Change to chemo plan…not sure what to do.

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Hi everyone,

I’m coming up to having my 4th and final EC on a dose dense regime (fortnightly),  I was then due to start paclitaxel for 12 weeks, but after a brief catch up with my onco she said I could also have that fortnightly as I coped ok on EC and then I won’t need to travel 90 mins to the hospital.  
I’m really not sure what to do,  everywhere seems to indicate paclitaxel is well tolerated,  but I’m not sure how I feel about a higher dose. 
Anyone have experience of this???  Isn’t it better to have it weekly, as there must be a reason it’s the preferred option. 

Thanks in advance 

  • Hi 

    I had 4 x EC (three-weekly) then 4 x paclitaxel fortnightly.  My oncologist said most of his patients found paclitaxel easier, and he was certainly correct in my case.  I struggled with a bit with EC, especially with nausea and indigestion.  After my paclitaxel sessions I came home, felt well, had a nice big dinner, then woke up next morning feeling…..  completely normal!  I won’t claim I never had bouts of tiredness, the occasional aches and pains, or a day or two of constipation, but overall I felt pretty good.

    I have read that weekly paclitaxel is even better tolerated than fortnightly, simply because each dose is smaller.  But my personal experience was that fortnightly was okay too.  If I had to do it again I’d definitely go for fortnightly, especially if it saved a long trip to the hospital.  But best of luck with whatever you decide x

  • FormerMember
    FormerMember

    Hi,

    Congratulations on finishing EC! In my experience it was the most difficult part of chemotherapy. My oncologist also gave me the option to chose between weekly or every two weeks. I coped very well with the fortnight regimen and I was glad to finish it faster. The main side effects were fatigue and pain in the legs for 2-3 days, like I had done too much exercise. Still I didn’t need painkillers and felt that walking helped with those symptoms. The only annoying part was that it took 3h just the Paclitaxel infusion but I would definitely choose again the fortnight regimen.

    good luck with the treatments 

    best,

    sara 

  • Thanks both for your replies,  I feel more reassured going fortnightly won’t increase side effects - and quite like the thought of finishing sooner tbh xx