Anyone had Taxol (Paclitaxel), especially a weekly regime?

Hi Folks,
I’m changing early from EC to Taxol-with-Herceptin because I tolerated EC badly and spent almost a week in hospital after the third cycle.

I had a compromised immune system due to Crohn’s disease before I got BC and also have fibromyalgia and osteo-arthritis of the spine so have plenty of joint/muscle pain to start with.

The Oncy has said that 3-weekly Taxol or Taxotere can cause a lot of joint pain and would probably floor me completely, so instead he’s going to do it weekly with Herceptin added in (to prevent my boredom) every third week. He has said that weekly Taxol has also been proved to be a more effective BC cure than a three-weekly hit and is also v. effective for secondaries. But it means I’ll feel like I’m living in the chemo suite.

I’m just wondering what to expect from Taxol - everyone else on here on a Taxane seems to be on Taxotere.

SEs could include:
Urticaria:
OMG I get massive urticaria blisters from insect bites or certain foods so I know what this can be like.
“Significantly less hypersensitivity is observed when paclitaxel is given weekly”. PHEW.

Neutropenia:
had that already; not nice

Fatigue, malaise and generalised weakness:
I have that with the FMS anyway.

Complete alopecia:
got the T-shirt!

Nail changes, such as hyperpigmentation and ridging, are common. A partial separation of the nail plate (onycholysis) may occur:
don’t fancy this and have started moisturising nails.

Nausea, vomiting, anorexia, diarrhoea:
Deep, deep joy.

Metallic or bitter taste:
got that T-shirt, too.

Hypotension and bradycardia:
got that with EC - I know the warning signs now.

Peripheral neuropathy:
Had that once with EC.

Arthralgias and myalgias affect 60% of paclitaxel treated patients:
ARRGHHHHH
“Arthralia and myalgia are infrequent and mild post-docetaxel” - makes it sound like Taxol is worse than Taxotere for this.

Colitis:
I that have anyway. Fingers crossed it doesn’t get worse.

Are all these SEs common or is the above a ‘worst-case scenario’?

TIA.

Have a look here, this is only 1 company, several others also make paclitaxol but it should give you a general idea. medicines.org.uk/EMC/medicine/15842/SPC/Paclitaxel+6+mg+ml++concentrate+for+solution+for+infusion/

Thanks, Jo. That also added"This medicinal product contains alcohol, which may impair the ability to drive or operate machines".

So I get a free alcofrol hit? ;o)

Hi Ninja I had 3 FEC and have now completed 9 of my 12 weekly Taxols. My ONC also confirmed that it is kinder especially as I have already got nerve damage in legs/foot from previous back operations. The main side effect is the tiredness and obviously the lack of sleep from the steroids. I still get nose bleeds and a terrible taste in mouth and these seem to be the side effects. I do believe that you can still get tingling/numbness in hands and feet as they have told me to watch out for it. Fingers crossed so far I have been ok although my legs have been hurting in the night but I think it is because I have worn heels a couple of times this weekend. I do hope so!!! Hope this helps and good luck. Adi x

Hi Adi, thanks for replying as a fellow Taxol weekly babe.

So you didn’t get all the above SEs then? That’s a great relief. Tiredness and lack of sleep have been my companions since I got fibro 8 years ago so that’s kinda a way of life (not a nice one) for me.

So no nausea or nail problems then?

I had 16 weekly tax. tiredness towards the end, bit of neuropathy. Oddly a few weeks after i finished 2 of my fingernails had black patches.now, 5 weeks on they seem to be clearing up.
I had achy legs also, but nothing to keep me awake at night. Also, I just had steroids via iv, no extra tablets.
x sarah

Fabulous. I’ve had a bad time with EC and this is sounding much better. I may even get a few half-days back in work; they’re gonna stop my sick pay soon…

Hi - the SE are not compulsary!! All are optional! Just wait and see what your body does and listen to it. I think there are some common themes - tiredness, neuropathy, hair loss/thinning, but these are on an occasional basis!!

I am on Taxol with Avastin number 12. I have really good scan results and so the SE are worth it (even if I wish they were no SE at all!!)

Sadie xx xx