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Real members of MyLungCancerTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
March 2
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MyLungCancerTeam

Should you continue chemotherapy along with Keytruda, or switch to just Keytruda for maintenance therapy?

Congratulations on achieving no active cancer after three years — that's a significant milestone! Your question about continuing both treatments versus just Keytruda is an important one to discuss with your oncologist.

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Should you continue chemotherapy along with Keytruda, or switch to just Keytruda for maintenance therapy?

Congratulations on achieving no active cancer after three years — that's a significant milestone! Your question about continuing both treatments versus just Keytruda is an important one to discuss with your oncologist.

After initial treatment successfully eliminates visible cancer, maintenance therapy is often recommended to help you stay in remission longer and reduce the risk of cancer returning. For stage 4 lung cancer, this typically involves continuing immunotherapy like Keytruda.

Many people transition from combination therapy (chemotherapy plus immunotherapy) to maintenance therapy with just the immunotherapy drug after their initial treatment phase. The initial combination treatments often last three to four months, and then people commonly continue taking just the immunotherapy drug.

However, the decision depends on several factors:
- How your specific cancer has responded to treatment
- Your overall health and how well you're tolerating the treatments
- Your doctor's assessment of recurrence risk
- The specific characteristics of your cancer

This is definitely a conversation to have with your oncologist. They can review your case and help determine whether continuing both treatments or switching to Keytruda alone would give you the best chance of staying cancer-free while managing side effects.

March 2

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