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Old 11-09-2007, 01:29 PM   #1
adrien
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Location: Balmain Sydney NSW
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Tykerb only

Hi,
I am on Tykerb only (no xeloda) as I'm having radiotherapy for skin tumours.
I do not have any diarreoha. I do have skin rashes but would be interested to know if there was anyone else out there on Tykerb ONLY and what side effects they have experienced.
Are the dreaded runs a result of the combo or Tykerb alone?
Adrien
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Old 11-09-2007, 04:37 PM   #2
hutchibk
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Looks like you worked it out, Adrien, putting up the post.

You should get a few answers from some who have been in the Tykerb Only trials...
__________________
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 11-11-2007, 08:58 PM   #3
Connie Jean
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tykerb only

I have been on Tykerb only since August, 5 pills a day. I had some minor diarhea in the beginning. I had a small outbreak of the rash last week but it is gone now. I have had a general feeling of tiredness and have not had as much energy as on herceptin. My onc says tykerb peeks about the 3rd month and then levels off as far as the side effects are concerned.
__________________
Diagnosed 4/05
Stage IIIc
Triple positive
Epirubicin/Cytoxcin 6x
Mastectomy and reconstruction (Diep Flap)
Taxotere/Gemzar/Herceptin 6x
Rads 28 with boost
Herceptin 18 months
Tykerb
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Old 11-12-2007, 03:51 PM   #4
chrisy
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Hey I'm close - I'm on Tykerb+Avastin. I can assure you, the fun run is due to the Tykerb, for sure. For me, it was never debilitating but has not completely stopped. It is occasional (but on those occasions, it's, well, insistent!) and responds well to immodium if I really need it. Which is basically if I'm getting on a plane or something LOL.
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Chris in Scotts Valley
June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure

Last edited by chrisy; 11-13-2007 at 10:35 PM..
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Old 11-12-2007, 05:50 PM   #5
hutchibk
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hahaha, 'fun run' - that is hilarious, Chrisy!
__________________
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 11-12-2007, 06:51 PM   #6
Georgia girl
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Posts: 22
I am on Tykerb only since May, 07. Other than the diarrhea, initially I had some "hand and foot" syndrome, which disappeared. The worst side effect was and still is very sore toes (like ingrown toenails) and a few infected fingers. I have also had some hair thinning, but it seems to have stopped. The toe issues are definitely the worst problem - treat your feet very well. Doc reduced my dose to 3 pills/day, but it hasn't helped the toes.
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Old 11-13-2007, 12:54 AM   #7
adrien
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Join Date: Oct 2007
Location: Balmain Sydney NSW
Posts: 53
footsies

yes will take note of your warniing re look after your feet as I'm developing cracks -both feet and fingers. Started using Golden Seal (herb) ointment for cracks and sores. Good stuff.
face now settled phew! teenage angst all over again.
Adrien
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Old 11-13-2007, 05:17 PM   #8
Vanessa
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I am trying to ramp up my dosage of Tykerb, but I am only on 1 and I am extremely sick at my stomach and can barely eat, that is really the only side effect I am having. I did eat some dinner last night, but lost it when I brushed my teeth. Somehow brusing my teeth triggers that. I am going to move up to 2 Tykerb's tonight, but I am a little scared. Tykerb is the only thing I am on right now, but I start back on abraxane on Friday.
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Old 11-13-2007, 11:41 PM   #9
adrien
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Hi Vanessa, Can you tell me what Abraxane is?
Thanks Adrien
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Old 11-14-2007, 07:44 AM   #10
tousled1
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Adrien,

