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Trastuzumab

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Trastuzumab, also known by the brand name Herceptin, is a medication used to treat certain types of breast cancer and stomach cancer. It's particularly effective for cancers that produce a large amount of a protein called HER2. HER2 stands for human epidermal growth factor receptor 2. This protein promotes the growth of cancer cells. In some cancers, high levels of HER2 are present, which makes the cancer more aggressive and harder to treat.

Trastuzumab is a type of drug known as a monoclonal antibody. Monoclonal antibodies are lab-made molecules designed to attach to specific targets in the body. In the case of trastuzumab, the target is the HER2 protein. By binding to HER2, trastuzumab helps to slow down or stop the growth of cancer cells.

The way trastuzumab works can be understood in a few steps:

1. **Targeting Cancer Cells:** Trastuzumab finds and attaches itself to the HER2 proteins on the surface of cancer cells.
2. **Blocking Growth Signals:** By binding to HER2, trastuzumab blocks the signals that tell cancer cells to grow and divide.
3. **Marking Cancer Cells for Destruction:** Trastuzumab also flags the cancer cells for destruction by the body's immune system.

Trastuzumab is administered through an intravenous (IV) infusion, meaning it is given directly into a vein. The treatment is usually given once every one to three weeks, depending on the specific treatment plan and how the patient responds to the medication.

Like all medications, trastuzumab can cause side effects. Some common side effects include fever, nausea, vomiting, diarrhea, and infections. More serious side effects can also occur, such as heart problems. Because of the risk of heart issues, doctors will monitor heart function before and during treatment with trastuzumab.

Trastuzumab has significantly improved the outcomes for many people with HER2-positive cancers. Before the development of this drug, HER2-positive breast cancer was considered more difficult to treat and had a poorer prognosis. Trastuzumab has changed that, offering many patients a much better chance of successful treatment and longer survival.

The discovery and development of trastuzumab were major advancements in cancer treatment. It represents a targeted therapy approach, which aims to attack cancer cells specifically while causing less damage to normal cells. This is different from traditional chemotherapy, which can affect both cancerous and healthy cells, leading to more widespread side effects.

Trastuzumab is often used in combination with other cancer treatments, such as chemotherapy, surgery, and radiation therapy. This combined approach can help to further improve treatment effectiveness and outcomes.

In summary, trastuzumab (Herceptin) is a targeted cancer treatment that works by binding to the HER2 protein on cancer cells, thereby slowing their growth and helping the immune system destroy them. It's a crucial drug for treating HER2-positive breast and stomach cancers and has been a game-changer in improving survival rates and the quality of life for many cancer patients.

 

Have any queries, book a consultation with our Oncology Clinical Specialist

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How does this medicine work

Trastuzumab, also called Herceptin, is a medicine used to treat certain cancers by targeting a specific protein called HER2. Here's how it works :

1. **Finding the Target:** Some cancer cells have too much of a protein called HER2 on their surface. This protein makes the cancer grow faster. Trastuzumab is designed to find and stick to these HER2 proteins.

2. **Blocking the Signal:** Once trastuzumab attaches to the HER2 proteins, it blocks the signals that tell the cancer cells to grow. This helps to slow down or stop the cancer from getting bigger.

3. **Calling for Help:** Trastuzumab also acts like a flag. By sticking to the cancer cells, it helps the body’s immune system recognize these cells as harmful. The immune system can then attack and destroy the cancer cells.

4. **Administering the Medicine:** Trastuzumab is given through an IV, which means it goes directly into your bloodstream. This is done at a clinic or hospital.

In summary, trastuzumab works by finding and sticking to the HER2 protein on cancer cells, blocking their growth signals, and helping the immune system destroy them. This makes it a powerful tool for treating cancers that have too much HER2.

Have any queries, book a consultation with our Oncology Clinical Specialist

What is useful for?

Trastuzumab, also known as Herceptin, is primarily used to treat certain types of breast cancer and stomach cancer. Specifically, it is effective for cancers that have high levels of a protein called HER2 (human epidermal growth factor receptor 2). Here’s what trastuzumab is useful for:

### 1. **Breast Cancer**
Trastuzumab is widely used to treat HER2-positive breast cancer. This type of breast cancer makes too much of the HER2 protein, which promotes the growth of cancer cells. Trastuzumab helps by:
- **Early-Stage Breast Cancer:** It is used after surgery (adjuvant therapy) to reduce the risk of cancer returning. Sometimes, it is also used before surgery (neoadjuvant therapy) to shrink tumors.
- **Metastatic Breast Cancer:** It is used to treat breast cancer that has spread to other parts of the body. Trastuzumab can help to control the spread and improve survival rates.

### 2. **Stomach Cancer**
Trastuzumab is also used to treat advanced stomach cancer or gastroesophageal junction cancer (cancer where the stomach meets the esophagus) that is HER2-positive. When combined with chemotherapy, it can help to control the growth of cancer and extend the patient's life.

