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 |
Docetaxel | IV every 21 days for three to four cycles; used in combination with doxorubicin, epirubicin, cyclophosphamide, and/or fluorouracil |
Paclitaxel | IV every seven to 21 days for four to 12 cycles; used in combination with doxorubicin and cyclophosphamide |
Endocrine | Aromatase 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 |
Tamoxifen | Oral tablet daily for two to five years; used alone or in sequence with an aromatase inhibitor36 |
Tissue-targeted | Monoclonal antibody |
Trastuzumab (Herceptin) | IV with first dose of chemotherapy regimen and then every one or three weeks to complete one year44–46 |