Hi
OK Caron here goes. Herceptin is given every 3 weeks which makes it a years treatment. It is given by an infusion just like chemo. The first dose takes longer than the others and they will refer to the loading dose i.e. the first one.They will probably then keep you in the unit most of the day as a saftey precaution because a very few people have a reaction and they need you where they can keep an eye on you. My first 8/9 doses where given over an hour and a half but they now have the go ahead to do it over half an hour - your unit will tell you what they do.I can hand on my heart say that I have had no reactions at all - not like chemo. I have it done and get on with things no ill feeling at all. One thing that Herceptin can do is affect the heart and my unit make me have an echocardiogram every few months and blood tests but not every time like chemo. Some hospital do echos some do straight heart scans.
I asked recently what happens at the end of the year and was told that at the moment 1 years treatment is the recommended amount that is given. I admit to being worried because if there are any cancer cells left in my body and the Herceptin is protecting me will the cancer start growing again without the Herceptin to stop it. I was told that if any evidence of cancer reappears going bck onto Herceptin is an option. I personally think that there is a cost implication here because according to my treatment suite staff 1 years course of Herceptin costs approx £52,000. If we won the lottery and had the funds I would try and stay on it but obviously that is not an option.
As far as it coming back - I have no idea, I have just been told to be vigilant and report anything like pain or anything out of the ordinary that does not go away inside about 2 weeks. Hence the reason for my current paranoia, every twinge and pain makes me suspicious. I have arthritis in my spine anyway and an really concerned that that pain will mask something more sinister. I am sure the BCN hears my name on the telephone and cringes; but there is no one else to ask. With this Swine flu getting hold of a GP is impossible so the BCN is the only line of enquiry.
Any more questions?
Andie