Top
40
Doctor insights on: Herceptin Therapy Patient

Share
1

1
How is herceptin (trastuzumab) therapy administered to a patient?

How is herceptin (trastuzumab) therapy administered to a patient?

Intravenously.: Herceptin (trastuzumab) is given through an iv, typically in your cancer doctor's office. ...Read more

Dr. Howard Schneider
60 Doctors shared insights

Trastuzumab (Definition)

Trastuzumab is an antibody based agent which is a kind of ...Read more


2

2
What are the risks with herceptin (trastuzumab) therapy?

What are the risks with herceptin (trastuzumab) therapy?

Heart failure: About 4% of women treated with Herceptin (trastuzumab) develop some weakness in their heart as measured by a muga test. This decrease in heart function is reversible when the drug is stopped. Other side effects of Herceptin (trastuzumab) can include allergic reaction, fatigue, headache and diarrhea. Most of my patients have no side effects! ...Read more

3

3
Is there any maintenance medicine aside from herceptin (trastuzumab) for her2 positive breast ca patient?

Nothing as good: I'm assuming you have completed chemotherapy and are now facing the year of herceptin (trastuzumab). I strongly encourage you to take it. Why? In the last decade, no treatment has decreased the risk of recurrence anywhere close to what Herceptin (trastuzumab) offers. Ask your doctor for your risk of recurrence with or without herceptin (trastuzumab). If cost is an issue, even 3 doses might be enough to make the difference! ...Read more

4

4
What does herceptin (trastuzumab) do for breast cancer patients?

What does herceptin (trastuzumab) do for breast cancer patients?

Herceptin (trastuzumab): Herceptin (trastuzumab) is one of targetted therapy that we can use to treat a her2 positive breast cancer. There are other her 2 receptor inhibitors out there- such as lapatinib, Pertuzumab and hopefully tdm1. It is able to stop the cancer from growing and ultimately cause death to cancer cells that have the her2 receptors. ...Read more

5

5
I'm a her2 breast cancer patient stage 3. Due to financial constraint I finished 12 sessions of herceptin instead of 17, is there any medicine I could take as a replacement of the herceptin? I'm from the philippines and herceptin is very expensive.

I'm a her2 breast cancer patient stage 3. Due to financial constraint I finished 12 sessions of herceptin instead of 17, is there any medicine I could take as a replacement of the herceptin? I'm from the philippines and herceptin is very expensive.

Unlikely: There is not a less expensive substitute. The manufacturer might have some support programs, but I am not sure if it is available in your case. You still have gotten benefit from your treatment. Check with your oncologist to see if a support through genentech is available. ...Read more

6

6
There's a white spot on my legs and arms and its itchy. I'm a breast cancer patient taking up herceptin (trastuzumab) is there a connection? What ointment could you

There's a white spot on my legs and arms and its itchy. I'm a breast cancer patient taking up herceptin (trastuzumab) is there a connection? What ointment could you

Should be seen: I suspect a superficial fungus but there's several other possibilities; if it has not responded to a topical antifungal such as tolnaftate after a few days, a physician's office visit is in order. ...Read more

7

7
I have a light white spot on my arms and legs and its a little bit itchy. I'm a breast cancer patient and presently taking up herceptin (trastuzumab). Is this an allergy pr fungal?

I have a light white spot on my arms and legs and its a little bit itchy. I'm a breast cancer patient and presently taking up herceptin (trastuzumab). Is this an allergy pr fungal?

Doctor can evaluate: Rashes are hard to describe in words, so a primary care doctor or a dermatologist can look at it and evaluate. A light colored spot that is a bit itchy could be just eczema (a dry spot of sensitive skin that gets a bit itchy, a bit flaky, a bit crackly, etc...). It could be fungal, such as tinea versicolor (but that usually is a bunch of spots). Other rashes are possible, so an exam will help. ...Read more

8

8
At 42 yr diagnosis her2 pos br ca, triple pos, node neg. 7 yrs ago. Treatment : bilat mass, chemo, herceptin (trastuzumab) \oop. 6 yr a.I. Should I stay on a.I?

