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Oral chemotherapy answers (465)

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Q: 

What Is oral chemotherapy?

A: oral chemotherapy is chemotherapy treatment for cancer delivered by mouth in the form of tablets or liquids. Not all medications used for chemotherapy are available in an oral format and not all patients are good candidates for oral chemotherapy. When a treatment plan is developed for a patient with cancer, the various treatment options, as well as delivery methods, will be discussed so patients can make an informed choice about how to proceed. There are some distinct advantages to oral chemotherapy. Sometimes, the chemotherapy can be taken at...


Q: 

What is Zeloda oral chemotherapy for colon cancer?

A: As you indicate in your question, Zeloda is an oral chemotherapy that can be used to treat a variety of cancers, including colon cancer. It also treats breast and colorectal cancer in some cases and has been shown in studies to be effective. Typically, it is taken twice a day with water on a full stomach. Like all chemotherapy, there may be side effects ranging from mild to pretty severe. This is because chemo attacks some healthy cells, too. It is essentially a poison, but itís a poison aimed at curing your cancer, so it may be worth it. I hope that provides the information you need.. ...


Q: 

My mother - 49 years old, is a cancer patient . She was diagnosed of Breast cancer in dec 2003 and been thru surgery, radiation and chemotherapy. She was doing good after chemo untill May 15th 2005 when she had seizures and was diagnosed of cancer in the brain, For this she had been thru radiation ( twice - 2nd one was after six months) and oral chemotherapy - Temozolomide tablets were given for 6 months. Soon after her second set of radition for her brain, cancer evolved in neck area towards the left shoulder, later in ultrasound, it was found that cancer is also in a liver.. She is now also having local breast metastatis along with brain, liver and neck. Her left shoulder is badly swollen to its double size and even after giving radition to the neck the cancer didnt shrink too well.. As the oncologists said that the cancer in pressing the lymph nodes and blocking the proper blood and fluid flow in the hand.. Her hand is immensely painful and now, other than another stronger dose of chemotherapy (Xeloda) for my mother - they have no hope and totally given up on her.. They have been giving mumma painkillers and have put her on durogesic patches so that they can not let her feel the pain much. She is having problems sleeping coz her swelling on her hand and on the upper back below the neck is causing her very discomfort..To add to it, mumma has become diabetic as oncologist and neurophysician have given her steriods like omnacortil 20mg which now have ben reduced to 10mg BD. On the left side of her chest were the surgery was done and cancerous breat was removed, she is developing boils with yellowish liquid that burst out these days. Also, she started bleeding in her motions ( no pain) which is sometimes only... The oncologist do not belive that she will survive too long...We all are shattered, my mother has never give up on any treatment even agreed for surgery and painful treatments like chemotherapy with a smile and a hope that she will get well one day.. Now, I hear about this medicine -HERCEPTIN.. Do you think it will help anyways.. She has gone very weak and most resting on the bed.. Please help to show me ''hope'' .. Please tell me frankly what can we do for her.. Please.. She is also taking Homoepathic help these days.

A: oh my... she sounds gravely ill and probably too ill to embark on new treatment regimens like that. it sounds like you may lose her soon. make sure her wishes are known so that you can carry them out. seek if hospice can get involved to help you and her as well. pain management needs to be the priority right now....
Q: 

My mother was diagnosed as having lung cancer (adenocarcinoma) with local lymph node metastasis in March 2005. She received chemotherapy -- a combination of Navelbine and Gemcitabine -- late last year, which temporarily controlled the tumor. She was not on any oral chemotherapy after that because there was no optimal choice. A recent CT scan showed increase of pleural effusion. She occasionally coughs with hemoptysis. The general syptoms are fatigue and loss of weight. I am wondering what kind of treatment she should have now. I know it is almost impossible for her to recover; what I want to know is how to extend her survival time.

A: Further treatment depends upon how ill your mother is currently. If she is still doing fairly well, i.e. out of bed most of the day, able to take care of herself, etc., then she is certainly a candidate for additional therapy. As your mother has not yet had a platinum-based treatment, that would be a reasonable next step. A combination such as carboplatin/paclitaxel could be considered. Another option, particularly if she never smoked or quit many (more than 20) years ago, would be to utilize erlotinib (tarceva). I hope that this is helpful....
Q: 

My mother - 49 years old, is a cancer patient . She was diagnosed of Breast cancer in dec 2003 and been thru surgery, radiation and chemotherapy. She was doing good after chemo untill May 15th 2005 when she had seizures and was diagnosed of cancer in the brain, For this she had been thru radiation ( twice - 2nd one was after six months) and oral chemotherapy - Temozolomide tablets were given for 6 months. Soon after her second set of radition for her brain, cancer evolved in neck area towards the left shoulder, later in ultrasound, it was found that cancer is also in a liver.. She is now also having local breast metastatis along with brain, liver and neck. Her left shoulder is badly swollen to its double size and even after giving radition to the neck the cancer didnt shrink too well.. As the oncologists said that the cancer in pressing the lymph nodes and blocking the proper blood and fluid flow in the hand.. Her hand is immensely painful and now, other than another stronger dose of chemotherapy (Xeloda) for my mother - they have no hope and totally given up on her.. They have been giving mumma painkillers and have put her on durogesic patches so that they can not let her feel the pain much. She is having problems sleeping coz her swelling on her hand and on the upper back below the neck is causing her very discomfort..To add to it, mumma has become diabetic as oncologist and neurophysician have given her steriods like omnacortil 20mg which now have ben reduced to 10mg BD. On the left side of her chest were the surgery was done and cancerous breat was removed, she is developing boils with yellowish liquid that burst out these days. Also, she started bleeding in her motions ( no pain) which is sometimes only... The oncologist do not belive that she will survive too long...We all are shattered, my mother has never give up on any treatment even agreed for surgery and painful treatments like chemotherapy with a smile and a hope that she will get well one day.. Now, I hear about this medicine -HERCEPTIN.. Do you think it will help anyways.. She has gone very weak and most resting on the bed.. Please help to show me ''hope'' .. Please tell me frankly what can we do for her.. Please.. She is also taking Homoepathic help these days

