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Kathy,
Tykerb is not available in Canada yet, but while speaking with a nurse at Glaxo, Smith, Kline (GSK) U.S. based, the makers of Tyerb (lapatinib) she suggested that my onc. try to apply for expanded program available to foreign oncs. I ran this by my onc and he refused, but maybe yours will.
By the way, palliative is just one more label. Chose to live,
Hugs,
Diana.
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