Paclitaxol & CIPN

FormerMember
FormerMember
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I managed to complete week 5 of a 12 week paclitaxol chemo regime, also on Herceptin for invasive breast cancer which hadn’t spread to lymph nodes & was very small. My oncologist stopped paclitaxol all together as I had developed severe peripheral neuropathy & I’m to complete Herceptin & also have radiotherapy & hormone treatment too. I’ve been devastated at having to stop & so so fearful that not completing is going to compromise the high chance of return as it was a high grade HER2 positive & estrogen positive tumour. He wouldn’t consider lowering the dose as the neuropathy was severe & spreading up my arms & also starting in my feet. Ended up in ambulance & had 4 doses of intravenous morphine for the pain. I wouldn’t want to experience it again but at the same time I’m arguing with myself that I’m selling myself short & put myself of risk with not completing the chemo course. Sorry for this fearful rant but I’m scared witless. Just wondered if anybody else has suffered this too. Lots of love to you all xxx

  • Hi  (loving that name!)

    I understand your dilemma but I wouldn’t beat yourself up about stopping.  I had a similar experience with CIPN - I started to get tingling in my feet almost from the beginning of my Paclitaxel and ended up taking a few weeks break after the 6th session. I was then given the option of stopping completely as my oncologist said that given my tumour was small, hadn’t spread, and being HER2+ and Oestrogen+, the Herceptin, radiotherapy and hormone tablets would do a good job of preventing recurrence, and the chemo I had already had would also still be beneficial.  Although I did eventually continue with a reduced dose, in hindsight, I should have stopped as I ended up with quite bad CIPN in my feet which has been the worst side effect of my whole treatment.

    So I know it’s not ideal that you can’t complete the course, but I would trust your team and the other treatments you’re going to have. Severe CIPN can be very debilitating in itself so best avoided if possible!  Wishing you all the best for the rest of your treatment and sending hugs.

    Loffie x

  • FormerMember
    FormerMember in reply to Loffie

    Thankyou Loffie for your reply, reading that even after you had taken a break you were still suffering I do think my oncologist did the right thing . I must agree it was the worst side effect & so so painful, I think if I’d of tried to continue it would of caused me alsorts of issues. He didn’t give me the option of a break or to reduce dose but I also have a heart condition so that may of been why & because tumour was small & was still having other treatments. It’s just a horrible fear which I think majority of us have with this horrible disease. I’m feeling ok & more positive now. I hope you get some relief from CIPN soon & your doing ok on this difficult journey, take good care &  the hug was gratefully received & so needed & im sending you one back  xx