Doctor insights on:
Herceptin Therapy Patient
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
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
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
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
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
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
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
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
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
?: 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
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
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
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
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
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)
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
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
That's biology 4 U: The explanation can't be put down in 400 spaces but the search continues. ...Read more
No: I am unaware of any strong scientific support for this treatment. ...Read more
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
Breathing Exercises.: Any breathing exercises, playing the harmonica or otherwise, could help improve some symptoms of COPD. ...Read more
No: Sorry it won't help. The best thing you can do is protect your good eye. ...Read more
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
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
What is the treatment for central cord edema? How fast can a patient recover from it?? Does massage therapy works for it?
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
Stem cells: Unlikely. Stem cells are unlikely to help this problem. ...Read more
Meds & therapy: In general medicine & cbt but each must be tailored to the individual & particular circumstances. ...Read more
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