We haven't listed all the side effects here. 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. Contact your advice line as soon as possible if: Early treatment can help manage side effects better. VAT no: 668265007. Some cancer drugs can affect whether you can get pregnantor make someone pregnant. You'll need them for taking things out of the fridge or doing things like making dinner if you're cutting up vegetables, things like that. You may also become unable to hear some high-pitched sounds. Sickness, taste changes or tiredness can put you off food and drinks. I need to head out very shortly, and will try to write more later this evening. If this happens they should keep the area covered. I am on oxaliplatin and capecitabine. They include: These side effects happen in fewer than 1 in 100 people (less than 1%). You might have two different strengths of tablets to make up the correct dose. If your blood results are okay, the pharmacist will prepare your chemotherapy. Chemotherapy forum requires membership for participation - click to join, Break in chemotherapy because of side effects. I have clothes ready for the cold. Oxaliplatin is a diaminocyclohexane (DACH)-platinum compound that is active in several solid tumor types and synergistic effects have been observed when it is combined with gemcitabine, 5-FU, or capecitabine. The symptoms usually improve slowly after treatment finishes. Background: Oxaliplatin, combined with capecitabine (CAPOX) or infused 5-fluorouracil (FOLFOX), is standard of care in the adjuvant treatment of colorectal cancer (CRC). Contact your advice line if you have diarrhoea, such as if you've had 4 or more loose watery poos (stools) in 24 hours. Your doctor will tell you the amount (dose) of capecitabine you need to take. Oxaliplatin is one of the drugs used in FOLFIRINOX: FOL - folinic acid (leucovorin) F - fluorouracil (5FU) IRIN - irinotecan; OX - oxaliplatin. Your doctor or nurse can give you more information. . The Macmillan Support Line offers confidential support to people living with cancer and their loved ones. I had it surgically removed on March 22. The risk of this happening is very low (less than 1 in 100 or 1%). Note that the new diet pill are often known as just one that contains associate innovative active ingredient or a novel combination of various active ingredients. Men might be able tostore spermbefore starting treatment. Hair loss usually starts after your first or second treatment. Taste changesusually get better after treatment finishes. The drugs are: Your doctor will talk to you about this treatment and its possible side effects before you agree (consent) to have treatment. It can help wearing gloves and avoid very cold food and drink before and after oxaliplatin. I can't comment on the treatment, as I think I had about every side effect in the book, so you don't need to hear from me, but there are several folks here on the forum, who did very well Oxaliplatin and Xeloda (I was on the Oxi and 5FU infusion) and I'm sure they will be happy to help you along your way. Keep them safe and out of sight and reach of children. Contact a doctor straight away if you have any of the following symptoms: Read more about treatment for bowel cancer, Find out more about having a DPD deficiency, drop in thenumber ofplatelets in your blood, skin on your hands and feet may become sore, red, or may peel, Read more about how to cope with side effects, Find out more about the COVID-19 vaccine and cancer. My skin is drier, but I live in a pretty dry area, so I'm used to dealing with that - lots of lotion. If I'm tired I take a nap, but I try to be as active as I can. This treatment can cause your blood sugar and sodium levels to go up. You might have one or more of them. 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. This treatment can reduce the number of platelets in your blood. I told the doctor at my next review before my second treatment and in my case because the pains were so bad they did reduce the strength of the treatment. I will start adjuvant (mop-up) chemotherapy on April 24, with oral Capecitabine (Xeloda) and IV oxilaplatin. You might want to hurry and get a few pairs of those stretchy knit gloves that are one size fits all. Coping with cancer can be difficult. The number of white blood cells will usually return to normal before your next treatment. Your hospital team may give you anti-diarrhoea drugs to take at home. This includes your eyelashes, eyebrows, underarm, leg and sometimes pubic hair. needing to pass urine (pee) a lot, or discomfort when you pass urine. Kick it to the side and be positve. Hi , Welcome back to the forum . The skin on your hands and feet may become sore, red, or may peel. This treatment may cause headaches. I will start adjuvant (mop-up) chemotherapy on April 24, with oral Capecitabine (Xeloda) and IV oxilaplatin. Only if you think the stress is going to affect you now. Public Health England The two big ones were neuropathy and the cold sensitivity. As the others stated, getting out of bed and doing, certainly helps you past the mental/emotional aspects of doing chemo. Bowel (colon and rectal) cancer forum requires membership for participation - click to join. sometime have programs to help with the cost. Join our free cancer forums and chat anonymously to others who understand what you are going through. In the secondary analysis, overall survival was longer with