Monday, May 30, 2011

Kate sent this to me

Hey guys:
Kate found this pretty cool reference that kind of explains the process for my chemo. It's not exactly the same, but it gives a pretty good overview of stuff. Some of the drug names may be different than I am getting, because this is a post from the UK. 


http://www.macmillan.org.uk/Cancerinformation/Cancertreatment/Treatmenttypes/Chemotherapy/Combinationregimen/Hyper-CVAD.aspx
Schedule A (cycles 1, 3, 5 and 7)
On the first day of your treatment, you will have cyclophosphamide,
which is given twice in 24 hours. This will be repeated on the next
two days (day 2 and 3).
You will also start taking dexamethasone tablets on the first day of
treatment and continue taking these for four days.
On the fourth day of your treatment you will be given doxorubicin and
vincristine. Doxorubicin is repeated again on the next day (day 5).
You can usually go home the following day if you are well enough.
On day 11 of your treatment, you will have vincristine again (you can
have this as a day patient) and you will start taking dexamethasone
tablets for another four days. After this you will have a rest period,
with no treatment for the next week. This completes a cycle of your
treatment.
After the rest period you will then go on to have methotrexate and
cytarabine (schedule B).
Schedule B (cycles 2, 4, 6, 8)
On the first day of treatment you will be given methotrexate
continuously for 24 hours and this is repeated on the next day.
Cytarabine is given twice (12 hourly) on the second day and also on
the third day. You can usually go home if you are well enough and your
methotrexate levels are satisfactory. This is checked with a blood
test
.
After this you will have a rest period with no treatment for the next
18 days. This completes a cycle of your chemotherapy.
After the rest period you will then have Hyper-CVAD (schedule A). You
will continue to alternate between schedule A and B until your
chemotherapy treatment is completed.
When you go home after schedule A or B, you will be given a supply of
anti-sickness tablets to take with you. It is important to take these
as directed, even if you aren't feeling sick. This is because some
anti-sickness drugs are much better at preventing sickness than
stopping it once it starts.
Your central or PICC line will usually stay in place, ready for the
next cycle of your chemotherapy. You will be shown how to look after
the line.
You may need to have your blood checked every week between
chemotherapy treatments or cycles. Some people may need to be admitted
to hospital if they develop an infection or if the number of blood
cells
 (blood count) is low. A blood or platelet transfusion to improve
your blood count can be given to you during a short stay in hospital
or as a day patient.

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