Faslodex
Ohilly
Comments
-
I have read about it because my onc mentioned it...
and I think that faslodex (fulvestrant) is a very exciting addition to hormone therapy. From what I have read, fulvestrant actually destroys the receptor sites on the tumor so that ER dependent tumors can no longer "feed themselves" and thus it starves the ER+ tumors.
My onc said he would use it if my arimidex quit working. Since the arimidex is working well for me, I will continue on it. However, I would try the faslodex in a minute if the arimidex stopped working. Adverse effects appear similar to arimidex. I will list them (from epocrates) below.
Faslodex Adverse Reactions:
Serious Reactions
hypersensitivity rxn
anemia
leukopenia
thromboembolism
Common Reactions
injection site pain
nausea
bone pain
arthralgia
headache
back pain
fatigue
extremity pain
hot flashes
vomiting
anorexia
asthenia
musculoskeletal pain
cough
constipation
dyspnea
LFTs elevated0 -
Faslodex
Faslodex was approved in 2002, so it's not a new drug. It is a shot in the buttocks or hips. It is classified as an ERD (estrogen receptor downregulator) hormonal therapy not an aromatase inhibitor.
It has recently had approval of injecting 500 mg instead of 250 mg.
I chose this drug after my 3rd recurrence and was given a booster of 500 mg the first time, 2 weeks later I received a 250 mg shot and 2 weeks later another 250. A ct scan showed that I stop the tumors in their tracks (widespread pulmonary and pleural metastasis). From that point on I received one 250 mg once a month. The shot of 250 mg is $2000.00. When I had the 500 mg as a booster it was $4000.00 that day. I was a little shock!
There was little progress with this drug and I remain on it for 7 months until progression.
I inquired recently from my oncologist if we could do Faslodex again since the dosage was increase. The reply was the benefit is limited and it was the drug company that pushed for the higher dose. $4000.00 is better than $2000.00 in their pockets.
The shot doesn't hurt, at least for me it didn't. If you place all your weight on the side that isn't receiving the shot. The side that is, the muscle is relaxed and that helps a lot.
It works for some, it doesn't for others. One never knows until one tries. For me it wasn't a great drug compared to AI.
SIROD0 -
Side EffectsCypressCynthia said:I have read about it because my onc mentioned it...
and I think that faslodex (fulvestrant) is a very exciting addition to hormone therapy. From what I have read, fulvestrant actually destroys the receptor sites on the tumor so that ER dependent tumors can no longer "feed themselves" and thus it starves the ER+ tumors.
My onc said he would use it if my arimidex quit working. Since the arimidex is working well for me, I will continue on it. However, I would try the faslodex in a minute if the arimidex stopped working. Adverse effects appear similar to arimidex. I will list them (from epocrates) below.
Faslodex Adverse Reactions:
Serious Reactions
hypersensitivity rxn
anemia
leukopenia
thromboembolism
Common Reactions
injection site pain
nausea
bone pain
arthralgia
headache
back pain
fatigue
extremity pain
hot flashes
vomiting
anorexia
asthenia
musculoskeletal pain
cough
constipation
dyspnea
LFTs elevated
The only side effect I had on Faslodex was a little nausea in my 6 month using Faslodex.
SIROD0 -
Question to DorisSIROD said:Faslodex
Faslodex was approved in 2002, so it's not a new drug. It is a shot in the buttocks or hips. It is classified as an ERD (estrogen receptor downregulator) hormonal therapy not an aromatase inhibitor.
It has recently had approval of injecting 500 mg instead of 250 mg.
I chose this drug after my 3rd recurrence and was given a booster of 500 mg the first time, 2 weeks later I received a 250 mg shot and 2 weeks later another 250. A ct scan showed that I stop the tumors in their tracks (widespread pulmonary and pleural metastasis). From that point on I received one 250 mg once a month. The shot of 250 mg is $2000.00. When I had the 500 mg as a booster it was $4000.00 that day. I was a little shock!
There was little progress with this drug and I remain on it for 7 months until progression.
I inquired recently from my oncologist if we could do Faslodex again since the dosage was increase. The reply was the benefit is limited and it was the drug company that pushed for the higher dose. $4000.00 is better than $2000.00 in their pockets.
The shot doesn't hurt, at least for me it didn't. If you place all your weight on the side that isn't receiving the shot. The side that is, the muscle is relaxed and that helps a lot.
It works for some, it doesn't for others. One never knows until one tries. For me it wasn't a great drug compared to AI.
SIROD
Hi Dorris,
I am not sure weather or not I understand correctly about your treatment: you have been taking both Faslodex and Femara?
Thanks0 -
To Reply to your Question New FlowerNew Flower said:Question to Doris
Hi Dorris,
I am not sure weather or not I understand correctly about your treatment: you have been taking both Faslodex and Femara?
Thanks
I am on my 4th hormonal, (Tamoxifen, Arimidex, Faslodex, and Femara). Tomorrow I receive the results of my PET/CT scan taken today.
Hoping and etc. to stay on Femara. It's the drug that I have a love/hate relationship with due to the pain it gives me. It increases the pain on another medical condition that I have. I always say the devil you know is better than the devil you don't.
We will see what the results of today's PET/CT scan is, as where things are now.
You can only do one drug on the hormonal therapy at a time.
Best,
Doris0 -
How did your pt/ct scan go, sirod?SIROD said:To Reply to your Question New Flower
I am on my 4th hormonal, (Tamoxifen, Arimidex, Faslodex, and Femara). Tomorrow I receive the results of my PET/CT scan taken today.
Hoping and etc. to stay on Femara. It's the drug that I have a love/hate relationship with due to the pain it gives me. It increases the pain on another medical condition that I have. I always say the devil you know is better than the devil you don't.
We will see what the results of today's PET/CT scan is, as where things are now.
You can only do one drug on the hormonal therapy at a time.
Best,
Doris
and just trying to keep this up in case anyone else has any advice. I start on the Fasladex next week.0
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