Umgangssprachlich (auch als Chemo bezeichnet[1]) ist meistens die zytostatische Behandlung von Krebs gemeint. Urgent side effects. Some chemo drugs cause long-term side effects, like heart or nerve damage or fertility problems. Side effects are problems that occur when treatment affects healthy tissues or organs. Some chemotherapy drugs can increase the risk of developing some types of cancer or leukaemia later in life. Side effects of chemotherapy related to neuropathy and other types of nerve damage may include: Difficulty picking up objects or buttoning clothing; Problems with balance; Difficulty walking; Hearing loss; Feeling of “pins and needles” or “hot and cold” These symptoms can build over time. Registered office: 89 Albert Embankment, London SE1 7UQ. Date 21 June 2019; This article was published on : The use of metronomic therapy is spreading in Italy: small oral doses of drug to be taken continuously. Find Support Programs and Services in Your Area, Making Strides Against Breast Cancer Walks, Common Questions About the COVID-19 Outbreak. The American Cancer Society is a qualified 501(c)(3) tax-exempt organization. Ask questions and work with your health care team to prepare for chemotherapy so that you know what side effects to expect and how to manage them. It makes special cells called stem cells which develop into the different types of blood cells: You will have regular blood samples taken to check the number of these cells in your blood (called a full blood count). Most side effects stop or slowly go away when chemotherapy finishes. A blood clot may cause symptoms such as pain, redness and swelling in a leg, or breathlessness and chest pain. The side effects of chemotherapy vary in length and severity from individual to individual. Date 21 June 2019; This article was published on : The use of metronomic therapy is spreading in Italy: small oral doses of drug to be taken continuously. We have more information about: Chemotherapy can reduce the number of blood cells made by the bone marrow. American Cancer Society medical information is copyrighted material. Try to eat more fibre (cereals, raw vegetables and fruits) and drink plenty of liquid. Learn about the symptoms of DVT and how to lower your risk. Some side effects are mild and easily treated. If the number of platelets in your blood is reduced, you may notice you bruise easily or bleed more than usual from minor cuts or grazes. Your doctor may talk to you about the risk of getting sepsis (also called blood poisoning). Your resistance to infection is usually lowest 7 to 14 days after chemotherapy. Most chemotherapy side effects are temporary and disappear once your treatment is over. You will also be given tablets to take at home afterwards. The most common side effects of chemotherapy are: Hair loss; Mouth sores; Nausea; Vomiting; Loss of appetite; Diarrhea; Being prone to infections due to low white blood cells; Fatigue due to low red blood cell count ; Bleeding or bruising as a result of low platelet count. Ask your doctor about the side effects of the particular drugs you'll receive. When you hear the word chemo, what are the first side effects that come to mind? Chemotherapy Treatment Side effects For Bladder Cancer. Together, we’re making a difference – and you can, too. Not at all! Some chemotherapy drugs also make the eyelashes and eyebrows fall out. What's going on near you? For instance, platelets help blood clot and prevent bleeding. Nausea and vomiting. Some chemotherapy drugs can cause heart or lung problems, and some drugs increase the risk of getting another cancer in the future. Combating Chemotherapy Side Effects. Some chemotherapy drugs can affect how well your kidneys work (kidney function). Every person doesn’t get every side effect, and some people get few, if any. Most chemotherapy side effects are temporary and disappear once your treatment is over. It is important to try to eat well during your treatment. If you are sick (vomit) when you take tablets, your doctor can prescribe injections or suppositories to take until the sickness is controlled. When they are low, you are neutropenic. Side effects of chemotherapy. Remember that chemotherapy side effects can impact each person differently. People having high doses of chemotherapy may have more complex side effects. Anyone that has personally gone through it, along with the caregivers, know first-hand the nastiness and depth of chemo side effects. Cancer patients, especially cancer patients who are receiving chemotherapy, have a much higher risk of DVT than other people. We have helpful tips on looking after your heart and how late effects can be monitored and managed. Some drugs can affect your skin. Some chemotherapy drugs, anti-sickness drugs and painkillers can cause constipation. Timelines for side effects can be somewhat predictable for those undergoing chemotherapy treatment. You may have ringing in your ears (tinnitus), and you may not be able to hear some high-pitched sounds. Most chemotherapy side effects are temporary and disappear once your treatment is over. Your digestive system (stomach and bowels) can be affected in different ways by chemotherapy. Sometimes, you can take medicines with the chemo to help protect your body’s normal cells. © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). If you’re concerned about nutrition, you can usually get plenty of vitamins by eating a well-balanced diet. Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice. Mental. Immunotherapy side effects happen when the immune system that has been prompted to act against the cancer also acts against healthy cells and tissues in the body. Die Chemotherapie verwendet Stoffe, die ihre schädigende Wirkung möglichst gezielt auf bestimmte krankheitsverursachende Zellen beziehungsweise Mikroorganismen ausüben … Get ready for possible side effects of chemotherapy. The negative side effects, however, are caused when healthy cells are attacked. Whether you want to learn about treatment options, get advice on coping with side effects, or have questions about health insurance, we’re here to help. SMALL doses, to be taken orally evey day, or several times a week, at home, continuously. Chemotherapy can be an effective way of treating cancer. You may experience some, all, or none of these side effects. Tell your nurse or doctor if this happens. We couldn’t do what we do without our volunteers and donors. Chemotherapy side effects can occur at the time of treatment, after treatment or even sometimes before treatment (such as anticipatory nausea and vomiting, a learned response caused by previous associations between treatment conditions and subsequent reactions). It’s also important to follow recommended screening guidelines, which can help detect certain cancers early. Pain may be felt as burning, numbness, tingling or shooting pains in the hands and feet (called peripheral nerve damage ). Your health care team can treat and/or talk with you about ways to reduce these side effects, so you feel better. But it can be 3 or 4 months until you feel back to normal. There may be times, though, when serious side effects require adjusting the chemo plan (dose and/or schedule) to allow you time to recover. Sex drive usually returns soon after treatment ends. In Olsen MM, LeFebvre KB, Brassil KJ, eds. Tell your cancer doctor or nurse if you develop any skin changes or rashes. Though less common, constipation also can be a side effect of chemotherapy. Some drugs do not make your hair fall out, but can make it thinner. Fatigue. Tiredness (fatigue) is one of the most common side effects of chemotherapy. You may feel too tired, feel sick or be in pain. If you have a low number of white blood cells, you are more likely to get an infection. But some vitamins might make chemo less effective. platelets, which help the blood to clot and prevent bleeding and bruising. It shows as white spots on your mouth and tongue, or your tongue and mouth lining become red and swollen. You may have hearing tests before, during and after treatment with some chemotherapy drugs. The side effects can be unpleasant, but the benefits of chemotherapy usually outweigh this. Practicing healthy eating habits throughout cancer treatment is essential. Sometimes doctors may prescribe a drug called erythropoietin for anaemia. Doctors sometimes call this cancer-related cognitive changes (CRCC) but it is sometimes known as chemo brain. Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice. Ask your doctors if and when it might be OK to start taking vitamins after treatment. Your hair will usually grow back over a few months after you have finished treatment. The American Cancer Society couldn’t do what we do without the support of our partners. See, A fever higher than what your cancer care team has instructed (usually 100.5°F -101°F or greater (taken by mouth), An allergic reaction, such as swelling of the mouth or throat, severe itching, trouble swallowing, Pain or soreness at the chemo injection site or catheter site, Unusual pain, including intense headaches, Shortness of breath or trouble breathing (If you’re having trouble breathing call 911 first. Constipation. ). Taste changes usually get better after treatment finishes. Navigating reliable, useful information can be overwhelming. Your doctor or nurse will tell you what signs of infection to look out for. How Is Chemotherapy Used to Treat Cancer? One notable example is heart damage following treatment with Adriamycin (doxorubicin).With this drug, a possible long-term side effect is weakening of the heart muscle, resulting in a decreased ability to pump blood through the body (heart failure). Always check