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Keep Yourself and Your Dogs Safe with Palladia

by DemianDressler · 16 comments

Palladia is the first FDA-approved drug for dog cancer.  It is a chemotherapy medication, and as such it is a big gun.

When I say big gun, I mean that there are side effects and issues that you need to be aware of.  And some of you may have not heard this yet.  Since a goal of this blog and the Dog Cancer Survival Guide is to give you important information that you may have not yet heard, let’s look at Palladia.

When you give your dog Palladia, you should wash your hands with soap and water after handling.  Better yet, wear gloves.  This is because a small amount of Palladia could end up inside your body if you handle the medication with bear hands.  Like many chemotherapy drugs, toxicities are possible, and there is no reason to be exposed to these materials if you are not undergoing treatment yourself.

The drug insert suggest that you keep the bottle away from children.  Also remember to keep the bottle away from any other medication.  Sometimes medications can be confused by us grown-ups too, and drugs like these need to be kept in their own secure location.

If you are pregnant, I would not even handle Palladia due to the possible effects on developing babies.  The insert says that birth defects are possible if Palladia were taken during pregnancy.

Remember to never break or crush the tablets.  This is because the drug will aerosolize (become an airborne powder) and may be inhaled.

According to the manufacturer, the “waste” products of a dog taking Palladia should be put in a sealed plastic bag for disposal.  Gloves should be worn. This is fairly strait forward for feces, but I would assume urine is a waste as well.  Thus, I would consider active urinary metabolites of the drug to be possible.  Same with vomited material.

For vomit, bag it wearing gloves.  Urine would be tougher to collect in a bag, and skin contamination is a risk.  Thus I advise irrigating the urinated area well with water.  This implies that dogs on Palladia living in  homes with other dogs should be walked outside, separate from the others, for elimination of waste.  It would be considerate for others in the neighborhood for you to carry a jug of water to irrigate the appropriate areas, in addition to your ziplocks.

Whenever you embark on a treatment for dog cancer, be your dog’s number one health care advocate.  Get the full picture, weigh your options, and create an action plan.

All my best,

Dr D

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About the Author


Demian Dressler dog cancer veterinarianDr. Demian Dressler, DVM is known as the "dog cancer vet" and is author of Dog Cancer Survival Guide: Beyond Surgery, Chemotherapy & Radiation. Visit his blog and sign up free to get the latest information about canine cancer. Go to http://DogCancerBlog.com.

 

{ 16 comments… read them below or add one }

christina October 7, 2009 at 2:16 am

my dog marcelino just had his second mast cell cancer surgery. both were grade 2 with totally clean margins of over 3 cm. As soon as i saw the tiny growth i had him in for surgery, no wait time. Lymphs are clear, muscle tissue that was taken out was clear and the vascular system was clear. The first stain kit 2 months ago came back with great news of 70 months survival…the second kit was just sent out a few days ago. my concern is 2 surgeries within 3 months. He is only 5 years old. he is an Italian greyhound.

should we be looking into this drug or just wait………..

Regina October 7, 2009 at 4:15 am

Your commentary always proves helpful. My own dog has grade 2, stage 2 MCT and is currently taking vinblastine. The plan is to initiate palladia soon so your information was particularly helpful. Are you free to comment on how we keep the other dog in the house safe? Obviously they share toys, water, beds, etc. Help if you can.

reyla graber October 7, 2009 at 7:33 am

Palladia was recommended by an oncologist for my (otherwise than cancer)
healthy 15 yr. old small dog. Instead, I’m trying artemsinin, curcumin and K9 Immunity plus diet change.
Dr. Dressler, do you know of any successes using artemisin plus DMSO
for topical therapy. he has a largish right manidibular mass.
Blood root was suggested by holistic vet.
I hear can be severe necrosis etc. what have you heard re blood root, dmso etc?
Reyla Graber

Carol October 8, 2009 at 4:46 am

Do you have any suggestions with a dog with a melanoma of the eye. My collie has a melanoma of the eye on the iris. The vets don’t want to do surgery because the cancer is position at the 1 o’clock that is where the major blood vessel runs under. It is changing on the edges only. He is on Kumpi dog food which is an antioxident and has been on it for about 2 years. He is 4 years old. I’m looking for a drop to use to dissolve the melanoma or something we can do. I’m gradually getting rid of plastics in the environment and changing to no cleaners that would affect him or leave him outside when I clean if they do have harmful fumes. This is a service dog and cancer detection dog as well. Please email on my private line carsun@comcast.net. I’m open for suggestions. Thanks Carol

Mish's Mom October 8, 2009 at 4:06 pm

Why is there so little information out there on cryotherapy (freezing cancer)? Dr. Anthony Horan mentions how the body does not react to freezing as traumatically as it responds to surgical resection.

Cancer cells may not be as prone to commit suicide (apoptosis) when there is trauma in an area because the body probably thinks it needs every cell it can recruit to deal with the trauma.

Why no research and experimentation on the “how” and “why” of this?

Mish's Mom October 8, 2009 at 6:40 pm

Freezing kidney cancer: Hot treatment should be new gold standard for destroying small tumors
http://www.physorg.com/news155814518.html

Teri & Tess October 11, 2009 at 8:51 am

Dr D,
My 13 year old lab/??? mix has been on the Palladia for almost 4 weeks, thanks to the great Doctor at the U of WI oncology department.
I regret to report she is not respondng. She has MCT lump on her muzzle so close to her nose that surgery will not give us the clean margins needed and she also has a lump on her lymph node. I have found you site to be very enlighting and want to thank you for your dedication. Now I can only try and keep her comfortable and pain free for the remaining time I have wth her.
Teri & Tess

Joan October 14, 2009 at 3:20 pm

My heart goes out to Teri & Tess.

