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advice and information needed….starting Tafinlar+Mekinist

Forums General Melanoma Community advice and information needed….starting Tafinlar+Mekinist

  • Post
    Nell
    Participant

      I am nervous to begin this targeted therapy after reading all the side effects that are possible, but I will begin taking the pills next week. Any advice..good or bad ..any encouraging words….or warnings….personal experiences …will be so appreciated.  Stage 4 melanoma is really scary, but I am heartened by new treatments that are coming..and by the support of this forum . Thank you for your help. This is a place I know I can trust.          Nell

    Viewing 20 reply threads
    • Replies
        arthurjedi007
        Participant

          I was on that combo 10 weeks or so. Everyone is different. The common thing seems to be sunlight. I did the special clothing stuff for it. Most people can burn easy and some get the skin cancers due to sun on it. Also  mekenist usually causes fevers. That's probably a reason they have another mek in trials that doesn't cause fevers. Make sure to follow the docs when to take them each day. Seemed to work ok for me as far as side affects. Mostly just fevers until week 8 for me. Good luck.

          Artie

          arthurjedi007
          Participant

            I was on that combo 10 weeks or so. Everyone is different. The common thing seems to be sunlight. I did the special clothing stuff for it. Most people can burn easy and some get the skin cancers due to sun on it. Also  mekenist usually causes fevers. That's probably a reason they have another mek in trials that doesn't cause fevers. Make sure to follow the docs when to take them each day. Seemed to work ok for me as far as side affects. Mostly just fevers until week 8 for me. Good luck.

            Artie

            arthurjedi007
            Participant

              I was on that combo 10 weeks or so. Everyone is different. The common thing seems to be sunlight. I did the special clothing stuff for it. Most people can burn easy and some get the skin cancers due to sun on it. Also  mekenist usually causes fevers. That's probably a reason they have another mek in trials that doesn't cause fevers. Make sure to follow the docs when to take them each day. Seemed to work ok for me as far as side affects. Mostly just fevers until week 8 for me. Good luck.

              Artie

              rosa1
              Participant

                I was on the Taf/Mek combo from Aug 2014 til Feb 2015. During the first week of taking the meds, I started getting chills and slight fever, and mostly flue like symptoms. Then I started getting a few breakouts on my face but nothing excessive. The real problem was in December, when I started to develop mouth sores that would not heal. I had one on the tip of my tongue that was very painful and would not go away, but kept getting larger. Then these sores started to grow inside my whole mouth and the back of my throat. The doctor stopped the treatment and had me start Keytruda. Now I have developed hypothyroidism so my treatments have been suspended, until I get the thyroid balanced with meds. Never a dull moment in the world of melanoma! 

                  Nell
                  Participant

                    I surely hope you can resume Keytruda soon.  Was the hypothyroidism caused by the combo or by Keytruda..or what?  This disease is so unpredictable!

                    Nell
                    Participant

                      I surely hope you can resume Keytruda soon.  Was the hypothyroidism caused by the combo or by Keytruda..or what?  This disease is so unpredictable!

                      Nell
                      Participant

                        I surely hope you can resume Keytruda soon.  Was the hypothyroidism caused by the combo or by Keytruda..or what?  This disease is so unpredictable!

                      rosa1
                      Participant

                        I was on the Taf/Mek combo from Aug 2014 til Feb 2015. During the first week of taking the meds, I started getting chills and slight fever, and mostly flue like symptoms. Then I started getting a few breakouts on my face but nothing excessive. The real problem was in December, when I started to develop mouth sores that would not heal. I had one on the tip of my tongue that was very painful and would not go away, but kept getting larger. Then these sores started to grow inside my whole mouth and the back of my throat. The doctor stopped the treatment and had me start Keytruda. Now I have developed hypothyroidism so my treatments have been suspended, until I get the thyroid balanced with meds. Never a dull moment in the world of melanoma! 

