CSN Home » Cancer specific » Colorectal Cancer

Irinotecan



Total items found: 22

KATE58's picture
KATE58
Posts: 303
Joined: Nov 2009
November 18, 2009 - 8:25pm

after a year of folfox w/avastin, a remission,6 months of avastin only, a remission ,a year of xeloda pills,then 4 months of erbitux,I have another recurrence and they are putting me on Irinotecan with avastin and possibly xeloda pills again.Can anyone tell me what I should expect from the IRINOTECAN ?? I've read the research, but I find I can get better info from some one who took it.THANKS! :-)
kATE

Shayenne's picture
Shayenne
Posts: 2385
Joined: Jan 2009
November 18, 2009 - 10:57pm

I am on Folfiri and Avastin, which includes the Irinotecan, and this regimen has done wonderfully at shrinking my tumors.

The only major side effects I got was nausea, so stay on top of it (even though you don't feel nauseous, just take the pills anyway every few hours to stay on top it, I do a couple hits of maryjane, which makes it go away faster then the pills can.

Hair thinning.. my onc told me my hair would not fall out, but ALOT did, my scalp does feel cooler without all that hair on top of my head that's for sure LOL..I never went bald, though under the scalp it's a little bald.

Fatigue...I get disconnected from my pump, and the next day, I am so tired for the next 3 days, till I finally perk up and start feeling like myself again, then when I'm finally feeling wonderful...here comes the next treatment **sighs**

Diarrhea...which usually I treat with 1 immodium.

Keep drinking loads of water, stay hydrated! Otherwise, it definitely isn't like that nasty Oxy drug, it's alot more tolerable...and no neuropathy!

Any more questions, let me know! it's nice to see you here!

Hugsss!
~Donna

KATE58's picture
KATE58
Posts: 303
Joined: Nov 2009
November 19, 2009 - 2:21pm

Thanks Shayenne !
I was hoping someone would tell me it was better than the oxylaplatin( which was horrible)
I won't mind so much losing my hair,it's better than being nausous all the time.I've already bought some pretty scarves and knit hats, good thing it's winter, I guess with the ileostomy the diarrhea isn't much of a problem if I stay hydrated.
Thanks again
KATE

Shayenne's picture
Shayenne
Posts: 2385
Joined: Jan 2009
November 19, 2009 - 3:47pm

have very king hair down to my waist line, but saw it all going in clumps in the shower, and had my 14 year old cut the back of my hair, up to my shoulders, she did a pretty good job, and it took the weight of the hair off where it stopped falling out. But my scalp sure feels cooler, and I just put it up in clips now, no scarves, I do have some cute hats from Claires I bought, kind of trucker/baseball caps in black that I like to wear as well, I don't think you'll go bald.

I never lost any eyelashes or eyebrows.

But make sure they give you great anti-nausea drugs. I am on Emend, Dexamethasone, compazine, zofran, and ativan. When I first had my treatment, I was sicker then a dog, and that is because I wasn't taking the drugs right, and they had no effect on me, I stayed in bed, thinking I was dying, and the nurses called to check up on me, and told me that I will feel better next treatment, and that's when they introduced the Emend and Dexamethosone, which has been heaven! so take those pills even if you don't feel sick, just to stay on top of it!

My nausea seem to be coming on faster, since my treatments are accumulating, so they now have been giving me this injection of I think amoxyl or something, in my IV as I get my chemo, which makes the nausea stay away for a week! it's a longer lasting zofran, all I need to do is take the compazine and ativan a couple times a day, and I haven't had any nausea at all.

And if you do get diarrhea, which can dehydrate you, take one immodium pill, and that should help that, you don't want diarrhea too long. I believe the Irinotecan is much more tolerable, but there are some people who did have a hard time with the drug as well, people do react differently to other things. You won't have the neuropathy at least that Oxy causes, Oxy scares me.