with your doctor first before starting to take a vitamin of any kind, even a simple multivitamin. Thus control of the disease is achieved in 88% of cases. Looking after the condition of your hair can make it less likely to break off. Your nurse can give you more advice. But as it wipes out cancer cells, chemotherapy can also destroy fast-growing healthy cells. Some drugs may cause: Some chemotherapy drugs can increase the risk of heart or lung problems later in life. When you and your doctor are deciding on a chemotherapy regimen, weighing the benefits versus the side effects is part of the process. It is important to tell your doctor if this happens. This is to make sure you get treatment with antibiotics straight away to prevent any complications.Always contact the hospital on the 24-hour contact numbers you have been given and speak to a nurse or doctor if: Your chemotherapy nurse will talk to you about infection and show you how to check your temperature. Most chemotherapy side effects go away shortly after you've finished chemotherapy. Pittsburgh, PA: Oncology Nursing Society; 2019:61-90. You may have steroids with the chemotherapy. Nutrition During Chemotherapy. Cancer Information, Answers, and Hope. Cancer patients, especially cancer patients who are receiving chemotherapy, have a much higher risk of DVT than other people. You can also ask to see a dietitian. Different drugs cause different side effects. Your doctor can talk with you about the safety of using other medicines, vitamins, and supplements while you are being treated for cancer. These are called late effects. However, while it destroys cancer cells, it can also have adverse effects. Side effects that occur during chemotherapy treatment. The side effects usually get better after your treatment finishes. Share on Facebook Share on Twitter Email. Your doctor may prescribe you antibiotics and other medicines to take during chemotherapy to prevent an infection. Do not take any physical symptoms you have lightly. It is important to keep talking with your partner and sharing how you are both feeling. Chemotherapy causes various side effects based on which cells are being attacked. Try to drink 2 litres (3½ pints) a day. Always let your doctor or chemotherapy nurse know if you have mouth ulcers, or any problems with your mouth. These symptoms happen because the red blood cells contain haemoglobin, which carries oxygen around the body. The biggest difference between them is how they're delivered. If you feel this way, talk to your cancer care team. The normal cells most likely to be damaged by chemo are: Some chemo drugs can damage cells in the heart, kidneys, bladder, lungs, and nervous system. Whether you or someone you love has cancer, knowing what to expect can help you cope. Here are some of the more common side effects caused by chemotherapy: Fatigue; Hair loss; Easy bruising and bleeding; Infection; Anemia (low red blood cell counts) Nausea and vomiting; Appetite changes; Constipation Be sure to talk to your cancer care team about which side effects are most common with your chemo, how long they might last, how bad they might be, and when you should call the doctor’s office about them. Learn about the types of side effects that immunotherapy might cause and where to go for more information. But because these drugs travel throughout the body, they can affect normal, healthy cells that are fast-growing, too. Knowing what to expect gives you time to prepare and find ways of coping with hair changes. Tell your hospital doctor or nurse about this and contact them straight away if you have: Some people may need a platelet transfusion. They also may be able to suggest ways to reduce any pain and discomfort you have. Chemotherapy should not have a long-term effect on your sex life. Developing an infection when you have a low number of white blood cells can sometimes be a serious complication of chemotherapy. Some chemotherapy drugs can affect your hearing. Or you may have injections called G-CSF to encourage your bone marrow make more white cells. We have more information about looking after your hair. From basic information about cancer and its causes to in-depth information on specific cancer types – including risk factors, early detection, diagnosis, and treatment options – you’ll find it here. These are called late effects. It is important to contact the hospital if this happens. Learn how doctors use it and what to expect. Eine Chemotherapie kann unter kurativen, adjuvanten oder palliativen Gesichtspunkten durchgeführt werden. If you know the name of the drug you are looking for, you can use our list of chemotherapy drugs to find it. Until we do, we’ll be funding and conducting research, sharing expert information, supporting patients, and spreading the word about prevention. Chemotherapy. Your skin may also be