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Triple Negative Chemo Cocktails

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liven42day View Drop Down
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    Posted: Jul 19 2007 at 9:28am
Hi, I am fairly new here, but as I am waiting for my infusa-port surgery July 23 and pending chemo July 30, 2007, I am wondering what chemo cocktail has been given to some of us trip negs before or after surgeries. I am not at all looking forward to getting ACx4 then Taxol x 4.
Anyone read the report from June 2007 that Adrimycin may only help 8% of bc patients? Is CMF better than AC, sorry lots of questions, second quessing my Oncologist before I start chemo.
 
Thank you for any answers Charlene
Diagnosed 6/12/07 IDC Stage II, grade 3, trip negative, 7 negative nodes, 8 rounds of chemo 4xA/C done, 4x Taxol, almost done with chemo, then onto 35 rads
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fd411 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fd411 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 19 2007 at 2:29pm
Hi Charlene,

I had neoadjuvent Taxotere/Adriamycin/Cytoxan (TAC). 6 rounds 3 weeks apart.

Now, I'm on Xeloda and Navelbine for mets

Ferne
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Raine Quote  Post ReplyReply Direct Link To This Post Posted: Jul 19 2007 at 4:12pm
Hi charlene

I was 1 st dx in 1997 and had AC x 6 post surgery  and  have  had no problem regarding the A . I t did it's job as  I had 6 + nodes and so far no distant mets, I was however dx with a new primary last july in the other breast and had a mast followed by 4 x FEC and 6 x Taxol.  The A and E are similar drugs and so far am doing well.

Hope your chemo goes well

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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 20 2007 at 3:28am

Charlene is there anyway you could speak to your Onc before your treatments begin so that you can ask him these questions?  He would be

able to discuss the different chemos and tell you why he has chosen what he suggests for you and if you have  questions  ask him, let him know what's on your mind, maybe he'll give you something else or show you that the ACT is the best for you now.

 

I have read the June 2007 report about Adrimycin and I notice different women saying they are told it is still the best while others say their Oncs won't use it anymore.

 
I am currently on Taxotere for my second time.

Best wishes,



Edited by trip2 - Jul 20 2007 at 3:28am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote yowyow Quote  Post ReplyReply Direct Link To This Post Posted: Jul 25 2007 at 1:51am
hi Charlene, I did 6 x FEC (3 weeks apart)
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Jules Quote  Post ReplyReply Direct Link To This Post Posted: Jul 26 2007 at 2:15am

Hello Charlene

My chemo started 6 weeks after surgery - Xeloda (Capecitabine) & Taxotere (Docetaxel) on days 1 - 14 of a 21 day cycle x 6 cycles.
 
Jules
 
Wishing you well
IDC, Stage1, 17mm - clear nodes & margins, Grade3, 3neg, NED ! BC post-Hodgkin's rads to mantle field, family history of BC & OC
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Stanski33 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 26 2007 at 9:19am
I saw 3 different oncs for opinions and all said AC for 4 cycles followed by T for 4 cycles. the only difference was one wanted to do dose dense every two weeks and the others said the 3 week cycle and the 2 week are comparable, no difference in outcome. I am doing the AC every 3 weeks and my 4th is next week. Halfway done with chemo, although I am a bit scared of the Taxol coming next because "they" say it causes lots of bone pain. Grrr... as if the nausea wasn't enough with AC. At least the T does not cause nausea. Good luck with your treatment. Keep us posted...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Jul 27 2007 at 2:58am
Hello Stanski33, it's nice to have you here.  We are excited about this foundation and a place for all of us to be together.
 
Will you be doing the Taxol every 3 weeks too?  I have done Taxol every 3 weeks 4 yrs ago but my daughter just finsihed Taxol once a week for 12 weeks and she got along pretty good except for being tired. 
Hopefully you won't have alot of bone pain with Taxol.  We are all
different and react differently to our meds.  They have some good meds
to help us get thru these treatments now.  Best of luck to you
and keep us posted
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Ronda Quote  Post ReplyReply Direct Link To This Post Posted: Aug 01 2007 at 5:53am
I was 2 1/2 cm node negative and am just finishing my last round of Taxol.  I did dose density 4 AC 4 Taxol every two weeks.  From what I've read this is the new standard because it's well tolerated when used with Nuelasta (for white blood cells) so you get you life back in 4 months rather than six.  My odds were 56% to survive without reoccurrance which was bumped to 78% with chemo.  The percentage of benefit seems marginal but I'll take what I can get.
     My naturopath and onocologist recognized the use of L-glutemine to prevent permanent nueropathy from the Taxol (30 grams) the day before and 3 days after.  Also L-carnitine (2000mg) to protectect the heart from the AC.  The area I'm from and hospital strongly support integrative medicine.  My Naturopath has worked along side doctors at several cancer institutes helping people through their chemo.  My labs have been great and nausea and side affects have been minimal.  Good Luck to you
Ronda 


