Geri,

My understanding of the Cisplatin dosage is the larger, less frequent dosage is 'the standard,' approved and accepted by insurance companies. The weekly, smaller dosage has been now found to be just as effective, but, I assume, more expensive, although it has far fewer long term side effects. I was able to get the latter dosage approved because I ran a higher risk of neuropathy, nerve damage, because of my previous chemotherapy history. I think for most patients, though, the doctors have to have a compelling reason for the weekly dosage in order to have it approved by insurance.

- margaret

Last edited by margaret_in_ma; 12-10-2008 08:28 PM.

Stage IV SCC lt lateral tongue, surgery 5/19/08 (partial gloss/upper neck dissection left side/radial free flap reconstruction) IMRT w/weekly Cisplatin & Erbitux 6/30/08, PEG 1 6/12/08 - out 7/14 (in abdominal wall, not stomach), PEG 2 7/23/08 - out 11/20/08, Tx done 8/18/08
Second SCC tumor, Stage 1, rt mobile tongue, removed 10/18/2016, right neck dissection 12/9/2016
Third SCC tumor, diagnosed, 4/19/2108, rt submandibular mass, HPV-, IMRT w/ weekly Cisplatin, 5/9 - 6/25/2018, PEG 3 5/31/2018