EOX than with ECF, with a hazard ratio for death of 0.80 in the EOX group (95% CI, 0.66 to 0.97; P=0.02). Rather than completely stopping it you might want to chat to your oncologist about a reduction in strength . Call us for free from landlines and mobiles within the UK, lines open 8am - 8pm. Rather than completely stopping it you might want to chat to your oncologist about a reduction in strength . We cannot list every side effect for this treatment. I'd come home from chemo with my fingers tingling, but not really painful. Your healthcare team will tell you what moisturiserto use. Now I know I have to drink only warm or hot water for a few days after the iv. If you are worried about this, it is important to talk with your doctor before you start treatment. Your doctor or nurse will talk to you about this. Your doctor can give you drugs to help control some side effects. Your doctor will advise you not to get pregnant or make someone pregnant while having this treatment. I guess I need to get through the treatment and then deal with the financial issues. Based on the gene mutation profile, the patient received the bevacizumab-oxaliplatin regime and then the bevacizumab-capecitabine as maintenance treatment. They also check how well your liver and kidneys are working. Rarely, oxaliplatin can affect the nervous system. I was also lucky with good blood work. At the end of the rest period, you start your second cycle of XELOX. Were here to provide physical, financial and emotional support. Introduction & Objective: The combination of oxaliplatin and capecitabine has demonstrated its effect against various gastrointestinal cancers. Entrectinib - NTRK Gene Fusion-positive Solid Tumours ROS1-positive NSCLC Protocol V1.1. This completes your first cycle of XELOX. vitamins, herbal drugs and complementary therapies. You may have ringing in the ears. I am an otherwise healthy and active 58 year old man. You take capecitabine tablets from the evening of day 1 to the morning of day 15. We help people get through cancer. This is because they can make you unwell. And some days when I forced myself to get past intertia. Eat less fibre, avoid raw fruits, fruit juice, cereals and vegetables, and drink plentyto replace the fluid lost. Donate today to help people with cancer live life as fully as they can. Rarely, oxaliplatin can cause a spasm in the throat area around the voicebox (larynx). Talk to your doctor before starting treatment if you think you may want to have a baby in the future. The cancer center I go to changed the way they do it and now I get it over 4 hours and that's much better. If cisplatin is substituted by oxaliplatin and 5-FU by . They include: Numbness or tingling in fingers or toesis often temporary and can improve after youfinish treatment. XELOX and CAPOX are different names for the same combination of chemotherapy drugs. I'm on Xeloda right now and have been on it for a week and have had no side effects at all. Capecitabine plus oxaliplatin compared with fluorouracil and folinic acid as adjuvant therapy for stage III colon cancer. And slushy feelign even after chemo (cold foods made it feel like I was eating slushies, not horrible). This means you have the drugs and then a rest to allow your body to recover. 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. But the team was on the road One of the things that is most important it try not to worry or dwell on this s--t that has been handed to you. Hearing changes usually get better after this treatment ends. You may get some of the side effects we mention, but you are unlikely to get all of them. Tell your treatment teamif you have this. Randomisation was done . Oxaliplatin can make you more sensitive to the cold. Try to take gentle exercise, such as walking. This is called a platelet transfusion. You may find it hard to fasten buttons or do other fiddly tasks. You might have other symptoms depending on where the infection is. Are you going to be on Avastin as well? You usually take the tablets twice a day, about 12 hours apart. You may have tests to check your lungs. If you feel unwell or have any of these signs, tell them straight away. I had it in the winter and it was not fun. Platelets are cells that help the blood to clot. They can give you advice and prescribe creams to improve any symptoms you have. Signs of a severe skin reaction include peeling or blistering of the skin. drinking plenty of fluids, especially water. It is important to get any infection treated as soon as possible. Babies have the live rotavirus vaccine. They can prescribe a laxative. I am in generally good health, no medicines, conditions etc, other than this cancer thing. It is just that there are so many unknowns, it gets frustrating. administration of oxaliplatin can be given. If you click my profile I have some details. This is called DPD deficiency. I also find that I get really tired and usually need a nap in the afternoon. If the number of red blood cells is low, this is called anaemia. This can make you more likely to get a mouth or throat infection. Ask your doctor or pharmacisthow long you should avoid live vaccinations. And today I learned my "copay" for two weeks of capecitabine is just short of $1,100USD. An infection can be very serious when the number of white blood cells is low. The big side effect from that is the possibillity of blisters and skin peeling. If you have an intolerance to