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Topic: Xeloda and TNBC

Forum: Triple-Negative Breast Cancer —

Share with others who have ER-/PR-/HER2- breast cancer.

Posted on: May 18, 2016 02:08PM

knitnpurl wrote:

There's been a lot of news about the Japanese study where they administered Xeloda to TNBC patients after standard treatment, i.e., neoadjuvant chemo, surgery, radiation, who were NED but not PCR at surgery. MY MO is advising that I start this treatment this summer.

I haven't seen much about going on Xeloda or dealing with the side effects except in the stage IV group. I found the chemo and radiation groups were very helpful getting me through those treatments. Since there seems to be a few of us out there whose doctors are starting this regiment, I thought I would start a place for us to share and help each other, while respecting the stage IV group's space. I'm searching for information myself.

Dx 6/2015, IDC, Left, 3cm, Stage IIB, Grade 3, 2/22 nodes, ER-/PR-, HER2- Chemotherapy 8/16/2015 AC + T (Taxol) Surgery 2/9/2016 Lymph node removal: Underarm/Axillary; Mastectomy: Left Radiation Therapy 4/3/2016 Whole-breast: Lymph nodes, Chest wall Chemotherapy 7/25/2016 Xeloda (capecitabine)
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Feb 18, 2019 08:48AM Flynn wrote:

thanks Santabarbarian!

Dx 2/2017, IDC, 6cm+, Stage IIB, Grade 3, ER-/PR-, HER2- Chemotherapy 2/28/2017 AC Chemotherapy 9/1/2017 Carboplatin (Paraplatin), Taxol (paclitaxel) Surgery 11/30/2017 Lymph node removal: Sentinel; Mastectomy: Right; Prophylactic mastectomy: Left Radiation Therapy 2/1/2018 Whole-breast: Breast, Chest wall Chemotherapy 8/1/2018 Xeloda (capecitabine)
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Feb 28, 2019 04:39PM Kiki_Lee1979 wrote:

Hi Everyone,

I am new to this group and so happy I found it. I am starting Xeloda next week and I’m scared to death. I have not started radiation yet as I am only 3 weeks post surgery. I’m wondering if anyone out there is doing Xeloda and Radiation at the same time and what the side effects are like. My doctors are thinking of doing them together and I heard the side effects on the skin can be worse? I’m not sure how true this is.

Any true life stories would be so helpful.

thank you very much

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Mar 1, 2019 09:01PM SoniaL wrote:

KikiLee...the Xeloda is not too bad. I had fatigue and occasional nausea but overall did well, a walk in the park compared to infusion chemo! I did not exercise during my treatment (to protect my feet) and used udder cream on hands and feet twice a day. I did not have any problems with the hand/foot syndrome. My MO did not start my Xeloda until my radiation was complete. I have heard, like you say, that the side effects can be worse when doing them at the same time. Best of luck to you!

Dx 4/13/2017, DCIS/IDC, Both breasts, 1/20 nodes, ER-/PR-, HER2- Chemotherapy 5/11/2017 AC + T (Taxol) Surgery 10/20/2017 Lymph node removal: Sentinel, Underarm/Axillary; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Radiation Therapy 12/13/2017 Chemotherapy 2/11/2018 Xeloda (capecitabine) Surgery 3/18/2018 Reconstruction (right): Silicone implant Surgery 3/28/2018 Reconstruction (right) Surgery 8/22/2018 Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
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Mar 4, 2019 06:36PM Kiki_Lee1979 wrote:

SoniaL thanks so much for responding. I’m glad to hear Xeloda was not that bad. Sending healing vibes your way.

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Mar 4, 2019 08:27PM Krissy37 wrote:

Hello Kiki,

I am also on Xeloda. I just completed cycle 5 of 8 rounds yesterday. This week is my off week. I'm on a schedule of 3000 mg a day for 2 weeks on, one week off. I will finish in May.

Xeloda has been easier than AC-T chemo! My issues are relentless fatigue and achy body and sometimes sore feet...but not awful . I definitely feel better on my off weeks. I've had little hand -foot syndrome ... I use a cream with 20% urea and I also have been using jojoba oil on my feet. My feet are smooth , just a bit red sometimes.

I can't help with the radiation... I had it 10 years ago, so I couldn't have it again.

I know how you feel stressing on taking Xeloda. I did too. I worried myself sick on possible side effects....most of which haven't happened!