Hugsss!
~Donna

KATE58's picture
KATE58
Posts: 303
Joined: Nov 2009
November 19, 2009 - 9:32pm

Thanks Donna,
I didn't have too much nausea with the folfox (oxy) but the periferal neuropathy was rough!
the muscle cramps and the pain when touching cold things was bad.One day I forget and took a big drink of ice water and I thought my throat was going to close up.My doctor said she was not going to give me dexamethasone ,just some zofran and a little ativan with it. You think the nausea is worse with irinotecan than with oxy?
KATE

Shayenne's picture
Shayenne
Posts: 2385
Joined: Jan 2009
November 19, 2009 - 9:53pm

put me on just Zofran, Compazine, and Ativan for the nausea, and it didn't even touch it for me, I couldn't even get out of bed, or drink or eat anything, it was bad for me. Then the second treatment included the Emend and 3 Dexamethasones, which I get prescriptions for now, and it's like heaven now, I do smoke maryjane now just for the nausea as well, which works faster then the pills, but I needed the big guns out for my nausea.

I was never on oxy, I have been just folfiri with avastin since February, and will you be carrying the pump as well for 46 hours with 5fu in it? If so, I feel fine when connected, but once the home health nurse comes to disconnect me, it seems I'm very tired the next 3 days before I start perking up again, and feeling myself. It wasn't as bad as I thought it was going to be, but the fatigue part was pretty much the only problems I've had with the nausea. I wish you luck on it.

Also eat with plastic utensils, since the food may taste very metallic on regular utensils, that does help, just for a few days till after your disconnected, and drink lots of water (that even tastes weird on chemo) but I love crangrape, sunkist orange soda, and Iced Tea, to drink, since those taste good, even on chemo :)

Any other questions, just ask away, I think you'll do fine :)

Hugsss!
~Donna

AnneCan
Posts: 3717
Joined: Oct 2009
November 19, 2009 - 8:20pm

I am on irinotecan and have found it tolerable. Like Donna, my hair has thinned. I bought a wig when I noticed it thinning, but haven't used it yet. The main effect I have had from my chemo is fatigue.

Shayenne's picture
Shayenne
Posts: 2385
Joined: Jan 2009
November 19, 2009 - 9:57pm

Gave me a wig as well, but never had to use it, it just thinned right underneath the top hair, and back of my head, but I can fix it to where I can't see it, and it's actually all growing back in now, and sticking straight up the top of my head as it grows, so it looks like I have these spikes that I have to spray down with hair spray to keep them down lol...

Hugsss!
~Donna

AnneCan
Posts: 3717
Joined: Oct 2009
November 19, 2009 - 10:01pm

I am looking forward to when it starts growing back; I keep feeling for the little "spikes"' none yet but I know the rate of hair loss has slowed down.

Shayenne's picture
Shayenne
Posts: 2385
Joined: Jan 2009
November 19, 2009 - 10:50pm

to color it, because theres a few grays in it, but afraid it will make it start falling out again, so been staying away from the color, which sucks for me, but this gray is kind of a pretty shiny silver I must say LOL

AnneCan
Posts: 3717
Joined: Oct 2009
November 20, 2009 - 9:33am

I know what you mean about the grays; I have them too, but I want to wait until my hair is thicker & stronger to dye.

phillieg's picture
phillieg
Posts: 3723
Joined: May 2005
November 20, 2009 - 7:11am

I've been on it a long time. I did have a 10 month break from it and was just on Erbitux during that time. I've had 2 doses over the last month and the side effects are coming back. I usually get more constipated but that I've found lessens with collace. I may get the "squirts" 3-4 after my infusion but that clears up too. 1 immodium usually takes care of that. I also get some pretty severe stomach cramping that can last a few days. I've also had thinning of my hair and growing of my eyelashes. Weird! It's certainly no picnic but as far as some of the protocols go it's certainly tolerable. The Avastin I was on in the beginning of my journey years ago and it gave me the chance to keep on truckin'
Smart idea Kate to go the the source or the "test pilots"
-phil

KATE58's picture
KATE58
Posts: 303
Joined: Nov 2009
November 20, 2009 - 10:07am

THE EYELASHES GROWING WAS THE ERBITUX,FIRST THEY FELL OUT BECAUSE OF THESE LITTLE PUSTULES I KEPT GETTING ALONG MY LASH LINE,THEN THEY REGREW SO LONG I HAD TO CUT THEM.THE ERBITUX ALSO GAVE ME REALLY BAD ACNE AND RASHES. ALSO I KEPT GETTING NAIL INFECTIONS WHICH I FOUND OUT LATER WAS THE ERBITUX.

