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Craig76
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Topic: Gemzar Carbo treatment Posted: Mar 12 2011 at 4:40pm |
Quick question. Has anybody had the Gemzar/Carbo chemo along with radiation as a treatment? Oncologist said this was not an option because the radiation does not work well with one or both of the chemo products. But she said it in a manner that is making me second guess her.
Thanks again for your help
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123Donna
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Posted: Mar 12 2011 at 5:00pm |
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Craig,
I'm currently getting the Gemzar/Carbo/Iniparib treatment. Yesterday I met with the RO to discuss radiation treatment and when it would begin. She said I'll need to wait 3 weeks after chemo is done before we can begin radiation. She mentioned I needed to get the Gemzar out of my system as it didn't work well with radiation. I didn't question her comment because I always knew I'd do chemo first then radiation as tx.
Donna
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DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09) 11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15
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Craig76
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Posted: Mar 12 2011 at 5:11pm |
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Okay that is what I needed. Thanks Donna
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Craig76
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Posted: Mar 13 2011 at 12:37am |
Hi Donna
Have you had a lot of side effects from the Gemzar/Carbo treatment?
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123Donna
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Posted: Mar 13 2011 at 11:29am |
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Craig,
My biggest complaint is fatigue. My worst are days 3 and 4 following treatment where I'm really tired. Today is my day 5 and I'm feeling better. I'm coming up to my off week and I know I'll feel better each day. My treatment has been 2 weeks on, 1 week off of chemo. I've been able to work while getting treatment, but work from home the day following chemo. Other members have had other side effects that I didn't experience. They'll watch the WBC, RBC and Platelets closely. While my wbc slide, I've been able to get treatment and so far they bounce back close to normal before the next treatment.
Donna
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DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09) 11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15
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dmwolf
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Posted: Mar 13 2011 at 1:30pm |
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Donna, how did the appointment with the radiation oncologist go? Have you decided what fields to irradiate?
Have a great day, hon.
d
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DX 2/08@43 stg II IDC; gr2,0 nodes. Neoadj chemo, first ACx2 (fail) then CarboTaxotereX6(better). Lump, Rads done 11/08; Clodronate. False alarm queen: PetCT lung & TM marker. NED. PBM w/recon 9/10.
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Kathy-TNBC-SLO
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Posted: Mar 17 2011 at 12:38am |
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I just finished with gem/carb with the Parp BSI 201 I was on gem/carb to reduce my liver enzymes so I could get the trial drug. From Sept to Dec I had a decrease of 20-25% area in my liver. But my recent CT Scan reflected new lesions on the left lobe of my liver. So I am off the Gem/Carb for now. The drugs did a real number on my platelets, I must of had 6 platelet transfusions over 5 months. Other side effects minimal , I had radiation previously, this treatment for reoccurrence. Good Luck
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TNBC 08/2009 Chemo TAC, Mod Rad Mast,3 lymph nodes macro cells, radiation, 06/2010 clear, 08/2010 recurrence to liver. Chemo Gem-Carb, Parp trial 11/2010 stopped 2/25/2011 Mets spread liver
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123Donna
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Posted: Mar 17 2011 at 6:42am |
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Kathy,
So sorry to hear about the latest scan. What chemo are they recommending now for you?
Hugs,
Donna
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DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09) 11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15
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trip2
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Posted: Mar 17 2011 at 11:06am |
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Kathy I too am sorry to read you had to go off the Gem/Carb for now. I would be interested in hearing what they plan to do next. All my best..
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Stage 2 2003
Stage 1 2007
BRCA 1+
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dd
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Posted: Mar 17 2011 at 5:36pm |
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craig: I did radiation first because the 1st time I had caner and chemotherapy I had alot of trouble with the chemo. So I decided to have the radiation 1st and then waited about 4 wks and started the gem/carbo. I finished this chemo on 2-22. Feel fine for the most part. I had trouble with my shoulder and arm lymphedema more than anything. I didn't work during the chemo because of the low counts and I work with children (Germs everywhere + flu season) .... Good luck with your treatment and stay positive.
