#35005 04-01-2007 07:39 PM | Joined: Sep 2006 Posts: 149 Senior Member (100+ posts) | OP Senior Member (100+ posts) Joined: Sep 2006 Posts: 149 | What are recommended dosages for cancer patients. Higher or lower than for depression and anxiety without cancer? What are people getting? e.g. for Ativan, Paxil, Cymbalta, Buspar etc.
Dx 10/06 Adenoid Cystic carcinoma; Stage I. Soft palate/minor salivary glands. Tx surgery 11/06 Tomotherapy (targeted IMRT) 3/07
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#35006 04-02-2007 04:07 AM | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | trt,
I never was prescribed any and I'm not sure I ever needed them.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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#35007 04-02-2007 05:23 AM | Joined: Feb 2005 Posts: 2,019 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Feb 2005 Posts: 2,019 | I guess I'm wondering why you want to know. The dosage you get should be one that works, so I doubt it would be a lot lower than the dose doctors normally start out with. In the case of antidepressant and anti-anxiety drugs, it isn't really a case of more is more effective usually.
Nelie
SCC(T2N0M0) part.glossectomy & neck dissect 2/9/05 & 2/25/05.33 IMRT(66 Gy),2 Cisplatin ended 06/03/05.Stage I breast cancer treated 2/05-11/05.Surgery to remove esophageal stricture 07/06, still having dilatations to keep esophagus open.Dysphagia. "When you're going through hell, keep going"
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#35008 04-02-2007 04:19 PM | Joined: Jul 2006 Posts: 446 "OCF Canuck" Platinum Member (300+ posts) | "OCF Canuck" Platinum Member (300+ posts) Joined: Jul 2006 Posts: 446 | I have taken paxil since shortly after diagnosis. Depression is depression, and causitive factors really don't affect the level of medication.
Ativan is often used with H&N patients during radiation because it is very fast acting, and can be administered prior to being put into the mask.
Talk to your Doctor. They will likely start you out on a lower dose and increase it as needed until you find effective levels. That can take several weeks, but it really does help if you need it Wayne
SCC left mandible TIVN0M0 40% of jaw removed, rebuilt using fibula, titanium and tissue from forearm.June 06. 30 IMRT Aug.-Oct. 06
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#35009 04-02-2007 09:57 PM | Joined: Sep 2006 Posts: 149 Senior Member (100+ posts) | OP Senior Member (100+ posts) Joined: Sep 2006 Posts: 149 | Do you normally have to see a Psychiatrist or can they be prescribed by RO and MO
Dx 10/06 Adenoid Cystic carcinoma; Stage I. Soft palate/minor salivary glands. Tx surgery 11/06 Tomotherapy (targeted IMRT) 3/07
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#35010 04-03-2007 01:56 PM | Joined: Apr 2005 Posts: 2,676 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Apr 2005 Posts: 2,676 | I heard an interesting presentation on Public Radio today while driving my grandkid to and from piano lessons. The general gist was that there is a real difference between "clinical depression" and depression associated with a sudden trauma or loss or having to deal with grief. The point was that the two are not the same and should not be treated the same. Clinical depression is an ongoing situation that may need life time tx., whereas event related depression calls for a different direction. The meds rx's might be the same in some cases for a short period of time, but the overall goals are vastly different. It made sense to me, because I recognize that my "depression-ie grieving" is not the same as a life long state of depression. I guess what I am trying to say is that the word "depression" is too loosley and easily thrown about these days. We need to do a better job of being honest about what we are dealing with and figure out how to meet our challanges head on, rather than with a myriad of drugs. Amy in athe Oz
CGtoJohn:SCC Flr of Mouth.Dx 3\05. Surg.4\05.T3NOMO.IMRTx30. Recur Dx 1\06.Surg 2\06. Chemo: 4 Cycles of Carbo\Taxol:on Erbitux for 7 mo. Lost our battle 2-23-07- But not the will to fight this disease
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#35011 04-04-2007 03:58 PM | Joined: Aug 2006 Posts: 77 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Aug 2006 Posts: 77 | Not me. I had enough to meet head on, I was happy with pain meds, antidepressants (Zoloft 100 mg), and I would have taken sleeping pills if I needed them. The fact is that modern anti-depressants are not "happy pills." They just reduce the depression and anxiety to a point where I can deal with them. Anyway, they work for me. I haven't noticed any side effects. My wife says I'm less of a jerk on them, so there might be side effects if I quit 
Age 46; SCC BOT T3N1M0l dx 9/06 Cisplatin x3; radiation x42 Completed tx 10/31; Selective neck dissection 12/06
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#35012 04-04-2007 03:58 PM | Joined: Aug 2006 Posts: 77 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Aug 2006 Posts: 77 | Oh, I forgot to mention that I got mine from my MO.
Age 46; SCC BOT T3N1M0l dx 9/06 Cisplatin x3; radiation x42 Completed tx 10/31; Selective neck dissection 12/06
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#35013 04-04-2007 04:38 PM | Joined: Feb 2005 Posts: 2,019 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Feb 2005 Posts: 2,019 | yes, my MO prescribed Ativan (which I didn't take very often) and would gladly have given me an antidepressant if I had asked. I never felt the need.
SCC(T2N0M0) part.glossectomy & neck dissect 2/9/05 & 2/25/05.33 IMRT(66 Gy),2 Cisplatin ended 06/03/05.Stage I breast cancer treated 2/05-11/05.Surgery to remove esophageal stricture 07/06, still having dilatations to keep esophagus open.Dysphagia. "When you're going through hell, keep going"
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#35014 04-04-2007 09:56 PM | Joined: Nov 2002 Posts: 3,552 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Nov 2002 Posts: 3,552 | I was on Zanax (for anti-anxiety) the entire time during treatment and was later prescribed Paxil (for depression - which I ended up not taking). Your dose rates are dependent on your weight and other factors and you can find that information on line just by Googling the medication name.
Ativan is used a lot for mild nausea and can be applied sublinglily (under the tongue) or orally. In extreme cases it can be inserted into a Compazine suppository and used rectally as well.
Like most others my MO prescribed all of my meds. Amy is absolutetly correct in her post about antidepressants. IMO if you are on long term types, even Paxil, you should be managed by a psychiatrist. Short term depression is also known as "situational" depression, vs. chronic depression which required drugs to maintain brain chemistry balance on an ongoing basis. Depression meds are often inappropriately prescibed, over prescribed and not properly monitored.
Gary Allsebrook *********************************** Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2 Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy) ________________________________________________________ "You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
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