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Oral drugs that are prescribed for the treatment of cancer are called oral chemotherapy. Chemotherapy taken by mouth is just as strong as other forms of chemotherapy and work in a similar way.
It's important to realize that oral chemotherapy is not simply a pill, but a treatment that may have special instructions, precautions and side effects — much like chemotherapy given through a vein.
Before starting oral chemotherapy, discuss any concerns that you have with your treatment team. Here are a few important points to remember:
Oral chemotherapy can also have unique side effects that you may want to watch for, including:
It's important that you tell your doctor or nurse about any side effects as soon as you notice them. Your dose may need to be adjusted to help you deal with the side effects.
Oral chemotherapies are becoming more and more common as a way of treating cancer. Partner with your cancer care team to be as informed as possible about your specific oral chemotherapy.
Please share experiences you have had with oral chemotherapy on the blog. Follow me on Twitter at @SherylNess1. Join the discussion at #livingwithcancer.
Sheryl M. Ness, R.N.
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Just wondering,why would my friend Doctor take my Friend off of chemotherapy and have her taking the pill. She is stage 3.
I am starting xeloda this Tuesday one week on and one week off. 3 weeks ago diagnosed with reoccurance,it's now stage IV triple negative breast cancer, traveled into lungs. Thank you for your stories and experiences with this drug. My prayers are with you all.
Hi im on my 3rd of 6 fatigue and nausea is a priblem and it doesnt help that work is nit helpful.
Sir cancer can be curable after using chemo drugs?
This article states that oral chemotherapy should not be crushed... what is recommended when patients have difficulty swallowing and/or they are receiving nutrition and meds via feeding tube?
Laura, I am so sorry that you are experiencing such severe side effects. Don't give up on asking about options that can help you deal with the physical and emotional symptoms. Have you asked about a palliative care consult? Palliative care teams are designed to provide active strategies to deal with side effects from cancer treatment including things such as pain,nausea, fatigue, nutritional needs, emotional and spiritual concerns. I hope that you are able to seek out and receive support in making sure that your quality of life is the best it can be during your treatment.
I have been on Xeloda for 6 months. One week on and one week off. I, for some reason, experience intense itching that keeps me up at night. I also experience fatigue, nausea, vomiting and muscle aches. So I basically experience symptoms similar to the flu every other week. The in between weeks I am basically recovering. I have breast cancer that has metastasized to my liver. I live alone with very minimal assistance. I want to stop chemo, but this would result in certain death. And dying is scary. I recognize that once I make the decision, there is no turning back. My oncologist is against this decision for good reasons. I don't know what to do? Is this just depression talking. I was diagnosed at 445 years old. I am now 54. I just feel like enough is enough. I honestly wish the Xeloda would stop working so that I wouldn't feel so responsible. Some people even view it as a form of suicide. Is that fair? I would like to get reactions to my thought process.
tired in Virginia.
My brotherin law has stage 4 melonoma that mastisizes to his brain he has been on 2 types of chemo his wife ran out of the pills so he was with out them for 5 days maybe longer he is now back on them what will this to to his life expectancy
Is ORAL CHEMO appropriate for GRADE 4 BRAIN CANCER?
I only have the sensitivity to the sun. And of course I get winded easily! I'm thankful not to have the flu like symptoms or sores in the mouth.
I finished radiation and oral chemotherapy (both low.doses) the only side effect I got is Burns on my buttocks. Now 4 weeks later my hair is falling out. WHY?
Before taking Xeloda get tested for DPD deficiency.
After my 3rd cycle, I had severe diarrhea. I ended up dehydrated and in the hospital for 2 weeks.
I now have been off the pills for 7 weeks and am still experiencing side effects!
My grandmother got breast cancer, also in her bladder was blood in urine. She
Was in 80s. She had mastectomy and was. On oral medication. She lived to 102yrs.She was paternal. My mom got it in 70s, had mastectomy and Lymph nodes removed. Was on tamoxifen, came back with vengeance on other side. Another mastectomy.Was told she was carefree. Was in her liver and took her. I have been diagnosed with breast cancer at 69yrs. They plan a lumpectomy, after chemo, surgery, radiation and perception after. What do you think? I have no faith in chemo or radiation.
