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Doctor insights on: Herceptin Therapy Patient

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Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
1
Dr. Tiffanie Noonan
60 Doctors shared insights

Trastuzumab (Definition)

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


Dr. Devon Webster Dr. Webster
Internal Medicine - Oncology
18 years in practice
Stanford University School of Medicine
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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!

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Dr. Devon Webster Dr. Webster
Internal Medicine - Oncology
18 years in practice
Stanford University School of Medicine
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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!

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Dr. Liawaty Ho Dr. Ho
Internal Medicine - Hematology & Oncology
19 years in practice
Udayana University Faculty of Medicine
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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.

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Dr. William A Biermann Dr. Biermann
Internal Medicine - Oncology
42 years in practice
Jefferson Medical College of Thomas Jefferson University
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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.

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Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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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.

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Dr. Robert Kwok Dr. Kwok
Pediatrics
29 years in practice
Baylor College of Medicine
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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.

Dr. Steven Ginsberg Dr. Ginsberg
Internal Medicine - Hematology & Oncology
33 years in practice
State University of New York Downstate Medical Center College of Medicine
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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.

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Dr. Serena Chen Dr. Chen
Fertility Medicine
29 years in practice
Duke University School of Medicine
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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.

Dr. Michael Benjamin Dr. Benjamin
Internal Medicine - Hematology & Oncology
19 years in practice
Tulane University School of Medicine
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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!

Dr. Michael Thompson Dr. Thompson
Internal Medicine - Hematology & Oncology
16 years in practice
Mayo Clinic College of Medicine
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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.

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Dr. Sewa Legha Dr. Legha
Internal Medicine - Oncology
46 years in practice
Punjab University, Christian Medical College
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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.

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Dr. John Berryman Dr. Berryman
Obstetrics & Gynecology
50 years in practice
University of Virginia School of Medicine
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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.

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Dr. Sewa Legha Dr. Legha
Internal Medicine - Oncology
46 years in practice
Punjab University, Christian Medical College
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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.

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Dr. Edmond Bendaly Dr. Bendaly
Internal Medicine - Hematology & Oncology
16 years in practice
American University of Beirut Faculty of Medicine
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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.

Dr. Craig Smith Dr. Smith
Urology
31 years in practice
University of Illinois College of Medicine
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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.

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Dr. Alexander Bankov Dr. Bankov
Anesthesiology
33 years in practice
Bashkir State Medical University
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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

Dr. Tanya Russo Dr. Russo
Pediatrics
21 years in practice
Nova Southeastern University College of Osteopathic Medicine
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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.

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Dr. Michael Korona Dr. Korona
Radiology - Interventional
29 years in practice
University of Virginia School of Medicine
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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.

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Dr. Charles Gordon Dr. Gordon
Pediatrics - Adolescent Medicine
years in practice
Columbia University College of Physicians and Surgeons
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Why do the new CAR-T therapies only work on a subset of patients?

That's biology 4 U: The explanation can't be put down in 400 spaces but the search continues.

Dr. Adam Lewis
66 Doctors shared insights

Herceptin (Definition)

Herceptin ...Read more