DONNA, I WAS ON THE PUMP FOR 48 HRS WITH 5FU AFTER MY INFUSION OF OXYLAPLATIN(folfox)
I WAS SICKER AFTER THEY TOOK ME OFF THE PUMP FOR 3-4 DAYS.THEY WANTED TO PUT ME ON ERBITUX AND THE 5FU PUMP ALONG WITH THE IRINOTECAN, BUT I TOLD THEM I WOULD NOT DO ERBITUX AGAIN,AND IT WAS TOO HARD GOING HOME WITH THE PUMP AS I AM A RESTLESS SLEEPER AND WAS ALWAYS SCARED I WOULD PULL OUT THE TUBES IN MY SLEEP.SO THEY ARE GOING TO PUT ME ON IRINITECAN AND AVASTIN,WITH ZOFRAN FOR NAUSEA AND MAYBE THE XELODA PILLS AGAIN.

MY FRUSTATION IS THAT I FEEL FINE WHEN I AM ON A BREAK AND EVEN THE YEAR ON XELODA PILLS I FELT GOOD. YOU WOULD NEVER EVEN KNOW I WAS SICK,THEN THEY FIND A SMALL TUMOUR AND GIVE ME CHEMO THAT MAKES ME SICK .THEN WHEN THEY STOP THE CHEMO I FEEL OK AGAIN.THE ONLY CHRONIC SYMPTOM IS FATIGUE IT'S A CATCH 22
THANKS FOR ALL YOUR INPUT HOPE YOU ALL FEEL WELL TODAY
KATE

claud1951's picture
claud1951
Posts: 192
Joined: Jun 2007
November 20, 2009 - 8:24am

Hi Kate,

I was on irinotecan..and of course we are all different in how the chemo reacts. But, I found it worked the best for me. Less side affects, functioned a lot better

I did lose most of my hair but that wasn't an issue for me. I always did have a reaction when I was getting the IV. They had to give me a shot of Ummmmm..dang...I forgot.
The reaction being staring to get sweaty, runny nose, gurgling stomach (for me anyway). But once they gave me the shot of ??? I was fine.

I did get cold sores on mouth and thrush, too.
But that was a heck of a lot better the the oxil.

Good luck to you and keep moving forward.

Claudia
Stage 3
NED for 2 1/2 years

KATE58's picture
KATE58
Posts: 303
Joined: Nov 2009
November 20, 2009 - 10:17am

MAYBE IT WAS BENADRYL ? THATS WHAT THEY GAVE ME WHEN I HAD A REACTION TO OXYLAPLATIN
I LOVE TO HEAR THAT THE IRINOTECAN IS BETTER THAN THE OXY AS FAR AS SIDE EFFECTS GO.I HATED THAT NEUROPATHY I AM SO NERVOUS ABOUT STARTING THE IRINOTECAN. THEY WANTED TO START THIS MONDAY,
BUT I WAS AFRAID I'D BE SICK FOR THANSGIVING SO WE'RE WAITING TIL THE 30TH.I KNOW THE 28TH AND THE 29TH ARE GOING TO BE LOOONG NIGHTS!

Shayenne's picture
Shayenne
Posts: 2385
Joined: Jan 2009
November 20, 2009 - 10:29am

It's great to skip the week of a holiday, but you know what? they gave me a new pump yesterday! it's quiter, it's plastic, it kind of looks like a yellow lantern or something, it's smaller, so it fits in my pocket, or purse, there are no batteries, it just goes right from the lantern looking bulb to my port, it's awesome! I don't hear that "rrrr" noise it does once in awhile, no beeps and clicks, no nothing, I had a much better sleep with this new pump they gave me, it's sooooo much lighter! I actually walked around with it in my pocket instead of carrying that fanny pack around! I wonder if it's available with your home care that they have this.

I would take the Irinotecan though hun, it really helps shrinks those tumors, and it may only take a few treatments, I have heard from alot of people Irinotecan is better then Oxy, but go with your guts on whats good for you, and glad to hear that you'll feel good for Thanksgiving. I get disconnected from my pump today, and I sometimes don't even have the fatigue I used to get after disconnection. I think my body may be just adapting to it. Plus, taking those extra vitamins and Probiotics seem to be helping give me alot more energy.