Also,trying to get hyperbolic oxygen therapy after as I also have rads. They say it's expensive and not necessary. What do you think?
My son has been taking an oral chemo pill for his colon cancer, he has been on it for about a month now and has developed ascites. If they take him off the pill will this go away? Does anyone know?
I have recently found out that I have squamous cell carcinoma t2 from hpv they want to give me iv chemotherapy and radiation therapy i want to take the pills for this my oncologist is saying not enough proof it works it is localized in one area hasn't spread to lmyph nodes suggestions please
I have CML, and have been taking 400 mg of Gleevec daily for 15 months. The fatigue is the worst of the side effects for me. I changed my eating habits 5 weeks ago and feel somewhat better. No processed foods, no red meat, and very little sugar or flour products. Lots of raw veggies and fruit. I hope this is helpful to someone. I am 55 years of age and feel pretty good.
I am taking chemo pills they do dry my skin i itch allot
This is a comment to Misti who posted here on October 22, 2013. How are you doing, Misti? My very best friend has the same 3 cancers as yours. She had several courses of IV chemo. Her last PET scan showed all tumors had gotten smaller. She is now going to start oral chemo. Do you have any advice for her?
To all of you taking any kind of chemo. Please google cannibis oils. Go to sites and watch videos of people with cancer who choose cannabis oils rather than chemo,,,or people who were sent home with no hope for a cure or recovery. This may not be what you want but please at least open your minds to new and non toxic methods of treatment.
my mom is currently taking a chemo pill and she is constantly tired, loss of appetite, she mainly is on a liquid diet. she burps alot, she has this yellow spit up. she sleeps mostly all day. is this common with this drug? on top of that she takes anti-nausious meds.
sad to see and knowing you cant help but be there for her
I just had surgery for Gist. Had scan month after was told they seen nothing, but still want me to do oral chemo Why?
I have AML and take Chemo pills daily, I am sick everyday from them. It makes me nauseated and fatigue. I've done several things for it nothing helps!!!! hELp
Im getting ready to start Xeloda for Lung, Liver and Colon cancer. Im a litte scared it might not keep me in remisson. Has anyone else used this drug for all three cancers?
My doctor advise to put me on thalidomide, steroid tablet and chemotherapy oral pill for 4 weeks. He told me before after he get my biopsy result that very thing is fine. My blood count, kidney, bone marrow s okay. He refer me back to neurologist for my several upper back pain, and l had radiotherapy and the pain has gone down thank be to God
I was shock when saw him for routine check, he told me the lab sent him another result of the same biopsy, so that is why he want to start me on this treatment.
Can any one help me out here, because every thing is too much for me to take in.
For those of you in the Rochester, Minnesota area, I wanted to let you know that Mayo Clinic Cancer Education Program is offering a daily 30 minute class on oral chemotherapy. The class is every day from 2-2:30 p.m. in the Cancer Education Center, Gonda Building, lobby level. Please stop in for class if you are in the area.
Ive just finished 4th course of Xeloda (for secondary BC) and so far side effects are manageable. Hand-foot syndrome is a nuisance though! Im often asked if ive been using fake tan cos my hands are a reddish-brown!! I have to laugh really. Soreness comes and goes, and so does cracking, but keep moisturising. Sometimes tho the soles of my feet really burn and I walk like a penguin haha. Im awaiting more info on my scan results but i believe liver metastases are shrinking. I constantly thank the Lord for giving me a strong body xx
I have read that tetracycline is being used to treat Multiple Muyeloma. My doctor said he would not give it to me because it has not been approved by the FDA. Does Mayo clinic use this drug for myeloma
About those taking Xeloda. I took eight cycles of IV Folfox and a ninth cycle of just FU-5/Leucovorin (equal to Xeloda without OXaliplatin). With the Folfox cocktail I also received Emend and Aloxi (poweful and effective anti-emetics as well as a dose of a steroid. On my ninth cycle without the Oxaliplatin, my oncologist deleted the steroid and whoa, I developed a whopper case of hand foot sydrome with one cycle of FU-5 without the steroid. So, here's the question--do any of you with hand-foot syndrome taking Xeloda receive or ever ask for a steroid to perhaps fend off this horrible hand foot syndrome? It seemed so obvious to me, that FU-5 or Xeloda without a steroid would result in (for me) intolerable hand foot. MY oncologist has suggested I continue with Xeloda and not IV infusions of FU-5. Has steroids ever helped you all suffering hand foot from Xeloda?
