Are Nausea Meds Cumlative like Chemo

coolvdub
coolvdub Member Posts: 408 Member
edited March 2014 in Colorectal Cancer #1
Hi All,

It's me again with yet another newb question. I have been suffering from Nausea since my first treatment, I'm on my week off from #2 on FOLFOX. Anyhow, are the effects of anti nausea meds cumlative, do they work better the more time your on them.

I was on Zofran and it didn't work and constipated the heck out of me. I had to stay home Monday which was disconnect day from the pump, nausea and vomiting. Went to work on Tuesday and had to leave before lunch due to vomiting. I have a new RX for Compazine that I got yesterday. It does seem to be working much better, but I almost got sick at work today. But I was able to be at work all day, Yay for me. Will the Compazine work even better in a couple of days?

Don

Comments

  • Sundanceh
    Sundanceh Member Posts: 4,392 Member
    Nausea Meds
    Don

    Phenegran is another one you can try. And another one is Kytril, that worked ok for me, both of these. Not too many issues I can remember but my bowel was a mess then so I could not tell.

    I've heard people talking about Emend as well, but apparently it is very expensive and insurance may or not cover the cost, you would have to check.

    The above drugs are reasonably priced.

    It may just be a matter of trying one until it works for you - like everything we each react differently to different meds.

    -Craig
  • grammadebbie
    grammadebbie Member Posts: 464
    Hi,
    Sorry you're having such a rough time. I wasn't able to get much relief from any of the anti nausea medicine including Emend. It's a long story so I will cut to the chase. I ended up using Medical Marijuana on the advise of several doctors. I am with Kaiser and their doctors are not allowed to prescribe it but that doesn't prevent them from recommending it. I made all my doctors and nurses at Kaiser aware that I was using it and they answered all my questions and helped and supported my decision. It was amazing how fast it worked (just as the doctor told me it would). I know it's a hard decision to make but it was much easier to make once I experienced the horrible nausea with no relief. If you have any questions please ask.

    I will be praying for you and your family,

    Debbie (gramma)
  • shrevebud
    shrevebud Member Posts: 105
    Nausea Meds
    Hi Don:

    Sorry to hear about all of your nausea. Great that you are still working. I too have worked all the way through my different treatments. About nausea, I too took Zofran IV as a pre-med and believe it helped a lot - I hardly ever had nausea. Like you I also had some instances at work where I got sick and had to leave or go to the clinic and get something to get me through the day. I also have some Compazine I carry around for when I need it and I have taken Kaytril or Kytril on a sample basis. As far as I know Compazine does not have that long of a half-life in the body (meaning it's broken down and excreted fairly quickly), so no, I don't think it will have cumulative effect like chemotherapy drugs do. I'm guessing it's ordered every 4-6 hours as needed? I saw the comment about Medical Marijuana - I don't know what states besides CA it's legal in. There is a pill form of marijuana called Marinol - I don't know if it's legal in all states either - I've never asked about it. I've heard a lot of other people on this site and another site I'm on say that it (MM) helps them and also helps with chronic pain. Hope some of this helps you and that you can keep the nausea under control. Take care and have a good night. Roy
  • coolvdub
    coolvdub Member Posts: 408 Member
    shrevebud said:

    Nausea Meds
    Hi Don:

    Sorry to hear about all of your nausea. Great that you are still working. I too have worked all the way through my different treatments. About nausea, I too took Zofran IV as a pre-med and believe it helped a lot - I hardly ever had nausea. Like you I also had some instances at work where I got sick and had to leave or go to the clinic and get something to get me through the day. I also have some Compazine I carry around for when I need it and I have taken Kaytril or Kytril on a sample basis. As far as I know Compazine does not have that long of a half-life in the body (meaning it's broken down and excreted fairly quickly), so no, I don't think it will have cumulative effect like chemotherapy drugs do. I'm guessing it's ordered every 4-6 hours as needed? I saw the comment about Medical Marijuana - I don't know what states besides CA it's legal in. There is a pill form of marijuana called Marinol - I don't know if it's legal in all states either - I've never asked about it. I've heard a lot of other people on this site and another site I'm on say that it (MM) helps them and also helps with chronic pain. Hope some of this helps you and that you can keep the nausea under control. Take care and have a good night. Roy