Abraxane is the newest of the Taxanes. It's different from Taxatere and Taxol in that it uses no chemical solvents. That means it's easier on your system -- no premeds required. The side effects are basically the same as with the other Taxane drugs. Abraxane is for metastatic breast cancer after failure of a chemo combo for mets or a relapse within 6 months. You should also have had prior treatment with an anthracycline.
__________________
Kate
Stage IIIC Diagnosed Oct 25, 2005 (age 58)
ER/PR-, HER2+++, grade 3, Ploidy/DNA index: Aneuploid/1.61, S-phase: 24.2%
Neoadjunct chemo: 4 A/C; 4 Taxatore
Bilateral mastectomy June 8, 2006
14 of 26 nodes positive
Herceptin June 22, 2006 - April 20, 2007
Radiation (X35) July 24-September 11, 2006
BRCA1/BRCA2 negative
Stage IV lung mets July 13, 2007 - TCH
Single brain met - August 6, 2007 -CyberKnife
Oct 2007 - clear brain MRI and lung mets shrinking.
March 2008 lung met progression, brain still clear - begin Tykerb/Xeloda/Ixempra
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Old 11-18-2007, 09:36 AM   #11
michka
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Hi Adrien,
I hope you are doing OK. I started Tykerb alone almost three weeks ago. I started with 2 pills for 5 days, then 3 for 5 days and I am now on 5 pills a day. I started by feeling very thirsty. Especially at night. Now I have the "hand and feet syndrome". I hope this will pass because it is additional pain I do not need (this is stupid: who needs it!). I also feel very very tired and it is getting worse. I read from other posts that these side effects might disappear after a few weeks.
Michka
__________________
08.2006 3 cm IDC Stage 2-3, HER2 3+ ER+90% PR 20%
FEC, Taxol+ Herceptin, Mastectomy, Radiation, Herceptin 1 year followed by Tykerb 1 year,Aromasin /Faslodex

12.2010 Mets to liver,Herceptin+Tykerb
03.2011 Liver resection ER+70% PR-
04.2011 Herceptin+Navelbine+750mg Tykerb
06.2011 Liver ned, Met to sternum. Added Zometa 09.2011 Cyberknife for sternum
11.2011 Pet clear. Stop Navelbine, continuing on Hercpetin+Tykerb+Aromasin
02.2012 Mets to lungs, nodes, liver
04.2012 TDM1, Ned in 07.2012
04.2015 Stop TDM1/Kadcyla, still Ned, liver problems
04.2016 Liver mets. Back on Kadcyla
08.2016 Kadcyla stopped working. mets to liver lungs bones
09.2016 Biopsy to liver. no more HER2, still ER+
09.2016 CMF Afinitor/Aromasin/ Xgeva.Met to eye muscle Cyberknife
01.2017 Gemzar/Carboplatin/ Ibrance/Faslodex then Taxotere
02.2017 30 micro mets to brain breathing getting worse and worse
04.2017 Liquid biopsy/CTC indicates HER2 again. Start Herceptin with Halaven
06.2017 all tumors shrunk 60% . more micro mets to brain (1mm mets) no symptoms
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Old 11-18-2007, 06:04 PM   #12
hutchibk
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Abraxane is paclitaxel (which is what Taxol is) with a different, less toxic, and a seemingly more effective "delivery system."

"Abraxane® is the first albumin-bound taxane particle
of approximately 130 nanometers that takes advantage
of albumin, a natural carrier of water-insoluble
molecules (e.g., various nutrients, vitamins, and
hormones) found in humans. Albumin is a protein
that acts as the body's key transporter of nutrients
and other water-insoluble molecules and selectively
accumulates in tumor tissues."

http://www.abraxisbio.com/products_abraxane.htm
__________________
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 11-18-2007, 08:25 PM   #13
Susan2
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Posts: 87
I started on Xeloda and Tykerb together. The side effects were bad enough to drop the Xeloda and reduce Tykerb to 4 a day. The side effects went away for the most part. So, I was on Tykerb only for about 3 months. However, my tumor markers started back up. So, we started back on the combination. The side effects (all the usual) are coming back. So for me, Tykerb only - 4 pills seem to have minimal side effects. I tried a couple of times to increase back to 5, but the side effects came back.
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Old 12-05-2007, 02:16 PM   #14
michka
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I am posting again on the Tykerb alone thread.
I feel very very tired since I started Tykerb. I was not that tired on Herceptine. Nobody seems to be complaining about this. What is your experience? (and I still have a horrible dry mouth).
Michka
__________________
08.2006 3 cm IDC Stage 2-3, HER2 3+ ER+90% PR 20%
FEC, Taxol+ Herceptin, Mastectomy, Radiation, Herceptin 1 year followed by Tykerb 1 year,Aromasin /Faslodex

