Treatment FAQ

what should be included with herceptin as part of chemotharapy treatment

by Kara Veum Published 3 years ago Updated 2 years ago

Adjuvant Breast Cancer
* Herceptin can be used in several different ways: As part of a treatment course including the chemotherapy drugs doxorubicin, cyclophosphamide, and either paclitaxel or docetaxel. This treatment course is known as “AC➝TH” With the chemotherapy drugs docetaxel and carboplatin.

Full Answer

Does Herceptin count as chemotherapy?

Although Herceptin is used to treat cancer, it’s not chemotherapy. It belongs to a group of medications called monoclonal antibodies, which target the HER2 gene. You may take Herceptin in addition to a chemotherapy treatment. Does Herceptin cause hair loss? Yes, it’s possible that Herceptin or Herceptin Hylecta can cause hair loss.

What are the treatment options for symptom-like symptoms associated with Herceptin toxicity?

Symptoms were treated with acetaminophen, diphenhydramine, and meperidine (with or without reduction in the rate of Herceptin infusion); permanent discontinuation of Herceptin for infusion reactions was required in < 1% of patients.

How do you administer Herceptin to a lung cancer patient?

Administer Herceptin, alone or in combination with paclitaxel, at an initial dose of 4 mg/kg as a 90-minute intravenous infusion followed by subsequent once weekly doses of 2 mg/kg as 30-minute intravenous infusions until disease progression.

What tests should I have before starting Herceptin therapy?

Before starting Herceptin therapy, you should have an echocardiogram or a MUGA (multigated blood-pool imaging) scan to check how well your heart is functioning. Advertisement An echocardiogram uses sound waves to take detailed pictures of the heart as it pumps blood.

Can cancer spread while on Herceptin?

Herceptin works by attaching to the HER2 protein and blocking it from receiving growth signals. By blocking the signals, Herceptin can slow or stop the growth or spread of the cancer. Treating HER2-positive, early-stage breast cancer with Herceptin after surgery has been shown to lower the risk of recurrence.

How many Herceptin treatments do I need?

If you're having trastuzumab to treat primary breast cancer after surgery it's usually given for one year (around 18 cycles). If you are having trastuzumab before surgery you will usually have four to six cycles.

Does Herceptin lower your immune system?

Does trastuzumab (Herceptin) lower your immune system? Having trastuzumab (Herceptin) could mean you're more at risk of getting coronavirus or becoming very ill if you get it. The risk is likely to be higher if you're having it with chemotherapy. However, being fully vaccinated against Covid-19 reduces the risk.

Can you have a glass of wine while on Herceptin?

The risk of heart problems increases if you are being treated with Adriamycin and Cytoxan as well as Herceptin. Most oncologists recommend that you refrain from using alcohol and tobacco during Herceptin treatment.

Is Herceptin considered chemotherapy?

No, Herceptin is not a chemo drug, it is a targeted therapy anticancer drug. Anticancer drugs can be divided into different groups: targeted therapy. chemotherapy (often called chemo)

Does hair grow back while on Herceptin?

Your hair may thin but you're unlikely to lose all your hair. This usually starts after your first or second cycle of treatment. It is almost always temporary and your hair will grow back when you finish your treatment.

Does Herceptin make you tired?

Fatigue (lack of energy) is also a common side effect of Herceptin. Fatigue can contribute to depression in some people. Getting diagnosed with cancer can cause a variety of emotions. For some people, it can lead to depression, anxiety, or other mental health conditions.

Does Herceptin cause weight gain?

Herceptin side effects Symptoms to watch for include swelling of the ankles or legs, shortness of breath, cough, or weight gain of more than 5 pounds in less than 24 hours. Contact your doctor immediately if you have any of these symptoms.

How long after Herceptin will I feel better?

They typically last a few days or weeks. But Herceptin may cause long-term side effects as well. For example, some heart problems due to the drug may not go away.

What should you not drink during chemotherapy?

Frequent or heavy alcohol consumption during chemotherapy is generally a bad idea. One reason for this is that alcohol can worsen some chemotherapy side effects, such as dehydration, diarrhea, and mouth sores. Additionally, alcohol and chemotherapy drugs are both processed by the liver.

What should you not do during chemotherapy?

A person undergoing chemotherapy should avoid eating undercooked or raw food, interacting with actively infectious people, overexerting themselves, and consuming too much alcohol. There are also things that a person can do to minimize risks during chemotherapy.

Can you take ibuprofen while on Herceptin?

