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Discussion:
Problem deciding on oxaliplatin.
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I was stage 3b colon ca. I will be on my 8th treatment tomorrow if platelets are up. My delima is my onc makes me feel that since my side effects from chemo is mild, why discontinue oxaliplatin? I think that my high blood pressure which began after the 5th treatment, is caused by oxaliplatin. since from the beginning, immediay after oxi, I would have palpitations or heart racing and nurses would say that's from oxi or just shrug. I have discussed HBP with onc and he thinks it's not a big deal and chemo has nothing to do with it. If I want to take pills for HBP, to see my primary doc. I have 5 treatments left and asked my onc yesterday what he would do if he were in me. He reverts the question by asking what problems am i having with oxi. That oxi is proven to reduce recurrence by 3-5%. That xeloda has no definitive findings. ( had mentioned about switching) I had to interject "only in the US". I don't want to start Taking blood pressure meds, but my Bp is140/96 when it was under 130/80. I feel like I'm whining. But I decided to stick with 5fu, because as my onc says " if nothing is wrong with your port, why go with xeloda. Ugh!
It seems late in the game to get a second opinion. Any suggestions?
Posted on 06/14/12, 09:29 pm
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Reply #1 - 06/14/12  11:33pm
" Mykids, my BP was always elevated while on chemo too, Note I was always low before this, and it has returned to normal since I stopped the chemo. I had to stop the Oxi after 8 treatments due to neuropathy, and just changed to just the 5FU alone for my last tretments. I feel very comfortable with my decision, my onc doctor wanted me to start on irinotecan with the 5FU , but I refused the irinotecan, side effects were too bad for only a 1% chance of no recurrence for me, plus I would have lst my hair for the last month, I said no way. I have had 2 clear scans so far since the end of my chemo, so I am 16 months since initial diagnosis, and besides the neuropathy in my feet I feel great. "
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Reply #2 - 06/15/12  1:00am
" Hi jlcolt! Neuropathy got worse during 8th treatment or before that? Did you have to go on Bp meds? Hope your neuropathy is going away and glad your scans are clear. "
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Reply #3 - 06/15/12  4:22am
" Are you sure it's the oxi causing the elevated BP?, it turns out that I am mildly allergic to 5FU causes me to come out in spots, slightly elevated temperature and elevated BP! "
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Reply #4 - 06/15/12  9:53am
" Hi m! I figured, if I'm having palpitations immediately after oxaliplatin, I assume it's from that. But you are right, it could be from 5fu. When Im given a week break, my Bp decreases by 10 points. The RNs keep saying its from stress, but I don't feel stressed like I did when I was working, even with my situation now. Cancer prognosis seem to change my outlook on life suation. Like my post, it's not a big deal, but waiting for scan results would be stressful. "
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Reply #5 - 06/15/12  11:35pm
" Mykids my neuropathy was pretty mild but there, none the less at my 8th treatment we decided it was bad enough to stop the oxi. Unfortunately it isn't any better, I still have alot of numbness and pain in my feet, I have tried accupuncture it did not help and time sure hasn't helped either yet, I am thinking about starting on Cymbalta for it to see how that might work. And no I didnt take any BP meds, i'm not sure which drug did it but, the premeds that they give you the steriods, caused the palpatations for me they just gave me a does of IV Ativan while I was getting my chemo and it helped to take that away. Like i said though my BP is fine back to normal now, I feel great except my feet, but I just do my thing despite them, hopefully someday they will get better "
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Reply #6 - 06/22/12  9:58am
" Wish I had seen your post earlier! I'm one of the few people on here who has refused the oxi. My oncologist told me straight out that there is no conclusive evidence that taking the 5Fu/Oxi combo will make you live longer nor will it decrease chances of reoccurance. I noticed almost everyone on her has experienced some sort of neuropathy from the oxi so I said 'No thank you!'

I just finished 6 mos of treatment, taking only the 5FU. The response from the PA's and nurses was 'good for you for doing your research!' For years colorectal cancer has been treated with just the 5FU so I'm confident that I made the right decision! :-) "
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Reply #7 - 06/22/12  12:45pm
" SuzyQsie63:
I too wish I had heard from you, way back when! Only after I stopped all Chemo did I find out that the 5FU was all they used to use and it was the 'work-horse' for the colon cancer. Then even after (I knew the Oxiplatin was killing me) I begged for only the 5FU but my Onc said NO this is protocol.

Then I found out the Oxi only boosts the chemo by about 3%.
You had/have a good Onc that uses sense and understands what Chemo (OXI) does to one.

The reason he kept pushing me to take the OXI is $$$$ and I will never believe anything else.

I wish he had only a sample of what some of us go through on the OXI.

Thank you for your input and so happy for you not suffering the effects of Oxi.