I hope you have a wonderful Thanksgiving, and just follow in your heart what you think you need done. We'll be here for you whenever you need us!

Hugsss!
~Donna

Kathryn_in_MN's picture
Kathryn_in_MN
Posts: 1123
Joined: Sep 2009
November 21, 2009 - 1:54pm

You have the pump that I've had all along. Kind of like a baby bottle. It is nice not to have any pump noise - I wouldn't do well with that. I do stick it in robe or jacket pockets rather than on the belt most of the time.

claud1951's picture
claud1951
Posts: 192
Joined: Jun 2007
November 20, 2009 - 2:00pm

Kate,
I called my Oncology nurse and asked her! Ha.. It was Atropine.

Something else. I did not throw-up with Irinotecan (camptasar). I maybe felt sick to my stomach a couple of times but took the pills (for that) and it left me.

Got my fingers crossed for ya!

Claudia

Shayenne's picture
Shayenne
Posts: 2385
Joined: Jan 2009
November 20, 2009 - 2:22pm

That's the name of it Claudia, thanks, it does help with the hot flashing, cramps, and pain and sweat during the infusion of the Irinotecan, which I get in my arm right before they do the Irinotecan.

Hugsss!
~Donna

AnneCan
Posts: 3717
Joined: Oct 2009
November 21, 2009 - 9:08am

Here's some more news on Irinotecan; for me it is working! I had my 1st scan since being on folfiri & avastin & found out yesterday my tumours are shrinking! Previously I was on 5 F-U, oxy & radiation. The radiation worked but not the oxy, so they put me on folfiri & avastin.

Shayenne's picture
Shayenne
Posts: 2385
Joined: Jan 2009
November 21, 2009 - 3:25pm

Good news Anne! That's the same effect I got from it as well, my onc was pleased that the tumors are shrinking. It took a couple rounds, but at least they aren't even spreading anywhere! I was so scared of her putting me on oxy, I'm glad she didn't, though, you never know, if the Folfiri stops working, she can still put me on the oxy.

And Kathryn, yes! kind of like a baby bottle, much more convenient and quiet! was nice to have like that lol...

Hugsss!
~Donna

suenj8
Posts: 3
Joined: Nov 2009
November 23, 2009 - 3:58pm

CPT turned out to be a wonder drug for me. Diagnosed 2 years ago with stage IV colon cancer. First chemo was folfox. Had horrible chemo fog from the oxaliplatin and after 10 weeks ct scan was mixed. Oncologist switched to folfiri. After 4 treatments I was suddenly a candidate for surgery! :-) Surgery at Fox Chase in Phildelphia- now have ostomy. While surgeon was working plan was to microwave the spots on my liver. She ultrasounded my liver and could not find any of the tumors that had previously been seen. Histology report indicated adenocarcinoma and high grade (poorly differentiated) neuroendocrine carcinoma.

3rd chemo after surgery to clean up was to go after the neuroendocrine carcinoma which it turns out was the part that had spread and is very aggressive. Chemo was CPT 11 and Cisplatin and I completed chemo 1 year ago. Follow up PET and CT scans since November 2008 indicate I am clear.

There is hope even for stage IV! Happy Thanksgiving to all and enjoy everyday!

chicoturner's picture
chicoturner
Posts: 286
Joined: Apr 2009
November 23, 2009 - 10:04pm

Hi Kate, I am on Irionotecan and avastin. I have been taking these two drugs since January o9. My lst scan in March showed the tumors in my lungs shrinking. Scans since then are showing the tumors staying the same, no shrinking! This past week my onc agreed to change it up a bit to see if I can shake things up. I was taking both drugs every 2 weeks. Now I am doubling the irionotecan and taking it every three weeks and the avastin every 2 weeks. I was dx in March of 08 with stage 4 colon cancer. The side affects I have had from this drug combo are minimal. Sweats, runny nose, a little nausea and that's it. Hopefully that won't change because of this increase. I am still battling nueropathy from oxy, but, I can do that!! Hope this helps! I am encouraged! Jean