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Re: FOLFIRI vs. Saltz

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It appears that they are the same thing:

" A standard treatment for colorectal cancer known as the Saltz regimen – a

combination of three drugs including irinotecan (CPT-11), 5-flurouracil (5-FU)

and leucovorin (LV). "

Many here have had good results with this, in the states CPT-11 is often

replaced by Oxilaplatin. That's what my husband is on and he's had good results

with significant tumor shrinkage good appetite etc.He is also 43 which may make

some difference but as I said MANY here have seen success.

All chemo regimens have potential side effects. Diarrhea can be one. The

oncologist should give you a list of things to look for and when to call.

But if you are looking for an opinion I'd say give it a try. If your Mom gets

bad side effects then you can discuss other options but for now this seems

the way to go.

God Bless and let us know how things work out.

Narice

******************************

Hi all:

It seems like there is an awful lot of information passed back and

forth in this group that is helpful. Â SO, I'm hoping some of you can

provide insight regarding a chemo choice. Â My Mom was diagnosed with

Stage 4 colon cancer, had surgery four weeks ago and had two sections

of bowel removed, but the surgeon noticed considerable spread to the

bladder, ureters, and abdominal wall, which he was unable to

completely remove for fear of compromising the ureters. Onc. opinion

was not to radiate cause area was too large and too close to healthy

bowel.

Now she has a choice between Saltz and FOLFIRI regimens of 5FU,

irinotecan and leucovorin (hope I spelled those right). We live in

Canada, so drug choices are more limited (eg. no access to

Oxaliplatin except in some clinical trials that she is not a

candidate for).Â

I have read some alarming reports about the toxicity of the Saltz

regimen and its potential to cause life threatening diarrhea. Would

this be a reason to choose FOLFIRI instead, or does it have exactly

the same complications?

Has anyone had to look in to this? Any insight or experience you can

offer would be much appreciated.

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I live in Canada too and I was of the impression that Oxaloplatin is

available here. I'll have to check that further. If not, then the

triplet of CPT11/5FU/LV would hopefully help her.

Barry

> It appears that they are the same thing:

>

> " A standard treatment for colorectal cancer known as the Saltz

regimen †" a

> combination of three drugs including irinotecan (CPT-11), 5-

flurouracil (5-FU)

> and leucovorin (LV). "

>

> Many here have had good results with this, in the states CPT-11 is

often

> replaced by Oxilaplatin. That's what my husband is on and he's had

good results

> with significant tumor shrinkage good appetite etc.He is also 43

which may make

> some difference but as I said MANY here have seen success.

>

> All chemo regimens have potential side effects. Diarrhea can be

one. The

> oncologist should give you a list of things to look for and when

to call.

> But if you are looking for an opinion I'd say give it a try. If

your Mom gets

> bad side effects then you can discuss other options but for now

this seems

> the way to go.

> God Bless and let us know how things work out.

> Narice

>

> ******************************

> Hi all:

>

> It seems like there is an awful lot of information passed back and

> forth in this group that is helpful. Â SO, I'm hoping some of you

can

> provide insight regarding a chemo choice. Â My Mom was diagnosed

with

> Stage 4 colon cancer, had surgery four weeks ago and had two

sections

> of bowel removed, but the surgeon noticed considerable spread to

the

> bladder, ureters, and abdominal wall, which he was unable to

> completely remove for fear of compromising the ureters. Onc.

opinion

> was not to radiate cause area was too large and too close to

healthy

> bowel.

>

> Now she has a choice between Saltz and FOLFIRI regimens of 5FU,

> irinotecan and leucovorin (hope I spelled those right). We live

in

> Canada, so drug choices are more limited (eg. no access to

> Oxaliplatin except in some clinical trials that she is not a

> candidate for).Â

>

> I have read some alarming reports about the toxicity of the Saltz

> regimen and its potential to cause life threatening diarrhea.Â

Would

> this be a reason to choose FOLFIRI instead, or does it have

exactly

> the same complications?

>

> Has anyone had to look in to this? Any insight or experience you

can

> offer would be much appreciated.

>

>

>

>

>

>

>

>

>

>

>

>

>

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I was under the impression that oxaliplatin IS available in Canada.

> > It appears that they are the same thing:

> >

> > " A standard treatment for colorectal cancer known as the Saltz

> regimen †" a

> > combination of three drugs including irinotecan (CPT-11), 5-

> flurouracil (5-FU)

> > and leucovorin (LV). "

> >

> > Many here have had good results with this, in the states CPT-11

is

> often

> > replaced by Oxilaplatin. That's what my husband is on and he's

had

> good results

> > with significant tumor shrinkage good appetite etc.He is also 43

> which may make

> > some difference but as I said MANY here have seen success.

> >

> > All chemo regimens have potential side effects. Diarrhea can be

> one. The

> > oncologist should give you a list of things to look for and when

> to call.

> > But if you are looking for an opinion I'd say give it a try. If

> your Mom gets

> > bad side effects then you can discuss other options but for now

> this seems

> > the way to go.

> > God Bless and let us know how things work out.

> > Narice

> >

> > ******************************

> > Hi all:

> >

> > It seems like there is an awful lot of information passed back

and

> > forth in this group that is helpful. Â SO, I'm hoping some of

you

> can

> > provide insight regarding a chemo choice. Â My Mom was

diagnosed

> with

> > Stage 4 colon cancer, had surgery four weeks ago and had two

> sections

> > of bowel removed, but the surgeon noticed considerable spread to

> the

> > bladder, ureters, and abdominal wall, which he was unable to

> > completely remove for fear of compromising the ureters. Onc.

> opinion

> > was not to radiate cause area was too large and too close to

> healthy

> > bowel.

> >

> > Now she has a choice between Saltz and FOLFIRI regimens of 5FU,

> > irinotecan and leucovorin (hope I spelled those right). We

live

> in

> > Canada, so drug choices are more limited (eg. no access to

> > Oxaliplatin except in some clinical trials that she is not a

> > candidate for).Â

> >

> > I have read some alarming reports about the toxicity of the

Saltz

> > regimen and its potential to cause life threatening diarrhea.Â

> Would

> > this be a reason to choose FOLFIRI instead, or does it have

> exactly

> > the same complications?

> >

> > Has anyone had to look in to this? Any insight or experience

you

> can

> > offer would be much appreciated.

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

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