                        rosa1
                        Participant

                          I was on the Taf/Mek combo from Aug 2014 til Feb 2015. During the first week of taking the meds, I started getting chills and slight fever, and mostly flue like symptoms. Then I started getting a few breakouts on my face but nothing excessive. The real problem was in December, when I started to develop mouth sores that would not heal. I had one on the tip of my tongue that was very painful and would not go away, but kept getting larger. Then these sores started to grow inside my whole mouth and the back of my throat. The doctor stopped the treatment and had me start Keytruda. Now I have developed hypothyroidism so my treatments have been suspended, until I get the thyroid balanced with meds. Never a dull moment in the world of melanoma! 

                          Banders
                          Participant

                            For me the combo has been huge.  After getting diagnosed last September and then having Yervoy the cancer was spreadying by this Febuary.  I was in increasing pain and spitting up blood.  

                            Started March 18 and in 3 days stopped spitting up blood and then over a week or two the pain went down.

                            I saw the results of my first PET scan since I started taking the combo this morning and the results were amazing.  Every single tumor and area has decreased.  Several very large cancerous areas are gone.  It's by far the best news I've recieved since all this started.

                            I've had no side effects and no spots on my skin, which you need to be on the lookout for.  Literally, the only thing I notice is that my stomache is a little upset after I take all three three pills in the morning, but it doesn't get upset when I take the 2 Tafinlar alone at night.

                            I just hope this continues and it works as well for you or anyone else.

                             

                            Banders
                            Participant

                              For me the combo has been huge.  After getting diagnosed last September and then having Yervoy the cancer was spreadying by this Febuary.  I was in increasing pain and spitting up blood.  

                              Started March 18 and in 3 days stopped spitting up blood and then over a week or two the pain went down.

                              I saw the results of my first PET scan since I started taking the combo this morning and the results were amazing.  Every single tumor and area has decreased.  Several very large cancerous areas are gone.  It's by far the best news I've recieved since all this started.

                              I've had no side effects and no spots on my skin, which you need to be on the lookout for.  Literally, the only thing I notice is that my stomache is a little upset after I take all three three pills in the morning, but it doesn't get upset when I take the 2 Tafinlar alone at night.

                              I just hope this continues and it works as well for you or anyone else.

                               

                              Banders
                              Participant

                                For me the combo has been huge.  After getting diagnosed last September and then having Yervoy the cancer was spreadying by this Febuary.  I was in increasing pain and spitting up blood.  

                                Started March 18 and in 3 days stopped spitting up blood and then over a week or two the pain went down.

                                I saw the results of my first PET scan since I started taking the combo this morning and the results were amazing.  Every single tumor and area has decreased.  Several very large cancerous areas are gone.  It's by far the best news I've recieved since all this started.

                                I've had no side effects and no spots on my skin, which you need to be on the lookout for.  Literally, the only thing I notice is that my stomache is a little upset after I take all three three pills in the morning, but it doesn't get upset when I take the 2 Tafinlar alone at night.

                                I just hope this continues and it works as well for you or anyone else.

                                 

                                ad2424
                                Participant

                                  There is tremendous hope for this combo, and results get better as time goes on. Search for the article on braf/mek (not tafinlar and mekinist, which I am on, and you are starting, but similar drugs and results) from the asco 2015 conference. 2 year overall survival 51%. My oncologist says the curve flattens out at around 30%, which is excellent in the melanoma world. I have been on since Feb 2014.

                                  Regarding side effects, it was a little rocky to start, with chills, but once my oncologist determined my personal proper dosage, which was every other day, not every day, I have been fine, with NO side effects. Just a 2 week period over New Years when I went off for 2 weeks due to sore feet.

                                  Keep your spirits up and hope you are on the path to join the 30% who have long term success with this combo.

                                   

                                   

                                  ad2424
                                  Participant

                                    There is tremendous hope for this combo, and results get better as time goes on. Search for the article on braf/mek (not tafinlar and mekinist, which I am on, and you are starting, but similar drugs and results) from the asco 2015 conference. 2 year overall survival 51%. My oncologist says the curve flattens out at around 30%, which is excellent in the melanoma world. I have been on since Feb 2014.