Do not take any medicines such as acetaminophen (Tylenol®), ibuprofen (Advil® or Motrin®) or ASA (Aspirin®) until you have seen a doctor. This is a rare but serious side effect of trastuzumab.

What is herceptin used for?

Bottom line: Herceptin is a type of targeted therapy anticancer drug called a monoclonal antibody. Herceptin is used to treat cancers that are HER2 positive and is indicated for adjuvant breast cancer , metastatic breast cancer and metastatic gastric cancer. Herceptin works by binding to the HER2 receptor which prevents the number cells ...

How does herceptin work?

Herceptin works by binding to the HER2 receptor which prevents the number cells from multiplying which prevents further cancer growth, and also makes the cancer cells a target so that the immune system will destroy the cancer cell. References. https://www.drugs.com/pro/herceptin.html.

What is the antibody that matches the cancer cell receptor called?

Herceptin is an antibody that is created to match the cancer cell receptor called HER2, and attaches to it like a key fits a lock. People with HER2 positive cancer have too many HER2 genes and too many HER2 receptors which triggers cells to multiply very quickly.

What is it called when there are a lot of HER2 genes?

When there are a lot more HER2 genes, they make too many HER2 receptors - this is called HER2 receptor overexpression.

What is the name of the drug that targets HER2 receptors?

Herceptin is a type of targeted therapy anticancer drug called a monoclonal antibody. Herceptin works by targeting HER2 receptors to fight cancer cell growth.

What is the treatment for HER2 positive cancer?

Cancer that is HER2 positive can be treated with anticancer drugs that attach to and block the HER2 receptors, so slows cells multiplying and prevents cancer progression.

What is the role of HER2 receptors in the cell?

HER2 receptors control how a healthy cell grows, divides, and repairs itself. In some people the HER2 gene is faulty and there ends up being too many HER2 genes - this is called HER2 gene amplification. When there are a lot more HER2 genes, they make too many HER2 receptors - this is called HER2 receptor overexpression.

How much water is in a 150 mg vial of Herceptin?

Reconstitute each 150 mg vial of Herceptin with 7.4 mL of Sterile Water for Injection (SWFI) (not supplied) to yield a single-dose solution containing 21 mg/mL trastuzumab that delivers 7.15 mL (150 mg trastuzumab).

How long after stopping herceptin can you take anthracycline?

If possible, physicians should avoid anthracycline-based therapy for up to 7 months after stopping Herceptin. If anthracyclines are used, the patient's cardiac function should be monitored carefully.

What is the kappa trastuzumab?

Trastuzumab is a humanized IgG1 kappa monoclonal antibody that selectively binds with high affinity to the extracellular domain of the human epidermal growth factor receptor 2 protein, HER 2. Trastuzumab is produced by recombinant DNA technology in a mammalian cell (Chinese Hamster Ovary) culture.

How long does it take to get paclitaxel infusion?

During and following paclitaxel, docetaxel, or docetaxel/carboplatin: Initial dose of 4 mg/kg as an intravenous infusion over 90 minutes then at 2 mg/kg as an intravenous infusion over 30 minutes weekly during chemotherapy for the first 12 weeks (paclitaxel or docetaxel) or 18 weeks (docetaxel/carboplatin).

Does trastuzumab increase with concentration?

Total trastuzumab clearance increases with decreasing concentrations due to parallel linear and non-linear elimination pathways.

Is trastuzumab in milk?

There is no information regarding the presence of trastuzumab in human milk, the effects on the breastfed infant, or the effects on milk production . Published data suggest human IgG is present in human milk but does not enter the neonatal and infant circulation in substantial amounts.

Does trastuzumab affect QTc?

Trastuzumab had no clinically relevant effect on the QTc interval duration and there was no apparent relationship between serum trastuzumab concentrations and change in QTcF interval duration in patients with HER2 positive solid tumors.

How long before conception can you take herceptin?

Advise pregnant women and females of reproductive potential that exposure to Herceptin during pregnancy or within 7 months prior to conception can result in fetal harm.

How long after Herceptin is given to use contraception?

Advise females of reproductive potential to use effective contraception during treatment and for at least 7 months following the last dose of Herceptin

What is an ARR in herceptin?

Severe administration-related reactions (ARRs), including hypersensitivity and anaphylaxis, have been reported with HERCEPTIN HYLECTA. Patients experiencing dyspnea at rest due to complications of advanced malignancy and comorbidities may be at increased risk of a severe or of a fatal ARR.

When should you report herceptin if pregnant?

If HERCEPTIN HYLECTA is administered during pregnancy, or if a patient becomes pregnant while receiving HERCEPTIN HYLECTA or within 7 months following the last dose of HERCEPTIN HYLECTA, health care providers and patients should immediately report HERCEPTIN HYLECTA exposure to Genentech at 1-888-835-2555

Can herceptin cause a ventricular dysfunction?

Herceptin can cause left ventricular cardiac dysfunction, arrhythmias, hypertension, disabling cardiac failure, cardiomyopathy, and cardiac death. Herceptin can also cause asymptomatic decline in LVEF. Discontinue Herceptin treatment in patients receiving adjuvant therapy and withhold Herceptin in patients with metastatic disease ...

Can HERCEPTIN HYLECTA cause LVEF?

HERCEPTIN HYLECTA can also cause asymptomatic decline in LVEF. Discontinue HERCEPTIN HYLECTA treatment in patients receiving adjuvant breast cancer therapy and withhold HERCEPTIN HYLECTA in patients with metastatic disease for clinically significant decrease in left ventricular function.

Can herceptin cause pulmonary toxicity?

Infusion Reactions; Pulmonary Toxicity. Herceptin administration can result in serious and fatal infusion reactions and pulmonary toxicity. Symptoms usually occur during or within 24 hours of Herceptin administration. Interrupt Herceptin infusion for dyspnea or clinically significant hypotension.

What medications can be used to treat herceptin?

Many can be managed by the use of add-on medications like acetaminophen (Tylenol), diphenhydramine (Benadryl), and meperidine (Demerol). In clinical studies, reactions to the infusion were severe in 1% to 9% of people taking Herceptin, depending on whether they took Herceptin alone or with chemotherapy.

How is herceptin given?

Herceptin is given by infusion (an injection into your vein that’s slowly dripped in over time). Herceptin Hylecta is given by subcutaneous injection (under the skin). Both drugs should only be given by a healthcare professional.

What is Herceptin?

Herceptin is a brand-name prescription drug that’s FDA-approved as a treatment for:

What is the active ingredient in Herceptin Hylecta?

Herceptin contains the active ingredient trastuzumab. Herceptin Hylecta contains the active ingredients trastuzumab and hyaluronidase.

How long does herceptin last?

There are two main dosage schedules for Herceptin when it’s used as an adjuvant treatment (therapy used to prevent cancer from returning). Both options last 52 weeks. Your Herceptin dosage schedule will depend on whether you take Herceptin at the same time as other treatments (such as chemotherapy) or whether you take it after completing other treatments.

How long does it take for herceptin to be given?

In this case, the loading dose is 8 mg/kg given as an infusion over 90 minutes.

What is anthracycline used for?

Anthracyclines are a class of drugs used to treat cancer. Examples include doxorubicin (Doxil), epirubicin (Ellence), and daunorubicin (Cerubidine).Taking anthracyclines within 7 months of your last Herceptin dose can raise your risk for heart problems.

How does herceptin work?

Herceptin works by attaching itself to the HER2 receptors on the surface of HER2-positive breast cancer cells and blocking the cells’ ability to receive growth signals. An anthracycline chemotherapy medicine is typically part of the combination used to treat HER2-positive disease. Adriamycin (chemical name: doxorubicin) ...

What is the treatment for HER2 breast cancer?

HER2-positive breast cancers tend to be aggressive, so doctors may recommend treatment with chemotherapy and/or Herceptin (chemical name: trastuzumab) before surgery.

How long does it take for herceptin to work after taxol?

Within 6 weeks after completing the 12 weeks of Taxol and Herceptin, the women had surgery. The concurrent group (142 women) was treated with Taxol and Herceptin every week for 12 weeks, followed by fluorouracil, Ellence, and cyclophosphamide every 3 weeks, along with weekly Herceptin, for 12 weeks. Within 6 weeks after completing the 12 weeks of ...

What is the treatment for breast cancer called?

Treatments given before breast cancer surgery are called neoadjuvant treatments. When Herceptin is given as a neoadjuvant treatment with chemotherapy, Herceptin can be given: at the same time as chemotherapy -- called concurrent treatment. after chemotherapy -- called sequential treatment.

Does herceptin help with breast cancer?

Long-term results show that women with HER2-positive breast cancer who were treated with Herceptin and chemotherapy before surgery had similar survival rates whether they received Herceptin at the same time or after chemotherapy.

Can you give herceptin after HER2?

If you’ve been diagnosed with HER2-positive breast cancer and will be treated with anthracycline chemotherapy and Herceptin before surgery, this study offers reassuring results. Giving Herceptin after anthracycline chemotherapy offers the same benefits as giving the medicines at the same time and may reduce the risk of heart damage.

