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Xeloda / Capecitabine - Your Top Tips, please?

4,263 REPLIES 4,263
Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Nicky,

 

thanks for your reply. I picked up the tablets yesterday <eek> but the nurse said I didn't have to start taking them until Monday as i've got a weekend up in London planned and was worried in case any side effects kicked in quickly. She said that she didn't think a few more days would hurt :-)   As i'm a bit lardy, I seem to have to take a lots of tablets daily, more than I was expecting (four large and two small twice a day) but i'll have to see how I get on. I did ask her about breakfast and and the possibility of a couple of biscuits but she said at least a couple of slices of toast would be ideal. It's good to know that it doesn't need to be a strict 12 hour split as well as that would be quite limiting. She did also say that some of her patients had been doing very well on it for several years so fingers crossed! She also said that they would adjust the dose if the side effects were too much and if in doubt stop taking it and contact them.

 

I know you've probably said already somewhere before but what treatment/s dis you have after Cape? Does it all start

to get a bit hardcore after that?

 

Hope you're keeping well?

 

Jo xxx

Community Champion

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Jo

I was on Capecitabine back in 2013 when my liver mets were first diagnosed. To be honest I found the first few cycles quite difficult and struggled a bit with side effects. However I did have a dose reduction of 20% very early on, to help me cope, and also my body seemed to adjust to this chemo and I coped overall very well for the 18 months I was then on it for. I did have a few breaks in the treatment to allow my hands to recover, I got a few splits in them at times, but overall I tolerated it well. I think most ladies do. As to work etc I did have to stop work but that was only because I was going into hospital environments and I was worried about my lowered immunity. Other ladies do carry on with work so it would depend how you feel and what you do. Fatigue can hit us all at times but I did feel quite OK on this chemo, as opposed to others I’ve had, so again, it will depend on how you tolerate Capecitabine. Basically though don’t suffer in silence, my oncologist told me they want to get the dose right so we do tolerate it for a long time,there’s no point trying to keep at a high dose and feel miserable. I stayed on a 80% dose for the rest of my time on it and it was effective for all that time.

You asked about eating and you do need to have something before or with the tablets. I think you’d feel pretty rotten if you didn’t, and I think there’s a reason as well for not having them on an empty stomach. Maybe have a biscuit or two with a cup of tea in the morning, or a yogurt or something if you don’t usually have breakfast? Also you don’t need to be a strict 12 hours between doses, just make sure they are at least 8 hours apart, that way you don’t have to change all your eating habits!

Nicky x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Walsh

I was on Palbociclib/Exemestane for about eighteen months and everything was stable but then randomly have a new 2cm lesion in my liver (even though the existing ones were still stable) so Palbo stopped.

 

I'm due to start Cape on 14th August as i've got a bit of holiday first, just Devon but it will be nice to get away after a not very nice year or two. I'm really nervous to be honest. I've always tolerated the drugs quite well but it's daunting facing a new challenge.

Can I just ask? I know that you have to eat with Cape but I don't usually have breakfast, how much no you need to eat? also, is there anyone else that still works? I currently work about 24 hours a week and have struggled with fatigue but just try to rest when I can. I'm beginning to wonder if it might be time to retire though that could cause financial stress (I'm 52)

 

thanks in advance for any help

Schmooley/Jo xx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

I have been taking capecitabine for 6 months, now every month 2 days after I stop I get a uti. Anyone else?

thanks Ramade

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi

wondering if you can tell me how long you where on Palbociclib and Letrozole.

I only had it for two cycles onocoligist said it is not working.scans show that pablo and Letrozole working for some of the liver mets.

Dont understand how they can tell after only two cycles.

Mets in bones and many in liver.

Alt in liver went up,he says that is why treatment is not working.

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Thank you, it was great to hear your positive response and how well its served you. Maybe I'll be lucky too! Interesting reading about the feet thing, not mentioned on the leaflet I've been given. 

