First chemo - carboplatin/taxol - what to expect - side effects?

Posted by pretzelnin @pretzelnin, Jan 9, 2023

Hello, I was diagnosed with Stage 3cG3 Uterine Papillary Serous Carcinoma 11/11 also positive in ovaries per pathology report after TAH-BSO on 12/21. Chemo on Carboplatin/Taxol recommended for 6 cycles 1x/3 wks for 18 wks. First chemo scheduled Friday 1/13. Apprehensive of side effects specially of neuropathy. Do side effects happen right away? During session? and for how long? Days 1-4, 2-6? Will youbstillbhave side effects on 2nd-3rd week? NP recommended to wear cooling gloves and socks to guard against neuropathy - has anyone tried them and have positive results?

Has anyone declined carboplatin/Taxol and went on a different regimen instead?

Appreciate all your replies and support.
Maria

Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.

Profile picture for lizziegil @lizziegil

Hi- I just began my chemo on 1/6/26, carboplatin and taxol every 3 weeks for 6 cycles, 18 weeks. I have been on Steeroids and have felt pretty well, probably overdoing it. Last night my legs, knees, calves all started aching pretty severely, hard to sleep. I’ve tried ice, Tylenol, Advil etc. From reading this it does sound like a typical reaction. Does anyone have any suggestions or experience with doing any sort of fast or diet to help with the side effects?
I know it’s important to eat and hydrate but if I could make changes to avoid this discomfort I’d be willing to.
Thanks for sharing your experiences and insights. It makes this experience less overwhelming when you realize you are not alone.

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@lizziegil
My experience - Drink AT LEAST 64 oz water during Day 1 - 3 to flush out residual chemo. Ice chips or popsicles recommended during these days to avoid mouth sores.
I was exhausted Day 3 - 5 and with flu-like aches/pains. The good news is- I bounced back on Day 6 ! Don’t be discouraged in thinking the aches, pains, exhaustion will last because it doesn’t. You will come out of it.
My side effects got no worse in subsequent cycles.
Stay away from too much acidic foods. I found peanut butter crackers or anything peppermint was stomach smoothing.

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Profile picture for bettydee @bettydee

@lizziegil
My experience - Drink AT LEAST 64 oz water during Day 1 - 3 to flush out residual chemo. Ice chips or popsicles recommended during these days to avoid mouth sores.
I was exhausted Day 3 - 5 and with flu-like aches/pains. The good news is- I bounced back on Day 6 ! Don’t be discouraged in thinking the aches, pains, exhaustion will last because it doesn’t. You will come out of it.
My side effects got no worse in subsequent cycles.
Stay away from too much acidic foods. I found peanut butter crackers or anything peppermint was stomach smoothing.

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@bettydee
Thank you!
I need to remember that every day is different and to take it one day at a time. Been trying to keep up with my hydration and remain positive!
So appreciative of the feedback

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Profile picture for Helen, Volunteer Mentor @naturegirl5

@lizziegil I'm reading what you shared and wondering what you went through when you received the diagnosis. I'd like to say that this is what pathology does but it doesn't make the diagnosis any easier to handle. You went into the hysterectomy for other reasons and then after surgery the pathology indicated endometroid ovarian carcinoma with squamous and sex-cord like features, FIGO Grade 2, Stage 2?

Like you, I was a healthy and active woman at age 67 when I was diagnosed with endometrioid adenocarcinoma, FIGO Grade 1. The diagnosis came after I had a D&C and hysteroscopy. I was referred to Mayo Clinic since it was evident surgery was indicated and I live in a rural area that doesn't offer this specialty. What a mental rollercoaster this process was. After the hysterectomy I was diagnosed with Stage 1a and no other treatment required. I did have recurrence two years later and received internal and external radiation treatment but no chemotherapy. So, I cannot provide you with any recommendations for chemotherapy but I know others will chime in with their recommendations.

It's wise that you sought out two separate opinions so you can feel confident that this is the treatment that will work for you. One of our members in this support group, @denisestlouie recently posted that she has reached the conclusion " My future is still unknown but there are treatments that we hope will make my disease chronic not terminal. It’s all very new. There isn’t any success stories yet. Maybe I’ll be the one to tell one".