My 11 year old lab mix was diagnosed with a stage 2 grade 1 MCT on her muzzle in 6/09. She had surgery but of course they were not able to get clean margins. She has significant occlusion to both nasal passages.

She was started on Benadryl, famotidine, and prednisone (she also takes thyroid medication). After all of her test results were complete, Palladia was added (mid July). After about 4 weeks, she developed a GI bleed (evidenced by vomiting, loss of appetite, and blood work). Palladia was stopped…Carafate and misoprostol were added.

She’s much better! Palladia has been restarted at a lower dose and frequency. She’s been back on Palladia for about 4 weeks now and she’s doing well…still her old ‘chow hound’ self! The Carafate has been stopped, but the other meds continue.

I’m not sure what progress is…but…the violent sneezing she was having has stopped…and…she doesn’t snore as much!

Thanks for listening!

christina October 15, 2009 at 3:14 pm

Joan! that is great news! I hope she continues to do well!

christina October 15, 2009 at 3:17 pm

teri/tess~~~~i am so sorry that your lab is not responding well to the treatment….Having 2 dogs at the current moment with MCT I can fully feel your anger and pain. I hope that she can stay pain free and comfortable and live life as good as possible…………
[[[hugs]]] for her.

Dr. Dressler October 17, 2009 at 5:43 pm

Christina, you shoud get some imaging done of the liver and spleen. Recurring MCT’s sometimes are due to an internal cancer spreading out to the skin. You want to know about this if this is the case in your dog.
Roughly 90% of Grad 2 MCT are cured with wide excision. Personal opinion, if other sources of the mast cells are ruled out, I would opt against Palladia in a case like this. Consult with your vet though as I cannot know the details of your individual dog.
Best,
d

christina October 21, 2009 at 4:48 pm

thanks Dr D…i did have an ultrasound done of all his organs and everything is showing clear…I just made an appt with an oncologist for a consult…it is on Nov 3. Marcelino has recovered very well from both his surgeries.
I was wondering if maybe during the first surgery, cancer cells ‘escaped” into his surrounding tissue area, thus forming another tumor within 2 months(???)
I am bringing your book with me to the oncologist:)
I have so many tabs and notes sticking out of it!

marcelino’s surgery photos are found at
http://www.flickr.com/louies

Dr. Dressler October 25, 2009 at 8:27 am

Christina,
good news on the surgeries. Most of the current ideas on cancers indicate that the cells either were already there in the first place, or popped up “de novo” (new independent growths). There used to be big hype over potentiating spread during surgery, and although there is some merit there (including considering the drugs used for anesthesia and their influence on spread post-op), current thinking is leaning less in that direction as a generality.
Dr D

christina October 25, 2009 at 5:56 pm

thank you Dr D.

I just received good news on marcey’s latest stain kit :)

I am very very greatful that my veterinarian is also a good personal friend of mine. He is an amazing surgeon and so damn smart!
I am also very very greatful that I found YOU and bought your book!

Marcela April 8, 2010 at 5:52 am

Our 13 years, 4 months labrador retriever developed an osteogenic sarcoma, telangiectatic subtype in his left hindlimb, proximal tibia. While wating for the appointment with the oncologyst it fractured and had an amputation. The osteosarcoma developed just beneath the site of a previously irradiated cutaneous mast cell tumor ( about 4.5 years ago)
X-rays show some nodules in the lungs, ultrasound shows maybe (not sure about this one) some nodules in the spleen. Lab tests are ok.

After surgery he is doing very good, continues eating, chewing his toys and going out to enjoy the wind, birds, etc (he needs help to standing up and walk but it seems ok to him ( I’ve been feeding him with raw food for years, and supplements, I already bought your book and will start with the supplements you recommend)

The thing is that the two oncologyst have different opinions, and we, who don’t know about medicine have to take a medical decision.
One oncologyst suggested to start with Carboplaxin, then doxorubicin. If that doesn’t work Palladia.
The other one, suggested Palladia, which is for mast cell tumors but she says is showing some succes for osteosarcoma with metastasis. She says that Carboplaxin and Doxorubicin are not so effective if there are already metastasis.
Now in your book I find something really interesting about IL-2 and Artemisin.

What is your recommendation?

Thank you for listening

Rae May 19, 2010 at 6:54 am

I, too have a dog with osteosarcoma (rib) who was recently prescibed Palladia. Eight weeks ago the tumor, part of her lung, and 2 ribs were removed (at which time there was no evidence of lung metastasis). She had one carboplatin and one adriamycin treatment. Just this week x-rays show a lung nodule and regrowth of the original tumor. We stopped the IV chemotherapy; the revised treatment plan is now cytoxan and palladia alternating every other day, with doxycycline and previcox every day. I also have ordered artemisinin and K-9 immunity and plan to start those. The side effects of Palladia seem pretty common (and wicked!) and given that I can’t find any mention of this drug being useful in osteosarcoma, I’m not sure if I should use it or just use cytoxan every day. Also, not sure if the supplements are safe with chemo drugs?
Time is running out, what we have already tried has not worked, and I am hoping to make the best treatment decisions possible moving forward. Your input would be greatly appreciated… Thank you.

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