My friend is suffering from breast cancer . The doctor has prescribed chemotherapy . Apparently surgery could not be done .
One new medicine doctor added was vinrelvine or something like that .
She has to take it weekly . But other dr said on day 1 and day 8 .. Can anyone help me with regards to the right dosage .
Sorry I just checked the medicine is vinorelbine ..
Dosage is calculated according to weight and height of patient and taking into consideration her blood reports and her general condition. It cannot be done online. Your Medical Oncologist will do that.
If you supply the following data I may be able to explain why there is no surgery proposed (and Vinorelbine is typically offered to advanced breast cancers - that suggests it is too advanced for surgery).
* Age
* Menopausal status
* Are there metastases identified elsewhere?
* Size of the tumor?
- and is it infiltrating other parts like the skin or the bone?
* If there are no metastases, how many (if any) of the lymph nodes have been affected?
* Which receptors are positive? ER, PR, HER2 (all three are either positive or negative)
I may have follow-up questions when you supply answers to these above.
If you supply the height and weight I can help you calculate the STANDARD dose of Vinorelbine. (Which the doctor must have done as step one; then (s)he might consider other factors to amend the standard dose.
It is customary to take it weekly.
Kind regards,
Kaare (from Denmark)
Vinorelbine can be given D1 , D8 (every 21 day cycle)
or
Vinorelbine can also be given D1, D8 , D15 ( every 28 day cycle)
Your friends Medical Oncologist would have surely explained at depth about these things.
If there is confusion, or she would nt have understood something, please ask your friend to Re-consult her Medical Oncologist and perhaps accompany her.
Best Wishes
Dr Rohit Malde
Including two more cycle in chemotherapy 
Chemotherapy induced neuropathy
Please kindly help choose chemotherapy and location