TRIPLE POSITIVE GROUP
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Been a while since I stopped by to say hello and wish you well on your way!
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Hi Ladies, I have a question regarding side effects and wonder if any of you have had these...I'm not sure if it would be the Tamoxifen I'm on or the Herceptin...One is that for a long time I've had a stuffy nose that really mostly acts up at night. Stuffy and presence of excess mucous (more crusty than loose and running). The mucous is partly bloody too. I'm not sure if it's the dry air or related to treatment.
The second one is more recent and relates to a tender scalp at the root of my hair. So, if I run my fingers through my hair, I feel the sensitivity. There isn't a lot of pain at all, but I do notice it and can't figure it out as it just started up within the last two weeks. Anybody else recognize this? I'm done all treatments except for the two therapies mentioned above.
Thanks for any insights you have,
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Hi Ashla!
Good to see you again.
PoseyGirl, in my experience, it's the Herceptin that produces the bloody, crusty snot. I got the same thing, and I wasn't on Tamoxifen (am doing Zoladex/Aromasin). Can't speak to the tingly scalp, though.
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Hi PoseyGirl I'm on herceptin and yes I get stuffy a nose at night too with some blood in it. I get headaches, sinus pressure, runnung nose and tiredness also but I thought it could be from the pollen.
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Poseygirl,
I have the same stuffy runny nose from the Herceptin. I don't have any hair so can't help you there
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I have had a bloody nose on and off since starting TCHP. The past week the eye tick in one eye spread to the other. It's very very annoying and frightening as my mind goes to the worst case scenario. : (
On the tender scalp subject, yes, I have experienced the same thing. My hair was cut off weeks ago. I have spots where I am completely bald, spots where tiny bits of hair has grown back, and spots that are sensitive
Started reiki/massage therapy this week in an effort to try anything to feel better and get healthy for surgery. I had tried it during my healthy life but it was different as I really used to concentrate my minds eye on healing (like pushing your edges in a yoga pose) and it was exhausting. I would hear sounds in my ears during a therapy session like the sound you hear when you put a shell next to your ear. I always felt as if I received a benefit from reiki if my mind was completely involved. Right now I am so depleted, I simply relaxed on the tabled and tried to rest. It seemed different being in a compromised state as I could not participate. Will have to see how it goes. This is probably not the right place to discuss. I was wondering if anyone else has gone this route.
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suburbs - be careful about the amount of pressure your massage therapist is using. If your platelets are low you may experience bruising. Are you using a massage therapist who is experienced with cancer patients?
For all with bloody noses - I put Aquaphor on a q-tip and put it inside each nostril then pinched my nose to distribute it - helped keep my nose moisturized. Usually the runny nose continues on Herceptin only but isn't as bloody once chemo is done.
The eye twitching is definitely a Taxotere thing - it will go away when you stop getting T, but may last a month or so after. It made me feel crazy when my eyes would twitch at different speeds or tempo
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PoseyGirl- I get cold-like symptoms from Herceptin. I also have the scalp thing from time to time- will last a couple days then improve. I just finished my last herceptin so I'm curious if it will go away.
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just want to second d the aquaphor in the nose. Worked awesome while on herceptin...
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Thanks SpecialK. The therapist is certified in oncological massage among other modalities. There was no pressure applied as the session was all reiki and no massage. It was more like healing hands energy work. I'm laughing at myself as that takes a great leap of faith. I will make sure to discuss the bruising issue next time.
Good to know that I am not alone with the crazy, random and every changing eye twitches.
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Hi All,
Thanks for the messages about stuffy/bloody nose. My nose does run a bit, but it's more stuffy and filled with the stuff (partly bloody).
Re: Reiki, I actually just signed up to start Reiki. I haven't done it much at all ever, but last time I went, it was really good. I actually fell asleep on the table which is very odd for me. I could feel the warmth/heat from her hands, and I saw colours centred in my vision with my eyes closed at this one point. So I am adding it to the roster of things I'm doing...
I just had my salpingo oophorectomy last week and will switch from Tamoxifen to an AI after I have a bone density test (which I hope is ok). Any advice on the AI you've found to have the least side effects? I know it's an individual thing, but I thought I'd throw that out there anyhow.
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PoseyGirl,
I started on Aromasin and I'm still on Aromasin. Aromasin made me moody and gives me hot flashes. To cope with the moodiness, MO prescribed Celexa. I have never been a fan of SSRIs, but hormonal changes have always negatively impacted my moods. I struggled with depression during PMS and pregnancy. I figured that there was no reason to suffer from depression for ten years, so I opted for the Celexa. It's worked well. As for the hot flashes, they occur mostly after 5:00 pm. Let's just say that I sleep with the ceiling fan on.
