Hello again, long time no chat.

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Hi all,

A lot of you might not know me as I have been very quiet on the forum for some time. I'm still not sure how much I will be posting but wanted to let my old friends know how I was getting on and to reintroduce myself. I will be updating my profile in the next few days.

One of the reasons I was posting less was that I was on Pazopanib and as less people were prescribed this my experience was less directly applicable. It is also sometimes difficult to be encouraging to others from the point of view of being incurable.

I was on Pazopabib at the maximum dose for seven years but was informed in January that it was no longer working. I had been fairly stable with tumours in my abdominal cavity when diagnosed with a few lung tumours coming along over the years but in the last three months the lung tumours all increased in size, the largest doubling to 16mm and a previously immeasurable tumour in my liver growing 25 mm in the three months. The abdominal tumours have been mainly stable for a couple of years now.

Tomorrow morning I start on Lenvatanib and Everolimus so will be going through the exciting process of finding out which of the many choice side effects I will be suffering from. Again I was lucky with the previous medication in that apart from the white hair I got over most of the side effects quite quickly. I may well be looking through the forum a bit more in the future to see how others have coped with the side effects of these meds although I have a few ideas as many of them are similar Pazopanib as the are all targeted therapies. I may also be coming back directly to get tips for a particular effect if I am struggling with it. I look forward to chatting with you all.

Wishing everyone all the best,

Gragon xx

  • Hi Gragon

    I'm currently at the end of my first cycle of Lenvatanib and Everolimus. So far I have very few side effects. A slightly sore mouth and loss of appetite. I too managed the side effects of Pazopanib very well. I also had 4 cycles of Nivolumab (immunotherapy) which did not work for me. I only have one tumour in the area where my kidney was removed in 2016. I’m putting my hopes on this combination work, for both of us!!!

    All the best xx

  • Hi ,

    Thank you for your reply, it is much appreciated.  As you say, hopefully the treatment goes well.

    Wishing you all the best,

    love and hugs,

    Gragon x

  • Hi Gragon

    Lovely to ‘see’ you again. You were so kind when my husband was first diagnosed and I posted in here gosh, back in 2017 I think? He is also on Lenvatinib and Everolimus, since September last year. It’s been a bit rocky to be honest. He’s had a lot of stomach issues, culminating in a complete treatment break for a couple of weeks at the beginning of Feb. He’s since back on Lenvatinib at a reduced dose, and is only just back on the Everolimus now, working back up to a full dose. He has found being basically housebound because of the diarrhoea the most difficult I think. We are in NZ and he felt so guilty missing summer with our 13 year old as he just couldn’t reliably go anywhere.

    But on the plus side, it does seem to be working, and he is stable disease at the moment (Mets in spine, ribs, abdominal cavity, liver, lymph nodes). They are referring him for further radiation on his bone Mets in his ribs as they cause quite significant pain, but other than that, no further spread.

    Wishing you well

    Bronwyn

  • Hi Bronwyn

    If I remember correctly we had a conversation about the relative costs of Pazopanib and Sunitinib where you live.  I've only been on my new treatment for four days but so far have managed to accrue two headaches, 1 bout of diarrhoea and a full day asleep.  So far my blood pressure is holding steady but I know that most side effects will not kick in immediately but will build up.  Hopefully I can cope OK.

    I'm sorry to hear that your husband has struggled with some of the side effects but really pleased to hear that his cancer is stable at the moment.

    I know how he feels about not being able to get out with your son.  My son is now 16 (17 next month) and I struggle with my mobility.  Not directly because of the cancer but because the treatments I can have for my hips are limited by my situation.  At the moment I struggle to walk more than about ten yards without having to take a rest., forget long walks in the country or on the beach I can barely get out of the car par.  It does make you feel remarkably guilty, not helped by the fact that my son is so understanding of it.  He deals with it so well it then makes me feel even more guilty that I am underestimating him.

    I hope that your husband feels better after his radiation sessions.

    love and hugs,

    Gragon x

  • Hi Gragon

    It is exactly as you say, our daughter is very very good about it, which as you say makes it almost worse! She plays a sport very competitively that my husband represented his country in as an adult, and he has coached her school teams since she was about 6 and has been very involved in the sport and they played together in a family team too. But by the middle of last year he couldn’t manage it anymore (to be honest how he managed that long is amazing) and that has been so hard. He got such joy from it and I feel very angry that it’s all difficult enough without being robbed of the things that feed your soul, to make the journey bearable. And our daughter hasn’t once complained or been miserable about it, even though we all know how much she wishes it could all go back to how it was. 

    Haha yes! Med costs. Well, we’ve paid for Sunitinib, then ipilimumab and pembrolizumab, now lenvatinib and Everolimus. I think we’ve spent about 350 k in NZ dollars in 3 years. The only thing we don’t have to pay for so far has been the radiotherapy treatments. And hospital stays. 

    there are compensations though, I’m just about to get him out onto the deck to sit in the sun and watch the sea and listen to the gulls.

    kia kaha (stay strong)