How Have Your Glioblastoma Experiences With Temozolomide Been?

Posted by Mark Stopyro @markstopyro, Jul 11 10:44am

Has anyone decided to opt out of the 6/12 months, 5/23 days option for taking temozolomide (TMZ) in (generally) a dosage 2X the dosage you received during a radiation + chemo treatment? Alternatively, has anyone sometimes wished that the the post radiology + chemo TMZ usage had been skipped?

My reading through web posts and Facebook groups related to glioblastoma, I have encountered some messages and responses which sometimes describe negative results and regrets about taking the follow-up TMZ. I completed the radiology/chemo but for now I'm holding off on the TMZ followup. I believe passing on the follow up TMZ will likely lead to a shorter life, but a higher possibility of a sharp and rapid decline and death. No guarantees, just a gamble, right? I must admit that among glioblastoma sufferers, I am randomly blessed with relatively little suffering thus far (diagnosis Feb 02 2024, resection Feb 27). Given 2 tumors, one unresectionable and the other resectioned about 80%, relapse could be pretty darned soon. I'll share more if anyone wishes to hear more on my experiences with it.

Interested in more discussions like this? Go to the Brain Tumor Support Group.

Anyone else using th optune device with this Rx?

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I was diagnosed last August. They found 3 spots. 2 of them were inoperable. I’m still on Optune and chemo 5/23. My Optune use age ranges 85- 92 each month. One spot is gone and the other spot is smaller. It hasn’t been the best dealing with glio, but I manage. I throw up every month with the chemo pills. My doseage is 250. Hope this helps . Take care, Kim

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Bill was diagnosed in September and currently takes 425 mg of TMZ 5 days a month along with nausea medication and a laxative. Only issue he has had is some trouble staying asleep and then exhausted for 2 or 3 days after chemotherapy. Walnut size tumor resection last October with only downside was a little more vision loss with peripheral vision causing issues with driving. Otherwise no progression of the cancer so far🤞🏻🙏🏻.No optune as he has some dermatitis on his scalp and figured it would drive him crazy.

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@timmerman

I was diagnosed last August. They found 3 spots. 2 of them were inoperable. I’m still on Optune and chemo 5/23. My Optune use age ranges 85- 92 each month. One spot is gone and the other spot is smaller. It hasn’t been the best dealing with glio, but I manage. I throw up every month with the chemo pills. My doseage is 250. Hope this helps . Take care, Kim

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I find the tmz very tolerable. I do take a zofran 30 min before each dose.

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@thomhorowitz

I find the tmz very tolerable. I do take a zofran 30 min before each dose.

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I tried the zofran, prochlorperazine and olanzapine. Nothing seems to help. I even tried infusion treatments. It is ok, because I only throw up on the first day. I’m 66 year old female.

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There certainly is a wide range of opinions in the posts into the FB Glioblastoma groups. Some regret taking some of the treatments as the quality of their life may be diminished earlier by the TMZ treatment. Others sometimes talk about a shorter life but with more "quality" followed by a more rapid death than they might have have if they undergo some of the TMZ treatments. This is my current choice, but it can change. Some want (or are asked) to live as long as possible regardless of the outcome, perhaps to be alive for their kids/grandkids etc. as long as possible. Every set of wishes is unique. I am truly sorry for all of us whether patient, family, supporter, friend or relative.

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@thomhorowitz

Anyone else using th optune device with this Rx?

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@thomhorowitz, here is a list of discussions where member have talked about the Optune device https://connect.mayoclinic.org/group/brain-tumor-support-group/?search=optune&index=discussions

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The optune device has poor clinical support. They do not seem concerned with adverse events. Refer you back to prescribing doc. My doc reports his experience is an N of Me.. so on boardrding is weak and dependent on a trained care giver to change electrodes as needed. With this heat wave we need to change daily. Living with an umbilical cord on top of head is a challenge. I look forward to a coma as I must skip an occasional night of use so my wife and I can have 6-7 hrs of sleep without optune Alam’s waking us up. Changing batttery every 2-3 hrs is a drag, There is a plug in transformer but it must be higher voltage an I get more burning feelings when it is used.

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@thomhorowitz

The optune device has poor clinical support. They do not seem concerned with adverse events. Refer you back to prescribing doc. My doc reports his experience is an N of Me.. so on boardrding is weak and dependent on a trained care giver to change electrodes as needed. With this heat wave we need to change daily. Living with an umbilical cord on top of head is a challenge. I look forward to a coma as I must skip an occasional night of use so my wife and I can have 6-7 hrs of sleep without optune Alam’s waking us up. Changing batttery every 2-3 hrs is a drag, There is a plug in transformer but it must be higher voltage an I get more burning feelings when it is used.

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You really need to give it a try. My dr. Has faith in it. The first month can be brutal, but it gets easier as time goes by. I invested in a cooling pillow and mattress. That helped with the alarm. Also, invest in a cooling hat for when going outdoors.

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@thomhorowitz

Anyone else using th optune device with this Rx?

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My husband, David, has been on the Optune device for six days. So far so good. I am the primary care giver and have changed the arays twice (every 3 days ). It was not hard to do... a little nerve racking the first time. We found the training and support good and understand anything medical (i.e. skin irritation, headache, or other side effects) must be referred to our prescribing physician. No side effects thus far. The device is a lifestyle change for sure, but David has continued his morning runs with a backpack on. We are going to try practicing golf tomorrow to see if possible. He is 75 years old and used to an active life. Trying Optune is worth it for us if it provides an extension of life and maintains quality. Understandable that it is not for everyone.

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