Date: ЗО"" January, 2019
Dear Doctor,
Re: Mrs. Nailya Pazletdinova " Re: Chemotherapy Regimen:
Who is a patient of ours has been diagnosed with Carcinoma Ovary
Treatment history:
i would suggest to give her treatment as per the schedule written below:
The patient has been explained about the prognosis, nature of treatment, outcome,
response, cost, duration and toxicity of the treatment. Patient planned for 3 cycles of chemotherapy with Paclitaxel + Carboplatin Dl, D8 & D15 (in total of 9 doses) out of which she already underwent 1^' cycle of chemotherapy Day 1 under my care at Max Cancer Center, Saket. On 28.01.19. Patient wishes to take the chemotherapy treatment under your care at local place. Please give her more 8 doses of chemotherapy as per given schedule.
Chemotherapy dates are due on :- 4.02.19, 11.02.19, 25.02.19, 4.03.19, 11.03.19, 25.03.19,1.04.19,8.04.19
Premedication
•:♦ Inj. Palnox250 meg + Inj. Avil 1 amp + Inj. Rantac 50 mg + Inj. Dexa 8 mg 100 ml NS
IV over 30 minutes >
Chemotherapy administration
•
:• Inj. Paclitaxel 130 mg in 500 ml NS IV over 2 hours
♦
Inj. Carboplatin (AUC 2) 160 mg in 500 ml NS IV over 2 hours,
'> Flush with 100ml NS.