Bowel cancer treatment and side effects

fireblade401

1st Cycle started yesterday, couple of questions...

Hi all. How long should I take the anti nausea meds for? Is it just the first 3 or 4 days like the steroids or are people taking them every day during treatment? Also I have the pins and needles in hands esp when touching cold. Does anyone know which drug causes this... Is it the oxaliplatin or the flouroracil pump? Thanks in advance

Lirio345

Good morning @fireblade, it should say on the anti-nausea tablets how long you should take them for but if not I would recommend that you contact the chemo helpline number you have been given to check. This is not something that folk on here should advise on to be honest!

It is the Oxaliplatin that is responsible for the pins and needles and response to cold. My memory is that it generally only lasts a few days, but gloves and drinking warm not cold drinks is a good plan. Others will be along with advice about the Oxaliplatin, - I haven’t had it for over three years so I cannot remember properly! Take very good care, Kim :x:

angelj

Hi @fireblade401 the chemo unit should have provided you with clear advice on when and how to take anti nausea tabs, as @Lirio345 says I’d call them or the hotline. Re. The tingling, this tended to last a couple of days but longer as cycles went on. It is worthwhile making a diary note of this particular symptom due to neuropathy, our oncologist was very keen to ask at each cycle for these symptoms to determine when to stop the drug. Wishing you the very best, Angela :x:

Sarah Morgan

@fireblade401, my husband has Ondansetron as anti-nausea which he takes twice a day when he has the 5fu pump. He then had different anti-nausea to take if required. As others have said, call the Hotline or specialist nurse. You should have received clear instructions as it’s your first cycle. Sarah :x:

fireblade401

Thanks. No instruction on how long to take them for so ill ring them

jinnyp

Hi @fireblade401 - have only just seen this. When I was having Folfox I was given 3 days Dex and 5 days domperidone to take for sickness. The first run I made the mistake of stopping when the 5fu pump came off and felt really rubbish. The nurses told me later that I was more likely to feel sick after the pump for some reason and they were right! After that I took for the full five days and also had cyclizine if I needed it.
The pins and needles usually lasted a few days but did increase as the cycles went on. As @angelj said keep a note of the neuropathy symptoms - they may have to modify your dose if they increase, mine was reduced for the last two cycles.
Hope you get some answers when you call. :x::x:

fireblade401
Quote from @jinnyp:
Hi @fireblade401 - have only just seen this. When I was having Folfox I was given 3 days Dex and 5 days domperidone to take for sickness. The first run I made the mistake of stopping when the 5fu pump came off and felt really rubbish. The nurses told me later that I was more likely to feel sick after the pump for some reason and they were right! After that I took for the full five days and also had cyclizine if I needed it.
The pins and needles usually lasted a few days but did increase as the cycles went on. As @angelj said keep a note of the neuropathy symptoms - they may have to modify your dose if they increase, mine was reduced for the last two cycles.
Hope you get some answers when you call.

Thanks for the info

1234annie

It's the Oxy that makes your hands tingle. Mine did from the very first session and it's normal and should ease after the pumps off. The steroids help your body get over the chemo so you should feel good on your 'good' week. I think I took the anti-sickness as I needed them which was for most of the first week. Call the hotline though to check, they are v good. :x: :x: :x:

HH79

Hi @fireblade401 I would take them for few days each cycle normally whilst pump on and day or two after. The steroids help with the sickness :x::x: