Mother (66F, colon CA IIIB) is starting her 4th round of XELOX (capecitabine+oxaliplatin) and has 4 more to go. Her neutrophils are naturally low (~1.6) without chemo (possibly related to the synthroid she has been taking since 2010?). By round 2 her neutro dropped to .6 so they gave her Neupogen and stopped capecitabine for 4 days. They gave her a longer-acting version of Neupogen before round 3 and lowered the dose of oxa to 90%. Before round 4 her neutro was back down at .9.
The drugs involved are capecitabine and oxaliplatin, my instinct is to protect my remaining kidney by not exposing it to toxins it may have difficulty in clearing. Has anybody out there had a similar experience or has undergone chemo with similar complications?
I would suggest consulting you doctor for alternative brands for the same drug (capecitabine), that might be cheaper or considering alternative thereputic measures that you may be able to afford. It might also be a good idea to contact the social services in your region, if they would be in a position to help.
Hope this is helpful.
Take care!
Just looking for anymore information or advise about withdraws from Fioricet / I have been taking this medication from years from Migrain headaches, it's seemed the longer I was on it the less it helped so I would increase my doses because I could not get rid of my headaches the other day I just stopped using it because it was like just this non stop headache.
Hi there, I posted a few weeks ago to say my Mum may be going on a trial as they were all out of options. She started the trial yesterday. They are trying a combination of eribulin and capecitabine. As it's a phase 1 trial it's to establish a safe dose so she will be given the drugs in an increasing amount to see what the body can handle and the effect it has. I will keep you all posted on her progress and any good news that comes from the trial.
The information you all have provided here is greatly appreciated and not to mention very informative. I'm working on learning everything I can to help two people actually. They're a couple so it's very hard. But I know there are problems with addiction for both of them. I figure the more knowledge I have the more prepared I will be. I have one of them willing to talk to me tonight. He knows what I'm going to be talking about and I'm so surprised he said ok...
There should be a prescribing information sheet included with a prescription medicine that will list known side effects.
This includes the drugs vinorelbine, capecitabine, gemcitabine and the taxanes. Still another option, particularly if the cancer is at an early stage, would be to use hormonal treatment alone instead of chemotherapy.
I think your local Pharmacist would have this information. If not they will probably get it for you. They are the true experts in medication and prescribing law and best of all their service is free.
I hope you are able to find the answers.
Hey again... okay, actually... I just checked the prescribing information of Lexapro and apparently it is actually not a good idea to take any sort of NSAID at the same time as Lexapro... so, if you're taking ibuprofen it is probably a good idea to not mix the lexapro and ibuprofen and I wouldn't suggest getting a prescription NSAID after all.
Usually the prescribing information says something about when side-effects tend to go away... but, I couldn't find it. But...
Had previous external beam radiation therapy to the liver
Ascites, or are in clinical liver failure
Markedly abnormal synthetic and excretory liver function tests
Tumors amenable to surgical resection for cure
Greater than 20 percent lung shunting (determined by the nuclear medicine breakthrough scan)
Pre-assessment angiograms and MAA nuclear scans that demonstrate significant reflux of hepatic arterial blood to the stomach, pancreas or bowel
Widely disseminated or extra-hepatic disease
My brother 51 year old had a expl laporotomy on 15 feb 2010, a single lymph node in the omentum was positive for adenocarcinoma with primary in GB ,underwent 8 cycles of chemo wIth Gemcytabine & cisplatin & also IMRT 25 cycles local radiation with gemcytabine .HIS CA 19.9 was initially 2400, then 400 in august but now is 3200.His latest PET SCAN shows some spread in liver, pancreas, infraclavicular node & is now being treated with CISPLATIN & CAPECITABINE.
Will you be prescribing 6 month treatment on triple therapy with in incivek for people who have stage 4 early child, cirrhosis, treatment naive with a CC ILB28 and have undetectable VL on week 4th and weelk 12 or will you be prescribing 48 weeks of treatment?
I have a great concern that my mother’s family practitioner is over prescribing percocet’s to her. Drug addiction runs in our family and we lost our brother to an overdose last year. She had a knee replacement last February and we think he is prescribing these medications for knee pain. She doesn’t go to her orthopedic any more. We found one prescription dated 12/11/12 for 60 pills and then another from the same doctor filled on 12/27/12 at a different pharmacy.
What can we do?
What is the difference between the prescribing of it? Such as, why would a Dr. prescribe you the pill form instead of the liquid form, or why would they prescribe the liquid instead of the pill? I understand Hydrocodone comes the same way. I know they prescribe it in liquid form, the actual name is Hycet, and then you have the regular pill form.
Coreg says directly in the drug information that it can cause dizziness, lightheadedness, and fainting. Also, it states that dosage may need to be changed if this occurs. Are her doctors not aware that this may be a direct consequence of the Coreg, or have they just decided that the Coreg is so essential to her treatment that they will have to work around this side effect rather than switching her from Coreg to another drug or changing the dosage of the Coreg?
There is more information on the website. I wish your Mom luck in that she will find something soon.
Hello Wanda,
Welcome to our Pain Management Community. We are a membership of Chronic Pain patients. We are not addicts. I think you'll obtain better responses and more information from our Substance Abuse Forum. Here's the link:
http://www.medhelp.org/forums/Addiction-Substance-Abuse/show/77
We don't carry "lists" of PM Clinics. I encourage you to do a internet search and see what you can find. It may take some phone calls.
Good luck to you.
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