At 42 yr diagnosis her2 pos br ca, triple pos, node neg. 7 yrs ago. Treatment : bilat mass, chemo, herceptin (trastuzumab) \oop. 6 yr a.I. Should I stay on a.I?

More info/maybe: This would be easier to answer if the tumor size and grade wear provided. In general, studies in hormone positive breast cancer have shown an advantage to 10 years of tamoxifen over 5 years. Though this cannot be extrapolated to ais, which are considered more effective than tamoxifen, this may be the case. Knowing tumor size and grade would help with prognosis. ...Read more

9

9
I finish my herceptin (trastuzumab) treatment in 20th november 2012 and will have IVF to have my frozen embryos replaced. When would be the earliest I can do this?

I finish my herceptin (trastuzumab) treatment in 20th november 2012 and will have IVF to have my frozen embryos replaced. When would be the earliest I can do this?

Depends: The timing of pregnancy after cancer treatment varies considerably. Please discuss this with your oncologist. In most cases you will need a period of time, sometimes years without cancer before proceeding with pregnancy. In some cases it may be safer to avoid pregnancy and use a gestational surrogate. Again, these are issues that you should discuss with your oncologist. ...Read more

10

10
After undergoing surgery, chemotherapy, radiation, herceptin (trastuzumab) then hormonal treatment, how much more can my body tolerate?

After undergoing surgery, chemotherapy, radiation, herceptin (trastuzumab) then hormonal treatment, how much more can my body tolerate?

You can do it!: Stick with it--her-2 positive breast cancer is highly treatable for cure! Each component of treatment is helpful and improves outcomes. You can do it! ...Read more

11

11
What are financial implications of using herceptin (trastuzumab) as a breast cancer treatment?

What are financial implications of using herceptin (trastuzumab) as a breast cancer treatment?

?: I have never had an issue of trastuzumab (herceptin) coverage in appropriate patients. Individual co-pays are based on each patients insurance. There may be a benefit of trastuzumab in 0/low expression breast cancer that is the subject of a cooperative group clinical trial -- nsabp b-47 - clinicaltrials. Gov id: nct01275677. ...Read more

12

12
I'm a her2 stage 3 breast cancer parient. I have already finished my herceptin (trastuzumab) what would be the next medication would I take as maintenance medicine?

I'm a her2 stage 3 breast cancer parient. I have already finished my herceptin (trastuzumab) what would be the next medication would I take as maintenance medicine?

It depends on your b: There are many medicines used to treat breast cancer. Besides herceptin, (trastuzumab) your doctor may prescribe chemotherapy or hormonal therpy depending on the subtype of breast cancer that you have. Hormonal therpies are used for er+ cancers....So check if your tumor wass er+ or er-. Ask you oncologist to address this question. ...Read more

13

13
If I wanted to get HER-2 treatment (Herceptin) for stage-1 breast cancer in the SF Bay Area WITHOUT insurance (while still paying) where would be reasonably priced place to go for this treatment?

If I wanted to get HER-2 treatment (Herceptin) for stage-1 breast cancer in the SF Bay Area WITHOUT insurance (while still paying) where would be reasonably priced place to go for this treatment?

HER-2 RX: Go to the University of San Fransisco Medical Center: they will have expert physicians to advise you, and most university hospitals can arrange payment plans which fit your budget. It is very important to have expert advise for any form of breast cancer to have the very best chance for long term survival, so do not delay. ...Read more

14

14
Is it common for people who are using herceptin (trastuzumab) as a breast cancer treatment to have raised liver blood test readings?

