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Oct 14, 2021 09:01AM
oddboood
wrote:
Thanks, Kendara! Sorry you are having a rough go right from the start. But yes, even with the crappy days, it does feel good to know we are kicking cancer's butt!
And welcome AnnieG, DeltaMoon, mammacure! It is so great to have this forum to share experiences. Especially since this treatment is so new for bc patients, I think we really can gather some important collective wisdom here. In that vein, here's an update from me:
So after a ridiculously easy first four weeks, it got real fast. Treatment five hit me hard - like all the pent up side effects suddenly decided to burst forth in a great big blaze of glory: hair falling out in big clumps, fatigue, painful mouth sores, and, as an extra bonus, the evening after the treatment I developed a rash that covered my face and body with itchy bumps, and a fever that spiked at 101.8 with a sore throat and a weird cough. Yowza.
I ended up in my hospital's acute care clinic the day after the fifth treatment - they weren't sure what was going on, but the fever went way down by late afternoon and tests showed no COVID or sign of other infection, so they let me go home. By the end of the following day I was fever free, and the rash had started to fade. The rest of that week was okay - just minor fatigue, nasty mouth sores, and ongoing hair loss (that hit me hardest - knew it was coming, but still - it just made me sad, you know?).
Enter treatment six - yesterday. A few hours after I got home, the rash came back along with a fever of 102.8 and a cough (this AFTER taking ibuprofen and naproxen). Called my MO and he said take Tylenol, some more Demexthesone, and Benadryl in addition to the ibuprofen, and go to the ER if I had trouble breathing. He seems to think the rash and fever are a Carboplatin reaction; it turns out that somewhere around treatments 6 - 8, many folks run into hypersensitivity reactions to this drug. My reaction is apparantly considered "mild;" they only get really excited if you show signs of full anaphylactic shock. Still, MO says he may cut out the Carboplatin completely. We have an appointment before my next infusion and will talk through it then. I'm feeling much better this morning - fever is gone, but the rash has me looking like a ripe tomato. 
Reading up on the Carbo toxicity issue, I learned that some doctors will do a skin test on you before treatment 6 -7 so they know ahead of time if you will have an hypersensitivity reaction. Then they can lower the dose or decrease the infusion rate to help mitigate the reaction. Might be worth mentioning to you MO as you enter week 5 -6.
Sending love and light to all, and sincere thanks for this wonderful supportive community.
XOXO,
Aleta
Dx at 56. Trying to make lemonade.