more sensitive to sunlight during and after treatment. But if you have low platelets or a low level of white blood cells, your doctor may advise you to avoid penetrative sex until your blood cell levels improve. Rarely, your sense of balance may be affected. Common side effects include hair loss, nausea and confusion. Chemotherapy can help fight cancer, but it also has side effects.Everyone reacts differently. Thus control of the disease is achieved in 88% of cases. Research. Chemotherapy units usually have a policy they follow when someone with low white blood cells has an infection. Remember: most of the side effects of chemotherapy are temporary and will disappear after your treatment has finished. If you have more than 4 episodes of diarrhoea a day, contact the hospital on the telephone numbers you have been given and speak to a doctor or nurse. The severity of side effects (how bad they are) varies greatly from person to person. However, these late effects are rare. Long term and late effects of treatment. They often hear about how terrible chemotherapy side effects are and how sick you can feel. You may lose underarm, body and pubic hair as well. Which chemotherapy side effects might I get? They often hear about how terrible chemotherapy side effects are and how sick you can feel. It can be very frustrating and difficult to cope with, especially for people who normally have a lot of energy. Side effects like tiredness or feeling sick or weak can reduce your sex drive and make having sex difficult. This can cause tingling or numbness, or a feeling like pins and needles. They can give you mouthwashes, medicines and gels to heal ulcers and clear or prevent any infection. It is also important to try to talk about how you feel with your partner. Side effects may include: Feeling sick (nausea) Some chemotherapy drugs can make you feel sick (nauseous), or be sick (vomit). All so you can live longer — and better. Chemotherapy can cause cardiac effects early in treatment, but in some cases, the effects may not show up until much later. Many side effects go away fairly quickly, but some might take months or even years to go away completely. Sometimes, you might be given supportive medicines to help your body recover more quickly. Not all drugs cause sickness and many people have no sickness at all. It might be brief or last a long time. Cancer treatments can cause many other side effects, including tiredness, trouble eating, and depression. While side effects can be unpleasant, they must be weighed against the need to kill the cancer cells. Cancer can increase your risk of developing a blood clot (thrombosis), and having chemotherapy may increase this risk further. Learn how doctors use it and what to expect. Chemotherapy side effects can occur at the time of treatment, after treatment or even sometimes before treatment (such as anticipatory nausea and vomiting, a learned response caused by previous associations between treatment conditions and subsequent reactions). Sometimes the side effects can last a lifetime, such as when chemo causes long-term damage to the heart, lungs, kidneys, or reproductive organs. Dental treatment may need to be delayed during chemotherapy because of the risk of infection and a sore mouth. The Cancer Society has an information sheet, Coping with the Side Effects of Chemotherapy and Radiation Treatment: Fever, nausea (feeling sick), which is available on our website. Usually, there is no medical reason to stop having sex during chemotherapy. Some chemotherapy drugs can make you feel sick (nauseous), or be sick (vomit). Damage to healthy cells causes side effects. Some drugs can make you feel anxious, restless, dizzy, sleepy or have headaches. They may also ask you to record what you drink and the amount of urine you pass. Around 650,000 Americans will receive outpatient chemotherapy each year, according to the CDC, and for some of those patients, the side effects are so bad the chemotherapy has to stop. Some side effects from chemotherapy may not show up for many months or years. Make sure you drink plenty of liquid to replace the fluid you are losing with diarrhoea. This is normal. Firstly, a single drug like gemcitabine or cisplatin are options if patients have a poor general condition. If you are having problems, ask your nurse for advice. The nurses may ask you to drink plenty of fluids. Some foods may taste different or have no taste. Pittsburgh, PA: Oncology Nursing Society; 2019:25-50. Tinnitus usually improves when treatment ends. The hardest time may be towards the end of the course of chemotherapy. Chemotherapy works by killing rapidly dividing cancer cells. Sometimes, diarrhoea can be more severe. If chemotherapy reduces the number of red blood cells in your blood, you may become very tired and feel you have no energy. Learn more about these