My new cocktail takes longer - we were there for 5 1/2 hours today. So far I'm not nauseated or tired like I was with the first cocktail. In fact I'm quite munchies and antsy. I'm hoping that this continues tomorrow and isn't short-lived. The doctor did tell me to watch for neuropathy (pain, numbness, tingling in feet and hands) and extra dry painful skin and fingernails. I'm trying to prevent both of these side effects the best I can.
The main new drug is called Taxol. People are often allergic to it, so included in the new cocktail are other drugs that help me not have an allergic reaction to Toxol. In fact the cocktail is made up of 5 different medications (a steroid for inflammation, Benadryl for allergic reactions, anti-nausea meds, etc.)
The following Taxol side effects are common (occurring in greater than 30%) for patients taking Taxol:
- Low blood counts. Your white and red blood cells and platelets may temporarily decrease. This can put you at increased risk for infection, anemia and/or bleeding.
- Hair loss (Doc says I'll lose all my eyelashes and eyebrows)
- Arthralgias and myalgias, pain in the joints and muscles. Usually temporary occurring 2 to 3 days after Taxol, and resolve within a few days.
- Peripheral neuropathy (numbness and tingling of the hands and feet)
- Nausea and vomiting (usually mild)
- Diarrhea
- Mouth sores
- Hypersensitivity reaction - fever, facial flushing, chills, shortness of breath, or hives after Taxol is given. The majority of these reactions occur within the first 10 minutes of an infusion. Notify your healthcare provider immediately (premedication regimen has significantly decreased the incidence of this reaction).
- Swelling of the feet or ankles (edema).
- Increases in blood tests measuring liver function. These return to normal once treatment is discontinued. (see liver problems).
- Low blood pressure (occurring during the first 3 hours of infusion).
- Darkening of the skin where previous radiation treatment has been given (radiation recall - see skin reactions).
- Nail changes (discoloration of nail beds - rare) (see skin reactions).
