Which Anti Nausea Meds Work Best?

NYGMom
NYGMom Member Posts: 34
edited March 2014 in Breast Cancer #1
I begin chemo this week. Of course one of my biggest worries is the nausea and vomiting. Please give me your expert opinions on which meds work best to prevent nausea and any other helpful tips you may have. Thank you all! (((HUGS))) Kelly

Comments

  • creampuff91344
    creampuff91344 Member Posts: 988
    Nausea Medication
    My oncologist gave me a prescription for Emend, which is taken the day of chemo, and for two days following. It worked the best, as I did have major nausea problems starting with the first treatment. This is an easy drug to take, and didn't have any side effects. You may want to ask about this. It is rather expensive, but well worth the money when it comes to being comfortable. I send good wishes for your upcoming chemo, and hope all goes well for you. Hugs
    Judy
  • Aortus
    Aortus Member Posts: 967
    Half way through round one of ACT
    Moopy had only four days of really bad nausea - days 4-7. Part of it may have been due to her natural tendency to UNDERmedicate. Emend worked like a charm, Zofran helped, but the Compazine gave her intermittent lockjaw and dried her out really bad.

    We just had her 10-day first round checkup with the wonderful Nurse Practitioner, who listened carefully to Moopy's experiences and recommended we dump Compazine and go to Ativan instead. Moopy didn't take much persuading.

    Only problem is, they called back an hour after we left to tell us that Moopsy's potassium is low. She is now over at the infusion center for 2.5 hours getting a potassium drip while I am home herding the pups and running some errands. She's pretty frustrated to have had such excellent lab results in every other respect and then get... "oh yeah, c'mon back for the rest of the afternoon for some niiiice potassium."

    On the other hand, it still beats some of the other adventures Moopy and I have had!
  • cnwrn
    cnwrn Member Posts: 28
    nausea meds
    Kelly:

    I would recommend Emend. Like Judy says, Emend is very expensive. When I went to the pharmacy it was something like $350. I went to the Emend website and found they offered financial assistance. Here is the link:

    http://www.emend.com/aprepitant/emend/consumer/assistance/index.jsp

    I wasn't able to work during chemo, and I made over 60% of our income, so there was no way I could afford that every 2 weeks. I filled out the forms, and so did the physician's office and I qualified to get the Emend for free. They mailed it to me. I had to call the week before treatment to reorder it and it always came in about 2 days.

    I also had compazine, (which didn't work for me). It actually made me more nauseated and sleepy (took me 2 weeks to figure that one out). I took Zofran, Reglan & Ativan by mouth. They also gave me IV Aloxi & Decadron before my treatments. I sometimes had to have IV Zofran given also between treatments or after. I had some phenergan left over from surgery and used that by mouth too. I can't imagine what it would have been like without these medications. I still had a lot of nausea, but I am prone to nausea, for example: I had morning sickness; was nauseated whenever I wore my bifocals for the first couple of months; get motion sick; was nauseated by my dental partial when I first got it. Even though I was nauseated from the chemo, I didn't vomit much, and mostly it was either just gagging or dry heaves.

    I hope whatever you takes works well for you. Just keep asking for a different med if yours doesn't work. I know there were more available that I didn't try, for example: Kytril.

    Take Care;

    Cathy
  • mmontero38
    mmontero38 Member Posts: 1,510
    Hi Kelly, My doctor gave me
    Hi Kelly, My doctor gave me Anzamet which is quite expensive but well worth it. The compazine did nothing for me, I actually felt sicker with it. Just make sure to take it before you start feeling nauseas because if you wait until your sick then you will always be behind the eight ball. I would take it before I went in for the drip and would take it every 4 hours as directed for the next 4 to 5 days after treatment and it worked for me. Good luck and keep us posted. Hugs, Lili
  • creampuff91344
    creampuff91344 Member Posts: 988

    Hi Kelly, My doctor gave me
    Hi Kelly, My doctor gave me Anzamet which is quite expensive but well worth it. The compazine did nothing for me, I actually felt sicker with it. Just make sure to take it before you start feeling nauseas because if you wait until your sick then you will always be behind the eight ball. I would take it before I went in for the drip and would take it every 4 hours as directed for the next 4 to 5 days after treatment and it worked for me. Good luck and keep us posted. Hugs, Lili

    Kelly, the Emend was
    Kelly, the Emend was partially paid for by my prescription insurance, so it cost about $75.00 per treatment. I didn't start the Emend until my third treatment, and suffered through the first two with just compazine....did nothing to help. I stayed sick through most of the first six weeks of chemo. You take two of the Emend about one hour before you start your drip, and one tablet in the morning for the next two days. I didn't have any nausea after I started taking Emend. It is well worth the money to be free from sickness, and as stated above, if you need assistance, the website for Emend will do what they can to get the meds to you. Good luck, and let us know how things go for you. Judy
  • seof
    seof Member Posts: 819 Member
    Emend sounds like a great
    Emend sounds like a great help. I was blessed to have minimal problems with nausea while doing chemo. They gave me meds through IV with each treatment, and I had some minor discomfort the next 2 days. I have not heard of Emend before, but I will try to remember it if ever I have to do chemo again.