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Tnbc R Mast 2/21 nodes 3-08, act with avaston 4-08, ax node dx 5-10 radiation 7-10 gemzar/carboplatin 10-10
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Craig76
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Posted: Mar 19 2011 at 10:07am |
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Well thanks everyone for your information. She had her first dose of Gem/Carbo this past Tuesday. Her biggest complaint was a stomach ache the third and fourth day. She has also complained about needing to throw up but can't so there are some side effects to this stuff. She does not have the metal taste in her mouth as she with the first round of chemo that she had. She is on the same schedule as you Donna. Gem/Carbo one week, Gem the following week, and nothing the third week. She is repeating it for three cycles and hopefully this will put her cancer into some form of remission. If it does she might be able to get radiation for that side of her body and for her lung and bone spots. Radiation worked extremelly well last time so that is what we are hoping for. Oh and also went for a second opinion. It was like night and day so I would suggest that to anybody. The first onc was so negative, did not even want to listen to any treatment options, and was not sure if she would even make it a year. The second onc told her that her cancer was concerning but was not quite dangerous yet. She was so nice, offered a ton of treatment possibilities, and gave us so much hope. So anybody that is thinking about a second opinion because of how your onc treated, do it. It is so worth it.
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123Donna
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Posted: Mar 19 2011 at 10:20am |
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Craig,
Thanks for sharing. I agree with you about second (and even third) opinions. I love my onc and think she's the best. However, I think getting second opinions never hurt and will only help us feel better about our treatment decisions. I also don't hold highly any doctor that treats us poorly. A good bedside manner should be part of what we expect in a good doctor. If one treats us poorly, then it's time to move on and find another one.
What type of pre-chemo meds is your friend getting? Prior to Gemzar/Carbo, I get Aloxi, Decadron and Emend. I've never had stomach or nausea issues from the treatment. I know everyone is different and some of us experience different side effects. I hope your friend does well with this tx and not too many side effects. My onc also has me taking Pepcid AC in the morning and evening.
Is your friend experiencing any fatigue yet?
Donna
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DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09) 11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15
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Craig76
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Posted: Mar 19 2011 at 2:54pm |
Donna~
Honestly I do not remember her getting any pre meds specific to this chemo treatment. I could be wrong though. She had some drugs left from her first chemo treatment and I remember the doctor telling her some of those would work for this treatment but I can not remember what they were called. I will ask though. I think one of the medications had steroids in it but again I could be wrong. She did have a medication pumped into her that will add strength to her bones. She has a spot on her T-12 bone. Can't remember the name of the drug though. She has experienced some fatigue but not a whole lot...not near as much as last time she was on chemo. The stomach pains are gone today as I expected they would be. From what I have read the third and forth days can be the rough period for this treatment in most cases. So next Tuesday she goes in for just Gemzar and she will be off for a week. Hoping this chemo works for her. I would love to report that she is NED someday soon.
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123Donna
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Posted: Mar 19 2011 at 3:10pm |
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Craig,
Hoping for NED too! I get the premeds in an IV prior to the chemo. The Emend they now give in IV only and it's supposed to be strong enough to last 5 days in your system. They used to give it in the IV (smaller dose) then I'd take an Emend pill on days 2 and 3 post chemo. Since so many women had problems with their insurance covering this expensive pill, they are now giving a bigger IV dose. The only thing I take on days 2 and 3 are the Decadron pills, 4 mg.
So glad the fatigue isn't too bad.
Donna
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DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09) 11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15
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Kathy-TNBC-SLO
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Posted: Mar 28 2011 at 1:41am |
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SIZE=2]My new treatment is Cytoxan, Methotrexate & 5 FU Onc is holding off on the Havalen-last resort. The cytoxan was to be 3 pills a day for two weeks orally. My esophagus did not cooperate so I will get the cytoxan by IV next treatment. I have had unbearable back pain before I started this new treatment, recent CT scan did not reflect anything other than the cancer lesions on the left lobe of my liver. I am having a MRI on my spine this week. I currently use two low dose fentanyl patches which alleviates the pain. Anyone have experience with back pain?