Is it a good idea to ask your doctor about herceptin?

If Herceptin and chemotherapy are part of your treatment plan, it’s a good idea to ask your doctor about your risk of treatment-related heart problems and how your heart function will be monitored during treatment . You also may want to ask if visiting a cardiologist before treatment starts is a good idea for you, especially if you have any risk factors for heart disease, such as high blood pressure or diabetes. The cardiologist can evaluate your heart function and decide if you’re at high risk for developing heart disease or heart failure from breast cancer treatment.

What to ask your doctor about herceptin?

When your doctor talks to you about Herceptin, ask them about your risk for heart and lung complications. Although these side effects are relatively rare, being prepared is always a wise decision.

How does herceptin affect cancer cells?

Herceptin attaches to the HER2 receptors on the surface of the cancer cells, which blocks the cells from receiving growth signals. As a result, growth is slowed or stopped. Herceptin is administered intravenously (through a vein into the bloodstream).

What happens when a cancer cell has HER2?

These HER2-positive cancers include: The HER2 protein in some breast and gastric cancers makes the cancer cells grow and divide. Herceptin attaches to the HER2 receptors on the surface of the cancer cells, which blocks the cells from receiving growth signals. As a result, growth is slowed or stopped.

How long does herceptin last?

Treatment often lasts 6 months to 1 year. When it’s used as the sole treatment for early breast cancer, Herceptin is administered every 3 weeks. When it’s used alongside chemotherapy, the drug is administered weekly for the first 12 or 18 weeks.

What is the name of the cancer drug trastuzumab?

Herceptin is the brand name of the targeted cancer drug trastuzumab.

How long does it take to take herceptin hylecta?

IV treatment with traditional Herceptin often lasts 30 to 90 minutes. Herceptin Hylecta is taken every 3 weeks for up to 1 year. Common or long-term side effects are similar to the common or long-term side effects of Herceptin.

What are the side effects of breast cancer?

nasopharyngitis, which is nasal and throat swelling. inflammation of the mucous membranes. The other side effects seen in more than 10 percent of people with metastatic breast cancer are: chills. headache. infection. congestive heart failure. insomnia. cough.

What is herceptin used for?

Herceptin (trastuzumab) is a monoclonal antibody used to treat HER2 overexpressing ( HER2+) breast cancer. HER2 has a role in the signaling pathways leading to cell growth and differentiation, which accounts for the reputation of aggressiveness of this type of breast cancer. Herceptin binds selectively to the HER2 protein, thereby reducing cancer cell growth and proliferation.

Can you take a micronutrient at low doses?

What is known is that when a beneficial micronutrient is administered at low doses by consuming food, it is likely to have subtle chemopreventive effects, whereas when the same micronutrient is administered at high doses, it is more likely to have pharmacological effects, with mostly unknown results. It is best to obtain beneficial compounds by consuming food, if possible. Supplements should be used if medically necessary or to make up for deficiencies that are difficult to correct through diet.

Does erythropoietin reduce Herceptin?

Anti-anemia drugs based on erythropoietin have been shown to reduce the effectiveness of Herceptin. Erythropoietin controls the body's red blood cell production and is the basis for drugs such as epoetin alfa (Procrit), epoetin beta (Mircera), and darbepoetin alfa (Aranesp). These drugs should not be avoided if they are necessary to treat chemotherapy-related anemia, thereby eliminating the need for a blood transfusion. However, based on the available evidence, they should be used as sparingly as possible during Herceptin treatment.

Can you take herceptin and chemotherapy at the same time?

Breast cancer patients receiving chemotherapy at the same time as Herceptin should also incorporate appropriate food choices for the drugs used (e.g., Taxol or Adriamycin ).

Can anti-oxidant supplements help HER2+ cells?

There is some evidence that taking anti-oxidant vitamin supplements could potentially enable early stage HER2+ tumor cells to survive when they otherwise would die.

Does herceptin cause heart disease?

Herceptin and other similar monoclonal antibodies can result in side effects such as flu-like symptoms (fever, nausea, vomiting, diarrhea, increased cough, headache), low white blood cell count, anemia, increased infections, and muscle pain. Herceptin is also suspected of causing heart damage, although it is not clear whether Herceptin amplifies the heart damage that may be caused by anthracycline - and taxane -based chemotherapy. Statins (lipid-lowering drugs that block cholesterol synthesis) have been shown to protect against Herceptin-induced heart damage. There are some foods that support heart health while also being associated with lower risk of breast cancer or its recurrence. Other foods may have the opposite effect.

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