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03-03-2007, 03:05 PM
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#1
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Senior Member
Join Date: Mar 2006
Location: IOWA
Posts: 243
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I have been on Navelbine/Herceptin weekly for lung mets since the beginning of January. I get the fatique from the Navelbine. It can be hard on the white blood counts, which it has for me. Because that makes my immune system really fragile, I have had some stomach issues at times, no nausea or diahrea, more like a good old fashioned belly ache. On the 16th of Feb, my whites were dropping, so they reduced the amount of Navelbine, but still gave it to me, the following week they went too low, so they just gave me herceptin.(which I do not receive any pre-meds with) March 2 I went in and had a chest xray as well as blood tests. The chest xray showed that my lesions are continuing to shrink and my blood counts were back up so I could have the Navelbine again. I went into this regimine right after having surgery, but the week I was off of the Navelbine, I could really tell how much it had really made me tired. I had so much extra energy that week. When I was on herceptin alone following my initial diagnosis, I had more hot flashes, runny/crusty nose, thin fingernails and my ankles would be stiff when I first got up, but after a few steps it would go away. I was off herceptin for about 3 months and the hot flashes went almost completely away, as did the nose and ankle issues. My fingernails remain very thin and now that I have started back on the herceptin, the other symptoms have returned, but I feel it is a small price to pay for keeping those cancer cells at bay. Good luck to you, and I hope you will tolerate your treatments.
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Andi
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Stage IIIC, 17 of 20 Nodes +, E+, Her2+++
Diagnosed 6/30/05
Lumpectomy 7/13/05
Dose Dense A/C x 4
Weekly Taxol + Herceptin x 12
Remainder of year Herceptin Every 3 weeks (completes 9/13/06)
Radiation completed 2/28/06
Currently on Tamoxifen
Dec 06 - Pleural effusion treated with pleurodesis
Now er/pr-, her2++
1/07 started weekly Navelbine plus Herceptin
Discontinued Tamoxifen
4/27/07 CTshowed progression
5/01/07 Began Tykerb/Xeloda + Zometa
5/22/07 Stopped treatment due to great progression
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03-04-2007, 11:51 AM
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#2
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Senior Member
Join Date: Jul 2005
Location: Ft. Collins, Colorado
Posts: 546
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navelbine/herceptin
I have also been on this combination. I started end of August 2006. So I have been on a weekly schedule for 6 months. Occasionallly the lower dose is necessary, but I have always been able to receive it. The only pre-med I get is Kytril. It has been my favorite chemo of all that I have been on (A/C-ick, ick, ugh-Taxotere/Xeloda - felt a little beat up-Taxol/Carbo-insidious low grade depression and fatigue).
I'm actually praying that I stay on it. I had good response after 6 weeks and now we are waiting to see what's the what. I'll know this week.
Anyway, I have horrible fingernails (Herceptin, I'm sure). And some cumulative fatigue (actually happy to hear others have had this as I've been feeling like a slacker again). Sometimes I get a yucky taste in my mouth a couple days after, but food largely tastes the same. Constipation has been a problems, but treatable. And the water advice is right on. I'm a good water drinker, but I need a lot more than usual on this combination (especially in Colorado). I also have the nose crusties from herceptin and weird cramps now and again.
But, I have happy new hair that needs to be cut and I feel quite good and can take care of my kids and everybody else's and go out with friends and ignore housework like usual.
Good luck and keep us posted.
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with love and gratitude,
joy
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
6/08 began Herceptin DM-1
9/08 progression
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03-04-2007, 11:07 PM
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#3
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Senior Member
Join Date: Aug 2001
Location: Oregon
Posts: 1,756
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Hi, I had Navelbine/Herceptin weekly and found it very tolerable and very effective. I would sometimes only receive a half dose of Navelbine if my white counts were too low, but by the follwing week they would have recovered enough so that I could get the full dose. Had some stomach issues, but no real nausea however I got anti-nausea meds at infusion and pills to take at home if I needed. I would usually take one pill in the evening and then be fine the rest of the week. Good luck, 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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