Patient Education Cancer Care | Page 10

Side Effects Chemotherapy All drugs have side effects, and most of these effects are known. Your doctor may order other drugs to help with side effects. Most of the side effects are related to the fast-growing normal cells. These include: • Hair loss • Mouth sores • Feeling sick to your stomach (nausea and/or vomiting) • Loose bowels (diarrhea) • Infections • Feeling more tired more often (fatigue) • Bleeding You will be watched closely by your doctors and nurses. We will check your blood, do exams, and may order some other tests as needed. Please tell us how you are feeling. Chemotherapy is the use of medications (drugs) to treat cancer. It is used also to treat some diseases that are not cancer. Depending on the type and stage of the cancer, chemotherapy can be used to: • Cure the cancer • Stop the spread of it • Slow the growth of it • Relieve symptoms Types of Chemotherapy • Combination therapy: the use of two or more anticancer drugs • Neoadjuvant therapy: the use of chemotherapy before surgery and/or radiation to shrink a tumor • Adjuvant therapy: the use of chemotherapy after surgery and/or radiation How Chemotherapy Is Given How Chemotherapy Works Chemotherapy treatments may be given in the hospital, the doctor’s offi ce, the outpatient infusion center, or at home. Chemotherapy is most often given through an IV (intravenously) into a vein. It may also be given by pills, shots (injections), a needle or catheter directly into the site of the cancer, or skin lotions or creams. Chemotherapy is given in cycles. This lets the body rest and repair between treatments. The doctor will talk with you about the type and cycle of your chemotherapy treatments, and how often you will be having them. It is best to follow the treatment plan and keep all appointments. This will allow the chemotherapy to be most effective. An example of a cycle is Taxol ® and carboplatin given once every 21 days for 6 times (cycles). Chemotherapy drugs can slow the growth of and kill cancer cells. They work best on cells that grow fast and divide fast. This is what cancer cells do, but there are some normal cells that grow this way too. Chemotherapy cannot tell normal cells from bad cells. Cells that normally grow fast and divide fast are: • Hair cells • Cells in your mouth, gums, stomach, and bowels • Cells in your bone marrow, which is the spongy part on the inside of bones 9