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03-22-2007, 08:13 PM
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#1
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Senior Member
Join Date: Sep 2005
Location: Riverside, CA
Posts: 484
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Tykerb Prescription
I saw my onc on Wed afternoon and we discussed the Tykerb. He will be prescribing it for me, but apparently I need a MUGA and an EKG first, to be used as a baseline for treatment.
I was surprised, but I will be getting the tests, then seeing him again in 2 weeks to get it prescribed.
I guess because it is pill form I didn't realize that there might be heart issues or risks associated with it as well.
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03-23-2007, 04:58 AM
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#2
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Senior Member
Join Date: Sep 2005
Location: Maine
Posts: 97
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I'm currently in the Tykerb TEACH trial so am not sure if I'm getting the actual drug or a placebo but as part of the trial I had to have a MUGA and EKG before starting and have to have a MUGA every 3 months. I'm not sure if I have to have an EKG every three months or not. From what I understand heart issues don't seem to be too common but can happen. Good luck with your treatment!
Pat
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03-23-2007, 05:21 AM
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#3
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Senior Member
Join Date: Sep 2005
Location: Philadelphia
Posts: 301
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Esther-
for my clinical trial w/ xeloda/tykerb, we got an echo and ct scan every 6 weeks, and then eventually every 12 weeks....
it's so exciting to hear it's being prescribed.
Good luck w/ things,
__________________
Shell
init diag 3/17/03-stage IIIC
ER-/PR-/HER2+++
CET x4 neo-adjuvant
lump & SNB 8/03
CET x2
radiation and herceptin/navelbine 11-03-1/04
1st reoccur to lymph nodes 8/04
complete axillary dissection 12/04
herceptin/taxotere til progression (lungs) 3/05
xeloda w/out lapatinib trial 6/05
lapatinib/tykerb added 4/06
ended trial 8/06 due to progression
doxil / avastin 11/06-12/06 - wasn't working
navelbine/herceptin/avastin 12/06/3/07 - progression
gemzar/carboplatin/tykerb 4/07
mri shows extensive mets to bone in pelvic area 6/07
switched to abraxane (3 on/1 off) + tykerb 6/07
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03-23-2007, 06:30 AM
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#4
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Senior Member
Join Date: Feb 2005
Location: Norridgewock, Maine
Posts: 778
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The same with me started every 6 weeks and than to 3 months unless one is having problems. I think it is too soon to know about the heart and they are being cautious until they know more. Wishing you well. Do you know how expensive it is?? Have heard a few different quotes. hugs, Sandy
__________________
Dx. 03/01, Rt. IBC
AC/Taxatere
Rt. MRM-with graft Lt. simple
5 rads-skin mets
Herceptin, taxol, carboplatin (taxol seem to be the magic drug)
Navelbine & xeloda (did not work)
topical miltex for skin mets
Tykerb/xeloda
thoracentesis x 2 left lung fluid shows cancer cells
Port removal (4 years) with power port replacement
Doxil
Updated 05-07 Scans show no bone or organ involvement we shall see!
I shall not pass this way again. Any good I can do or any kindness that I can show let me not defer or neglect it for I shall not pass this way again.
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03-23-2007, 07:18 AM
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#5
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Senior Member
Join Date: Feb 2007
Location: Suwanee, Georgia.
Posts: 56
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Hi Esther,
Same here for me for my clinical trial w/ xeloda/tykerb. I had to get an echo, Petscan and ct scan before I started this regimen and will need to continue doing this every 6 weeks, and then eventually every 12 weeks....
Good luck! Keep us posted.