partnerships and how you too can join us in our mission to save lives, celebrate lives, and lead the fight for a world without cancer. Mouth ulcers can become infected or you may develop an infection in your mouth. One notable example is heart damage following treatment with Adriamycin (doxorubicin).With this drug, a possible long-term side effect is weakening of the heart muscle, resulting in a decreased ability to pump blood through the body (heart failure). Your cancer doctor or specialist nurse will tell you if the chemotherapy is likely to cause hair loss. They may be able to prescribe medicines that can help with some of these effects. Other side effects can be harder to manage, but can often be reduced or helped in some way. There are very effective treatments to prevent and control sickness. Isle of Man company number 4694F. For most types of chemotherapy, side effects do not show how well treatment is working. Sexual intercourse is only one of the ways you can express affection for each other. Your doctor can give you an idea of the side effects you're likely to have. This isn’t a problem for healthy people with normal platelet counts, but if a person has low platelet counts from chemo, this combination might put them at risk of a serious bleeding problem. Chlorine in swimming pool water can make this worse. Cardiac Concerns . Your doctor can give you an idea of the side effects you're likely to have. Here are some of the more common side effects caused by chemotherapy: Learn more about these and other problems in Managing Cancer-related Side Effects. You may experience no side effects with some drugs … The American Cancer Society medical and editorial content team. Each drug has different side effects, and not every drug causes every side effect. What does it take to outsmart cancer? This includes the: You may get some of the side effects mentioned below, but you are very unlikely to get all of them. You may get a bitter or metal taste in your mouth. The dose of the chemotherapy drug may need to be changed if it gets worse. Still, some side effects may take several months or longer to go away completely. Share experiences, ask questions and talk to people who understand. You may be able to change your medicine or treatment schedule. This is rare, and your doctors will consider the small increase in risk of this happening against the benefit of the chemotherapy in treating your cancer. Your doctor, nurse or pharmacist may prescribe drugs to help control them. The number of your white blood cells will then increase steadily and usually return to normal before your next cycle of chemotherapy is due. Some people find that chemotherapy makes them forgetful or unable to concentrate during or after treatment. The most common side effects of chemotherapy are: Hair loss; Mouth sores; Nausea; Vomiting; Loss of appetite; Diarrhea; Being prone to infections due to low white blood cells; Fatigue due to low red blood cell count ; Bleeding or bruising as a result of low platelet count. Mouth, tongue, and throat problems such as sores and pain with swallowing, Peripheral neuropathy or other nerve problems, such as numbness, tingling, and pain, Skin and nail changes such as dry skin and color change, Urine and bladder changes and kidney problems, Chemo brain, which can affect concentration and focus. Your doctor can give you more information about this. Many people having treatment feel tired a lot of the time or get tired very easily doing everyday tasks. Your nails may grow more slowly or break more easily. Different people react to chemotherapy differently. Timelines for side effects can be somewhat predictable for those undergoing chemotherapy treatment. Keep snacks such as nuts or dried fruit handy to eat whenever you can. The Macmillan Support Line offers confidential support to people living with cancer and their loved ones. Available Every Minute of Every Day. Nausea and vomiting. There are things you can do to help improve your general health. Make sure you know how to reach someone on your team any time, including after hours, weekends, and holidays. Tax ID Number: 13-1788491. It … Common side effects include hair loss, nausea and confusion. Different drugs cause different late effects. You may also find it hard to fasten buttons or do other fiddly tasks. The following are the most common side effects that people tend to experience with chemotherapy. Share on Facebook Share on Twitter Email. We’ve created a new account area offering personalised cancer information and support. More research is needed, but until more is known about the effects of vitamins on chemo, keep these points in mind: Because your cancer care team will give you lots of information about side effects, you might be more aware of physical changes. 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