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Bon.........all my best wishes for you and thinking of you each day. Perhaps there will yet be a treatment you could consider, but in the end you must decide. We are all in the same boat remember, and going on the same journey. You are not alone. We hold hands. We all hope to give support by doing that. You have given so much support to others over the years. Do come back here to let us know how you are, if you feel like it. But always thinking of you, as you move forward. 

 

With love, mo

Agy
Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Dear Bon, I am very sorry to hear about your scan results. Lots of hugs. Ag. Xxx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Bon,I'm sorry to hear of your latest results,take good care of yourself and indulge in anything you like.

Hugs to you

Ramade x

Community Champion

Re: Xeloda / Capecitabine - Your Top Tips, please?

Big hugs to you Bon, my heart goes out to you and your family. Holding your hand on your continued journey and please keep in touch either by PM or on here generally as long as you feel you want to. Take care and look after yourself, I hope there might be some treatment for you to consider if you want to.

Nicky x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

My scan showed mets in brain and lung in addition to those in bones and liver so am stopping treatment but I'm 72 so haven't done badly.

Hugs to all

Bon 

Agy
Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hello, I started my second cycle. I am a little bit reluctant to write it but I do not have any major or persistent side effects yet. My lovely onco says to continue with cream for hands and feet though as this tends to build up. I hope it will not get much worse. For me the most challenging was to get used to the routine - I have 4 alarms: 2 for food before and 2 for medication every 12 hours, and also the amount of tablets to be swallowed! One positive, I feel a little bit less tired than I used to on letrozole/palbo. Most important, I hope it works. 

 

Bon, I hope you feel better soon, and will be able to continue your treatment. Wishing you all ladies good results and minimal side effects.

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Bon, are you just having a break or have you stopped cape now.hope your scan results are good news.

i'm still chugging along, taking more pain meds now.

hugs to you

ramade x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi all cape crusaders, hope you are doing all right.

I have been off it now for about 3 weeks though I did not think my side effects were too bad. I have developed a problem with my right eye and had a scan yesterday. Have started to feel more unwell so starting steroids tomorrow.

Hugs to all

Bon xx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hello Everyone,

Seems like we all have similar problems on the capecitabine.  

After my first 3 months on it my MRI showed amazing improvement in my bone mets - I had been ready to tell my oncologist i’d had enough of the side effects but decided I had to carry on. 

I take loperamide constantly when i’m on treatment as diarrhoea and tummy upsets are my main problem. I’m now on ondansetron for nausea and I take gaviscon to help protect my tummy. My bone pain has decreased too so i’m now on paracetamol rather than co codamol for pain relief. 

I did have multiple pulmonary embolisms in September so am also on daily anticoagulants. 

Good luck to everyone and long may our good scans continue 😊😊😊

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Good luck Agy, let us know how it goes.

Hugs Bon

Agy
Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hallo Ladies,

Tonight I took my first cape dose. Unfortunately, Palbo + letrozole didn't work for long for me. I can only keep faith.

Xxx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Alex

I have only been on cape for 6 weeks and am having a break and a scan to see if it's working.

I have no experience of post op pain but I have had severe fatigue, sickness, dry mouth and constipation. I usually feel a bit better after a couple of days of my days off but it doesn't always last and the symptoms are still there, just not so bad. I've muscle weakness (finding it hard to cuddle my bouncing 6 month old grandson) and peripheral neuropathy in my feet which I had a bit before I started cape.

 

This is my experience but everyone is different. I just looked up Velindre and they seem like they might be the right place to give you some answers.

 

Have you tried contacting the breast care nurses on this website. They should be able to give you some advice.

 

You feel so isolated and the hospital doesn't always help much. Some hospitals like mine have a secondary breast care nurse but many don't.

 

Hugs to both of you

Bon xx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Alex, I had to go off cape for 5 and a half weeks and the cancer grew during the 5th week so as soon she she gets back on it the better I would say. This does not happen to most people I think because some are off it for longer periods with no worsening of symptoms, The best advice I can give for cape is use cream on your hands and feet night and day BEFORE any problems start, ALSO HAVE IMMODIUM READY in case you get the runs, take 2 immediately after 1st movement and then I after every loose bowel movement. This is a medicine which builds I am told.