Not usually: Herceptin (trastuzumab) is a pretty safe drug. As far as I know it does not affect liver functions. But many other drugs including chemotherapy can increase the liver enzymes. You should ask you oncologist to confirm it with the drug manufacturer or from a drug information source. ...Read more

15

15
I have breast ca stage 3 and done with my chemo theraphy and radiation but still have 4 sessions of herceptin. Can I go back to work now? I'm a factory worker and my job requires me to stand 8 hrs and sometimes carry heavy things can my body still toler

I have breast ca stage 3 and done with my chemo theraphy and radiation but still have 4 sessions of herceptin. Can I go back to work now? I'm a factory worker and my job requires me to stand 8 hrs and sometimes carry heavy things can my body still toler

Breast cancer: My advice in these situations is to take it slow. Work with your oncologist and your work supervisors to reintegrate the workplace at a steady pace, starting slow and taking breaks when you need them. Take cues from your body. Congratulations on being almost done with your treatment. ...Read more

16

16
If I wanted to get HER-2 treatment (Herceptin) for stage-1 breast cancer in the SF Bay Area WITHOUT insurance, where would be reasonably priced places to go? (for my mother in law who lives in china)

If I wanted to get HER-2 treatment (Herceptin) for stage-1 breast cancer in the SF Bay Area WITHOUT insurance, where would be reasonably priced places to go? (for my mother in law who lives in china)

Additional resources: Local hospitals as well as county and state facilities will support people without insurance for the treatment of cancer. Please see additional evaluation and recommendation for your condition. God bless made things go well. ...Read more

17

17
What could happen if a patient wasn't sedated before being given electroshock therapy?

What could happen if a patient wasn't sedated before being given electroshock therapy?

Discomfort and: Possible injury due to vigorous muscle contractions, since beside the sedation small dose of muscle relaxant is also used ...Read more

18

18
Can mental health clinician cut off patient because parents don't want to transfer their therapy to the same agency? They gave my child a 60day notice

Can mental health clinician cut off patient because parents don't want to transfer their therapy to the same agency? They gave my child a 60day notice

Patient termination: Physicians are not required to continue to care for a patient for any reason as long as they give adequate written notice of their intent to terminate the physician-patient relationship (usually 30 days notice is sufficient). Physicians are still responsible for emergency care for terminated patients during this time frame, unless they have established with another medical provider. ...Read more

19

19
Why don't stroke patients get tpa (alteplase) therapy?

Why don't stroke patients get tpa (alteplase) therapy?

They can: If having a stroke one can receive intravenous tpa (alteplase) up to 3 hours once symptoms begin and up to 4.5 hours in certain cases. After this intra. ...Read more

21

21
Why's intravenous therapy given to mi patients?

Why's intravenous therapy given to mi patients?

To break up clots: Intravenous therapy in acute mi often is a drug to break up clots. Also IV access is needed if needed to help resuscitate a patient with acute mi, by giving fluid for low blood pressure and rhythm drugs for arrhythmias. ...Read more

23

23
What is therapy for stroke patients called?

What is therapy for stroke patients called?

Stroke: Stroke rehabilitation program - can involve - physical, manipulative, speech etc.. ...Read more

24

24
Is HBOT therapy advised for stroke patients?

Is HBOT therapy advised for stroke patients?

Hyper-baric oxygen: We use for ischemic limbs to prevent amputation, and find some utility in bad infections. Some research has been done in stroke, and occasional acute cases have responded, but oxygen treatment for stroke remains controversial and so far, not in main stream. ...Read more

25

25
What is best statin therapy for elderly patients?

What is best statin therapy for elderly patients?

Pravadtatin: A cost-effectiveness analysis of the lipid trial suggests that pravastatin therapy was more cost-effective for older coronary patients (65 to 74 years of age), despite their shorter life expectancy, because of their higher baseline risk and greater cost offsets from lower rates of hospitalization resulting from preventive treatment. ...Read more

26

26
How effective is harmonica therapy in COPD patients?

How effective is harmonica therapy in COPD patients?

Breathing Exercises.: Any breathing exercises, playing the harmonica or otherwise, could help improve some symptoms of COPD. ...Read more

27

27
How is aquatic therapy good for osteoporosis patients?

How is aquatic therapy good for osteoporosis patients?

Yes it is good: Once osteopenia or osteoporosis has been identified through a bone density test, referral to physical therapy for appropriate exercise should be part of a therapeutic plan. That could inculd aquatic therapy. ...Read more

28

28
Is patch therapy an option for amblyopia in a 41 year old patient?

Is patch therapy an option for amblyopia in a 41 year old patient?