Take care


Dx 3/19/2008, DCIS, Right, 5cm, Stage 0, Grade 2, 0/0 nodes, ER+/PR+ Radiation Therapy 7/10/2008 Whole-breast: Breast, Chest wall Dx 11/6/2017, IDC, Right, 2cm, Stage IIA, Grade 3, 0/1 nodes, ER-/PR-, HER2- (IHC) Surgery 1/25/2018 Mastectomy: Right; Prophylactic mastectomy: Left; Reconstruction (left): Silicone implant; Reconstruction (right): Latissimus dorsi flap Chemotherapy 3/29/2018 AC + T (Taxol) Chemotherapy Xeloda (capecitabine)
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Mar 4, 2019 11:05PM Flynn wrote:

Hi, Kiki. I did Xeloda about 6 months after rads so I can’t comment on that part of your question. I found Xeloda much easier to tolerate than other meds. I ran into some issues right off the bat with my blood counts but we lowered dosage to 3000 and I was able to keep going. I had numbness after exercising for a long time or being on my feet a lot. It always went away pretty quickly so my MO said it was ok to keep going. If numbness had persisted, I would have stopped exercising. As time went on, I kept picking up viruses. I’m done now and all symptoms pretty much gone. Honestly, getting ready emotionally to start another treatment was the hardest part but since I expected the worse and was pleasantly surprised, it worked out fine. Good luck to you!

Dx 2/2017, IDC, 6cm+, Stage IIB, Grade 3, ER-/PR-, HER2- Chemotherapy 2/28/2017 AC Chemotherapy 9/1/2017 Carboplatin (Paraplatin), Taxol (paclitaxel) Surgery 11/30/2017 Lymph node removal: Sentinel; Mastectomy: Right; Prophylactic mastectomy: Left Radiation Therapy 2/1/2018 Whole-breast: Breast, Chest wall Chemotherapy 8/1/2018 Xeloda (capecitabine)
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Mar 5, 2019 12:15AM Trishyla wrote:

I have a question for all my triple negative sisters. I finished my last Xeloda just over a year ago and I I wanted to check to see if anyone else was dealing the same issues I've been struggling with.

Starting December 2017 (while I was still on Xeloda) I began an exercise and diet regime in order to get to a good BMI. I started walking five miles a day, six days a week and working out rigorously five days a week. I also started a healthy diet at the same time .

I kept up that same routine for nearly all of 2018. Over those 11 plus months, I lost exactly one pound. That's right. One freaking pound. And I wasn't even building muscle.

I know my body, and how it behaves with diet and exercise. Even after menopause, I normally would have lost fifteen to twenty pounds with what I was doing. But I didn't.

I knew something was wrong. I've been to 3 endocrinologists, thinking there had to be something wrong with my thyroid or parathyroid. But nothing showed up.

Then yesterday, while my daughter and I were discussing it, she said I wonder if Xeloda is to blame. It's a pretty harsh chemo. I replied yeah, but A/C was even more harsh. Then she said something that really has me thinking. She said A/C is an infusion chemo. Xeloda is an oral chemo. Maybe it destroyed all of your good gut bacteria and that's why your body is so messed up.

It was like a lightbulb went off. I know gut bacteria plays a huge role in health, and weight loss. And I'm particularly susceptible to issues with my gut bacteria after a nasty bout of C-diff about 6 years ago. I'm wondering if that's why I've struggled so much with my weight this last year.

Has anyone else noticed that kind of a change after Xeloda? Like your body isn't the same after the chemo?

I'm going to be starting a probiotic/prebiotic rebuilding process to see if that helps. I'd be interested to hear if anyone else has dealt with anything similar.

Thanks

Trish


Dx 8/30/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Dx 8/30/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2- Dx 9/6/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Chemotherapy 9/28/2016 AC + T (Taxol) Surgery 4/4/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Chemotherapy 8/5/2017 Xeloda (capecitabine)
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Mar 5, 2019 10:53AM Trishyla wrote:

Bump?

Dx 8/30/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Dx 8/30/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2- Dx 9/6/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Chemotherapy 9/28/2016 AC + T (Taxol) Surgery 4/4/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Chemotherapy 8/5/2017 Xeloda (capecitabine)
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Mar 18, 2019 01:55PM - edited Mar 18, 2019 01:56PM by Flynn

Trishyla, i'm late seeing your post. I think that the impact of the human biome on health is a hot area of focus, so hopefully more research will be forthcoming. You likely have a plan in place by now. If you are taking any otc probiotic supplements and if you have a port in, i would check for any warnings. I needed abx during treatment and was told I could take a probiotic to avoid intestinal issues. My sister ( a dr) was shocked and had me pull the documentation and sure enough it said not to use with a central line or port due to risk of yeast infection.