                                    Regarding side effects, it was a little rocky to start, with chills, but once my oncologist determined my personal proper dosage, which was every other day, not every day, I have been fine, with NO side effects. Just a 2 week period over New Years when I went off for 2 weeks due to sore feet.

                                    Keep your spirits up and hope you are on the path to join the 30% who have long term success with this combo.

                                     

                                     

                                    ad2424
                                    Participant

                                      There is tremendous hope for this combo, and results get better as time goes on. Search for the article on braf/mek (not tafinlar and mekinist, which I am on, and you are starting, but similar drugs and results) from the asco 2015 conference. 2 year overall survival 51%. My oncologist says the curve flattens out at around 30%, which is excellent in the melanoma world. I have been on since Feb 2014.

                                      Regarding side effects, it was a little rocky to start, with chills, but once my oncologist determined my personal proper dosage, which was every other day, not every day, I have been fine, with NO side effects. Just a 2 week period over New Years when I went off for 2 weeks due to sore feet.

                                      Keep your spirits up and hope you are on the path to join the 30% who have long term success with this combo.

                                       

                                       

                                      ed williams
                                      Participant

                                        Hi Nell, I am just wondering if your oncologist talked to you about getting access to either of the Pd-1 drugs?  Wishing you the best!!! Ed

                                        ed williams
                                        Participant

                                          Hi Nell, I am just wondering if your oncologist talked to you about getting access to either of the Pd-1 drugs?  Wishing you the best!!! Ed

                                            Nell
                                            Participant

                                              He has said that since I am braf+, I have to take the combo first before I will be eligible for pd-1…. I really wish that access wasn't limited…wonder when it will open up??

                                              Nell
                                              Participant

                                                He has said that since I am braf+, I have to take the combo first before I will be eligible for pd-1…. I really wish that access wasn't limited…wonder when it will open up??

                                                Nell
                                                Participant

                                                  He has said that since I am braf+, I have to take the combo first before I will be eligible for pd-1…. I really wish that access wasn't limited…wonder when it will open up??

                                                ed williams
                                                Participant

                                                  Hi Nell, I am just wondering if your oncologist talked to you about getting access to either of the Pd-1 drugs?  Wishing you the best!!! Ed

                                                  mrsriddle
                                                  Participant

                                                    My husband was diagnosed with stage IV BRAF melanoma about a month ago.  He started the Tafinlar, Mekinist combo two weeks ago.  So far he is feeling much better and has more energy than he has had in a long time.  The only side effects we have noticed so far is the low grade fever about 99.2 on average, a dry cough and some sensitivity to smell. No sores or anything else to report at this time.  I pray for a cure for everyone, but in the mean time hope and faith get us through.  I have been keeping my eye on the TIL imunotherapy developed in Israel.  Sounds like hope is definitely in our future.  Good luck and prayers!  Keep posting!

                                                    mrsriddle
                                                    Participant

                                                      My husband was diagnosed with stage IV BRAF melanoma about a month ago.  He started the Tafinlar, Mekinist combo two weeks ago.  So far he is feeling much better and has more energy than he has had in a long time.  The only side effects we have noticed so far is the low grade fever about 99.2 on average, a dry cough and some sensitivity to smell. No sores or anything else to report at this time.  I pray for a cure for everyone, but in the mean time hope and faith get us through.  I have been keeping my eye on the TIL imunotherapy developed in Israel.  Sounds like hope is definitely in our future.  Good luck and prayers!  Keep posting!

                                                      mrsriddle
                                                      Participant

                                                        My husband was diagnosed with stage IV BRAF melanoma about a month ago.  He started the Tafinlar, Mekinist combo two weeks ago.  So far he is feeling much better and has more energy than he has had in a long time.  The only side effects we have noticed so far is the low grade fever about 99.2 on average, a dry cough and some sensitivity to smell. No sores or anything else to report at this time.  I pray for a cure for everyone, but in the mean time hope and faith get us through.  I have been keeping my eye on the TIL imunotherapy developed in Israel.  Sounds like hope is definitely in our future.  Good luck and prayers!  Keep posting!

