used is usually higher than what is recommended down the road. This
is because the pharmaceutical companies want to impress the
physician and the patient with a show of immediate efficacy. So
often this means higher toxicity.
Other factors that may be considered include half-life (36 hours),
urgency of needed response, standard dosaging, your albumn levels,
whether you smoke (faster clearance), volume of distribution (232
liters), and conflicts with other meds (e.g. competing for specific
hepatic oxygenases). Most physicians just consider the usual dose
and check any warnings or contraindications.
Vincent
At 10:09 AM 9/5/2008, Gloria wrote:
>I do not think Tarceva is going to save my life - but am pleased
>that my quality of life has greatly approved. I do wonder, what my
>results would have been if doctor started me with the lowest dose
>(25 strength), and than build it up if necessary.
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