10-18-2008, 01:50 PM
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#4
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Senior Member
Join Date: Nov 2005
Posts: 530
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Perhaps this would work.
Nguyen
And in another interview (Breast Cancer Update (2005): Clinical experience with fulvestrant), Dr. Charles L Vogel noted that fulvestrant is a very good drug with minimal toxicity, and not much buttock pain even with a five-cc injection, and with less degree of joint discomfort that seen with the aromatase inhibitors, so that it is certainly a viable alternative to aromatase inhibitors in patients who have disease progression on tamoxifen. The pain of the intramuscular site injection can be effectively mitigates either by Emla Cream (lidocaine 2.5% and prilocaine 2.5%) by patch applied one-hour before injection, or somewhat more effectively, by vapocoolant (Fluori-Methane) which unlike Emla Cream is immediate in onset of action and relatively inexpensive (Mawhorter et al., J Travel Med (2004): Topical vapocoolant quickly and effectively reduces vaccine-associated pain: results of a randomized, single-blinded, placebo-controlled study).
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