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TNBC 08/2009 Chemo TAC, Mod Rad Mast,3 lymph nodes macro cells, radiation, 06/2010 clear, 08/2010 recurrence to liver. Chemo Gem-Carb, Parp trial 11/2010 stopped 2/25/2011 Mets spread liver
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trip2
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Posted: Mar 28 2011 at 9:07am |
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Kathy I am so sorry you are having so much pain. I hope the mri shows nothing wrong, please let us know and I hope you can find some relief, would a heat pad help?
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Stage 2 2003
Stage 1 2007
BRCA 1+
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Martha
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Posted: Mar 29 2011 at 3:08pm |
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Hello everyone. I'm a new member to this website. I am a TNBC patient. I just finished my 2nd treatment cycle of Gem/Carbo + iniparib in a clinical trial (expanded access). This is my third chemo regimen since my diagnosis in Oct 2008. I will get my first scan during my rest week in April, following cycle 3. I have had extreme fatigue and nausea with this treatment. My pre meds only include decadron, aloxie (both IV) and oral tylenol. I get both gem and carbo on days 1 & 8, and iniparib on days 1,4,8 & 11. My blood counts have really bottomed out. First my ANC - which caused me to miss a treatment. And then, my plts....luckily I didn't miss any treatments for cycle 2. I now do neupogen shots on days 3-5 and 9-11 to help with ANC. I appreciate everyone's questions and comments. It really helps to know I'm not the only one with this horrible disease, and fighting the fight. I look forward to reading and learning about everyone's journey as I continue to fight my fight. Martha
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123Donna
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Posted: Mar 29 2011 at 4:34pm |
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Martha,
I'm in the same trial as you. My premeds include Decadron, Aloxi and Emend. I haven't had any nausea, but I know what you mean about the fatigue. I also had a scan after the 3rd cycle. I'm halfway through my 5th cycle (day 8) and couldn't get chemo today due to low wbc and neutrophils and very high liver enzymes. I'll finish out this week with the Iniparib only and then stop the chemo and trial. I had a clear scan in February so we were doing 2 extra cycles. Today was the first day I got a neupogen shot.
Best to you and I hope your scan shows NED. Please keep us posted.
Donna
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DX IDC TNBC 6/09 age 49, Stage 1,Grade 3, 1.5cm,0/5Nodes,KI-67 48%,BRCA-,6/09bi-mx, recon, T/C X4(9/09) 11/10 Recur IM node, Gem,Carb,Iniparib 12/10,MRI NED 2/11,IMRT Radsx40,CT NED11/13,MRI NED3/15
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trip2
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Posted: Mar 29 2011 at 8:58pm |
Welcome Martha, no you certainly are not alone. We all support each other in our various situations the best we can. Thank you for sharing your story, we all learn from each other.
I certainly hope this improve for you soon, sounds like you are having a hard time, best wishes and keep us updated on your progress. Hope that scan has good results for you, let us know.
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Stage 2 2003
Stage 1 2007
BRCA 1+
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LauraT
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Posted: Mar 30 2011 at 8:35am |
Martha,
Glad you found us here. I have found everyone on this site to be loving, supportive and encouraging. Hope your scan shows the chemo is rendering the cancer helpless. If you are interested, we have a Spiritual Support thread (under Support Groups) with a daily devotional and the prayers and love of some wonderful people. Would love for you to join us. You'll be in my prayers and please let us know how you are doing.
Love,
Laura
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DX 10/09 @44, Stage I IDC tnbc, DCIS other side, Neoadjuvant TCx4, Bilateral Mastectomy w/Recon 1/10, 1.2cm 0/7 Nodes, 5/11 Mets to Lungs/Lymph Nodes, Avastin/Taxol, 10/11 Bone Mets, Xgeva
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