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Medical Forum / Diseases and Disorders / Breast Cancer / September 2004

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taxol  and hair loss

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jean - 22 Sep 2004 17:19 GMT
Hello,

Having experienced hair loss with a previous chemo, my wife said she  would
rather skip the chemo this time.
But the doctors said she could 'normally' avoid hair loss if she agreed to
use  this ice cold skull cap, if you see what I mean.

But it is very painfull, and lasts two hours. The pain of this cold is
nearly unbearable.
After a while she was given  "temesta"  during  this chemo session and it
helped a bit.
Temesta might be a brand  name unknown in other places. It is made by Wyeth,
molecule is "Lorazepam",  and/or Benzodiazepine.
I  used to think it was a common sleeping pill, but is rather a
"anxiolitique" (tranquilizer?).

My question is :

does anybody have experience  with this ice cap, and  could give advice on
how to avoid the  painfull side of it.

thank you very much in advance

Jean
SssynSmrt - 23 Sep 2004 19:32 GMT
Not sure how an ice cold cap prevents the chemo from killing a growing hair
follicle.

Have read about this theory but have never talked to anyone for whom it worked.
Guess Who - 23 Sep 2004 22:33 GMT
I have seen people wearing them they look very uncomfortable and I don't
think they saved their hair,

> Not sure how an ice cold cap prevents the chemo from killing a growing
> hair
> follicle.
>
> Have read about this theory but have never talked to anyone for whom it
> worked.
Tim Jackson - 23 Sep 2004 23:54 GMT
> Not sure how an ice cold cap prevents the chemo from killing a growing hair
> follicle.
>
> Have read about this theory but have never talked to anyone for whom it worked.

Cooling slows down cell division so that the follicles are less vulnerable
to the effects of chemo, as I understand it.

There was a concern that it might provide a safe harbour for cancer cells,
but I have been told that the thermodynamics are such that the cold does not
penetrate far enough to protect (e.g.) potential skull mets.

I don't have any personal experience and I don't know how effective it might
be against hair loss.

Tim Jackson
jean - 24 Sep 2004 08:39 GMT
Hello,
the cold has a "vasoconstrictor" effect, and shoud prevent the active
elements of the chemo to reach the  hair cells.
there should be no risk for the brain, but  yes,  you  prevent the chemo to
reach the  hair and it should therefore prevent hair loss. But  you do not
avoid the risk of mets in that region.
But as the doctors somehow said, "when you have mets in the lungs, liver,
kidneys, bones (etc?), you do not worry  about some more mets on your skull
cap".

And  my wife ( you should know how beautifull she is ) was about to refuse
the  new chemo  if it should cause hair loss. And this is normally  a fact
with Taxol.
And I  understand she clings to her dignity, and she hated it to lose her
hair  the first time. She  would rather!

But my question  still is : what is the best  way to prevent the pain
caused by this ice cap.

Thank you.

Ps  Is this an urgent  question? We went to  the hospital yesterday for her
third  chemo session with Taxol, but were sent home, because she was to weak
( too low red  "globules" count), and have a new apointment fot next week.
Meanwhile she got a  injection of EPO, and although she  might not go to the
Olympics because of that,  she seems to be reacting  well already.
Have a good WE.

and thanks  for any answer.

Jean.

>> Not sure how an ice cold cap prevents the chemo from killing a growing
> hair
[quoted text clipped - 16 lines]
>
> Tim Jackson
Guess Who - 24 Sep 2004 22:52 GMT
http://www.nnuh.nhs.uk/News.asp?ID=62
http://www.cancerbacup.org.uk/Resourcessupport/Controllingsymptoms/Scalpcooling#1424
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
2787013&dopt=Abstract

http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowPDF&ProduktNr=22385
7&Ausgabe=227556&ArtikelNr=48253&filename=48253.pdf


It does not look like it truly effective

> Hello,
> the cold has a "vasoconstrictor" effect, and shoud prevent the active
[quoted text clipped - 51 lines]
>>
>> Tim Jackson
jean - 25 Sep 2004 07:42 GMT
thank you for this impressive list of references.
Not very optimistic are you ?
Maybe realist, and that is a  quality also.
greetings
Jean

> http://www.nnuh.nhs.uk/News.asp?ID=62
> http://www.cancerbacup.org.uk/Resourcessupport/Controllingsymptoms/Scalpcooling#1424
[quoted text clipped - 58 lines]
>>>
>>> Tim Jackson
Guess Who - 25 Sep 2004 18:41 GMT
I think you have nothing to loose by trying except false expectations., I
think it the use of the ice cap was this simple it would be adopted by all,
when I was at work and has access to the medical library I  could not find
one study which showed positive results. best of luck, hair will grow back,
I personally used a wig.

> thank you for this impressive list of references.
> Not very optimistic are you ?
[quoted text clipped - 65 lines]
>>>>
>>>> Tim Jackson
Eva - 29 Sep 2004 05:13 GMT
> I think you have nothing to loose by trying except false expectations., I
> think it the use of the ice cap was this simple it would be adopted by all,
> when I was at work and has access to the medical library I  could not find
> one study which showed positive results. best of luck, hair will grow back,
> I personally used a wig.
-------------
Being bald is very unpleasant when I stop to think about it, but the other
side effects of chemo (which actually landed me in the hospital a few days
ago) can be so much worse that I actually *forget* I'm bald sometimes.  If I
had to choose between having my hair back or being able to eat and enjoy a
real meal, guess what--I wouldn't pick the hair.

Eva
 
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