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Doctor insights on: What Are The Risks With Herceptin Therapy

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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! ...Read more

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Dr. Ana Adelstein
56 doctors shared insights

Trastuzumab (Definition)

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


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Is oral allergy therapy safe? What are the risks?

Is oral allergy therapy safe?  What are the risks?

Can't answer without: Knowing: 1) what allergy is being addressed; 2) what treatment options have been offered; 3) what therapeutic approach has been recommended (e.g. What do you mean by "oral allergy therapy" anyway?). ...Read more

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I was wondering what are the risks of radiation therapy for orbital inflammatory disease and scleritis?

I was wondering what are the risks of radiation therapy for orbital inflammatory disease and scleritis?

Some risks: Yes there is some but small risks. Radiation can affect the lens of the eye, causing opacities/cataracts but usually it can be shielded by the treating doctor. ...Read more

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What are the risks or possible side effects of hyperbaric oxygen therapy? Does it hurt? And what side effects are there?

What are the risks or possible side effects of hyperbaric oxygen therapy? Does it hurt? And what side effects are there?

Treatment : Treatment of hyperbaric oxygen therapy (hbot) is generally safe and painless. The most common side effect would be the risk of injury to your ear drums during the compression phase of the treatment. This is because compression of the hyperbaric chamber is similar to when an airplane lands, or when you dive to the bottom of a swimming pool. As pressure builds up outside of the ear, you will have to equalize pressure by "popping" your ears. If you can do this, there should be no problems. If you cannot because you have a cold, aren't paying attention, or because you are not properly trying to equalize pressure, you can have pain, bleeding, swelling, or in a worst case scenario - rupture of the ear drum. These can all be easily avoided by communicating with your hyperbaric chamber operator, who will monitor your progress and adjust your compression or decompression rate. If you cannot successfully equalize your ears, you may be referred for pressure equalization tubes, which will eliminate this risk. You may have similar discomfort in your sinuses, which is more difficult to manage because it is not possible to actively equalize pressure in your sinuses. In this case, your treatment may have to be postponed until you can decreased the amount of inflammation around your sinus cavities. People who get hbot may also be at risk to damage to their lungs if there is a history of spontaneous collapse of the lungs, or damage to the lung tissue such as emphysema or COPD or asthma. If you have any history of lung disease, you should tell your treating physician ahead of time so that they can screen you for safety. We have noticed that there are some people who develop mild nearsightedness as a result of hbot. This usually is in the elderly or diabetic patient but can happen to anyone who has had a multi-week series of hbot. These effects are generally temporary and revert back to pre-hbot vision. You should be aware of these changes so that you can plan for alternative transportation in case your vision changes. You should not have to get new glasses, as vision will generally return to baseline after you have stopped your hbot. As with any medication, too much medicine may result in an toxicity. In the case of oxygen, you can get a case of oxygen poisoning of the brain, which could result in a seizure. This seizure is strictly related to the oxygen and will stop once the oxygen levels are decreased. You won't have to take any medications or be at any higher risk of seizures in the future. The risk of an oxygen induced seizure has been estimated to be about 1 in 3, 000 to 1 in 5, 000 treatments. Your treating physician may modify your treatment profile to use less oxygen, or institute more frequent or longer air breaks to temporarily lower the dose of oxygen to your brain. ...Read more

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What are the risks of slit therapy for allergies? I'm allergic to pretty much everything and have hyper reactive airway disease. Should i take slit?

What are the risks of slit therapy for allergies? I'm allergic to pretty much everything and have hyper reactive airway disease. Should i take slit?

SLIT: Sublingual immunotherapy (allergy drops) is new compared to subcutaneous immunotherapy (allergy shots). Only a few grass pollens have been studied in the slit group. Both have been shown to be effective in treating hay fever symptoms. However, not much is known about the effectiveness of other allergens in the slit group. A much higher dose of allergens are required in slit to induce tolerance. ...Read more

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I have osa and am on cpap therapy, my pcp just prescribed me Ambien (zolpidem) 5mg. Is it safe to take Ambien (zolpidem) with osa ? If not what are the risks?

I have osa and am on cpap therapy, my pcp just prescribed me Ambien (zolpidem) 5mg. Is it safe to take Ambien (zolpidem) with osa ? If not what are the risks?

FATIGUE WITH OSA: Provigil iand nuvigil help with energy and fatigue Also adderal/Ritalin/Starttera. Start a gluten free diet WEIGHT LOSS IS CRITICAL .Wholeapproach.com gut loss.com. If CPAP or BIPAP is poorly tolerated seek ENT CONSULT for UPP/ vs Hyoid suspension. Limit use of sedatives/hypnotics like ambien/lunesta/rozerem. D/W your doctor all options if RLS is present neurontin/Topamax may help ...Read more

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What are the risks associated with gastroparesis treatment?

What are the risks associated with gastroparesis treatment?

Depend on medication: Unfortunately the medical treatment for gastroparesis is limited both in terms of efficacy and safety profile. Macrolide antibiotics has been associated with QT prolongation. Cisapride is no longer available in the US b/c of sudden death. Reglan (metoclopramide) has the potential for devastating neurologic side effects. Domperidone has fewer side effects but not approved for use in the US. ...Read more

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Dr. Debra Rosenblatt
62 doctors shared insights

Herceptin (Definition)

Herceptin ...Read more