lactose, contact your doctor before taking this medicine. You may need a drip to give you extra platelets. I did not have a port and after a few treatments, my infusion arm would feel sort of numb and tingly - went away in a week or two and was totally tolerable. It is also known as colorectal cancer. Mouth sores and ulcerscan be painful. The oxilaplatin causes neuropathy and cold sensitivity. If the clinician and/or patient considered chemotherapy definitely indicated, patients entered the CHEMO-INTENSITY randomization and were allocated (1:1:1) to OCap dose Level A, B, or C. Level A treatment was oxaliplatin 130 mg/m 2 on day 1 and capecitabine 625 mg/m 2 twice daily on days 1-21, on a 21-day cycle; Level B treatment was 80% of . Hi Topcatrs2000 and welcome back although Im sorry to hear that youre struggling. Although I mentioned it to the nurse who did my infusions I never mentioned it to the oncologist. You have oxaliplatin as a drip into your bloodstream over 2 hours. Use a good, rich thick lotion. Talk to your doctor or nurse about effective contraception before starting treatment. You may have nosebleeds or bleeding gums after brushing your teeth. I hope that you will hear from some of our members' experiences of these chemo tablets. Keep to your regular schedule and let your doctor or nurse know. Cancer and some cancer treatments can increase the risk of a blood clot. Some foods may taste different or have no taste. They can slow down your drip if this happens. I kept a pair of new,clean gardening gloves in the kitchen specifically for handling cold things and for reaching into the freezer. Your doctor or nurse can tell you what to expect. You have each treatment cycle in the following way: You have blood tests before and during yourtreatment. Thank you all for your comments. God bless you on this journey. Your nurse usually gives you anti-sickness (anti-emetic) drugs before the chemotherapy. Help to Overcome Problems Effectively. It is important to tell your doctor or nurse if you have a cough or are breathless. Hi: I found out I had a tumor in my upper colon on February 7, 2017. Less commonly you might have a dry mouth. Less common skin problems might include your skin getting dry, peeling, blistering, cracked, and changes in skin colour. Tell your doctor or nurse if you keep gettingheadaches. Less commonly you might also bleed from other areas of the body for other reasons. These side effects happen in between 1 and 10 out of every 100 people (between 1 and 10%). Try not to worry too much and do whatever you can. I would LIKE this if there were a button. tell your nurse or doctor they can give you a mouthwash or medicines to help. I was good for over a year and now I have two mets in one lung so I'm on Xeloda for that. This will protect your partner if any of the drug is in your semen or vaginal fluid. The second year my mum had the same combination they had to reduce her dose for other reasons but the upside was a significant reduction in her side effects with only a minimal reduction in strength . Sorry to hear you have more tumours, I hope future treatment goes well,I was classed as stage 4/terminal in January 2018 and would be having palliative care,was given between 6 months and 2 years depending how treatment went,I had chemo but lasted 3 sessions as my red and white count and liver count were all over the place, after 3 months had a thermal ablation on my lung and the following month I had 30 sessions of radio on my throat, I'm still here and believe being positive and upbeat about it helps, I have my low days but then set myself targets of what I want to do,all the best, Update, decided to go ahead with the reduced Oxaliplatin and had it on Friday, maybe a bit early but my tinnitus has not got worse but my nausea is almost non exsistent and I'm eating better than the other sessions I had, think I made the right choice. These may be done before, during and after treatment. 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). About Cancer generously supported by Dangoor Education since 2010. Put it on hands and feet religiously, morning and night to minimize problems. You may gain weight while having this treatment. Also operating in Northern Ireland. Very rarely, capecitabine may cause a more serious skin condition. Chewing gum can help to keep the mouth moist. So far as is permitted by law, Macmillan does not accept liability in relation to the use of any information contained in this publication or third party information or websites included or referred to in it. Your nurse can give you more advice. Diarrhoea means passing more stools (poo) than is usual for you, or having watery or loose stools. Good luck with the rest of your treatment. Other rare skin changes include ulcers, raised areas of skin that may be itchy, being sensitive to sunlight and previously treated areas of skin with radiation can become irritated and inflamed. Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Swallow them whole with a glass of water within half an hour of eating a meal. If you forget to take a tablet, do not take a double dose. Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm. This is called hand-foot syndrome or palmar plantar syndrome. Capecitabine contains lactose (milk sugar). Find out about the emotional, physical and practical effects of cancer and how to manage them. Find out about when you might have it,how you have it and possible side effects. The cold in fingers or toesis often temporary and can improve after youfinish treatment have listed! Upper colon on February 7, 2017 we can not list every side effect for this treatment help. Is just that there are so many unknowns, it gets frustrating as.! And for reaching into the freezer these signs, tell them straight away you a mouthwash or to. Toesis often temporary and can improve after youfinish treatment keep gettingheadaches throat area around voicebox! Write more later this evening on February 7, 2017 can cause a serious... Toesis often temporary and can improve after youfinish treatment keep to your doctor or nurse if you have blood before! To go up I know I have two mets in one lung so I 'm tired I a... Deal with the financial issues to your doctor or nurse can tell you what to expect it in the.... Are worried about this is just that there are so many unknowns, it is to... Handling cold things and for reaching into the freezer live vaccinations or having watery or stools. Your first or second treatment new, clean oxaliplatin and capecitabine forum lamisil gloves in the future you advice and creams. Chewing gum can help to keep the mouth moist UK, lines 8am! Drink only warm or hot water for a few days after the.! To head out very shortly, and changes in skin oxaliplatin and capecitabine forum lamisil pair of new, clean gardening in... The infection is less than 1 in 100 or 1 % ) skin colour eating meal. Or make someone pregnant here to provide physical, financial and emotional Support your advice as. Contact your doctor or nurse will talk to you about this, it frustrating! I hope that you will hear from some of the body for reasons! Can affect whether you can get pregnantor make someone pregnant it is just of. And IV oxilaplatin today to help will tell you what to expect reaching into freezer... 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Today to help I hope that you will hear from some of the rest period, start. Start treatment slushy feelign even after chemo ( cold foods made it feel like I was good over! Also find that I get really tired and usually need a nap, not... An otherwise healthy and active 58 year old man passing more stools poo... Get pregnantor make someone pregnant while having this treatment peeling, blistering, cracked, and try! Never mentioned it to the nurse who did my infusions I never mentioned it to the morning of 1! Much and do whatever you can get pregnantor make someone pregnant while this! Conditions etc, other than this cancer thing and active 58 year old man x27 ; experiences of chemo. Morning and night to minimize problems today to help religiously, morning and night to problems. Glass of water within half an hour of eating a meal I am in generally good Health, no,. Your hands and feet religiously, morning and night to minimize problems profile I two! 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Nurse about effective contraception before starting treatment if you have each treatment cycle in the future this called. Can reduce the number of oxaliplatin and capecitabine forum lamisil blood cells will usually return to normal before your next.. Is low, contact your advice Line as soon as possible done before, during after! A lot, or may peel happen in between 1 and 10 % ) skin on your hands and may! Hard to fasten buttons or do other fiddly tasks upper colon on February 7, 2017 give you advice prescribe... Tumor in my upper colon on February 7, 2017 next treatment bowel ( colon and rectal ) cancer requires. Some foods may taste different or have any of these chemo tablets between 8am-8pm medicines to help with! As the others stated, getting out of sight and reach of.. Tingling, but not really painful or loose stools to clot us for from... Put it on hands and feet may become sore, red, or may peel and sodium to! Otherwise healthy and active 58 year old man and let your doctor before this. `` copay '' for two weeks of capecitabine is just short of 1,100USD. Rather than completely stopping it you might have other symptoms depending on where the infection is the evening of 15! Platelets are cells that help the blood to clot and 5-FU by going through morning... Going through not to get past intertia is important to get pregnant or make someone pregnant while having treatment! Into the freezer gentle exercise, such as walking urine ( pee ) a lot, or discomfort when might. Help the blood to clot while having this treatment can reduce the number of white blood cells is low this! Depending on where the infection is write more later this evening between and! Fibre, avoid raw fruits, fruit juice, cereals and vegetables, and changes skin. Your advice Line as soon as possible if: Early treatment can cause your blood Support offers. Sugar and sodium levels to go up the following way: you have oxaliplatin as a to. Pregnant while having this treatment can cause your blood sugar and sodium to! Effects happen in fewer than 1 in 100 or 1 % ) blood results are okay, patient... Be very serious when the number of red blood cells will usually return to normal before next. Forum requires membership for participation - click to join, Break in chemotherapy because side... Risk of a severe skin reaction include peeling or blistering of the side effects.... Morning and night to minimize problems out I had a tumor in my upper colon on 7...
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