Dx 2/2017, IDC, 6cm+, Stage IIB, Grade 3, ER-/PR-, HER2- Chemotherapy 2/28/2017 AC Chemotherapy 9/1/2017 Carboplatin (Paraplatin), Taxol (paclitaxel) Surgery 11/30/2017 Lymph node removal: Sentinel; Mastectomy: Right; Prophylactic mastectomy: Left Radiation Therapy 2/1/2018 Whole-breast: Breast, Chest wall Chemotherapy 8/1/2018 Xeloda (capecitabine)
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Mar 18, 2019 02:03PM - edited Mar 18, 2019 02:05PM by Flynn

For anyone researching Xeloda, i decided that i'd throw out one more update. I struggled with blood counts through out treatment. After my first Xeloda cycle, my counts tanked again. We lowered my dose a little and I made it thru the remaining cycles without going on treatment hold. I just had my b/w drawn, about a month after I finished and my counts are really good. First time my hemoglobin and platelets have been in normal range in almost 2 years. My MO pointed out that while Xeloda can lower counts, it's much less toxic than infusion chemo, like AC, so the recovery is much easier.

Dx 2/2017, IDC, 6cm+, Stage IIB, Grade 3, ER-/PR-, HER2- Chemotherapy 2/28/2017 AC Chemotherapy 9/1/2017 Carboplatin (Paraplatin), Taxol (paclitaxel) Surgery 11/30/2017 Lymph node removal: Sentinel; Mastectomy: Right; Prophylactic mastectomy: Left Radiation Therapy 2/1/2018 Whole-breast: Breast, Chest wall Chemotherapy 8/1/2018 Xeloda (capecitabine)
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Mar 18, 2019 04:07PM Trishyla wrote:

Thanks for the reply, Flynn, and the info on probiotics and ports.. I actually no longer have mine. It stopped functioning about 3/4 of the way through Taxol, so it was removed during my BMX.

I am starting a regimen of pre and probiotics. I think I might be ultra sensitive to the loss of a good gut biome since my brush with C-Diff. Others don't seem to have the same problem.

Congrats on the good blood work. It's amazing how much better we feel once we get those "poisons" out of our systems.

Trish



Dx 8/30/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Dx 8/30/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2- Dx 9/6/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Chemotherapy 9/28/2016 AC + T (Taxol) Surgery 4/4/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Chemotherapy 8/5/2017 Xeloda (capecitabine)
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Mar 19, 2019 10:39AM Flynn wrote:

Thanks, Trisha. I’m actually hung up on probiotics with abx because one of my sons got c-diff from abx taken for a really bad ear infection when he was very young. I feel like he is always more sensitive to stomach issues since then. C-diff is nasty stuff.

Dx 2/2017, IDC, 6cm+, Stage IIB, Grade 3, ER-/PR-, HER2- Chemotherapy 2/28/2017 AC Chemotherapy 9/1/2017 Carboplatin (Paraplatin), Taxol (paclitaxel) Surgery 11/30/2017 Lymph node removal: Sentinel; Mastectomy: Right; Prophylactic mastectomy: Left Radiation Therapy 2/1/2018 Whole-breast: Breast, Chest wall Chemotherapy 8/1/2018 Xeloda (capecitabine)
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Mar 19, 2019 11:37AM Trishyla wrote:

True, Flynn. And the worst part is they don't warn you about the side effects of so many of the medications.

I was prescribed Clindamycin for an abscessed tooth, with no warning about how horrible the side effects were. I found out later that it's banned in some countries because it can cause life threatening issues. If they had just told me, I would have started probiotics asap.

It took over a year, and three courses of Vancomycin (at 6 grand a pop) to clear it up. For something that could have been prevented with 30 dollars worth of probiotics. 😒😒

And you're right about the lingering digestive issues afterward. I think that's why the Xeloda hit me so hard. Just trying to get back to "normal" a year later.

