perjeta with gemzar?

[ElaineM]

Wow !! Just look at the potential options and choices you have !! See what happens when you put a group of great minds (members here) together.
According to your bio you haven't had alot of different chemo combos even though you have had a considerable amount of chemo. I have another suggestion. You might want to ask about using a chemo you used in one combo with another combo. For example some people use Taxol or Abraxane and Herceptin, but Taxol or Abraxane can also be used with Tykerb instead of Herceptin. Either you or your oncologists can look up different combos on the internet and come up with something that might work if all the other options suggested here do not seem to be workable.
I always believed one doctor does not know everything about everything. Doctors can always learn more about their choosen fields just like other professionals can.
Make a list and chat with your oncologists about all the suggestions here. I bet something good will come out of that chat.
All the best Cool Breeze.

[cheery]

Hi Mandamoo/Amanda

I was wondering, why not do Abraxane, Carbo, Herceptin & Perjeta combo? TCH is the golden combo for HER2+ BC and Abraxane is part of the taxane family. My onco said he didn't suggest Abraxane as it's expensive compared to Taxol, but Taxol has more side effects.

While a 2nd opinion onco suggested Taxol alone for me, my onco was determined that I do Taxol, Carbo and Herceptin combo to get the maximum benefit in overcoming Herceptin resistance. He said Taxol and Carbo have synergistic effects as does Taxol with Herceptin. Following TCH, the liver met shrank. Of course, I'll never know what did the trick - be it Taxol, Carbo or Herceptin alone or a combination of either/all but I'm just thankful.

Just a thought. Ultimately it's your decision with your oncologist hope the next treatment will kick those BC cells away!