I was taking sutent I was having side effects,my docter put me on votrient and I am doing good.Is there anyone out there is on votrient and how are you doing?
I had colon cancer 3 yrs ago and took Xeloda. I had red feet and hands. Dr stopped one of the two pills when my toenails came off. I haved no fingernail trouble but I only have 2 toenails that grow.
A year ago I was shocked to learn that the mastectomy I'd had in 1992 had metasticized to my bones. My back hurt but I thought nothing of it & was not warned by my doctor.
It's so helpful to read of others' experiences with Zeloda. I am on my second round, 2 wks on & one wk off. I was afraid of it because of the long list of side effects. So far so good! I am happy to say I have not had any side effects, except for fatigue which I had more strongly with "Ixempra" which I understand is a newer drug, using a porta cath. I recommend a porta-cath which makes it easier to take. My oncologist changed me to Zeloda because Ixempra had stopped working. Instructions that came with my prescription said to take Zeloda within a half hour of eating. I do keep it separate from my other meds.
I haven't lost my hair, but had it shaved off in Feb. in anticipation of it falling out but it didn't! It came in thick & curly. but now that it's longer the curl has almost all been cut off.
Good luck to us all! aAvr63
I have Ph+ CML (Chronic Myeloid Leukemia) and have been treated with Tasign chemo pills for 22 months. I have been very receptive to the medication and have been in remission for 17 months. The chemo pills are powerful and cause heavy fatigue. At first I was told that I would have to take Tasigna forever, now my oncologist has said that if the deep remission continues I may someday be able to stop the pills. I look good, so people expect me to perform as usual, something I absolutely cannot do. I feel too tired to breathe. Ritalin has been added, but that makes me jittery and I take it only when I absolutely need it for busy days.
To answer a few questions from comments. Kay - targeted therapy such as Sutent and Afinitor are a form of oral chemotherapy. For those of you dealing with cost issues related to coverage of oral chemotherapy - refer to our previous blog discussion from July, 2012 that discusses this in detail. Resources are mentioned here as well - New cancer treatments create cost challenges at - http://www.mayoclinic.com/health/how-to-pay-for-cancer-treatment/MY02153
I have been taken an oral chemo drug for three years and notice some side effects. I have very dry mouth, despite drinking water all day, and I have neuropathy in my feet and ankles, gradually creeping up my legs. Also my white counts and platelets have dropped significantly and it is harder to recover from colds and things like that. Bladder infections more frequent too. A friend on the same drug has lost all sense of taste and smell. Also, I have developed allergies to certain foods, including soy (and that's in nearly all bought goods) and now I have become lactose intolerant. On the good side, my red blood count is stable and my oncologist looks at that figure and tells me to put up with the side effects. At least I am able to function, and I am very careful about where I put my feet and what I eat now. It has given me three good years I might not have had otherwise.
How interesting this article's replies have been. Just another reminder thaat although we can support each and tell our success stories as well as side effects it also tells us that each patient with cancer is a unique case, responsing to medicines in different ways. I tend to like the success stories,,, of course, but at the same time it is good for me to her some of the side effects others re having. It allows me to not feel like I am complaining when I report any to the doctor as I know others are experiencing the same thing. I was told my last visit that there are two new oral pills out that she can use if the xeloda stops working. Isn''t research wonderful.
I started Xeloda in July 2012. One week on, one week off. I started in 2006 with Metastatic Breast Cancer which spread to my bones, then in my liver.
My Dads Cardiologist in Iowa, where I don't live, told me Xeloda is a wonderful oral chemo drug when it works. I'm fortunate, it's working! My feet are starting to peel & burn some, fingernails are dry & splitting. I keep them polished, but the tips of fingers are sensitive. I have had a little nausea, but rare. I take Lorazepam 5mg at night for restlessness/nausea. Zofran gave me a headache. Tamoxifen is a Hormonal Treatment for Breast Cancer, not chemotherapy. I'm doing & feeling great. Liver Tumors are shrinking.