Ramade

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi my mum is on Cape 2 weeks on and a week off they have not been able to give it to her for the last 5 weeks as she has been unwell. She has been having constant pain in the scar area from her open gallbladder removal in August does anyone know if Cape can be causing this pain? Could the pain be neuropathy from taking Cape? Is it normal to have side effects whilst on a break after not taking it for 5 weeks? She only has 2 more weeks on and then she has finished her 6 sessions of 2 weeks on. She has only been having bad side effects as in fatigue sickness dry mouth indigestion and constipation from it since they stopped it 5 weeks ago is this normal as she had hardly any side effects until 5 weeks ago when they stopped it? Has anyone else had pain where they had an operation after taking Cape? She is now in slow release morphine for this supposed scar tissue pain and fast acting morphine that i feel knocks her out and if shes awake shes not completely with it. Does Cape cause muscle weakness in legs? Dizziness?  Any answers would be a great help as I dont know what to expect and I am her only full time carer and it's scary not knowing what to expect and how to deal with it. Thank you in advance. We have an appointment Monday with velindre I have a list of questions I will ask them also. 

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Happy Easter to everyone visiting the threads today! The weather here in bucks is hot and sunny, more like July! Enjoy your day!

 

mo.       xxxx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Bon,that's a high dose so it's great that you are coping. How do they know it's working for you if they don't do a scan? My scans are 3 monthly. They don't do tumour markers though, maybe that's the difference.

Ramade x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi both

I'm on 2300 twice a day and the only serious side effect I've had is fatigue which can be hard to cope with and leaves you feeling isolated. I'm on my 5th cycle and really want a scan to see how things are doing. Onc not keen, says he doesn't think I need one

Bon xx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Pina,snap!  Now on 1500 twice a day after being hospitalised for awful side effects, Fine on this dose so far,just hope it's working.The only difference to you is i'm not having the sick feeling. Fatigue is the worst, have to pace myself.

Ramade x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi. I'm new to this forum. Haven't had chance to plough through all the messages yet but will!!

i've been on Capecitabine since last April and it's been a bit of a rollercoaster ride with side effects. Tried various combinations of meds and found the best for me are loperamide, ondansetrin and gaviscon. Had a really awful time when I first started but have cut the dose now to 2 x 1500 daily and am coping though do have some days each month when I feel awful!!

Look forward to finding out how you are all doing. X

Community Champion

Re: Xeloda / Capecitabine - Your Top Tips, please?

Bon and Ramade, Nice to see you posting!  Ramade fingers crossed its working. Bob, Hope you feel better after bloods. FF

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi again

thanks for your input Mo. It made interesting reading.  I am still taking ranitidine and gaviscon, my reflux isn’t too bad.  It is interesting how opinions differ, when I saw my GP about four or five weeks ago he also said to continue with all of my meds.  It was after that when I read up about the SEs and mentioned it to the Onc and he said to drop the Lansoprozole -‘for a few weeks’ - to see how it goes.

As you say it is a matter of balance

 

love to all, 

 x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

First of all I’m hoping that you drop by here sometimes, Carolyn. Sending you love and hugs and always thinking of you............hopefully snug and cosy at home on a reclining chair with a favourite cuppa!

 

lynne........I read about your lansoprazole. I was taking omeprazole for about two years......... before my secondary dx.........but decided to stop for two reasons. I heard by chance a consultant gastroentologist on the radio who said that it was by then recognised that taking these ppis, like omeprazole and lansoprazole, long term was not as benign as previously thought. My gp had said they could be taken forever! Also I had to admit that omeprazole didn’t help my reflux........main se coughing for me........as much as diet. These two things meant I decided to come off it. I have lost weight recently so must eat plenty of fat so I’m tolerating all the coughing. I have been recommended omeprazole by gp, but not bothering. Perhaps after 8 years you needed a break. All I am saying is that you are right to try coming off lansoprazole, while remembering that it is all a balance. We have to just balance up risks with what works for us. As usual we have to see how it goes!