-- https://connect.mayoclinic.org/discussion/where-does-resilience-come-from/

While you wait for responses I encourage you to use the Search Bar at the top of this page. You might type "carboplatin taxol gynecological cancers" to see if others have posted their experiences.

Do you feel up to gentle exercise such as walking?

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@naturegirl5
Yes, unsettling few weeks getting the diagnosis and plan together. I also live in a rural area, so feel lucky I was able to pursue the second and 3rd opinions and am glad I trusted my gut and didn’t stick with a physician I wasn’t comfortable with.
I took a two nice walks yesterday and the movement was helpful
Appreciate your feedback

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Profile picture for lizziegil @lizziegil

@naturegirl5
Yes, unsettling few weeks getting the diagnosis and plan together. I also live in a rural area, so feel lucky I was able to pursue the second and 3rd opinions and am glad I trusted my gut and didn’t stick with a physician I wasn’t comfortable with.
I took a two nice walks yesterday and the movement was helpful
Appreciate your feedback

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@lizziegil Again, you made very wise decisions. Thank you for sharing that.

I've learned that exercise is key so I'm glad you got some nice walks in.

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Hello. I had same treatment and bone pain with the first cycle and then not with any others. I took Claritan before and day of and after and did well. I did develop neuropathy in my feet so would encourage use of cooling socks Otherwise I was fortunate to have had an “easy” time of chemo (as well as external beam and brachytherapy). Best wishes!

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Hi, Lizziegil. I had seven rounds of essentially this same regimen, followed by surgery, then three more rounds. Many people, including my doctor, recommended a plant-based diet during chemo. (There are lots of books with diet suggestions on Amazon, such as Chris Beat Cancer). I also was told to eat lots of protein. I stayed away from sweets and alcohol, which seemed to cause nausea, but was not worried about small amounts of sugar. The pain people experience seems to be caused by inflammation and, for me, a single dose of Claritin would generally knock it out. More would not hurt—there is research indicating it may make the chemo more effective. I know many people skip it, but I think ice is essential. I have three sets of Sussi gloves and footies I ordered off of Amazon. I took them to chemo in a medium-sized Walmart cooler and rotated them. They usually have a refrigerator at chemo as well to refreeze or recool the gloves and footies as needed. I also bought some thin white gloves off of Amazon (I found the socks at my local grocery) and you can use them inside the gloves and socks when the ice is just too cold. This was recommended to me by someone else and did not appear to interfere with the cooling. I did not use the cap, as it appears many people lose their hair anyway. Plus, I did not have the heart to ask my loved ones to stay an additional two hours at chemo. I heard that it could be itchy to shave your head in anticipation of it falling out, so I bought a cute baseball cap and several bandanas with elastic off of Etsy to wear when my hair got quite thin. For me, it actually took some time. As for masking, I did not, but my numbers remained mostly normal during chemo. There is a list somewhere on the internet of foods you should and shouldn’t eat, as they decrease the effects of Taxol. You can look at it. The main one that affected me was coffee, which I limited to one cup a day to be safe, but my doctor at MD Anderson said she had never heard of this limitation and you would think she would know. I also gave up all artificial sweeteners to be safe, as I have heard it can affect immunotherapy because it interrupts the gut biome. I had to wonder if it would do the same for chemo. Initially I took a lot of stool softeners and Miralax, but the Miralax made me nauseated over time and I was told I really shouldn’t be so constipated from these drugs. I pivoted to eating two to four prunes a day, drinking additional prune juice when constipated, drinking my morning coffee, as well as eating lots of fruit (watermelon, pears, and apples were good) every day and using Sennokote stool softener as needed. That worked for me, but I actually had a more frequent chemo schedule than you did, which broke my chemo into smaller doses and may have made it easier. Take a warm blanket to chemo, along with a jacket, and I would opt for a port if it’s covered by your insurance. Use the lidocaine they give you to put on the port about 1.5 hours prior to chemo and you will be set. Good luck! We all wish you the best!

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Profile picture for Helen, Volunteer Mentor @naturegirl5

@lizziegil I'm reading what you shared and wondering what you went through when you received the diagnosis. I'd like to say that this is what pathology does but it doesn't make the diagnosis any easier to handle. You went into the hysterectomy for other reasons and then after surgery the pathology indicated endometroid ovarian carcinoma with squamous and sex-cord like features, FIGO Grade 2, Stage 2?

