Week off was easier. Doctors usually recommend that people with cancer have a flu vaccination and a coronavirus (covid) vaccination. The lab work showed I had Stage 3 cancer with 3 of 27 lymph nodes affected. Many facilities will have programs with finanical assistance, like MSK can set up payment plans and the rest to make it easier. If you have a stoma, it will be more active than usual. 1,2. Three out of eleven lymph nodes were positive. Whetheryou have a full or an empty stomach can affect how much of a drug gets into your bloodstream. The oxy caused this weird cold sensitivity and "first bite" syndrome - temporarily feeling like there were glass shard in your throat - but very temporary. Avoiding fatty or fried foods, eating small meals and snacks, drinking plenty of water, and relaxation techniquescan allhelp. Thank you for sharing your concern on this forum. If you feel sleepy, do not drive or use machinery. You usually take the tablets twice a day, about 12 hours apart. They may give the next doses of oxaliplatin over 4 to 6 hours to reduce the chance of throat spasms. All patients received standard gastrectomy with D2 lymphadenectomy. If you do have a reaction, it can be treated quickly. Your doctor, nurse or pharmacist can tell you more about this. You will have a blood test before having more treatment. K - References. It is important to use contraception during your treatment and for a while after treatment finishes. You take capecitabine tablets twice a day. A prodrug of 5-fluorouracil (5FU), capecitabine is converted to its two active metabolites, 5-fluoro-2-deoxyuridine monophosphate (FdUMP) and 5-fluorouridine triphosphate (FUTP) by carboxyesterase, cytidine deaminase and thymidine phosphorylase (present in the liver and in tumours). This is to make sure they work as well as possible for you. It is easier to prevent sickness than to treat it after it has started. The capecitabine and oxaliplatin with RT group received identical postoperative RT to that in the capecitabine with RT group combined with capecitabine (1300 mg/m 2) on days 1 to 14 and 22 to 35 and a 2-hour infusion of oxaliplatin (60 mg/m 2) on weeks 1, 2, 4, and 5. Capecitabine contains lactose (milk sugar). It is important to keep hands and feet well moisturised. This treatment can reduce the number of platelets in your blood. Your hair may get thinner. They sometimes need to lower the dose of the drug. Ive not heard of oxaliplatin causing tinnitus but Ive had a quick google and it is a known side effect although not one of the more common ones. The oncologist wasn't convinced the AF was caused by chemo so when I had lung mets surgically removed in 2016 he prescribedcapecitabine as a mop- up treatment. Stage 4 means that the cancer has spread to one or more other organs. You may get sore and red palms of hands and soles of feet. People who have low DPD levels can develop serious or life-threatening side effects if they have capecitabine. Not the same chemo but I had severe pains in my joints all over my body also in my legs and feet. I wrote my. This treatment can cause your blood sugar and sodium levels to go up. It is important to take anti sickness medicines as prescribed even if you dont feel sick. Your doctor or nurse can give you more information. 2011 Jun;9(6):492-500. God bless us all troopers!! Oh well! You take capecitabine tablets twice a day about 12 hours apart. They may give you a copy of the treatment plan to take home with you. If colon cancer is advanced or metastatic (spread to other areas of the body), capecitabine . A randomized controlled trial of patients with stage II and III rectal cancer found that adding oxaliplatin to the standard postoperative chemoradiation treatment of capecitabine did not improve survival compared to control patients. I cannot share our experience with Xeloda, but it was offered as the first treatment choice by one oncologist and he said there is no guarantee that it would work. I usually feel a bit off (mostly low energy) for a week - week and a half, then I feel good for a week and a half - two weeks. It is easier to prevent sickness rather than treating it once it has started. You take capecitabine tablets in the morning. Like JJ I had Folfox. Hi , Welcome back to the forum . This treatment may cause headaches. Testing can detect most cases of DPD deficiency, but not all cases. You may also get mouth ulcers. I found out I had a tumor in my upper colon on February 7, 2017. And today I learned my "copay" for two weeks of capecitabine is just short of $1,100USD. The main problems I've had was the Peripheral Neuropathy which started near the end of my treatment. Put it on hands and feet religiously, morning and night to minimize problems. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. About Cancer generously supported by Dangoor Education since 2010. This is called a platelet transfusion. The week on chemo I did get careful with drinking cold things, would bring it to room temperture with small sips. Less commonly you might have a dry mouth. Instructions on how you can make a PDF version of this page using the print function on your browser. But it has subsided. You have each treatment cycle in the . If cisplatin is substituted by oxaliplatin and 5-FU by . I try not to plan much for the week of iv chemo. Rarely some people might cough up blood or have unusual bleeding from the vagina. Sometimes, looking back, I wonder if I had just pushed myself a little more, I may not have suffered as much as I did. Hearing changes usually get better after this treatment ends. There, that sounded less commanding. tiny red or purple spots on the skin that may look like a rash. We cannot list every side effect for this treatment. I really do hope you find a quick solution . Public Health England Our community is available 24/7 and has dedicated forums where . . Your nurse usually gives you anti-sickness (anti-emetic) drugs before the chemotherapy. . For colorectal cancer: take care , Thanks for the reply, I also looked it up and saw it was,I also mentioned about Slight change in my tongue but my feet and toes are fine,they gave me the option of reducing it by 20% or stopping the Oxaliplatin and just do the pills,it's a fine line between getting the most out of the treatment and not being left with bad side effects,I've seen reports of people going deaf (take what you read with a pinch of salt),there have been many studies showing less than 1% better outcome of people doing 6 months of treatment over people doing 3 months,after thinking about it I'm thinking of giving it 1 more go at the reduced amount and hope the titinus doesn't get any worse. The number of white blood cells will usually return to normal before your next treatment. Try to pace yourself and plan your day so you have time to rest. Abstract. On day of hiccups, one day bad bowel movements. Ask your doctor or pharmacisthow long you should avoid live vaccinations. People with weak immune systems can have these, as they are not live vaccinations. Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm. Tell your doctor or pharmacist about any medicines you are taking. The National Comprehensive Cancer Network (NCCN) has released new guidelines for ampullary adenocarcinoma, a disease accounting for just 0.2% of all gastrointestinal malignancies. Arms A and B respectively received 8 cycles of adjuvant XELOX (capecitabine 1000 mg/m 2, bid, d1-14, oxaliplatin 130 mg/m 2, d1, q3W) or SOX (TS-1: 40-60 mg bid, d1-14, oxaliplatin: 130 mg/m 2 d1, q3W). Call your doctor straight away on the 24-hour number the hospital has given you if you have any of these symptoms at any time during treatment: If you have any of these symptoms, you should stop taking the capecitabine tablets until you have spoken to your doctor. XE or CAP - capecitabine (Xeloda ) OX - oxaliplatin. I was never on the Xeloda so can't help there, but hope your treatment goes well with minimal side effects. It comprises < 8% pts in ovarian cancer trials, so it is difficult to examine treatment effects in this subgroup. Wear gloves and I even wore flip flops in the shower to keep my feet warm. These are both inactivated vaccinations that can help reduce the risk of infection. If you click my profile I have some details. 52.8% of patients accomplished full dose of adjuvant chemotherapy in nCT arm compared to 44.1% in nCRT arm (P= 0.065). This is because they can make you unwell. Dont breastfeed during this treatment and for 2 weeks after your final treatment. Try to drink at least 2 litres (3 pints)of fluids each day. Capecitabine works best if it's broken down in the stomach with food. Cycle frequency 21 days Number of cycles Maximum of 8 cycles. Oxaliplatin and capecitabineside effects, tinnitus, has anyone else suffered with this as I'm thinking of cutting out the Oxaliplatin for the last 2 sessions to save my hearing or am I being over causious, many thanks. If your blood results are okay, the pharmacist will prepare your chemotherapy. And women might be able to store eggs or ovarian tissue. i found that even though I received the same drugs each time, every session was different. I know I won't put gloves on to get things out of the fridge, so I pull my sleeves down over my hands. I hope it's the same for you! Sometimes exhausted to the bone, other times not so bad. Constipation is easier to sort out if you treat it early. It is important to take them exactly as your nurse or pharmacist explains. A company limited by guarantee, registered in England and Wales company number 2400969. Orif it carries on for more than 3 days. Hopefully the warm weather will also be to my advantage. Nausea is rotten . You may also pass urine more often than usual. Capecitabine can affect how the heart works. They may give you painkillers to help. You can report any side effect you have to the Medicines Health and Regulatory Authority (MHRA) as part of their Yellow Card Scheme. I had chemo on Monday, took the next 2 days off and then worked for the next 2 weeks with no problem. Unfortunately I now have more lung tumours so waiting for an appointment to see what is recommended. You may have ringing in the ears. This treatment can cause back pain and pain at the drip site during treatment. Side effects while treatment is being given. Oxaliplatin & Capecitabine. VAT no: 668265007. Accessed April 2021, Immunisation against infectious disease: Chapter 6: General contraindications to vaccination They said diarrhea but I have an ostemy so it doesn't matter. At that time I was only working M-W (not related to chemo). I liked Gold Bond Aloe, but everyone has their favorite. I did fairly well with it. It's been quite a while since I had chemo, but I think it was oxaliplatin that, caused the electrical shock when touching something cold. This can cause symptoms including: Tell your doctor or nurse straight away if you notice any of these symptoms. God bless you on this journey. Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). I agree with the people who are saying not to stay in bed. If your white blood cell count is low, your doctor may delay your treatment for a short time, until your cell count increases. It usually gets better after treatment ends. Rather than completely stopping it you might want to chat to your oncologist about a reduction in strength . Treatment was given over a 21-day cycle with a fixed dosing of intravenous oxaliplatin of 130 mg/m(2) on day 1. Where I live gets really cold in the winter and when I leave the cancer center after the iv if it's really cold I have to cover my nose and mouth to breath when I'm outside, but that usually only lasts a day or two. I am in generally good health, no medicines, conditions etc, other than this cancer thing. Capecitabine, Fluorouracil, and Oxaliplatin. Let your nurse know straight away if it's affecting your breathing and swallowing. The combination of capecitabine and oxaliplatin, with or without bevacizumab, a monoclonal antibody . If you have sex during a course of this treatment, you should use barrier protection such as a condom or dental dam. The risk of this happening is very low (less than 1 in 100 or 1%). The warm weather helps for sure. Try not to worry too much and do whatever you can. It is not a substitute for professional medical advice. You might lose your appetite for various reasons whilst having cancer treatment. 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