Doctor insights on:
Sutent (sunitinib): This is a prescription medication.Get a more detailed answer ›
Can't: In the U.S. you cannot. It is required by federal law to have a prescription. Trying to get it, including from overseas into the U.S., without a prescription would put you at risk of getting in trouble with the DEA. Any pharmacy that tries to get you this med without a prescription may get prosecuted by the U.S Justice Dept if caught. ...Read more
Dad got kidney IV spread all over in oct 12 his on palliative care and sunitinib can anyone give me a rough idea how long he has left with us x?
Depends: If he doesn't respond to sunitinib then if he wishes for more therapy he should move on to the next line therapy. Axitinib- is something he should consider- as it is more tolerable than sunitinib.Other option also include- temsirolimus iv, affinitor, bev/ifn. The overall survival with sunitinib in the study is about 26 months- could be longer with the use of next line tx. Discuss with md. ...Read more
Dad diagnosed with stage IV kidney metastasis in oct 12, sutent (sunitinib) not working, now on everolimus what r the stats for this chemo and outcome dad very ill?
Translocational rcc, Has undergone extensive chemo but latest test show cancer spread to liver and sternum. going to start with Sunitinib. Prognosis?
It is a good drug: Sunitinib is a good drug which is very powerful. So you should start it soon and hope that it works(it works in less than half of the patients(40-50%). Another new treatment approved recently is immunotherapy with Nivolumab(Opdivo). This is a powerful drug to keep in mind and use it either before Sunitinib or as next therapy in case Sunitinib failed to benefit you. ...Read more
Dad got kidney IV spread to lungs liver bones in octv12?Had spine op but liver not responding to sunitinib his still in pain and in bed all time help
D/w oncology team: If he doesn't respond to sunitinib then if he wishes for more therapy he should move on to the next line therapy. Axitinib- is something he should consider- as it is more tolerable than sunitinib.Other option also include- temsirolimus iv, affinitor, bev/ifn or palliative care. He also need a good pain control obviously. If elligible, a trial using stereotactic radiation and il-2 is available. ...Read more
My dad takes sutent (sunitinib) for stage 4 kidney cancer & also has congestive heart failure. What meds can he take for it?
What do you suggest if my father takes sutent (sunitinib) for stage 4 kidney cancer & also has congestive heart failure.any meds he can take for it?
Be careful: Advanced cancer of the kidney is hard to deal with. There is little to do although the sutent (sunitinib) is sometimes helpful. It will not cure it but can slow it down. You however need to talk to the doctor who prescribed as this can exacerbate the heart failure. The pt may want to continue the drug despite the CHF. This has to be decided by pt and physician weighing the benefits. Diuretics and b blockers ...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 isnt 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
Elimiron: Elmiron (pentosan) is a medication that is fda approved for ic (interstitial cystitis). The main way it works is not truly known, but it may help with coating the lining of the bladder. In ic, inflammation may be the main cause of pain. Have you seen a doctor in regards to this? Hopefully, you can get the proper testing and see if this med would work well for you. ...Read more
Some people do: ADD medications, stimulants in particular may change the way you feel. Some feel calmer or less restless or agitated. Some feel more focused. Some feel increased restlessness. But in short, yes, stimulants can make you feel differently than prior to taking them. ...Read more