, Grade 3
Stage IIIa
15.6 cm
4/14 nodes + macrometastases
First thing each morning, I try on my bathing suit. Then, nothing worse can happen the rest of the day.
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Old 03-10-2013, 03:54 PM   #13
europa
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Re: neulasta bone pain

Ugh...yes. Very painful. The vaccine I got (the trial BC vaccine) has the same effect and it's brutal. I walk around like a little old lady for days after the shot.
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DX 10/2011
PET Scan + MRI 10/2011
Lumpectomy 11/11/11
Stage 2B +++ ER+(10%), PR+(5%), HER2+++(1 positive node, 1 micromets to second node)
AC started 12/2011 ended 1/2012
Taxol + Herceptin weekly for 12 weeks ended 4/2012
30 zaps of radiation done 6/2012
Tamoxifen 6/2012
every 3 weeks of Herceptin for another year.
Metformin Trial 8/12
10/12 MRI- CLEAR
01/13 BRAIN MRI- CLEAR!
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FINISHED HERCEPTIN 1/9/2013...Woot Woot
Starting Walter Reed Vaccine Trial 2/13
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12/2015 blood clot to left leg caused by Tamoxifen. No longer taking it. On Xarelto, a blood thinner
12/2015 Ablation to prevent hemorrhaging from potential issues with Tamoxifen residue in my system
1/2016 continuing journey without hormonal therapy. Reevaluating the option of a hysterectomy and oopherectomy.
4/1/2018 2mm stroke. Yes, stroke! No cause ever found but they believe it was a migraine that went bonkers and created a tiny clot. No deficits. I was back to normal with 24hrs. Now on baby aspirin for life.
7/27/2018 hysterectomy and oopherectomy
01/07/2019 Mastectomy and expanders put in
3/22/2019 Vtach, almost died. Cause unknown.
7/22/2019 New perky boobs put in
7/21/2020 Off of all drugs but a baby aspirin because of the stroke in 2018.


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Old 03-11-2013, 05:06 PM   #14
IrvineFriend
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Re: neulasta bone pain

I've only given myself two injections (out of 7) thus far and this hurts like crap! I feel like my knee caps are going to pop off and even my back and neck hurt to move. I left work early because I was getting grumpy and wasn't sure I could even get home if I waited much longer. I'm not doing the next injection until I talk to them and make sure I'm doing this right. I was up until 4:30 AM as I couldn't sleep through the pain. I have Tramadol which helped but right now it's not doing jack!
__________________
Julie
Live in Orange County, CA

Diagnosed with DCIS Oct. 2012

Bilateral Dec. 19, 2012
IDC, ER/PR-, Her2+++, Grade 3
Stage IIIa
15.6 cm
4/14 nodes + macrometastases
First thing each morning, I try on my bathing suit. Then, nothing worse can happen the rest of the day.
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Old 03-11-2013, 05:46 PM   #15
europa
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Re: neulasta bone pain

I found that hot showers really helped me. They instantly made my joints and muscles feel better. I sometimes would take 4-6 showers a day to get by. But it worked for me.
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DX 10/2011
PET Scan + MRI 10/2011
Lumpectomy 11/11/11
Stage 2B +++ ER+(10%), PR+(5%), HER2+++(1 positive node, 1 micromets to second node)
AC started 12/2011 ended 1/2012
Taxol + Herceptin weekly for 12 weeks ended 4/2012
30 zaps of radiation done 6/2012
Tamoxifen 6/2012
every 3 weeks of Herceptin for another year.
Metformin Trial 8/12
10/12 MRI- CLEAR
01/13 BRAIN MRI- CLEAR!
01/13 Neck MRI- CLEAR!
FINISHED HERCEPTIN 1/9/2013...Woot Woot
Starting Walter Reed Vaccine Trial 2/13
CT Scans + ultrasound of abdomen CLEAR-5/13
02/2015 through 11/2015 emergency D&Cs for Tamoxifen induced uterine polyps which caused uncontrollable hemorrhaging
12/2015 blood clot to left leg caused by Tamoxifen. No longer taking it. On Xarelto, a blood thinner
12/2015 Ablation to prevent hemorrhaging from potential issues with Tamoxifen residue in my system
1/2016 continuing journey without hormonal therapy. Reevaluating the option of a hysterectomy and oopherectomy.
4/1/2018 2mm stroke. Yes, stroke! No cause ever found but they believe it was a migraine that went bonkers and created a tiny clot. No deficits. I was back to normal with 24hrs. Now on baby aspirin for life.
7/27/2018 hysterectomy and oopherectomy
01/07/2019 Mastectomy and expanders put in
3/22/2019 Vtach, almost died. Cause unknown.
7/22/2019 New perky boobs put in
7/21/2020 Off of all drugs but a baby aspirin because of the stroke in 2018.


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8 YEARS NED
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Old 03-12-2013, 09:58 AM   #16
Diana
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Re: neulasta bone pain

I feel for you! I remember the pain it was torture. I took the Clairiton, I started it the day before the shot and stayed on it for a week. I also took pain meds. they did take the edge off of it. I could not work. Positive energy your way, I counted my blessings each day it helped me thru this.
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Old 03-13-2013, 11:38 PM   #17
Jean
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Re: neulasta bone pain

Warm soaking baths helped me plus I would put a heating pad on my knees, shins and had another heating pad for my back. Helped a great deal.

Sorry you are in such pain.
Jean
__________________
Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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