Doctor insights on:
Swelling is not listed as an adverse reaction.
But I would discuss it with your prescribing doctor. ...Read more
Probably: This is one of the possible side effects. ...Read more
NO: Faslodex (fulvestrant) is an anti estogen therapy -used to treat hormone receptor positive breast cancer (breast cancer that depends on hormones such as estrogen to grow)- is given by injecting medication into the muscle. Xeloda is an oral chemotherapy- which is a pro drug of 5fu. It is used to treat different kind of cancer such as- colon, esophagus, rectal, breast. They are not similar. ...Read more
See oncologist: Double vision in a patient with metastatic breast cancer is worrisome. It may indicate spread of cancer to brain (or, less likely, orbit). Tell your oncologist about it. ...Read more
Since FDA approval: In 2010, is used to treat hormonal receptor positive metastatic breast cancer ...Read more
No: Not indicated for estrogen receptor negative breast cancer. ...Read more
What should a person with breast cancer IV take after tamoxifen and aromasin. Arimidex femara or faslodex (fulvestrant)?
Treatment options: For stage IV breast cancer- if the cancer progressed after tamoxifen and aromasin- depending on several factors such as how much cancer burder, involvement to visceral organs, overall condition etc- the options would be- faslodex; combination of Aromasin (exemestane) and evorilimus (based on recent randomized clinical trial) or chemotherapy. Discuss further with your oncologist- which one for your case. ...Read more
My mother has stage 4 metastatic breast cancer. She's on faslodex (fulvestrant) evey 28 days. Is it ok if she gets the shot 5 days later than usual once. Day 33?
Talk to oncologist: She needs to speak to her oncologist about this. ...Read more
High estrogens: Premenopausal women produce large quantities of estrogens which feed the Cancer. So the treatments that work best for them are those that remove the source of estrogens or block its effects on the tumor. Fulvestant does not work that way, so it is relatively less effective in premenopausal patients. ...Read more
Competition: Circulating Estradiol competes with for the estrogen receptor in premenopausal women. Estradiol surges during ovulation to fairly high levels where in postmenopause, Estradiol is made from converting androgens/adrenal hormones (like dhea) in peripheral fat. Levels are not as high so competition for the receptor is less. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read more
Antacid: An h2 blocker (like Pepcid (famotidine) or its generic) once or twice daily, provides relief for many after about a week. If this fails, a proton pump inhibitor (ppi--like Prilosec or its generic) will often work where h2's have failed. If both fail after at least one week trial of each, see your dr or a GI dr for eval. ...Read more