I do not have the severe joint pain others have endured. I can still walk, run, scooter, and swim without joint pain. But, I'm not going to win any races anytime soon. Best wishes! Hope you find an AI that has few SEs for you.
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I found myself super sensitive to caffeine during and ever since chemo. I gave up coffee and my eye twitching went away. After chemo, I tried to go back to it and the eye twitches started again. I have gone back to tea and they stopped. So if you consume caffeine, try cutting back and see if the eye twitches get better.
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posey - my MO favors Femara so that is what I started with, and the pharmacist recommended that if I try one generic brand and have too many side effects to switch brands until I find one that causes me the least side effects. Often it is the fillers and additives that cause issues - my advice would be that whichever AI you try Arimidex (anastrazole), Femara (letrozole, or Aromasin (exemestane) - try to find the generic with the fewest additional ingredients. I am taking Roxane generic letrozole and it has fewer additives than the name brand Femara from Novartis, however, Roxane just merged with another pharmaceutical company so whether or not they continue to make it is a question. It is getting a bit difficult to obtain - my local pharmacy can't get it but the mail order one can.
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PoseyGirl, on the subject of reiki, I figure it can't hurt. I'm going to try a pre-infusion session to ward off the evil side effect demons. Also, a heads up on adding your DX. I've received targeted information from participants here as they see my DX and share relevant information. You might want too add your DX info as it helps others to help you.
Meg2016, thanks for the advice about caffeine. I will try to cut back and see if that helps with the eye twitches.
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OK, just figured out to add the DX...I had filled everything in, but didn't see how to add it. Thanks for the heads up!
Thanks for all the input on AI's and other, ladies. I meet with my onc. tomorrow and will ask. I am thinking I'd like to stick with brand name product for now (try it); my oncologist said it's more expensive, but generally speaking it will mean fewer side effects (other than the research you've done, SpecialK).
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posey - your insurance may not cover brand name Femara without proof that you are allergic, or have deleterious reactions, to the generic versions. A 30 day supply of brand name Femara from Novartis is about $800, so check with your pharmacy - they will know if your insurance covers brand names rather than mandatory generics. I have excellent insurance - no deductible, no co-insurance, co-pay only for doctors and surgery and they will not cover brand name Femara.
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am on 3rd TCHP and the reflux is bad that it is hard to eat. i am going to the infusion center today to get some blood work and hydration.next week, i will meet with my MO and she mentioned reducing the dose of taxotere who she thinks is causing my reflux.i am also going to have an endoscopy...is reducing a dose of a certain chemo drug the norm when it has a lot of side effects.my tumor cannot be felt anymore..honestly i dont know if i still can endure the excruciating pain of the reflux plus i cannot eat my caloric requirements because of it.hopefully, it the taxotere gets reduced, it will still be effective and side effects will be minimal particularly the reflux
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kae - does your oncologist have you on any type of proton pump inhibitor to reduce the amount of stomach acid? I received Pepcid as a pre-med in my IV, and did not have too much issue with reflux, but I had reflux surgery more than 10 years prior to being diagnosed with breast cancer. I have seen a number of people prescribed Protonix (pantoprazole) to help with the reflux problem - it is a common thing during chemo. Dose reduction is also common, you don't want to reach the tipping point where chemo drugs do more harm than good, or cause permanent damage going forward. Hope you can find a solution.
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Hi SpecialK, I'm Canadian and so we are covered by OHIP as well as another government program for medications that are mandatory for breast cancer treatment. There is some cost to me, but I don't believe the brand names (from what I recall from my last meeting) are stunningly expensive. But I could be wrong. I will find out today for sure! My husband and I don't have private insurance. Thanks so much.
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Oh, sorry, another question re: possible SE's...I have always had this pulsatile tinnitus in my left ear (since my son was born 10 years ago)...it's like feeling my heart pounding in my ear. I've noticed that has ramped up and am not sure if it's related to hormone changes or age or if related to treatments. And while I once in awhile get that very high pitched tone of tinnitus in my ear, I notice that happens more frequently too - it goes for about 10 - 20 seconds and then fades.
Anyone else with this? I know it could be completely unrelated, but you never know.