 

i am starting my second cycle of cape on Saturday. I have had the big d in my time off. No problems while on the cape! Last night I took 2 loperamide before bed to anticipate the d in the early hours.......advice of my palliative nurse........lovely lady! It worked. I slept through until 7.30 and normal bowels after breakfast. So much better than taking lop after the d at 4am! Again, we have to try out what might work. Otherwise my ses have been nosebleeds, one mouth ulcer ( I use iglu.....the best for me) , tiredness at unexpected moments, no hand and foot........yet.

 

take care everyone. I have learnt such a lot from this cape thread to help me, so many thanks to you all!

 

mo.       xxxxxxx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi everyone hope you are all as well as you can be.

I am about halfway through my eighth cycle now, looking forward to my week off next week 

 

I missed my last cycle because I had awful pain in my upper abdomen and back so they decided to miss a cycle to see if it could be the Cape causing it. They also ordered a scan which came back stable—yay!!!   I then got a bit proactive because the Cape seems to be doing okay for me and I don’t want it to stop.  I read through the side effects of the other meds that I am taking, mainly for reflux and I discovered that long term use of Lanzaprozole can cause these problems- I have been taking it for years, at least eight... long before being diagnosed 

I showed it to the Onc and we decided to stop it and restart the Cape.  Well all of the pains have disappeared- though I still suffer reflux- taking Gaviscon regularly.

This cycle I am a bit more tired and constipation/diarrhoea but I think that I am getting used to the Cape again after my break.

 

I am taking 2000mg twice a day so 4000mg, seems a lot but my SE’s are manageable - they do say that there could be room for a reduction in dose if necessary 

 

fingers crossed and lots of hugs to everyone 

 

Lynne x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Ramade, glad you are doing better. 3000mg sounds like a lot. I'm on my fifth cycle. Fingers crossed for us all.

Bon xx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

hi Bon, glad you are doing ok,So far with the lower dose of 3000mg a day i'm managing better, Just hope it's working,

How many cycles have you done so far?

Ramade x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi all Cape crusaders, how are you doing?

I'm not too bad apart from tiredness and neuropathy. Had a blood transfusion on Friday so hoping for more energy.

Hugs to all

Bon xx

Community Champion

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Carolyn

How lovely to hear from you and that you’ve managed to escape. Let alone escaping you’ve managed to snag yourself a spot in your own garden, how wonderful. Hoping that you are keeping well and can enjoy the current spell of good weather. Thinking of you.

Nicky x

Community Champion

Re: Xeloda / Capecitabine - Your Top Tips, please?

Carolyn, That sounds lovely to be able to relax in a garden. Good medicine for the soul! FF

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi carolyn 

 

Good to see you are now on the mend and enjoying the sunshine.  

Linda 

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Ramada,

Apparently it is a SE- one in a hundred patients

Mine comes and goes

Jayne

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Jayne,i do have a sore left ear, inside but i assumed it was the brain and skull mets on that side so i was interested to read your comment. Certainlt i didn't have it before the Cape.

Ramade x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Remade, thanks for your advice to help with my blackouts. Certainly I have increased my water intake........plus cups of tea!......and keep water by my bed to slurp through the night and before getting up. I drink cups of water through the day too. Things have improved so it’s working. I also agree with eating well. I snack more than before to keep up intake. Being ‘unwell’ is new for most of us and adapting to thinking about how we live takes time. Thanks again for your advice.

 

hugs to Carolyn as usual! I hope everyone can enjoy some spring weather this week!

 

mo

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Good to hear from you Carolyn. Enjoy the sun!

hugs Bon xxx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Anyone else experienced tinnitus on Cape?

I have a really buzzy right ear!

Jayne


 

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

super to hear from you carolyn! Enjoy the garden. Wish i lived in Devon! I'm sure you have some sea air drifting over too. Love and hugs,

 

mo       xxxxxxxxxxxxxxxx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Carolyn, so glad you are relaxing in the garden, so better than you were thank goodness. 

big hugs

Ramade x

Community Champion

Re: Xeloda / Capecitabine - Your Top Tips, please?

Sending love Carolyn .