Thanks for the Information, even though late for some of us.

graci01 "
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Reply #8 - 06/23/12  9:03am
" Met w/ onc again so he can sign orders and at the time I decided to continue with oxaliplatin and 5fu because of the stage 3 dx. And I was tolerating it ok. I had only one question for him. Was any of the chemo I am on a carcinogen? Basically, he states that the 5fu has been around for 40 years and not seem to be, but he couldn't say the same ("no definitive answer") for oxaliplatin, that's only been around for10 yrs. After a few days of thinking about his answer and your posts, I've decided to discontinue oxaliplatin. I've had 8 rounds and gave it more than half the chance. So, I feel confident about this now. Thanks again for your support. I am very grateful for you all and this site.:-) "
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Reply #9 - 06/24/12  12:02pm
" I had OXY plus 5FU for 5 treatments and the neurpathy was starting to get bad enough that the Doc started cutting it down. I stopped after 7. I started taking Alpha Lapoic Acid.for neurapathy. 500 to 600 mg per day on advise of a friend that works for a pain management doctors office.. She said that is one of the first things they put people on to help with pain management. After after almost 2 years i still have a small amount of pain in my toes but the biggest part is gone and has been since about 1 -2 months after starting to take the Alpha Lapoic Acid. I don't take it much anymore. Sometimes I will buy a bottle and take if for a couple of months then skip a couple of months but I canno t say enough to applaud the use of it for managing the neuro
pathy. "
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Reply #10 - 06/25/12  12:15pm
" ALL:
The reason I am not blaming the 5FU is because I had the 6 weeks of it plus radiation before my surgery.
Don't get me wrong, it was tuff! I blamed all my severe fatigue and yes Neuropathy on the 5FU. As for the fatigue, I found out the radiation causes that too.
I have heard 5FU does not cause neuropathy, but I have heard many many say that it does. It was rather different though, as it mostly caused cramps in my feet and legs and my poor hands were like claws. It was very painful and to this day I still have problems off and on. I have such problems opening things. (I have all the gadgets to help open things, but when I use them I get the deformed claws in my hands.

Never had anything like that ever happen until I started treatments, and I told my Onc and 'HE' told me it was a medical problem and see my GP! My GP said it sounded like a Chemo problem to him! He did give me some muscle relaxers that helped some. (He also wrote the hospital/clinic and told them he had been my GP for over 20 years and I had never had anything like that before) It sure caused a 'stir'. (at my Onc Clinic)

But I never had B/P problems or anything like that on the 5FU or Radiation. Of course the radiation keeps working in your body for over a year and does cause terrible problems to your bones and other problems. I do have pain in that area now and wonder what the future holds. (I have already had a pelvic fracture)

I just met one lady that says the Radiation had destroyed her hip and she has had surgery and replaced it.

http://csn.cancer.org/node/240798

However there has been an on-going study of changing the standard of 6 months to 3 months. (For the Oxi + 5FU) Back in the early 90,s the standard was 12 months and tests showed 6 months was just as effective, and now they are studying 3 months versus 6 months. (that would be a blessing for so many of us)

http://clinicaltrials.gov/ct2/show/...

I don't know too many people that could finish all 12 treatments! I could not! We have a lady on here, that had severe Oxi reactions and her Onc suggested she stop @ 3. I believe all of her tests have been clear. (Correct? LadyArcher?)
I don't know anyone that wants the neuropathy and especially for life!

Any way we look at it Oxi is mean but other Chemos are too.
I don't think the trials will be finished until 2013?

This does make me wonder about the people that had the 12 month treatments, before it was changed to 6 months and now a chance for 3 months.?

I feel I have been lied to or deceived from the beginning of my cancer DX.
The Radiologist was concerned about my Bladder and I did everything she said, but she did not mention I would lose my vagina? I can not even call myself a female any longer.

If I had it all to do over and did all the research I have done, I would never have put any of Chemo Poisons in my body.

Blood&Roses: I agree with you! But I found all this out too late. My Onc did not even want me to drink Lipton tea?

There are supplements that do help, but here except in some large hospitals no supplements are ever used by Onc?

Knowing what I know now I would have (on my own) taken LGlutamine, Vitamin B,s Tried to get IV Vitamin C.
I would have especially taken the L Glutamine. Not only does it protect the extremity nerves but helps with all the colon and digestive system that the Chemo can be Hurting.

We wait until after treatments 'here' when these things can prevent or make the neuropathy so much less if taken with treatments.
I realize Onc say these supplements may effect the Chemo drugs?
Well they certainly are NOT the only Doctors in this world and when I hear of patients taking the supplements in other countries and not going through what some of us do, I really get into a Rant.

I have had cramps and muscle spasms since 09 and am darn tired of it! Still can't breathe and still have bouts with my heart.

Sorry for being so blunt, not usually me!
graci01 "

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