I understand there is a test to determine if a pperson is hypersensitive
to the 5FU chemotherapy. Can someone please email me the details on this
test? I had a bad coronary reaction to a 5FU push this week and I'm
afraid to take anymore of this drug. They kept me overnight in hospital
to determine if I hhad a heart attack or not. The Oncologist thinks it
was some sort of spasming of the heart or arteries that is supposedly a
trait of this drug but I'm not so sure.
They usually give the 5FU to me in a 46 hour drip pump thatgoes home
with me but this week they took some out of the pump and decided to give
me what they called a push which is a big needle full of the junk all at
once. Within a few minutes after I got the push, I got terrible chest
pain, difficuty breathing, arms and feet numb, dizzy, doctor said pulse
was thready whatever that means and some speech slur. It scared the crap
out of me. The doctor says she won't guarantee that they won't try
giving me the push again but I don't think I'll let them do it whether
they want to or not.
This was my third round of chemo and I'd been having some minor chest
pain all along with it but wasn't bad, no worse than heartburn or mild
reflux so I assumed it was the nature of the beast and didn't say
anything about it, perhaps I should have.
Someone told me that there is a test one can take to determine if you
are too sensitive to the 5FU and perhaps should not take it. Can anyone
give me the specifics on this test so I know what to ask for?
The other drugs they have me on with the 5FU-7 are leucovorin &
oxylaplatin
Regards,
John
Steph - 26 Feb 2006 17:01 GMT
>I understand there is a test to determine if a pperson is hypersensitive
> to the 5FU chemotherapy. Can someone please email me the details on this
[quoted text clipped - 28 lines]
> Regards,
> John
Some people have an enzyme deficiency which makes 5FU more toxic, but this
usually manifests as severe diarrhoea, mouth ulcers and blood count
problems. It doesn't vary from dose to dose.
5FU is reported to cause cardiac problems in some people, but I don't think
it's due to the enzyme deficiency
J W - 26 Feb 2006 19:29 GMT
Hi Steph,
They kept me overnight in the hospital and too blood every 6 hours to
test the enzyme issue which the results were OK I was told and the EKG
was OK, so I don't know what cuased the heart reaction and frankly am
afraid to continue getting 5FU until we figure out why this happened. in
fact everything I'm reading says chemo causes secondary cancers down the
road which in many cases are untreatable or difficult. My CEA has gone
from 92 pre surgery to 2.5 two months after surgery (Praise God) so I'm
seriously debating stoping the cemo before it does serious damage and
leaving well enough alone.
Regards,
John
Re: Need info on 5FU chemo test
Group: alt.support.cancer Date: Sun, Feb 26, 2006, 5:01pm (EST+5) From:
steph@vancouvers.island (Steph)
"J W" <jonboy42@webtv.net> wrote in message
news:25870-4401C1C6-197@storefull-3253.bay.webtv.net...
I understand there is a test to determine if a pperson is hypersensitive
to the 5FU chemotherapy. Can someone please email me the details on this
test? I had a bad coronary reaction to a 5FU push this week and I'm
afraid to take anymore of this drug. They kept me overnight in hospital
to determine if I hhad a heart attack or not. The Oncologist thinks it
was some sort of spasming of the heart or arteries that is supposedly a
trait of this drug but I'm not so sure.
They usually give the 5FU to me in a 46 hour drip pump thatgoes home
with me but this week they took some out of the pump and decided to give
me what they called a push which is a big needle full of the junk all at
once. Within a few minutes after I got the push, I got terrible chest
pain, difficuty breathing, arms and feet numb, dizzy, doctor said pulse
was thready whatever that means and some speech slur. It scared the crap
out of me. The doctor says she won't guarantee that they won't try
giving me the push again but I don't think I'll let them do it whether
they want to or not.
This was my third round of chemo and I'd been having some minor chest
pain all along with it but wasn't bad, no worse than heartburn or mild
reflux so I assumed it was the nature of the beast and didn't say
anything about it, perhaps I should have.
Someone told me that there is a test one can take to determine if you
are too sensitive to the 5FU and perhaps should not take it. Can anyone
give me the specifics on this test so I know what to ask for?
The other drugs they have me on with the 5FU-7 are leucovorin &
oxylaplatin
Regards,
John
Some people have an enzyme deficiency which makes 5FU more toxic, but
this usually manifests as severe diarrhoea, mouth ulcers and blood count
problems. It doesn't vary from dose to dose.
5FU is reported to cause cardiac problems in some people, but I don't
think it's due to the enzyme deficiency
J - 26 Feb 2006 20:59 GMT
> I understand there is a test to determine if a pperson is hypersensitive
> to the 5FU chemotherapy. Can someone please email me the details on this
[quoted text clipped - 20 lines]
> The other drugs they have me on with the 5FU-7 are leucovorin &
> oxylaplatin
HI John,
Well people with pre-existing problems (like a history of smoking and/or
chronic lung problems) are probably more at risk for heart problems with (or
moreso with) chemo.
The oxaliplatin is probably (in part) responsible for the numbness -
neuropathy.
I've since found http://www.gpnotebook.co.uk/cache/x20020813123132423730.htm
on 5-FU
"less common adverse effects include ischaemic chest pain occasionally
progressing to myocardial infarction - this adverse effect occurs in 1-5% of
patients",
which probably means those with pre-existing conditions, like you.
There's more here about myocardial infarctions
http://en.wikipedia.org/wiki/Myocardial_infarction
(don't take anything there before checking with your doctor)
There's no point in dying taking chemo, right? I suppose I'd ask the
oncologist if there's a standard regimen[1], that (s)he has given others
with your preexisting condition(s?), that they were able to tolerate and
went on to (at least ) gain some quality time (without the risks and nasty
scares/side effects).
I suppose if (s)he says that's the best they have, which offers an
appreciable extra amount of time, there's your answer, unfortunately.
[1] To me, there's no point in taking something experimental/new not yet
knowing the risks and benefits.
I'll leave those thoughts with you to think about and talk over with your
oncologist and/or maybe pulmonogist or cardiologist.
Please keep in touch and let us know how you're doing.
J