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Old 05-19-2006, 12:28 AM   #1
DeborahNC
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Can I tell you my good news & ask a ?

My brain MRI was normal. I have been plagued with vision disturbances, balance problems and dizziness for weeks and was terrified of brain mets.

I asked my doctor if he thought Herceptin could be the culprit and he said he really didn't know. He suggested a Herceptin holiday to see if the symptom resolved after a time. Even the neuropathy from my Taxol treatment that I thought was gone has come back in my toes and fingers.

Has anyone else done Herceptin holiday? I've heard of the chemo holidays.

I really don't know what to do. My QOL is suffering, but I'm not sure Herceptin is to blame.

Any input is appreciated.
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Old 05-19-2006, 04:22 AM   #2
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Deborah
I have not but many on this site have taken a break for various reasons. Just remember, I believe you must take the reloading dose when you go back on it!

Hope this break gets you feeling better....everyone seems to react differently to it. This should give you the answer.
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Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 05-19-2006, 08:43 AM   #3
tousled1
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Deboarh,

Glad to hear your brain MRI results were good. I always like to hear good news. Good luck to you.
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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 05-19-2006, 09:57 AM   #4
R.B.
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Please look at the posts on omega three and six, fats, brain health etc.

Use the search on the purple bar above right.

You might like to print bits out and take them with you to your advisor if that would help.

Murine trials have shown that DHA is taken quite quickly into the brain if it is deficient.

It might help - I would be interested to know as well.

If you have already got this covered I would be interested too.

Please do talk to your advisors about any dietary changes.

RB
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Old 05-19-2006, 04:20 PM   #5
lexigirl
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Smile

I don't know about the herceptin holiday, but wanted to say that I am so very happy that your brain scan is clear!! That's great!!

Lexi
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Old 05-19-2006, 04:51 PM   #6
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Glad to hear your brain MRI was clear! Considering the symptoms you've had, have you had a PET scan or a CT of your spine lately?


Love and light,

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Old 05-19-2006, 05:30 PM   #7
al from Canada
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Dear Deborah,
Linda had almost lost her eye sight and we narrowed it to taxol. I think the side effects of this drug haven't been explored fully. Great news about the brain scan.
Al
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Old 05-19-2006, 06:34 PM   #8
lucky4x
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Great news! Reply re: Herceptin Holiday

I have not heard of taking a Hercpetin Holiday... but quite frankly I would be too afraid to. ( Just me) But I am doing so well, that it would scare me to change it. Right now its what is keeping those little monsters away!!

As for YOU... I think it's wonderful that your MRI was clear!!!! YaHOO!

Just another thought...

How about Thyroid? Have you done any testing done for that? I had hardly any feeling in fingers a while back and my toes were freezing all the time... I also had a LOT of dizziness... and it was Thyroid. I ended up on thyroid meds... but thats nothing... compared to the alternative.

Something to think about.

Again...Congrats on your great news!
Lucky
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Old 05-19-2006, 09:14 PM   #9
MCS
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Vacation fr herceptin. Only if circumstances warrant it, such as low muggas etc.

There are several of us here that have done that.

I am expereincing dizziness also, which never had under ac or taxol. I will bring to doctor.

I agree with Al. Taxol is awful, just awful

Another thread mentioned dizziness as side effects of herceptin.

Happy to know brain is clear,

God Bless

XO

MCS ( maria)
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Old 05-19-2006, 09:28 PM   #10
al from Canada
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When reading through this I think we have to deliniate which one are Q of L limiting, which are just a pain in the ass and which we look for. If your symptoms fall in the bottom 2 cats fall into the "it's worth it" cat. If it is in the Q of L cat, there are some solutions available for specific symptoms. Bottom line, herceptin is possibly the lease of all the cancer evils. So we come to a cruss roads, (and I appologize in advance for my Canadian bluntness) if you must stopp herceptin because of dose limiting effects, chances are that you will reocc, albiet very quickly. If you are getting hung-up and the pain in the butt symtoms, consider this: that stress willalso interfere with your treatment which may reduce your survival.


Maybe what we need is a matrix of side effects and solutions.
Al
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Old 05-20-2006, 03:46 PM   #11
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Ithink a matrix of symptoms and solutions would be wonderful--most helpful to all--could we set it up?


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Old 05-20-2006, 03:55 PM   #12
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That's do-able,

If you were to list a bunch of side effects, I could offer some remedies up for discussion and input and when it's all said and done, we'll publish it into a readable matrix or list.
Al
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Old 05-20-2006, 04:29 PM   #13
DeborahNC
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I think Al's suggestion is great and I'm grateful for his input! I haven't looked yet, but starting a new thread would be ideal. You're not blunt, Al, you're straight to the point which is nothing to apologize for in the least.

The vision trouble I'm experiencing would be in the 1st category affecting QoL. I'm seriously afraid to drive at times.

I haven't had any thyroid or spine testing done recently so it will be something I'll bring up next onc visit.
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Old 05-20-2006, 07:45 PM   #14
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I feel stupid but.......

What is QofL?

Al... sorry for your loss. I haven't been around much, in and out of the site, and trying to keep up with life, 3 kids, hubby and all the while making sure mets. is still under control.

(I am also in Ont. Can.)

Lucky
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Old 05-21-2006, 10:35 AM   #15
al from Canada
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Lucky, I think thats a great name. I hope it serves you well because if I'd adopted that name, I'd laugh myself to sleep at night. (pardon my dry sense of humor).

Q of L = Quality of Life. I look at side effects belonging to 3 categories: 1. pain in the ass, 2, dose limiting ie, you have to reduce the doseage of a drug because the side effects are either life threatening or or other and 3; those that are not life threatening but do affect quality of life (but a par for the course for that drug) I think we need to focus on the Q of A ones as those are probably the most controlable from our perspective.
Al
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