Re Paclitaxel for 12 weeks. I had Herceptin injection on my first week and then 3 weekly, I don’t noticed any extra side effects on those weeks. As I’m due to have the Herceptin alone from next, I’ll know more about its own side effects.
The first two weeks of Paclitaxel were ok, unfortunately, on my third week I had an allergic reaction after 20 minutes, felt sick and hot in the face. I was then sick quite badly. I was given iv Piriton for the allergic reaction but had to wait over an hour for an anti sickness IV ( even though I’d already had it as a pre med) as I was in an outreach unit run by nurses and they couldn’t get a doctor to prescribe! I was informed that if you have an allergic reaction it’s usually in the first few weeks. They say the body suddenly recognises the chemo and then says I don’t like it I need to get rid of it. I only had half the infusion as there was no doctor present they couldn’t restart, if I had been at the main cancer centre, they would have. On my chemo starter threads June and September, other have reacted and were swapped to Abraxane, still Paclitaxel but with albumin, also called Nab-Paclitaxel. So there is always options. Don’t worry!
The next week I was prescribed some drugs to take at home the day before, after chemo and the next day (antacids, antihistamines and steroids). The premeds stop any further reactions. Side effects lasted longer and increased over time. They tell you that the chemotherapy is cumulative.
At first I had sore mouth and throat, had thrush in the second week, GP prescribed Nystan, resolved quickly. My taste changed, I preferred salt foods and water tastes so horrible. I preferred citrus flavoured drinks rather than fruity. I was given a mouthwash after 8 weeks up until them I was gargling with salt and bicarbonate of soda in water. I cleaned my teeth after every meal.
Had diarrhoea on the night of chemo and was prescribed Loperamide, told to take as soon as you have it. Oncologist had warned about this and the first chemo they didn’t prescribe so husband running to nearest supermarket at 8pm for Imodium (brand name for Loperamide). So make sure they give you this! This worked well but was then constipated for a couple of days and an iffy belly until next chemo. Around week 5/6 at my 3 weekly clinic, told could take the loperamide in small doses over the whole week if needed as the chemo affects from the mouth all the way through you to the other end! Had wind and cramps, given Buscopan but they didn’t go with the anti nausea, so they were swapped. Didn’t take more than a day to two.
First anti nausea was Metochloperamide, swapped to Cyclizine which worked well as you could take for up to 5 days and towards the end I needed them for at least 4 days, 3 in the early weeks. The nausea wasn’t too much of an issue if you take the medication regularly. I also had some pustules/spots given fucidin cream. GP said it’s not the worst of my problems, but I’ve always struggled with my skin, so it was a big issue for me.
My hair follicles were sore, had to wear a hat if outside as I could feel the slightest bit of wind! My hair shed a little and I only washed it once a week after chemo, brushed daily and treated the scalp once a week. I used Percy and Reed scalp shampoo, conditioner and treatment. Not the cheapest but have used for menopausal hair loss. I had tingling and numbness in fingers and toes, the oncology team were only bothered if it was permanent/persistent, it came and went, worse at night and early morning. I dropped a few things and buttons were an issue.
My skin was very dry so I moisturised everyday. Unperfurmed as I was very sensitive to smells, I even bought a cheap Aldi perfume to wear for my time in chemotherapy so I didn’t dislike my own perfumes.
I caught an infection after week 8 and had a temperature, went to the cancer centre given oral antibiotics as they said my temp had gone down, 6 days later I was in hospital on oral antibiotics (4 different types) for 6 days. Missed 2 weeks of chemo. It was an unidentified infection, thought it was a UTI. Temperature took 4 days to reduce then my bloods went haywire! Liver needed a scan early December, awaiting results but everything settled with a few weeks in my bloods.
Last 4 chemotherapy I only had two good days and one of them was in the chair again. We spent at least 6 hours up to 7 1/2 with travelling, cold cap and infusions. So not much else could be done on that day. My nails began to get sore near the cuticle, red and inflamed. I had done the www.lookgoodfeelbetter.com course and its was great. Moisturise daily and treat cuticle with a balm, if infected or nails fall off use Vicks Vaporub ( it works, the Vaseline texture protects and the camphor is anti bacterial). Would highly recommend all their course I did mine online and received good in the post.
I think I’ve covered everything. It sounds horrendous but I did it and so can you all. I’m now 2 weeks post chemotherapy and each day I feel better. It’s going to take a while to find my new normal. Hope it helps
Updated: Just to add the oncologist had wanted me on Doxetaxel and Carboplatin with Phesgo (Perjeta and Herceptin) but due to asthma and supra ventricular tachycardia and family history of cardiomyopathy they decided it would be too much. Also my tumours were 2cm grade 2 and 1cm grade 1 no lymph node so decided that Paclitaxel and Herceptin would be best for me.
I also had a PICC line fitted for blood to be taken and infusion instead of a cannula each time. PICC line is not without its problems, I had a blockage and spent 1 1/2 hours extra in clinic. (luckily the radiography dept had a spare session, so talked me through what would happen). By the time I had finished the PICC was working again. I became allergic to the dressing so that was changed and sometimes it would weep. I had to see district/community nurse for a dressing change and bloods weekly, every third week the bloods were done in clinic. They would check that your blood levels were ok for your next infusion.