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Carolyn how wonderful to hear from you. Hope the recovery continues well and the sun keeps shining on the garden.  

Hugs 

Maggie

xx

 

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Love or amoromorph still in recovery ..very nice and luxury 

.... relaxing sitting in gardenigs here xxxxxx

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi mo.   Thanks for your input 

i had my scan today and am now awaiting results.  My GP advised me to take Oromorph regularly ie. 4 times a day for 3 days and anti-sickness 3 times a day as well.

The pain is much better and the nausea but I hope they don’t reappear when I stop the meds. Of course we all know how hard it can be waiting for results.

 

Hope everyone is as well as they can be.  FF hope u are feeling better and that your energy returns.

 

also Carolyn, hope things are staying stable with you

 

take care all

 

!ynne x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Lynn........first of all, what do I know? As I said below I’m a beginner on cape. On the other hand I also know that we are also subject to other medical issues and chemo can mask that, in the sense that we may focus everything on the chemo. In this case cape. All I’m saying is that your hub could well be right about your symptoms being unrelated to the cancer. It has come on quite quickly, and after 6 cycles one would think your body had made adjustments to avoid sudden reactions. All I’m saying is that as usual we have to be patient and not despair! I’m hoping your scan results will come today.......Thursday?.........and you will move forward quickly. Your onc will sort this. Lower TMS must be good. You may need a break if there is new treatment for whatever this is.

 

I have a kidney stent because of lymph nodes near my kidney, discovered by chance, and will have an extra week break for it to be replaced on the 2nd. After only one cycle! I am sat in bed here trying to avoid passing out again! Must go and have a banana and my pills! Should I admit that I have chickened out on the big 500mg pills........too big for me who has never taken pills........and take 10 teeny 150s with my yoghurt! Please nobody laugh! At least they are easy. We must all do whatever it takes! I would only admit this pill weakness here! A sympathetic community.

 

all the best, lynn, and try to keep us updated. Same for ff and your hb and possible transfusion. I think of you as a real pro, ff! You are so well informed and pro active. Let us know of any developments with you. And of course dear Carolyn if you are dropping by. Hugs and love as usual. Love to all. Sorry for rambling,

 

mo

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hello Mo, just read your post. i had blood pressure very low so had to be very slow at getting up from a chair etc or i keeled over, Also heart rate really beating fast. Make sure you drink loads to raise your blood pressure. i am on 4th cycle now with lowered dose to same as you now and so far so good. i was off it for six weeks because of not being able to stand-jelly legs, dehydration, inflamed gut. in hospital for 8 days,horrendous. i am drinking loads more now and eating more and it seems to really help.

Ramade x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hi Ff

My haemoglobin was 82, it had been going down for some time. It's difficult to know whether synptoms are low blood count or side effects.

Bon x

Member

Re: Xeloda / Capecitabine - Your Top Tips, please?

Hello everyone, in particular Carolyn. Hope you are doing fine and resting up. We are all thinking of you and sending lots of hugs! 

 

For once I’m going to ask a question and advice. I have just started my cape.........last Saturday......taking 1500mg x 2. Felt nothing for 3 days, but yesterday and today I have nearly fainted on getting up in the morning........everything black, dizzy, etc........and eyes sore. Feeling generally weird and odd. I was prepared for hands and feet, and big D ( which may be developing), but blacking out wasn’t on my list of ses. Saw gp as follow up for uti check related to a urethral stent, and she checked bp. High for me and fast pulse, but she just merrily said carry on. She thinks my body will adjust.  There are people on this thread with experience so just thought I’d ask. Otherwise I sit around feeling sorry for myself! I’m a newbie to cape as you can see. I had docetaxel a year ago and didn’t feel like this, but chemos, and we, are all different.

 

anyway, enough about me. Hope everyone is managing. Wish spring would arrive properly........we need sunshine! Although we are supposed to keep out of the sun! I’m looking for a factor 50.

 

Again all my love and hugs to you, Carolyn. How are those wonderful babies? Well, not really babies any more! You must be so proud. Always thinking of you.

 

mo.         xxxxxxxxx