                                                        Thandster
                                                        Participant

                                                          I started the dabrafenib part of this last Saturday and will add the MEK in a week or two. I was in BAD shape when I started and because of significant abdominal issues my onc wanted me to start the one and add the other later to avoid causing too much within my stomach. All I did was lay on the couch and sweat. By day 3 I noticed that I was feeling better and today I feel hugely better. I'm still slow to get around, I spent a month hardly eating and laying around before I got on this so I am significantly weaker and it will take a while to build up strength. But so far things have been awesome on this and I'm curious if it will stay as smooth once the MEK is added.

                                                          good luck and I'll be watching how you do on this.

                                                          Thandster
                                                          Participant

                                                            I started the dabrafenib part of this last Saturday and will add the MEK in a week or two. I was in BAD shape when I started and because of significant abdominal issues my onc wanted me to start the one and add the other later to avoid causing too much within my stomach. All I did was lay on the couch and sweat. By day 3 I noticed that I was feeling better and today I feel hugely better. I'm still slow to get around, I spent a month hardly eating and laying around before I got on this so I am significantly weaker and it will take a while to build up strength. But so far things have been awesome on this and I'm curious if it will stay as smooth once the MEK is added.

                                                            good luck and I'll be watching how you do on this.

                                                              Nell
                                                              Participant

                                                                I want to thank everyone for the information and encouragment. I started the combo today….I am flushed in the face, tired, and slight headache….didn't really do much of anything today. I took the mekinist this am with tafinlar….wonder if I would feel better taking it with the night dose of tafinlar…maybe sleep through some of the reactions.  The flushed face puzzles me…don't seem to have a fever…..Did any of you notice flushing….or that taking mekinist morning or night made a difference?

                                                                 

                                                                Nell
                                                                Participant

                                                                  I want to thank everyone for the information and encouragment. I started the combo today….I am flushed in the face, tired, and slight headache….didn't really do much of anything today. I took the mekinist this am with tafinlar….wonder if I would feel better taking it with the night dose of tafinlar…maybe sleep through some of the reactions.  The flushed face puzzles me…don't seem to have a fever…..Did any of you notice flushing….or that taking mekinist morning or night made a difference?

                                                                   

                                                                  Altera
                                                                  Participant
                                                                    Hi,
                                                                    I have been on the combo for almost 2 weeks now. First day I had a rash over all my body. I ended up using antihistamines for 4 days and I’m fine now. Second week I’ve had slight nausea,bloating tummy and some pain behind my eyes? I do get a flushed face and I think the rash is heat related. I’ve managed to stay at work and hope symptoms will settle down. Good luck.
                                                                    Nell
                                                                    Participant

                                                                      I want to thank everyone for the information and encouragment. I started the combo today….I am flushed in the face, tired, and slight headache….didn't really do much of anything today. I took the mekinist this am with tafinlar….wonder if I would feel better taking it with the night dose of tafinlar…maybe sleep through some of the reactions.  The flushed face puzzles me…don't seem to have a fever…..Did any of you notice flushing….or that taking mekinist morning or night made a difference?

                                                                       

                                                                    Thandster
                                                                    Participant

                                                                      I started the dabrafenib part of this last Saturday and will add the MEK in a week or two. I was in BAD shape when I started and because of significant abdominal issues my onc wanted me to start the one and add the other later to avoid causing too much within my stomach. All I did was lay on the couch and sweat. By day 3 I noticed that I was feeling better and today I feel hugely better. I'm still slow to get around, I spent a month hardly eating and laying around before I got on this so I am significantly weaker and it will take a while to build up strength. But so far things have been awesome on this and I'm curious if it will stay as smooth once the MEK is added.

                                                                      good luck and I'll be watching how you do on this.

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