<!-- / message --><!-- sig -->
__________________
1/2002 DX stage IIa IDC er/pr+ her2 3+ positive: insitu ductal carcinoma right breast, 3cm 8 node removal all neg;lumpectomy;4 rounds A/C; 33 rads
tamoxifen
4/2004 DX Local Reacurrance; er/pr+ her2 3+ positive; nodes 9 of 12 positive largest 1.5 cm; 28 rads;stopped tamoxifen;went on Femara/lupron
8/2004 DX Local Reacurrance; er/pr+ her2 3+ positive; dbl mas reconstructive surgery w/tran flap; no chemo or drugs
11/2005 DX Local Reacurrance; er/pr+ her2 3+ positive; Taxol/Herceptin 1x weekly for 12 weeks; Herceptin for 9 months 1x 21 days
12/2006 DX Local Reacurrance; er/pr- her2 3+ positive; Her 2 rechecked with FISH her2+++ er/pr-
3/9/07 Started Tykerb (Lapatinib) 1250 mg/once daily
Xeloda (Capecitabine 2000 mg/m2/daily 1-14 every 21 days
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03-23-2007, 06:43 PM
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#6
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Senior Member
Join Date: Sep 2005
Location: Riverside, CA
Posts: 484
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Sandy, I have heard the quote as being $2300 a month for the Tykerb. I am currently looking into getting the prescription by mail as this seems to be the most affordable way to go with my prescription insurance carrier.
I'm still not sure how much of that amount will be assigned to me as a copay, hoping it won't be too much.
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03-23-2007, 06:53 PM
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#7
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Senior Member
Join Date: Apr 2006
Posts: 63
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Tykerb and Herceptin
Esther,
You mentioned in a previous post that Dr. Pegram recommended you continue Herceptin in addition Tykerb. Is that the plan you ended up following?
With warm regards,
Amy
__________________
Amy age 37 at dx
Feb 2008 Multifocal DCIS
Apr 2008 Bilateral Mastectomies
Sister to Laura age 37 at dx
April 2006
9 cm ER-/PR- Her2 +++/bone mets
neoadjuvant TCH plus Zometa
November 2006
bilateral mastectomy - Change to ER+/PR- Her2 +++
January 2007
innumerable tiny brain mets - WBR
March 2007
good response to WBR - some gone, all smaller
currently on Lapatinib and Xeloda
Feb 2008
Brain MRI: brain mets went from innumerable (jan '07) to 5 (june '07) to 3 (oct '07) to 1 that is getting less conspicuous(feb '08) PET/CT: Slight uptake in some sclerotic bone mets
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03-24-2007, 10:39 AM
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#8
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Senior Member
Join Date: Dec 2005
Posts: 148
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I called up GSK and they said the wholesale rate for one month supply of Tykerb is USD 3625 and is availble thru specialized pharmacies only
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03-24-2007, 03:49 PM
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#9
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Senior Member
Join Date: Sep 2005
Location: Riverside, CA
Posts: 484
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Amy, yes the current plan is to begin Tykerb in addition to Herceptin. I still have to get the MUGA, and EKG and get the prescription from my onc and get it filled.
I'm hoping to have everything in place and be starting the Tykerb by early April.
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03-24-2007, 03:59 PM
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#10
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Senior Member
Join Date: Mar 2006
Location: IOWA
Posts: 243
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Esther - please keep us posted as to your status with this combination. I have my exam with my onc March 30 and hope to be able to get Tykerb with Herceptin when I finish with the Navelbine.
__________________
Andi
-- ------------------------
Stage IIIC, 17 of 20 Nodes +, E+, Her2+++
Diagnosed 6/30/05
Lumpectomy 7/13/05
Dose Dense A/C x 4
Weekly Taxol + Herceptin x 12
Remainder of year Herceptin Every 3 weeks (completes 9/13/06)
Radiation completed 2/28/06
Currently on Tamoxifen
Dec 06 - Pleural effusion treated with pleurodesis
Now er/pr-, her2++
1/07 started weekly Navelbine plus Herceptin
Discontinued Tamoxifen
4/27/07 CTshowed progression
5/01/07 Began Tykerb/Xeloda + Zometa
5/22/07 Stopped treatment due to great progression
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