Tarceva didn't work for me. The only thing Tarceva did was give me reptile skin cover with pimples and an inflamed red nose. I started another treatment (alimta and avastin). I still have nausea, but it has been much kinder to me. As part of my treatment regimen, I take steroids the day before, the day of, and the day after treatment to keep my nausea mostly under control. Steroids also give me more energy to do things that would normally take a bit more effort. Unfortunately, all this energy keeps me up at night despite taking sleep aids.
So my dilemma is whether to take the steroids to keep the nausea at bay, or to forgo the steroids and deal with nausea everyday for over a week, but get good sleep. I flip back and forth for each treatment. I decided to take it this week, because I didn't want to deal with the nausea from the last treatment. Today, I added swimming to my gym routine in an effort to expend as much energy as possible. I'm tired! But, hopefully, I will get a good night's sleep.