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Metronomic Chemo Therapy Treatment
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9 July 2011
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1 January 2012 - 7:18 pm
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Hello, it's been a while since I last wrote but I am Peaches' mom.  Her diagnosis of osteosarcoma was on 2 Jul 2011 and amputation happened on 3 Jul 2011.  Since then I have been taking Peaches to Auburn University where she has successfully accomplished six carboplatin chemo treatments. On 9 Dec the Doc's decided to move forward to metronomic therapy and administered piroxicam and cyclophosphamide.  She was doing awesome and two weeks later on 22 Dec, they added Rapamycin and that is when things changed a bit, a lot actually.  She was on all three for about four days and I started to noticed she began to slowly loose her appetite, which is totally not like Peaches.  So I took her to my local vet and they did CBC tests and everything came back normal.  Her white blood cell count was normal.  They gave her two shots of antibiotics and sent us home with a next day follow up appt.  Went back the next day and she was the same, no food or not even an interest in walking she just wanted to lay down all day.  This time at the vet her WBC had doubled and was at 27,000.  So the vet gave her two more shots and sent us home with some antibiotics.  Peaches slept all day and night.  Today, she was 90 percent back to her old self.  She was walking, eating, wagging her tail and talking.  I am relieved but I am worried.  Why did this happen in the first place? Everything was great with the first two meds and it really did seem to change when the third medication was given.  I just get really anxious because I want to save my girl and I as much as I try to understand this awful disease it overwhelms me.  Anyhow, she is off the metronomic chemo for now until she gets back to her happy self, which she is close, and then they will see about starting her back on.  So after the long history, has anyone had any experience with the metronomic therapy that includes the proxicam, cyclophosphamide, and rapamycin? Is it successful? Any issues? Thank you so much, any information would be helpful. 

 

Marisa

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1 January 2012 - 8:41 pm
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I'm sorry, I don't have experience with that exact protocol.  Tate was on cyclophosphamide, Rimadyl and fish oil but he was already on the last two things and when his regular chemo was over, we added in the cytoxan.  He never had any reaction at all to any of it.  I suspect each dog reacts differently and they will just need to tweak the doses to get it right. 

Congratulations on almost 6 months of kicking cancer's butt!  That is wonderful! 

http://tate.tripawds.com/
August 16, 2006 to November 28, 2011
TATE ~ Forever in our hearts.

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1 January 2012 - 8:44 pm
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Hi Marisa, it's great to hear from you and we're glad that Peaches is back on the road to recovery, that must have been scary!

Rapamycin isn't something that is mentioned here a lot but this search may give you some insight on others' experience. Apparently rapamycin is an immuno-suppresant drug that has anti-tumor properties in dogs with osteosarcoma and is being used in a ton of clinical studies about metronomic therapy. It does have these side effects, and I'm so sorry that Peaches experienced them but it sounds like she will bounce back after this. We have our paws crossed that she'll feel better soon, please keep us posted.

Meanwhile, you definitely are doing everything possible to help her, and in addition you're helping other dogs and humans by taking the time to be in this study, so I hope that brings some comfort to you right now.

Tripawds Founders Jim and Rene
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