No: Sorry it won't help. The best thing you can do is protect your good eye. ...Read more

29

29
What is steroid therapy and which patients can be provided this therapy.

What is steroid therapy and which patients can be provided this therapy.

Antiinflammatory: Used in many medical conditions: severe asthma or rhematologic conditions, severe inflammatory conditions, etc.- Too complex to list all medical conditions. ...Read more

30

30
What kinds of therapies are available for patients in a psychiatric ward?

What kinds of therapies are available for patients in a psychiatric ward?

Psych. Ward: Milieu therapies include Supportive counseling, Group therapy, Recreational & Activities therapies, Educational, Art therapy, Medication management if prescribed medications. ...Read more

31

31
What can electroconvulsive therapy (ect) do for the patient who recieves it?

What can electroconvulsive therapy (ect) do for the patient who recieves it?

ECT: Is highly safe and effective for
major depression
bipolar disorders
severe psychosis
catatonia
dementia with depression or mania etc. ...Read more

32

32
What's other proven methods to reduce pain, in cps patients besides drug therapy?

What's other proven methods to reduce pain, in cps patients besides drug therapy?

Diet, exercise, more: Chronic pain syndrome can have a number of potential causes. It may be important to understand the specific cause of your pain before recommending non-medication approaches to obtaining relief, though in my experience, many benefit from gentle, regular exercise, healthy diet, mindfulness training, vipassana meditation, healing touch, psychotherapy, and tapping therapy, among other approaches. ...Read more

33

33
What are some homeopathic anti-spasmodics? Are they safe to take for a post ect therapy patient?

What are some homeopathic anti-spasmodics? Are they safe to take for a post ect therapy patient?

Not sure what u mean: By "homeopathic anti-spasmodics" for a post ECT patient? Dr. Kwok is right that homeopathic remedies over 12c potency contain no molecules of material substance. Remedies are an energy medicine made to interact with an energy part of you: your healing system. Many remedies can help with seizures, etc, but the single one needed is picked by matching to your specific experience & how it affects you. ...Read more

35

35
For what reason aren't patients shielded when they are receiving radiation therapy?

Shields are built in: Radiation therapy machines have the shields built in to them. These shape the radiation to fit the area of the body that needs to be treated and protects the rest. Additionally, it takes many inches if lead to block the radiation used for external beam treatment and a person cannot wear a shield thick enough to block the beam. ...Read more

37

37
Could you think that animal -assist therapy will help an asperger's syndrome patient?

Could you think that animal -assist therapy will help an asperger's syndrome patient?

Yes, it could: Someone with asperger's syndrome might connect with an animal and do well with that as a therapeutic tool. If they like animals, it wi worth a shot. There are programs using horse back riding and dogs that have been beneficial with various emotional disorders. ...Read more

38

38
In your opinion which therapy is most useful for the patient suffering from mood disorder?

In your opinion which therapy is most useful for the patient suffering from mood disorder?

Meds & therapy: In general medicine & cbt but each must be tailored to the individual & particular circumstances. ...Read more

39

39
Need physical therapy tips for post stroke patient?

Need physical therapy tips for post stroke patient?

Surely: Use of physical therapy, and occupational therapy highly beneficial for post-stroke rehabilitation, and should be continued as outpt, at least twice weekly for about 3-4 months ideally. Orthotic devices to enhance function may be needed, so enquire about these. Botox may help limb spasticity. Pool assisted exercise might be an approach if patient very weakened. ...Read more

40

40
Can patients getting radiation therapy still exercise?

Can patients getting radiation therapy still exercise?

Yes: Listen to your body. Cardiovascular exercise specially encouraged. Your energy may run out quicker than it did. Stay hydrated and get rest as needed. Avoid chlorinated pool swimming and hut tubs that can dry up skin in women that are getting their breast radiated. ...Read more

Dr. Andrew Berry
66 Doctors shared insights

Herceptin (Definition)

Herceptin ...Read more