Chemotherapy for a 65 year old

Good afternoon, I am 65 and due to start chemo next week, EC x 4 and Paclitaxel x 4, dose dense accelerated. I am 65 (next month ) and I haven’t found much information on the safety and tolerability of chemo in my age group. The information I have seen, studies, papers etc all seem to be in patients under 65. Im very anxious about how this will be for me and how safe, whether I will have more toxicity etc. Is there any help or guidance you can give to me? Thank you :slight_smile:

Hi, i cant tell you about the technical side of things, studies etc. , but i can tell you about my experience. Although i do know that your oncologist will work out the appropriate dosage for you personally, bearing in mind your age, weight/size, comorbidities and general level of fitness. I am 69 (68 during treatment) and had much same chemo, although i had 12 paclitaxol (weekly). I think i coped with the chemo relatively well, it was exhausting and challenging. I had a range of side effects, for which the oncology team prepared me for snd gave me the appropriate medications. I did have my paclitaxol dose reduced twice because of side effects, but still had complete resolution of tumour (PCR). I know from spending many hours on this forum there is a huge rsnge of responses to chemo and they are nit necessairily age related, some people were able to keep running or going to work, others struggled to get out of bed some days. It is importsnt to tell your team of any side effects as soon as possible so they can help you. I found joining the chemo starters group for your starting month really helpful and the HER2+ buddies thread a lifeline if that is your diagnosis. I finished the main chemo regime July last year, then had surgery and radiotherapy and continued with phesgo until may this year. I am now physically back to some normality, rebuilding my stamina, going to yoga etc. The only residual side effect i have left is some peripheral neuropathy in fingers and toes, but its not too much bother. I would just suggest your concerns with your oncoligy team or give the BCN nurses here a ring. Best wishes for next week, you can do it.

Penny