I have been on Xeloda for ten months both in conjunction with Chemo IV and now as a maintenance plan. One week on, one week off. Have overcome nearly all side effects except Hand/Foot Syndrome, but it is manageable. Dr says I may be on from here on out. Seems to be working for me with remission. Good luck to all.
I did not know oral chemo existed. I'm taking a copy with me when I see my doctor. Thanks so much for writing this article.
At 85 years of age and after a diagnosis of Stage 1 breast cancer and having a radical mascetomy, I was prescribed Tamoxifen 10MG tablets - take 1 tablet by mouth twice a day. I am assuming that this is considered oral chemotherapy. I had not been told not to mix it in with other medicines in a medicine box, so appreciate the information. Also, after taking it for six months I am now in conversation with my doctor as to whether to continue it. Any comments?
I took Revlimid capsules for about 4 months; along with Dexamethasone. I became extremely agitated by the Dexmethasone...insomnia, nervous, etc. I did go into remission though and am happy with the outcome.
I took Sutent for most of 2011. It was very difficult. From the first round, I had a sore, blistered tongue and mouth. I couldn't get relief and went to using a baby toothbrush and bubblegum flavored toothpaste. Mint flavors set me on fire. My hands were ok, but my feet were so bad that I could hardly walk. ONC said it was not hand-foot as it did not look like the pictures. By November, I could not walk and huge pieces of flesh was coming off my feet. He agreed to let me stay off 4 wks and see. Immediate improvement. I stopped Sutent. I'm doing fine and continue follow-ups.
I started Afinitor Dec. 2011, 10mg for neuroendocrine carcinoid cancer in the lung that had metastasized to the liver and other areas. Initial treatment was "traditional" chemo with essentially no change (Aug. 2011 - Nov. 2011). I had no noticeable side effects until Feb. 2012. Began experiencing pneumonitis which is a known possible side effect from the drug. I stopped for two weeks and had almost immediate resolution. Started Afinitor again after 2 weeks but at 5 mg. PET scans initially showed reduced uptake but for last 2 scans (done every 3 months), disease is "stable". Afinitor (oral chemotherapy) for me, is allowing for a near normal life. I appreciate this gift. Best wishes to all!
I have just finished a cycle of over 850 Xeloda piils (in combination with 7 6-hour chemo infusion treatments) which covered an 8 month period.
I think I was very fortunate - no nausea (I took Zofran, an anti-nausea drug at even a hint as advised by the very knowledgeable nurses at MassGeneral in Boston); no fatigue; no side effects whatsoever other than hair loss - for which I have glorious wigs!
There's a possible challenge with oral chemo. It's considered outpatient theapary. Some states allow insurance companies to not cover oral chemo with prescription plans. It falls between "insurance cracks". I'm working with our WI State Senator to get it changed. Some plans in our state will cover it if your doctor works with them.
Can or is 'targeted chemotherapy' Pills taken like Sutent and Afinitor considered as the oral chemotherapy you spoke of? Also, my team after 12 cycles of Sutent and beginning the 3rd of Afinitor said "breathing is often due to laxity of the diaphram, diet loss and fatigue are normal, as are lower cbc levels--watch the WBC levels for immune protection.
I started Xeloda 10 days ago. I have never felt so exhausted. Even walking I was short of breath. For 4 daysI had a feeling of pressure on my chest but now that has passed. My appetite has decreased. Today I feel a lot better and not so tired so maybe my body is just getting used to the drug. I take the pills with food not water and that way I can get them down. I notice now that the palms of my hands are looking redder and feel funny. I will put udder balm on them.
I have been taking xeloda for a year now. My PET scan this past week indicated "significant improvement" I must say it was difficulty adjusting to it. I have trouble swallowing pills but the pharmacist and doctor came up with an alternate way and although it is a little more difficult to get it down it is working. I do keep my xeloda separate from everything and even use throw away glasses and spoons. My first couple of months was quite rough with nausea and fatique but those are gone now. I have good skin on my hands and feet (you must keep them full of lotion) I use vaseline at night and a cream during the day. My blood work has remained good. One adjustment was made to make it more tolerable. My ONC. changed my cycle from on two weeks and off on to on for one week and off for one week so that means my cycle is a month instead of three weeks. It is much more tolerable. I say hooray for oral.
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