Jun 8, 2026 · 15 min · 8 segments
In the June open access episode of Chattering With iCatCare, Yaiza Gómez-Mejías is joined by Mariana Lopes and Joanna Morris to explore feline oncology and the practical roadmap for using oral…
Mariana LopesGuestYaiza GomezHost
Joanna MorrisGuestWhich are the most common situations in which vets should be thinking of oral chemotherapy, and when should we not think about it at all?
I think it just depends on the goals, doesn't it? There's probably always gonna be a situation where we could consider oral chemotherapy.
That's the reason why we focused on oral chemotherapy on the article, is that sometimes not all patients will be able to have access to referral, be close to a referral facility, or will not be able to be referred for whatever reason.
I think where the oral chemotherapy becomes useful is if we're trying to manage these patients into primary care practice where potentially the equipment or the safety precautions will be a bit trickier with injectable chemotherapy.
Even if they're not getting the absolute best treatment that they could get if they were able to receive injectable chemotherapy, the oral chemotherapy becomes very helpful because it's easier to administer, it's easier to source, easier to storage as well.
I think there's lots of situations and lots of different diseases that we could consider oral chemotherapy, and lots of them will be very well treated, and the treatment of choice would be oral chemotherapy.
That can very well be managed and very successfully managed with just oral chemotherapy.
If we're thinking about more large cell, high-grade lymphoma, that's different.
Ideally we would want for best treatment outcomes to include some injectable drugs, but if that's not possible, oral lomustine can also potentially achieve some efficacy in these patients.
There's lots of different situations where you could do a lot of good for your patients just with oral drugs.
It might not be the absolute best treatment out there, but it will still be better than nothing.
Which are the most common situations in which vets should be thinking of oral chemotherapy, and when should we not think about it at all?
I think it just depends on the goals, doesn't it? There's probably always gonna be a situation where we could consider oral chemotherapy.
That's the reason why we focused on oral chemotherapy on the article, is that sometimes not all patients will be able to have access to referral, be close to a referral facility, or will not be able to be referred for whatever reason.
I think where the oral chemotherapy becomes useful is if we're trying to manage these patients into primary care practice where potentially the equipment or the safety precautions will be a bit trickier with injectable chemotherapy.
Even if they're not getting the absolute best treatment that they could get if they were able to receive injectable chemotherapy, the oral chemotherapy becomes very helpful because it's easier to administer, it's easier to source, easier to storage as well.
I think there's lots of situations and lots of different diseases that we could consider oral chemotherapy, and lots of them will be very well treated, and the treatment of choice would be oral chemotherapy.
That can very well be managed and very successfully managed with just oral chemotherapy.
If we're thinking about more large cell, high-grade lymphoma, that's different.
Ideally we would want for best treatment outcomes to include some injectable drugs, but if that's not possible, oral lomustine can also potentially achieve some efficacy in these patients.
There's lots of different situations where you could do a lot of good for your patients just with oral drugs.
It might not be the absolute best treatment out there, but it will still be better than nothing.
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