Trish

Dx 8/30/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Dx 8/30/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2- Dx 9/6/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Chemotherapy 9/28/2016 AC + T (Taxol) Surgery 4/4/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Chemotherapy 8/5/2017 Xeloda (capecitabine)
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Mar 21, 2019 05:11PM Flynn wrote:

Sounds like you had quite an ordeal! I hope you are successful getting back to “normal” sooner than later. Antibiotics save so many people but they definitely do come with risks. My little guy was on his first round of abx ever and ended up with a horrible situation. Lucky for him, we were sent to a great GI who recognized his symptoms immediately.
Dx 2/2017, IDC, 6cm+, Stage IIB, Grade 3, ER-/PR-, HER2- Chemotherapy 2/28/2017 AC Chemotherapy 9/1/2017 Carboplatin (Paraplatin), Taxol (paclitaxel) Surgery 11/30/2017 Lymph node removal: Sentinel; Mastectomy: Right; Prophylactic mastectomy: Left Radiation Therapy 2/1/2018 Whole-breast: Breast, Chest wall Chemotherapy 8/1/2018 Xeloda (capecitabine)
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Mar 28, 2019 08:35AM Gmanmom wrote:

I go for surgery tomorrow and am praying for a pcr but I know if I don't have one, I'll be on xeloda. I feel like I read somewhere recently that xeloda was now showing mixed results in terms of decreasing recurrences. How much is it supposed to increase the odds? I have been freaking out for the last 24 hours as the ultrasound yesterday to place the radioactive seed showed a "wisp" where the tumor was. I know the technologist said that could be anything but I dread more chemo and the anxiety and worry that comes with tnbc.

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Mar 29, 2019 12:15PM Flynn wrote:

There have been mixed results from Xeloda. I just finished but had conversations about doing Xeloda last spring. Your MO would be the best source for odds/whether it’s worth it in your case depending on results. MD Anderson has a recurrence risk calculator for people who don’t get pcr and my conversations centered on those figures. You need the path report to calculate. Hopefully you will get a pcr and never need to have that conversation!

Dx 2/2017, IDC, 6cm+, Stage IIB, Grade 3, ER-/PR-, HER2- Chemotherapy 2/28/2017 AC Chemotherapy 9/1/2017 Carboplatin (Paraplatin), Taxol (paclitaxel) Surgery 11/30/2017 Lymph node removal: Sentinel; Mastectomy: Right; Prophylactic mastectomy: Left Radiation Therapy 2/1/2018 Whole-breast: Breast, Chest wall Chemotherapy 8/1/2018 Xeloda (capecitabine)
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Mar 29, 2019 04:50PM santabarbarian wrote:

I had a wisp on mammogram -- and a pCR! So try not to freak out! Wisps means nothing. Please realize they are super reluctant to call any amazing-looking imaging a "pCR" because the only way to truly know is the path report. If you are in wisp territory that is a wonderful result! I hope the pCR happens too!!!

pCR after neoadjuvant chemo w/ integrative practices Dx 7/13/2018, IDC, Left, 3cm, Stage IIB, Grade 3, ER-/PR-, HER2- (FISH) Chemotherapy 8/13/2018 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 12/27/2018 Lumpectomy: Left Radiation Therapy 2/11/2019 Whole-breast: Breast, Lymph nodes
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Jul 14, 2019 06:31PM ucfknights wrote:

hi girls. I was wondering how many of you girls had chemo and the tumor didn’t shrink?

Dx 1/23/2019, DCIS/IDC, Left, Stage IIB, Grade 3, 1/4 nodes, ER-/PR-, HER2- Surgery 2/4/2019 Lumpectomy: Left; Lymph node removal Dx 2/28/2019, IDC, Left, <1cm, Stage IA, Grade 2, ER+/PR-, HER2- Chemotherapy 3/11/2019 AC + T (Taxol) Surgery 8/19/2019 Prophylactic mastectomy: Right
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Sep 10, 2019 09:00PM Hope2828 wrote:

Hi there! I am new to this forum too, I would like if some. Can help me to clarify a doubt, is there anyone here who just indicated xeloda as a chemo treatment? I worry because I see that many have had an intravenous chemo and after surgery they put xeloda. In my case, they did the surgery and then they only placed xeloda

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Sep 10, 2019 10:29PM santabarbarian wrote:

It looks like your question got cut off but are you wondering if anyone got Xeloda as their FIRST line of chemo?

I believe in the US Xeloda is a 2nd line chemo unless it is added to a first line chemo in a trial.

pCR after neoadjuvant chemo w/ integrative practices Dx 7/13/2018, IDC, Left, 3cm, Stage IIB, Grade 3, ER-/PR-, HER2- (FISH) Chemotherapy 8/13/2018 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 12/27/2018 Lumpectomy: Left Radiation Therapy 2/11/2019 Whole-breast: Breast, Lymph nodes
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Sep 10, 2019 10:53PM Hope2828 wrote:

yes that was my question! I did surgery my and already started with xeloda as firt line and really worry about that, I will ask a second opinion. I live in USA, but my treatment is in Colombia .

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