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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Coughing Up Of Blood, Taking Gestin, Acitrome And Erlotinib?

My friend is an advanced lung cancer patient and have gone through series of chemotherapy. I have now started coughing blood for the last six months. I am on gestin B 260 mg tablets and acitrome alternating between 4 mg, 3 mg, 2 and 1 mg, erlotinib 150 mg. What could be the cause of the coughing and the blood that comes with it?
Thu, 22 May 2014
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Oncologist 's  Response
Why is the patient on acetrome (warfarin)? Is the patient's INR being monitored. If the INR is beyond the target INR, it can causes bleeding.
Blood in cough (hemoptysis) can be due to advanced lung cancer itself with an endobronchial growth bleeding which can be triggered or further complicated by acetrome. The offending drug may have to be stopped apart from other measures.
Please discuss it with your oncologist.
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What Could Cause Coughing Up Of Blood, Taking Gestin, Acitrome And Erlotinib?

Why is the patient on acetrome (warfarin)? Is the patient s INR being monitored. If the INR is beyond the target INR, it can causes bleeding. Blood in cough (hemoptysis) can be due to advanced lung cancer itself with an endobronchial growth bleeding which can be triggered or further complicated by acetrome. The offending drug may have to be stopped apart from other measures. Please discuss it with your oncologist.