Has anyone had a Reaction to docetaxal and tried it again?

Hi,

Its my first time posting so I'll give a history. Sorry it's a bit long!

Nov 20 found breast lump whilst in shower - just before my 38th birthday.

Dec 20 seen by bcn and had ultrasound. Was told it was most likely an old bruise and to come back in 3 months if it hadn't gone for another ultrasound and biopsy.

March 21 biopsy confirmed grade 2 bc, her2+, er+, not spread to lymphnodes. Titanium marker put on tumour.

Full body CT scan confirmed no cancer spread.

Never been 100% sold on chemo but was told the lump was 5cm x 2.5cm x 1.8cm so surgery first wasn't advisable.

Apr 21 3 x EC chemo started. Side effects ok. Increased acid reflux, Filgrastim issues so cut those out and white blood cells returned to normal on their own. Numbness in head and fingers and lots of pain in arms (veins) from chemo. Palpitations, racing heart rate, hot all of the time. On the whole though, 10 bad days, 10 good days.

May 21 told it had spread to on nearby lymph.

June 21 went forward ultrasound and titanium marker on lymphnode. I'd had 2 x EC at this point. Radiographer couldn't find any cancer on any lymphnodes and tumour had shrunk by 50%.

Finished 3 x EC and yesterday went for my first Docetaxal and new herceptin and perjeta injection. Injection was fine but very quickly reacted to the docetaxal. Sensation in my shoulder, moved to my chest, tight chest, hot flushed face, difficult to breath, hot chest and back, white spots in front of eyes. All happened very quickly. Nurses and doctor were great, chemo stopped and pumped full of drugs. Oxygen was low so was monitored and put on oxygen and had a flush. They said they usual wait for the episode to pass then restart slowly after 10-30 mins, but they said there's no way they'd restart and booked me in to try again next week. I was already on a reduced dose.

Obviously I'm VERY reluctant to try again. I was already considering not having anymore chemo, so this has virtually made my mind up. I'm more than happy to move on to surgery now then radiotherapy. They said that if I stop chemo I can still continue with the herceptin and perjeta injections and I'm more than happy with that!

Any experiences of reactions similar to mine or of peoplestopping chemo would be really greatly received. It's such a hard decision when it's your life you're having to make these decisions about and there really is no room for error!

  • Hello,

    sorry you had such a horrible time with chemo, I do understand.....I had 4 cycles of FEC and pulled out of having 5 and 6 due to the horrendous side effects, believe me the decision wasn't made lightly, I chatted it all through with my oncologist and really had to weigh it all up, it's such a big thing to be weighing up.....I was also on herceptin and went straight into 5 weeks of rads....so good back up! 
     

    what is your onco saying? Xx

  • My oncologist is calling me on Monday to discuss. He thought I may struggle too much with the side effects but we decided to give it a go but we hadn't considered a reaction. My oxygen is still a bit low and my heart rate is very low for me, but I think that's a side effect of the Phesgo injection (perjeta and herceptin). My gut has always said surgery is the way forward x

  • Listen to your gut ( and your onco) they will be able to weigh out the benefits  ( if any) of carrying on with chemo....good luck, if you get a chance pop back and let me know xx

  • Thank you!!! It's great to hear something else other than 'the chemo is killing the cancer'. X

  • Hi there,

    Gosh, you even to have remarkably similar cancer experience to me and over roughly the same time period too. The only difference i can see was that cancer was found in my lymph nodes instantly when i was diagnosed in March - otherwise our cancers are very similar.

    I didn't have that instant reaction to docetaxel, but I did have hideous side effects to my first doxcetaxel  treatment, following 3 x FEC treatments.  My oncologist suggested reducing the doxcetaxel dose as an option, but I was keen to maintain the full dose.  The only condition was that I would need to see her every couple of weeks in person for increased monitoring.  

    So the only thing I can add is that the side effects for the 2nd round of docetaxel were remarkably reduced and as a result I'm fairly confident going into my 3rd (& hopefully final!) round of docetaxel next week. No idea why this round has been so different, other than my steroids were slightly increased and I've been given vitamin B to help with the neuropathy.  Perhaps those made the difference, or maybe my body just got used to docetaxel. Incidentally  I had a similar first experience with FEC. First round caused hideous side effects meaning drs called every night following my first dose and a couple of ambulance journeys to A&E.  2nd and 3rd rounds however were much less brutal on my body and I came through though those fairly well. 

    Anyway it looks like we are both on the similar journeys with surgery and radiation coming up shortly, followed by ongoing herceptin and perjeta. I'm also hoping for reconstruction, but my surgeon has said not for a year or so afterwards.  

    I just wanted to wish you well. Good luck with your conversation with your oncologist, I really hope it helps you in making the right decision for you.  I fully appreciate that the side effects I experienced are completely different to the reaction you experienced. I just wanted to let you know that from my experience, things can be very different in 2nd & 3rd round.

     

  • Thank you. It sounds like you've had a terrible time and still pushed through.

    My oncologist has suggested switching to Peclitaxel (I think) but weekly and for 12 weeks. I'm a bit upset because the docetaxal was 3 lots every 3 weeks, so that's another 3 weeks of chemo. It's starting on Thursday so I guess I just see if I react and take it from there.

  • Aah  - best of luck and fingers crossed that you don't react to this alternative.  Well done though for giving it a go after your previous experience.  You've come so far it would seem a pity not to give it one more go now. I  do think youve made a brave decision to keep going with the chemo and I imagine those additional 3 weeks must seem for ever at the moment.  I know if i was told I had to endure another 3 weeks of treatment I would find it incredibly hard. 

    I'm seeing my oncologist tomorrow & then what I hope will my final chemo is scheduled for Thursday, the same day as your treatment.  I'll be thinking of you & have everything crossed for you.

    Take care and all the very best for Thursday 

  • Thank you! I'll be thinking of you too. We don't realise how strong we are until we need to be.