Managing diarrhea from TKI side effect - 1266239

njliu
Posts:142

My wife has been suffering from diarrhea as a side effect of Iressa for almost 3 years. I just want to share that she has amazingly not had this problem for the last one month since she strictly avoid drinking bottled water and instead only drink boiled water. Hope this info can be of help to others.
NJ

Forums

Dr West
Posts: 4735

Wow. I have never heard of that before but may offer that suggestion to the next patient or two who experiences major issues with diarrhea on an EGFR TKI. It would be an easy, relatively painless thing to test in some other people, and it would be a wonderful thing if it is widely found to be effective.

I would take credit for it but feel a bit bad about it and still think of you.
:wink:

Thanks for sharing that tip!

-Dr. West

loftus
Posts: 11

NJ,

In 2 years on Tarceva my wife's diarrhea went from every 3 days to every 4 or 5, but is now every day or two. It makes her miserable, as does eating a bland diet with minimal fibre (fruit & vegetables) to try to control it.

A dose reduction or a holiday were looking likely, so your post was riveting. Drinking water can actually have an immediate negative effect, and she hasn't worked out how to drink - when she needs to on a serial diarrhea day.

I'm not sure what you mean by 'only drink boiled water'. Is that:
a) boiled water, drunk hot (tea without the flavour)
b) tap water boiled, then kept in the fridge - if so, drunk cold or after warming to room temperature
c) something else

And has your wife relaxed her 'diet policing' now she has the side effect under control?

Thanks for any further detail you can give,

Alex

Dr West
Posts: 4735

I presumed he meant B, boiling tap water before drinking it, but not necessarily drinking it hot. NJ can confirm or not.

-Dr. West

njliu
Posts: 142

Hi Alex, yes! Dr. West is correct. We boil tap water and leave it to cool to room temperature before consumption. I think it does not matter if it is taken as hot tea, room temperature or refrigerated. Hope this can help your wife. We stumbled upon this solution when we were traveling, which for convenience, were taking bottled water, and my wife were suffering from daily serious diarrhea. FYI we always drink boiled water at home, but were sometimes taking bottled water. Now we strictly stick to only boiled water wherever we go. She has since had no serious problem.
Please keep us posted if this work for your wife too.
NJ