Therapy typeMedicationTypical course of treatment
Chemotherapy24 Anthracyclines
Doxorubicin (Adriamycin)IV every 14 to 21 days for four to six cycles; used in combination with a taxane (docetaxel [Taxotere] or paclitaxel [Taxol]), cyclophosphamide, and/or fluorouracil
Epirubicin (Ellence)IV day 1 or days 1 and 8, every 21 to 28 days for three to eight cycles; used in combination with cyclophosphamide or fluorouracil
Taxanes
DocetaxelIV every 21 days for three to four cycles; used in combination with doxorubicin, epirubicin, cyclophosphamide, and/or fluorouracil
PaclitaxelIV every seven to 21 days for four to 12 cycles; used in combination with doxorubicin and cyclophosphamide
EndocrineAromatase inhibitors
Anastrozole (Arimidex)Oral tablet daily for five years; used alone or in sequence with tamoxifen36,37
Exemestane (Aromasin)Oral tablet daily for at least two to five years; used alone or in sequence with tamoxifen38,39
Letrozole (Femara)Oral tablet daily for two to five years; used alone or in sequence with tamoxifen40,41
Gonadotropin-releasing hormone agonist
Goserelin (Zoladex)Subcutaneously every one to three months for two years42,43
Selective estrogen receptor modulators
TamoxifenOral tablet daily for two to five years; used alone or in sequence with an aromatase inhibitor36
Tissue-targetedMonoclonal antibody
Trastuzumab (Herceptin)IV with first dose of chemotherapy regimen and then every one or three weeks to complete one year4446