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special K,yes i have all the anti reflux meds, omeprazole,pepcid, reglan for gastric emptying ( as i also have delayed gastric emptying which complicates matters).i have sucralfate to coat my esophagus and stomach plus i have GI cocktal ( mixture of viscous lidocaine and mylanta for when the pain is unbearable).so i actually have everything. even my GI doctor said, he wiil not add anything to my regimen.my gastro specialist will scope me next week. honestly at this point i dont think i can tolerate a full dose of taxotere anymore..i will probably asked my Mo what she thinks of reducing the dose9 she did mention it).my breast lump is gone and i want to achieve pCR but i think it has come to a point that full doe of taxotere is taking a toll on me..
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kae - glad your GI is involved, having those complication prior to chemo can be difficult to manage. Sounds like a dose reduction might be workable and helpful.
posey - carboplatin caused tinnitus for me from the very first infusion, and it has worsened over time. I have read of others on BCO who have not had chemo, but have taken anti-hormonals and had ear ringing problems. It is hard to say if it is the drugs, or would have happened anyway. Interestingly, my DH had wicked tinnitus caused by many years of flying military aircraft - he has had this for probably 20 years. He started taking apple cider vinegar (2 T in water with some low-sodium juice added to disguise the taste) daily about 2-3 months ago and swears that his tinnitus is substantially better - crazy, right? I may have to try it.
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Apple cider vinegar - go figure! I have some here and will try it. It's not really a big pain, but it's something I've definitely noticed.
Kae - how many doses have you had and how many more? If your lump is looking gone, sounds like you're likely there!
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posey girl, had my 3rd last friday.after the first cycle, lump can hardly be felt anymore. last saturday, a day after 3rd cycle, i cannot feel it anymore nor my husband. will follow up with MO next week. i dont think i can tolerate full dose taxotere from now on.will see if i can do half a dose for the remaining cycles...
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posey - you need the raw organic apple cider vinegar that has the "mother" at the bottom - DH uses Bragg brand, shake it up first and then measure out the 2 T, and dilute with water and drink on an empty stomach. Be careful not to add anything with sodium, or much sodium, or the vinegar denatures and is rendered ineffective. I am going to start doing it too!
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Hi all. Congratulations on the tumour melt Kae md99. Hurrah. Hope all the other side effects get dealt with. PCR and NED forever!
Getting ready for round 4 of 6 of TCHP tomorrow. This last round I never had that week where you start to feel better. I'm just spent and exhausted. The side effects are worse and I now admit freely that iam in a state of depression. I could deal with all of this easily if my tumour was gone or smaller. Right now there is no metric or test that is planned that would give me even a glimmer of hope. I'm expected to wait it out until early July when my final post-surgery pathology comes through. That's another three months on top of the initial three months of agony. This neoadjuvant therapy feels like a very cruel joke.
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suburbs - hold on to the thought that what you feel/see is a tumor shell, or ghost - I have seen people on BCO who had the same situation as you and then had a much brighter pathology post-op than they expected. Also, know that those who have neoadjuvent chemo at least get to know one way or the other whether the drugs had any effect, and possibly manage their treatment going forward based on that knowledge, such as continued Perjeta post-surgery or a different choice of anti-hormonal treatment. Those of us who had adjuvant chemo will never know if it was effective - we had to go on faith. Aside from shrinking tumors in the breast with neoadjuvent systemic treatment for a better surgical outcome such as better margin establishment for a large tumor with mastectomy or a smaller lumpectomy defect, the real reason for systemic treatment is to head off spread outside of the breast. I am aware that pCR is a better prognostic indicator but eradication of the tumor in the breast is not necessarily the primary goal of neoadjuvent chemo and targeted therapy for Her2+ patients, rather it is a quantitative marker of effectiveness. Not that long ago, prior to the late 2013 approval of Perjeta for early stagers, it was much more unusual for even Her2+ patients to receive neoadjuvent chemo. It was usually done as stated above for better surgical outcome. One of the reasons that Perjeta is only currently FDA approved to be given neoadjuvently, even though it is sometimes prescribed in other ways and with other drug regimens even for early stagers, is that it was a fast-tracked FDA approval drug and they are still gathering data. The approval process is a number of phased trials, but Perjeta was given somewhat of a shortcut, so it is still looked at from a confirmatory standpoint - being proven by the measurable and quantifiable method of post-op pathology.
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OK, SpecialK - going to give it a whirl
. But I'm not really excited about eating vinegar LOL.Kae - things sound like they are going well with your tumour...excellent. As SpecialK said, sometimes you find that it's all gone when you expected some left. This happened with me. I was told from chemo session 4 - 8 that they didn't notice any change upon palpation. My path report came back with all gone in both breast and nodes. So from what you're saying - if you're feeling it going down - it's likely really going down
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thanks for the encouragement Posey Girl... is pray that it is going down.
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