The Forum

Consuming regular orange juice during drug therapy

Consuming regular orange juice during drug therapy

Does consumption of regular orange juice cause drug interactions, or should all citrus fruits be avoided?

Splitting or crushing oral cancer medications

Splitting or crushing oral cancer medications

Which medicines can be split or crushed for administration?

Defining the schedules for controlled substances

Defining the schedules for controlled substances

How are drugs classified as controlled substances?

Cautions for folic acid use

Cautions for folic acid use

Folic acid can interfere with certain chemotherapy drugs. Is there an acceptable level of folic acid or should it be avoided completely?

Corticosteroids for infusion reactions

Corticosteroids for infusion reactions

Methylprednisolone (Solu-Medrol) and hydrocortisone (Solu-Cortef) are used to treat infusion reactions to chemotherapy and other anticancer treatments. Some clinicians seem to favor one over the other. Is there a significant difference between the two or is it just a matter of clinician preference?

Hot flushes on tamoxifen

The Advisor Forum addresses a question about medications that can treat hot flushes in women receiving tamoxifen.

Can citrus juices interfere with drug metabolism?

Can citrus juices interfere with drug metabolism?

Our pharmacist answers a question about a potential interaction between certain citrus juices and drug metabolism.

The role of sunitinib in the treatment of GIST

The role of sunitinib in the treatment of GIST

What is the role of sunitinib malate in the treatment of sarcomas?

How can meds be disposed of safely?

When opioids or other painkillers prescribed after surgery or an injury are no longer needed, or if a medication was changed, patients may have unused prescription medications in their homes. Is there a safe way for patients to dispose of these leftover prescriptions?

Lisinopril and breast cancer recurrence

Lisinopril and breast cancer recurrence

Is there any information about a link between lisinopril and breast cancer recurrence?

Medicare guidelines for Aranesp and Procrit injections

What are the new Medicare guidelines for the administration of an epoetin alfa injection (Procrit) or a darbepoetin alfa injection (Aranesp)?

Hydration during cyclophosphamide administration

Should hydration be administered before all doses of cyclophosphamide (Cytoxan, Neosar) or just for high-dose Cytoxan?

Bevacizumab use and thromboembolic events

Is bevacizumab (Avastin) use in patients with metastatic colorectal cancer (mCRC) or non-small cell lung cancer (NSCLC) related to a higher incidence of thromboembolic events?

Coping with chemo brain

What is chemo brain, and what can be done for it?

Addressing code status in patients with advanced cancer

I am concerned about some of our patients with advanced cancer being full code. Is it within my scope to address this with patients, and if so, what is the best approach?

Chemotherapy agents and radiosensitivity

How do certain chemotherapy agents make tumors more radiosensitive?

Genotype testing not warranted

Is CYP2D6 genotyping for tamoxifen (Nolvadex) sensitivity before use of the drug beneficial?

Speciality pharmacies and cancer care

Where does the use of specialty pharmacies fit into cancer care?

Inclusion of creatinine in blood work during carboplatin treatment

How soon should the creatinine be measured when dosing carboplatin (Paraplatin)?

Dietary information for patients undergoing chemotherapy

Is there an evidence-based booklet on cancer and diet available for patients undergoing chemotherapy? Is there any evidence that sugar causes cancer?

Regimen and Drug Listings

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