    best wishes, seof
  • phoenixrising
    phoenixrising Member Posts: 1,508
    My husband did well with a
    My husband did well with a metoclopramide (maxeran) drip before chemo and I liked the Zofran the best with gravol on the side as needed. I haven't heard of emend before, but I'm going to see if we carry it in our pharmacy for our chemo patients. Sounds like something good to have around. Best of luck to you sweetie, it won't last forever.
    love
    jan
  • Eil4186
    Eil4186 Member Posts: 949
    a whole lotta medicine
    I had chemo in 2006 and was given a pill right before chemo that cost about $325 for 3mg-insurance covered, also I was given 6 perscriptions and I alternated taking them every three hours for the first 3 days after chemo and then only 3 of them for days 4 and 5. (Compazine, lorazepam, dexamethasone, metoclopramide, hydroc/apap, andprochlorperazine). I was also given ativan to take whenever I felt the need and the morning of chemo for anticapatory nauea.

    Looking back, I think the meds did a pretty good job keeping the nausea at bay.
  • lynn1950
    lynn1950 Member Posts: 2,570
    Yes to Emend
    The Zofran didn't work so great for me, but it helped. Same with Compazine. The Ativan helped and it put me to sleep on my worst days which were Sat. and Sunday - my Chemo was on Wednesday. I always felt great Wednesday and Thursday and most of Friday. By Friday afternoon I started petering out and feeling a bit whoozy. Monday I was on the mend, and by Monday night I was fine. I used a special relaxation CD made for chemo patients and that helped too. You CAN do chemo. It will be OK. Oh, if you have a port, ask for lidocaine cream - I forget the name. You apply it an hour before your port is accessed - it makes port access painless.
  • young_one
    young_one Member Posts: 67
    Sooo... I'll ask. No one
    Sooo... I'll ask. No one here has used Marinol? Or the real stuff?

    I didn't have nausea with chemo but by all other's accounts the stuff works.
  • NYGMom
    NYGMom Member Posts: 34
    THANK YOU ALL!
    Thank you all so very much for your expert advise and well wishes! I am so very grateful to have found this discussion group. How did I ever get through my cancer journey before I found you? You are the best!
  • cnwrn
    cnwrn Member Posts: 28
    young_one said:

    Sooo... I'll ask. No one
    Sooo... I'll ask. No one here has used Marinol? Or the real stuff?

    I didn't have nausea with chemo but by all other's accounts the stuff works.

    Marinol
    No, I haven't used Marinol myself (nor the "real stuff") but being an RN I have given it to patients and from what I have witnessed, it does seem to get rid of the nausea. I don't know why I didn't think to ask about it when I was so sick, but I should have.

    Cathy
  • KathiM
    KathiM Member Posts: 8,028 Member
    Sigh....nothing worked for me....BUT!
    I drank Ginger Ale, and even ate small pieces of candied ginger...mmmmm

    My best trick was to eat small, but often. Scalloped potatoes was my best comfort food. I drank gallons of water....3-4 quarts the day before, the day of, and the day after chemo...it flushed all the other organs that didn't need treatment...lol!

    Hugs, Kathi
  • tasha_111
    tasha_111 Member Posts: 2,072
    KathiM said:

    Sigh....nothing worked for me....BUT!
    I drank Ginger Ale, and even ate small pieces of candied ginger...mmmmm

    My best trick was to eat small, but often. Scalloped potatoes was my best comfort food. I drank gallons of water....3-4 quarts the day before, the day of, and the day after chemo...it flushed all the other organs that didn't need treatment...lol!

    Hugs, Kathi

    anti nausea pills
    Hi, My "care Team" put me on dexamethosone. Unfortunately none of them 'Cared' enough to tell me to only take them for the first few days after chemo. (it said on the bottle, every four hours). So there I was, Chemo'd out and setting the alarm so I got up every 4 hours to take these wonder-pills, I wasn't just climbing the walls by week 3, I was CHEWING HOLES in them.. they make you very hyper.
  • redriverartist
    redriverartist Member Posts: 54
    tasha_111 said:

    anti nausea pills
    Hi, My "care Team" put me on dexamethosone. Unfortunately none of them 'Cared' enough to tell me to only take them for the first few days after chemo. (it said on the bottle, every four hours). So there I was, Chemo'd out and setting the alarm so I got up every 4 hours to take these wonder-pills, I wasn't just climbing the walls by week 3, I was CHEWING HOLES in them.. they make you very hyper.

    Nausea
    I was getting queazy at the smell of the clinic when I went for a treatment. So, I started taking a Reglan prior to going. Worked wonders. I have a couple of careful eating days but no real nausea.

    Teresa
  • deb2001
    deb2001 Member Posts: 23
    Loved Zofran 4-8 mgs always
    Loved Zofran 4-8 mgs always worked great for me!