Doctor insights on:
Chemotherapy Induced Vomiting
Is the sancuso transdermal patch for chemotherapy induced nausea and vomiting really any better than pill medications or is it about equal in effect?
"non-inferior": Sancuso = granisetron in a transdermal patch. A study compared the granisetron patch with granisetron pills. Statistically speaking, there was "non-inferiority;" in other words, one was as effective as the other. The advantage is in the convenience of the patch compared with taking a pill several times a day. (study was by Boccia RV et al, published in Support Care Cancer. 2011;19(10):1609.) ...Read more
Topicals: Oral thrush is a fungal infection of the oral membranes, and usually occurs in people whose immune status are reduced. This can occur in people on antibiotics, in diabetics or immunosuppressed due to other illnesses or cancer. Certain other medications can increase the risk as well. Treatments range from 7 - 10 days with topical antifungal agents or diflucan (fluconazole). See your heme-oncologist. ...Read moreSee 1 more doctor answer
Peripheral neuropath: Most commonly presented as numbness/decreased sensation and tingling on your fingers and toes (stocking-glove pattern) . When it is worse it can then be presented as pain / discomfort on your hands and feet. ( painful neuropathy). Sometimes, particular chemotherapy like oxaliplatin also can give you cold induced pain. Chemo induced neuropathy - usually is accumulative. ...Read moreSee 1 more doctor answer
Medication: Begin with basic nausea medicines such as Compazine or phenergan, (promethazine) if not improved then more expensive medications such as Zofran or others. It also helps if patients avoid smells or foods that seem to trigger the symptom. Sometimes even perfumes and non food smells may be an issue and you can avoid them if suspected. Foods like crackers, 7-up, ginger ale or ginger root can help. ...Read moreSee 2 more doctor answers
Depends: Some chemotherapy drugs cause more nausea than others. There are many good drugs today that can decrease the amount of nausea and work for days at a time. Besides the medicines to decrease nausea, other things that help are small frequent high protein meals instead of large meals. ...Read moreSee 1 more doctor answer
How about never?: You are not 'supposed' to vomit. Not all chemo drugs will cause vomiting and there are many agents used nowadays to prevent that side effect. Sadly, some people will still have nausea and even vomit but you should not assume that is the rule. Word of advise: if you are 'sure' you will vomit with chemo, there is very little your doc can do to prevent it. Very powerful the mind is.... ...Read more
Its 3 months after chemotherapy, but still I am facing vomitings once in a week.
Also there is swere pain on my lower right stomatch after vomiting?
Ask oncologist: Your cancer doctor should be able to evaluate the cause for this. It is doubtful that it due to chemotx this far removed from treatment. Sounds like something else may be going on. Your oncologist will probably be able to figure this out quickly, . ...Read moreSee 1 more doctor answer
It's a toxin: The brain has an area that triggers nausea and vomiting if something toxic gets in the body. This is what prevented early humans from dying after eating poisonous berries! chemotherapy triggers the same area of the brain, and the body tries to protect itself by vomiting. New anti-nausea drugs are so effective because they target the "vomit center" in the brain. ...Read moreSee 1 more doctor answer
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