A: oh my... she sounds gravely ill and probably too ill to embark on new treatment regimens like that. it sounds like you may lose her soon. make sure her wishes are known so that you can carry them out. seek if hospice can get involved to help you and her as well. pain management needs to be the priority right now....


Q: 

Hello Dr.Shockney,Thank you so much for such a valuable forum and your time!!.This is about my mother in India. I may have asked some of these questions earlier. Please excuse me if I ask you the same version of the question again!! I would appreicate your answers.Diagnoised with stage IV BC(nodules in both lungs and mets to the bone - pelvis,ribs and spine) in June 2006. ER+/PR+ and HER2-. The ER/PR score was 220/270. At that time, her symptoms was intense pain in the pelvis rendering her unable to walk. No other symptoms. After 6 cycles of Docetaxel/Carboplatin and monthly Zometa, a complete remission. Radiation to the back and pelvis. On Arimidex since Sep 2006. A few radiation treatments since then on the arm due to complaints of mild/moderate pain. CT-Scan in July 2007 showed small nodules in both lungs and pelvic bone. Zometa administered. Oncologist wanted to wait until symptoms appear to change from Arimidex to Faslodex. In the last three months, she has lost about 10 lbs and is tired. Has persistent dry cough.Chest-Xray on Sep 27, 2008 indicated major infection in both lungs. Was on antibiotics for a week. Chest-Xray improved after a week but the infection still seem to be there. The PCR of her phlegm came a high positive for Tuberculosis. Oncologist has started on anti-TB drugs(says will go on for months). Says he will observe her for about 1.5 months and if her weight stabilizes and she feels better, it would indicated all her symptoms since July of 2008 are due to Tuberculosis. He will then continue on Arimidex. If her weight falls further, and her cough symptoms worsen and she feels very tired, he will continue the anti-tuberculosis treatment but switch to Faslodex.My questions:a)What do you make of this course of action?b) Did she catch the TB due to her low immunity because of all the anti-cancer drugs? Or must it be hygeine issues? The home and the hospital is pretty clean. She herself is very hygenic.c)If she is given Faslodex, and she recurs again, can she tolerate traditonal chemotherapy? The oncologist does not think so. d)In general, if a patient recurs on second-line hormonal therapy, is it effective to administer traditional or oral chemotherapy? In either case, in terms of research,what drug/drug combinations have the best outcomes? She has been on Arimidex since Sep 2006.e) What are your recommendations for anti-hormonal therapy drugs when there is a recurrence on Faslodex and Arimidex?Thanks a lot for your patience and knowledge!!!!

A: given all that she is dealing with, this sounds like a rational plan. there is no way to know if she was destined to get TB or if you weakened immune system allowed it to invade her body.at some point in time she has been exposed to someone with TB and contracted it from the, usually hormonal therapy is given first for mets and when that stops working then consideration for chemo is given. there is no one right formula either for chemo... or for that matter for hormonal therapy in these circumstances. quality of life is key here... they don''t want to make her sicker simply to extend her life a short time. that wouldn''t be fair to anyone... LS...


Q: 

What Are the Different Types of chemotherapy?

A: chemotherapy, or the use of chemicals to destroy cancer cells, can be employed in a variety of treatment approaches. Three common types of chemotherapy include intravenous (IV) chemotherapy, oral chemotherapy and subcutaneous or intramuscular injections. Single course or multiple course chemotherapy might be administered alone or in combination with other treatments, depending on the cancer type and how far it has progressed. Cancer treatment strategies might involve the sole use of chemotherapy agents, the use of radiation or surgery combined with chemotherapy or the use of

Q: 

What Are the Basics of chemotherapy Administration?

A: chemotherapy administration can vary from patient to patient, but generally includes medications being given either intravenously or by an oral pill taken daily. Rounds of medication are typically given in set doses, followed by several days or weeks of no medication to allow the body to heal itself and recover from the trauma of chemo. This system is called a cycle and several cycles are usually needed before treatment ends. One or more medications may be used at once, or one may follow another in alternating cycles. In most cases, chemotherapy administration is performed intravenously. This allows the doctor to keep track of how much medication the patient is receiving and to ensure all doses are given on time....


Q: 

What is Intrathecal chemotherapy?

A: Intrathecal chemotherapy is a method of administering chemotherapy drugs to treat cancer. With this method, the medications are injected directly into the cerebrospinal fluid that exists in the tissues that surround the spinal cord and brain. This type of chemotherapy is used for leptomeningeal spread, which is when the cancer has spread to the central nervous system. Intrathecal chemotherapy will only be effective before tumors have begun to grow in the spinal cord or brain. chemotherapy works by stopping the spread of cancer cells by preventing them from growing and dividing. The body cannot fight off cancer cells by itself because they multiply at an accelerated...


 
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