### Combination with Other Treatments
- **Chemotherapy:** Trastuzumab is often used in combination with chemotherapy drugs to enhance the overall effectiveness of treatment.
- **Surgery and Radiation:** It can be used alongside surgery and radiation therapy to improve outcomes in early-stage cancers.

### Monitoring and Side Effects
While trastuzumab is effective, it requires careful monitoring due to potential side effects, particularly on the heart. Patients typically undergo heart function tests before and during treatment.

### In Summary
Trastuzumab is a vital treatment for HER2-positive breast and stomach cancers. It works by targeting the HER2 protein on cancer cells, blocking their growth, and helping the immune system destroy them. This targeted approach has significantly improved outcomes for patients with these types of cancer.

Visit our Research Division Doctors in Online Consults for more details.

What if you miss the dose?

If you miss a dose of trastuzumab, it's important to contact our doctor or healthcare team right away. They can give you instructions on what to do next. Missing a dose can affect your treatment plan, but our doctor will help you get back on track.

Here are some simple steps to follow if you miss a dose:

1. **Call our Doctor:** Inform our healthcare provider as soon as possible.
2. **Follow Instructions:** our doctor will tell you when to reschedule the missed dose.
3. **Do Not Double Up:** Don't try to take two doses at once to make up for the missed dose.

Staying in touch with our healthcare team and following their guidance is the best way to manage a missed dose of trastuzumab.

Please book a consultation with our Oncology Clinical Specialist to know more about what happens if you miss the dose.

Will there be Side Effects

Common Side Effects:

  • Fever: You might feel hot and sweaty.
  • Nausea: You could feel like you need to vomit.
  • Vomiting: You might actually throw up.
  • Diarrhea: You could have loose or watery stools.
  • Fatigue: You may feel very tired.
  • Headache: You might get a headache.
  • Rash: Your skin could develop red, itchy spots.
  • Infections: You might get sick more easily because your immune system is affected.

any queries, book a consultation with our Oncology Clinical Specialist

Tell us if you are taking other medicines like:-

Trastuzumab, like many medications, can interact with other drugs. Here are some common medicines that might interact with trastuzumab:

### 1. **Anthracycline Chemotherapy:**
Combining trastuzumab with certain chemotherapy drugs like doxorubicin or epirubicin can increase the risk of heart problems.

### 2. **ACE Inhibitors and Beta-Blockers:**
These are medications used to treat high blood pressure or heart conditions. When taken with trastuzumab, they may increase the risk of heart issues.

### 3. **Certain Antibiotics:**
Some antibiotics like doxorubicin and cyclophosphamide may interact with trastuzumab, leading to heart problems.

### 4. **Herbal Supplements:**
Herbal supplements or alternative medicines might interfere with trastuzumab's effectiveness or cause side effects. Always inform your doctor if you are taking any supplements.

### 5. **Other Cancer Medications:**
Other cancer drugs, especially those that affect the heart, may interact with trastuzumab.

In summary, it's crucial to communicate openly with our healthcare team about all the medications you're taking to avoid any potential interactions with trastuzumab and ensure the best possible treatment outcomes.

book a consultation with our Oncology Clinical Specialist

Safety Advice : Pregnancy, Liver or Kidney Damaged

Here's some safety advice for taking trastuzumab:

1. **Follow Doctor's Orders:** Take trastuzumab exactly as our doctor tells you. Don’t skip doses or change the dosage without consulting them.

2. **Regular Check-ups:** our doctor will monitor you closely during treatment, especially your heart function. Attend all scheduled appointments.

3. **Report Side Effects:** Let our doctor know about any side effects, even if they seem minor. This helps them manage your treatment better.

4. **Avoid Herbal Supplements:** Don't take herbal supplements or alternative medicines without our doctor's approval, as they might interfere with trastuzumab.

5. **Stay Hydrated:** Drink plenty of fluids unless our doctor advises otherwise, especially if you experience diarrhea or vomiting.

6. **Practice Good Hygiene:** Wash your hands frequently to reduce the risk of infections, as trastuzumab can weaken your immune system.

7. **Listen to Your Body:** If you experience any unusual symptoms or feel unwell, contact our doctor immediately.

8. **Inform Other Healthcare Providers:** Make sure all healthcare providers you see are aware that you are taking trastuzumab, including dentists and pharmacists.

9. **Store Properly:** If you're given trastuzumab to take home, store it according to the instructions provided and keep it out of reach of children.

10. **Don't Share Medication:** Trastuzumab is prescribed specifically for you. Don't share it with others or use someone else's medication.

Remember, our healthcare team is there to support you throughout your treatment with trastuzumab. If you have any questions or concerns, don't hesitate to reach out to them for guidance and support.

Have any queries, book a consultation with our Oncology Clinical Specialist

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