Jan 28, 2013 - 5:01 pm
So today we started the weekly chemo. I thought we were going to do one day a week 3 weeks on one off, but it looks like we have four weeks in a row. Anyway we received a phone call from the pharmacy on Saturday evening that we had a prescription ready. We thought it was dexamethasone since we knew we were getting a script for that to start off our chemo. He had to take 10 4 mg pills. Of course we crushed those and put the through the PEG. Well when I got to the pharmacy I received 44 tablets of Cyclophasphamide. The label said to take 11 each Monday. Well here is the problem. These are chemotherapy agents. How am I going to crush them safely and why would I administer chemotherapy agents. I don't have the proper attire for that. The dosage was 550 mg, which seemed high for a low dose therapy since last time he took 750 mg once in a month and now he will be taking 550 four times this month? So I get to the chemo infusion and the nurse informs us we were suppose to take that at home. They called up pharmacy and I was informed that I should not be crushing them as that could cause me problems. They suggested he swallow them and he looked at them like they were crazy and said I can't swallow 11 of those horse pills. They all looked quizzically and he said I get my food from my PEG. Then we get the standard "Oh your that guy". They had never had this problem before. So the pharmacy took the pills and they came back with a soluable solution for his PEG. I think the plan is next week to administer it via IV. Also with the drug he took he needs an extra liter of water the next two days. Well drinking it or putting it in his PEG isn't a good idea since he gets intense nausea. So they gave him a bag of fluid there and then I came home and hooked him up to his daily liter of fluid. So our 45 minute chemo turned into 3.5 hours. On the bright side it seemed like it went pretty quickly.