Like you, I was a healthy and active woman at age 67 when I was diagnosed with endometrioid adenocarcinoma, FIGO Grade 1. The diagnosis came after I had a D&C and hysteroscopy. I was referred to Mayo Clinic since it was evident surgery was indicated and I live in a rural area that doesn't offer this specialty. What a mental rollercoaster this process was. After the hysterectomy I was diagnosed with Stage 1a and no other treatment required. I did have recurrence two years later and received internal and external radiation treatment but no chemotherapy. So, I cannot provide you with any recommendations for chemotherapy but I know others will chime in with their recommendations.

It's wise that you sought out two separate opinions so you can feel confident that this is the treatment that will work for you. One of our members in this support group, @denisestlouie recently posted that she has reached the conclusion " My future is still unknown but there are treatments that we hope will make my disease chronic not terminal. It’s all very new. There isn’t any success stories yet. Maybe I’ll be the one to tell one".

-- https://connect.mayoclinic.org/discussion/where-does-resilience-come-from/

While you wait for responses I encourage you to use the Search Bar at the top of this page. You might type "carboplatin taxol gynecological cancers" to see if others have posted their experiences.

Do you feel up to gentle exercise such as walking?

Jump to this post

@naturegirl5
I walk everyday 1/2 mile
No matter the weather or how tired I am. I do 10 reps x2 5 lb arm weights daily
Had chemo Monday
Tuesday Accupuncture
No Nausea. But super tired
I get chemo through IV(my choice)
So must keep up arm strength. I’m on a 21 day cycle.

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I've had 12 treatments so far. Going to need more but have to get CT scan first. The neuropathy comes after about 2 or 3 treatments. It's been so long I don't remember. My toes and bottom if feet get neuropathy but always get better before next treatment. Be more concerned about the unsteadiness you'll have for a couple days. I did fall a lot but now I just do very little those days. I couldn't handle the cold on my hands and feet for 10 minutes then break for 10 then 10 minutes again. It was just too uncomfortable. I didn't try the cold cap. I didn't care about losing hair. It started after 2 treatment. It will be EVERYWHERE. I got tired of seeing it all over the place and I ran my fingers through my hair and a LOT came out. I started pulling it out. It was so easy to do. Lol
I pulled out most then got clippers and shaved head. I live in Florida so no wigs or turbans because it's just too hot. I go everywhere with no wig or cap and I don't care what people think. I may even keep it like this should I be lucky enough and go into remission. It starts growing back and then it's time for another treatment. The eyelashes too. I hate that because there's nothing to keep the dust and stuff from your eyes. They get in your eyes when they come out so I've been known to help them come out too.
Nose hairs too. You will have hair NOWHERE. After my first treatment I wasn't tired until about the 3rd day and made the mistake of going to several places with my daughter and had to have a chair in one place I was so weak. I couldn't walk up stairs without holding onto something. The knees just would not support me I was weak. I now have a cane but I use it for up and down stairs and curbs etc. I have a stationary bike coming today because someone in the cancer group on Facebook said it helped with the neuropathy so I hope so. Just be careful. I also take alpha lipoic acid.....the R one. There's R and S. The R is made naturally by the body and the S is synthetic. If it doesn't say what it is it's 50% of each. I get heartburn so I take them with a soda and then I don't suffer. Well I hope things go well for you and just be careful and listen to your body. There's going to be a new normal but you will adjust just fine. God Bless ❤️

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Profile picture for Ski Rossi @ford1929

@naturegirl5
I walk everyday 1/2 mile
No matter the weather or how tired I am. I do 10 reps x2 5 lb arm weights daily
Had chemo Monday
Tuesday Accupuncture
No Nausea. But super tired
I get chemo through IV(my choice)
So must keep up arm strength. I’m on a 21 day cycle.

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@ford1929 This exercise regime says so much about your determination.

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Hi Maria
I just had my second cycle Carboplatin/Taxol. Ask
for pain meds, you may not need them but have them around just in case.
I have also found Acupuncture is my best friend. No nausea. And helped with the leg pain.
If you go that route ask if they treat cancer patients on chemo? It's important to know this up front.
Mild exercise. Walking is good.
Good luck to you
SkiRossi

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