Edited by Ronda - Aug 01 2007 at 9:34am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Coreen Quote  Post ReplyReply Direct Link To This Post Posted: Aug 10 2007 at 3:49pm
hopefully chemo is going well for you....starting #7 next week...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote liven42day Quote  Post ReplyReply Direct Link To This Post Posted: Aug 12 2007 at 2:54am
Hi Ladies,
My first A/C chemo, I felt like a dishrag.  I was sick and had diarhea for 5 days, I am taking Emend and Zofran. I talked to the Onc and he is going to do something different tomorrow for round 2. They tried to get a blood draw from my port Friday but to no avail. I had an infusaport check later in the day and found out the tubing (catheter) is not in the right place. It is in a  small vein instead of a large one dumping in towards my heart. I have no clue what tomoorw will bring, but I am pushing forward to get this crap over with. After tomorrow I will only have 2x A/C left...............woohooo!  Then I will get 4x Taxol.
Thank you for all you encouraging words,
We will all get through this!
Take Care all Charlene
Diagnosed 6/12/07 IDC Stage II, grade 3, trip negative, 7 negative nodes, 8 rounds of chemo 4xA/C done, 4x Taxol, almost done with chemo, then onto 35 rads
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Aug 13 2007 at 4:18am
Hang in there Charlene, you are right, we will all get through this!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Aug 13 2007 at 6:08pm
I am on TC. I had my second chemo, Taxotere/Cytoxan, Friday. My first treatment was a nightmare, but htis time I had Emend, 1 pill before the chemo started and another for day 2 and day 3.

It appears to have helped much more with the nausia. My headache was not as bad this time as the first. (I had to keep ice on my head for 3 days.)
I think the headache may have been caused by the Neulastia. I am still very, very tired and sleeping a lot. I will be having a mast/resconst then more chemo. I am not sure if I'll have the same cocktail the second time around.

Has anyone had a second cocktail after their mast/recon surgeries, or just continue with the same as before surgery?


IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
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Post Options Post Options   Thanks (0) Thanks(0)   Quote josey2003 Quote  Post ReplyReply Direct Link To This Post Posted: Aug 20 2007 at 11:48am
I had chemo before surgery every two weeks (dose dense). Four AC then four taxol. It was doable. I never was nauseus - just tired and weak. I am now four years from diagnosis and feel great - no lingering effects from the chemo. The only thing that I do have is lymphedema - 22 nodes removed - one had six cancer cells.
JoAnn
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lady4law Quote  Post ReplyReply Direct Link To This Post Posted: Aug 20 2007 at 1:40pm
Joanne:

Did you have the same "cocktail" after your surgery or did they change the combination?
IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
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Post Options Post Options   Thanks (0) Thanks(0)   Quote josey2003 Quote  Post ReplyReply Direct Link To This Post Posted: Aug 21 2007 at 8:04am
I did not have any chemo after surgery. Eight treatments prior to surgery was enough.

JoAnn
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Post Options Post Options   Thanks (0) Thanks(0)   Quote JaneRA Quote  Post ReplyReply Direct Link To This Post Posted: Aug 24 2007 at 1:04pm
It doesn't surprise me that AC may only help 8% of patients.

All chemotherapies are less effective than we probably kid ourselves. 8% is probably quite good.

I had AC before surgery and it seemed to shrink my tumour but I still had active cancer and 23/25 nodes with cancer. Then had taxotere and was in remision for 2.5 years before regional recurrence in April this year. Now on xeloda and navelbine.


Chemo is not  a wonder cure or wonder drug but it does delay progression in some cases and send into permanent remission in  a few. But many have chemo unecessarily becasue the cancer hasn't spread anyway,...trouble is no one knows for sure whose cancer has and hasn't spread.




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Post Options Post Options   Thanks (0) Thanks(0)   Quote theresa31 Quote  Post ReplyReply Direct Link To This Post Posted: Aug 25 2007 at 11:39am
Memorial Sloan Kettering published a study in which they found that dose dense AC followed by T improved survival rates for trip neg. It had no significant impact on hormone receptive tumors.

Considering that chemo is all we have, I think it's worth it.

- t.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: Aug 26 2007 at 8:01am
Hi Jane, it is good hearing from you.  How have you been doing?
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote liven42day Quote  Post ReplyReply Direct Link To This Post Posted: Sep 04 2007 at 3:57am
Hi Ladies,
Thank you all for your encouraging words. My Onc gave me Aloxi in my pre meds IV along with the Decadron and the Emend pill I take at home 1 hour before A/C. We have found that Zofran does not work for me, at my 2 nd port surgery (it needed to be replaced) the hospital gave me Zofran before surgery and I got very sick from it. SO Ladies if you are suffering se's with chemo talk to your Onc, they have more anti nausea drugs in their arsenal.
Curently I am wiped out the day of chemo and sleep between hot flashes for about 12 hours.............lol  day 2 I feel pretty good, then I get my Neulasta shot, that night the nightmares are horrendous, not an se' you really hear about, day 3 is a wipe out day again, then by day 4 I start to feel better by that night, by day 5 I am pretty good to go, Hope this helps the new people on A/C. Oh yeah almost forgot get yourself some Zantac or similar the indigestion is yechthy after eating very little for a few days.
I have my last A/C Sept 10, I cannot wait for that to be done, but I am getting nervous about se's of Taxol. Take Care all, We will get thru this together! Charlene
Diagnosed 6/12/07 IDC Stage II, grade 3, trip negative, 7 negative nodes, 8 rounds of chemo 4xA/C done, 4x Taxol, almost done with chemo, then onto 35 rads
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