PRESCRIBED MEDICINE

INDICATIONS AND USAGE

DOSAGE AND ADMINISTRATION

POSSIBLE SIDE EFFECTS

POSSIBLE NUTRIENT INTERACTION

CISPLATIN SELF CARE TIPS TO PREVENT SIDE EFFECTS: small frequent feedings to reduce nausea; try dry cereal, toast, crackers in the morning to prevent nausea good fluid intake to avoid kidney damage avoid crowds or sick people wash hands often (same as docetaxel)

anticancer, antineoplasti c, cytotoxic chemothera py drug alkylating agent

administered intravenously as an infusion no pill form an irritant which can cause inflammation of the vein through which it is given before and after cisplatin infusion, extra fluids are given to protect kidney function desired dose may depend on your body weight and height or the type of cancer or condition being treated

high doses may produce more side effects nausea vomiting kidney toxicity (dose related) blood test abnormalities (Mg, Ca, K) low white blood cells low red blood cells

may reduce levels of sodium, potassium and magnesiu m

DEXAMETHASONE - Glucocorticosteroid, anti-inflammatory properties and alter immune system responses

prevent or treat allergic reactions to certain drugs prevent or treat nausea and vomiting increase appetite reduce swelling (edema)

orally or intravenously desired dose may depend on your body weight taken with food or milk to help protect the stomach from irritation If you are going to stop taking dexamethason e, it should usually be tapered down over a few days or weeks

this drug suppresses the immune system; raise your risk of getting an infection or reactivation of an old infection increased appetite trouble sleeping upset stomach excess fluid or swelling in the face, hands or feet weight gain slowed wound healing increase blood glucose levels

sodium can also increase the amount of fluid you retain; may suggest you follow a low sodium diet

DOCETAXEL - plant alkaloid, taxane, antimicrotubule agent SELF CARE TIPS TO PREVENT SIDE EFFECTS: avoid crowds or sick people wash hands often to help/treat prevent mouth sores; use a soft toothbrush, and rinse three times a day with to 1 tsp of baking soda or to 1 tsp of salt mixed with 8 ounces of water mouth sores may also be prevented through plenty of fluids to drink, and cleaning teeth regularly; if sores are already present, sucking on ice may be soothing

anticancer, antineoplasti c, cytotoxic chemothera py drug

given intravenously, there is no pill form premedication with a corticosteroid pill starting a day prior to docetaxel infusion for three days is given to reduce the severity of swelling and allergic reactions amount will depend on factors such as height, weight and the type of cancer and condition being treated indicated for gastric adenocarcinom a in combination with cisplatin and fluorouracil

side effects and severity depend on how much the drug is given low white blood cell count low red blood cell count fluid retention with weight gain, swelling of the ankles and abdominal area peripheral neuropathy (numbness of the toes and fingers) should be reported nausea diarrhea mouth sores hair loss fatigue and weakness infection nail changes constipation changes in taste that may lead to loss of appetite

Vit. B6 supplemen tation may counteract some of the adverse effects of treatment

eat small frequent meals to avoid nausea avoid sun exposure get plenty of rest maintain good nutrition

muscle, joint or bone pain increased eye tearing

The normal cells most commonly affected by chemotherapy are the blood cells, the cells in the mouth, stomach and bowel, and the hair follicles, resulting in low blood counts, mouth sores, nausea, diarrhea and/or hair loss. EMEND (APREPITANT)

prevention of acute and delayed nausea and vomiting

given for three days as part of the chemotherapy induced nausea and vomiting, 125 mg orally 1 hour prior to chemo treatment day1 and 80mg once daily in the morning on days 2 and 3.

alopecia anorexia asthenia/fatigue constipation diarrhea headache hiccups nausea

OMEPRAZOLE

protonpump inhibitor reduces the amount of acid produced in the stomach

usual dose is once in the morning however, if it is for H. pylori eradication, take two doses a day, one in the morning and one in the evening -

stomachache flatulence constipation diarrhea headache

avoid foods that may irritate the stomach like, acidic drinks, caffeinecontaining and spicy foods

RAMOSETRON HYDROCHLORIDE

antiemetic, suppressing chemothera py-induced nausea and vomiting adheres to damaged ulcer tissue and protects against acids and enzymes so healing can occur also used for mouth sores that occur with cancer chemo

SUCRALFATE SELF CARE TIPS TO PREVENT SIDE EFFECTS: eat a high fiber diet and drink plenty of fluids

usually taken four times a day take on an empty stomach, 2 hours after or 1 hour before meals for best results

constipation abdominal pain gas