12.2010 Mets to liver,Herceptin+Tykerb
03.2011 Liver resection ER+70% PR-
04.2011 Herceptin+Navelbine+750mg Tykerb
06.2011 Liver ned, Met to sternum. Added Zometa 09.2011 Cyberknife for sternum
11.2011 Pet clear. Stop Navelbine, continuing on Hercpetin+Tykerb+Aromasin
02.2012 Mets to lungs, nodes, liver
04.2012 TDM1, Ned in 07.2012
04.2015 Stop TDM1/Kadcyla, still Ned, liver problems
04.2016 Liver mets. Back on Kadcyla
08.2016 Kadcyla stopped working. mets to liver lungs bones
09.2016 Biopsy to liver. no more HER2, still ER+
09.2016 CMF Afinitor/Aromasin/ Xgeva.Met to eye muscle Cyberknife
01.2017 Gemzar/Carboplatin/ Ibrance/Faslodex then Taxotere
02.2017 30 micro mets to brain breathing getting worse and worse
04.2017 Liquid biopsy/CTC indicates HER2 again. Start Herceptin with Halaven
06.2017 all tumors shrunk 60% . more micro mets to brain (1mm mets) no symptoms
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Old 12-05-2007, 03:48 PM   #15
adrien
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Yes I'm very tired on Tykerb and I try to keep fit by swimming and yoga but need to watch my energy output. I don't have dry mouth but I'm photosensitive, particularly on my face so even with factor 30 I end up scarlet- not a good look.
Adrien
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Old 12-05-2007, 05:56 PM   #16
Joannie
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I am on the TEACH trial since May. It is Tykerb alone. I believe that I have the real thing vs placebo. I have had the following side effects:
  • diarrhea first 3 months
  • mouth sores in first two weeks
  • tingling hands/feet during first month
  • problem with ingrown toenail but not sure if it's related to Tykerb
  • some rapid heart palpitations but only for a couple of weeks. Echo shows normal every 3 months.
  • No noticeable fatigue
  • Light nausea in the beginning
  • Terrible acne/whiteheads for first three months; it has since subsided.
For me it has been quite tolerable. I have little or no trouble with the diarrhea at this time. The acne was pretty bad for quite some time. I went on antibiotics for the ingrown toenail and right after that the acne cleared up. Hasn't come back.

That's what I know for now! Hope it helps!
__________________
Joannie

Diagnosed April 2003
3.3 cm tumor left breast
HER2 positive 3++
ER/PR negative
Masectomy April 2003
4 Rounds of AC - dose dense
4 Rounds of Taxol - dose dense
Removed right breast prophalactically
Full reconstruction with implants/nipples
No Late Herceptin Received
Started Tykerb TEACH Trial in May 2007
Completed Tykerb TEACH Trial in May 2008
5 year NED August 27, 2008!!!
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Old 12-05-2007, 06:12 PM   #17
Becca
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I take Tykerb and Xeloda--the fatigue is a problem for me. I must pace myself with frequent rests throughout the day. Sometimes I wake in the mornings still tired, yet later in the day feel more energetic. I have never heard anyone complain of a stale, metallic taste--I have that at times. It makes water, food taste flat, bitter.
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Old 12-06-2007, 05:24 AM   #18
Georgia girl
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I have been on Tykerb only since May with the same problems everyone else is experiencing - diarrhea, infected fingers and toes, acne around the nose, etc. I do have some fatigue, but hadn't thought of it as a side effect of Tykerb - just a busy schedule. The fingernail/toenail issue remains the worst problem for me - antibiotics didn't help, but I did stop getting tips on my fingernails. I now get only gel polish applied to my real nails and the infections have cleared up. I am experiencing some nail "lifting" - hopefully I won't lose the whole nail. I dropped from 5 pills/day to 3, which seems to work best for me. My tumor markers were up slightly last quarter - will have them done again next week, so we'll see.
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Old 01-02-2008, 02:35 PM   #19
nywam
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Does anyone know any information about the possible heart side effects of Tykerb - what they are and how serious they are? I am thinking about the TEACH trial but am very worried about possible heart side effects.....
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Old 01-02-2008, 05:42 PM   #20
Georgia girl
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Actually my heart function has improved on Tykerb. Herceptin resulted in a decrease to 19%, and after 6 months on Tykerb, it has improved to 56%. My cardiologist is very happy with this result. Good luck.
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