    I will look into the other RX's
    Hi All,

    Thanks a bunch for the suggestions. I would like to go the Medical Marijuana route, but since I'm a Gov't employee on a military base, it would be a really slippery slope. I really can't chance losing my insurance at this point. What a dilema, Huh! You can use something you know will work, but risk your job and health benefits. I really think we need some form of protection to allow it on the Federal level. Anyhow I will see how it goes on the Compazine and research the other suggestions, just in case they are needed.

    Don
  • PhillieG
    PhillieG Member Posts: 4,866 Member
    coolvdub said:

    I will look into the other RX's
    Hi All,

    Thanks a bunch for the suggestions. I would like to go the Medical Marijuana route, but since I'm a Gov't employee on a military base, it would be a really slippery slope. I really can't chance losing my insurance at this point. What a dilema, Huh! You can use something you know will work, but risk your job and health benefits. I really think we need some form of protection to allow it on the Federal level. Anyhow I will see how it goes on the Compazine and research the other suggestions, just in case they are needed.

    Don

    Don
    Sorry to hear about your nausea. The marijuana works great but I can understand your reluctance to use it. Do they drug test you? If not I would at least consider it for home use.
    My 2 cents
    -p
  • Shayenne
    Shayenne Member Posts: 2,342
    PhillieG said:

    Don
    Sorry to hear about your nausea. The marijuana works great but I can understand your reluctance to use it. Do they drug test you? If not I would at least consider it for home use.
    My 2 cents
    -p

    Yes...
    Maryjane works great for me (not the medical kind) but also Emend, Dexamethasone, the compazine and zofran worked great as well, also Ativan, which will relax you and also is an anti-nausea.

    I heard eating Cantalopes and watermelon have natural emend in them and helps with the stomach upset, so when you take the maryjane, munch out on some fruit too! :)

    The chemo nurse told me they have longer acting nausea pills as well, if they aren't lasting, like a longer acting Zofran and compazine, I have to ask for the next time, because the more I go, the longer the anti-meds aren't working, or working for a short time, make sure you let them know you need better meds.


    Hugsss!
    ~Donna
  • coolvdub
    coolvdub Member Posts: 408 Member
    Shayenne said:

    Yes...
    Maryjane works great for me (not the medical kind) but also Emend, Dexamethasone, the compazine and zofran worked great as well, also Ativan, which will relax you and also is an anti-nausea.

    I heard eating Cantalopes and watermelon have natural emend in them and helps with the stomach upset, so when you take the maryjane, munch out on some fruit too! :)

    The chemo nurse told me they have longer acting nausea pills as well, if they aren't lasting, like a longer acting Zofran and compazine, I have to ask for the next time, because the more I go, the longer the anti-meds aren't working, or working for a short time, make sure you let them know you need better meds.


    Hugsss!
    ~Donna

    Yes they do random testing
    Phil and Donna,

    Thanks for the replies. Unfortunately I am subject to random testing at work. Next week when I see my Onc, I'm going to bring up Marinol and see what he says. Maybe work will deal with it if I'm on the pill form and can prove it. There really needs to be a law on the Federal level. I wonder if I could get some sort of waiver through the Feds? Any how only made it two hours at work today and had to come home. Somebody at work said they think I can draw full disability and still work a limited amount of hours weekly, so I will be checking on that.

    On a side note, does anybody else have a problem with the smell of food being cooked. It just turns my stomach these days. I think the Chicken we had for dinner did me in for today.

    Don
  • grammadebbie
    grammadebbie Member Posts: 464
    coolvdub said:

    Yes they do random testing
    Phil and Donna,

    Thanks for the replies. Unfortunately I am subject to random testing at work. Next week when I see my Onc, I'm going to bring up Marinol and see what he says. Maybe work will deal with it if I'm on the pill form and can prove it. There really needs to be a law on the Federal level. I wonder if I could get some sort of waiver through the Feds? Any how only made it two hours at work today and had to come home. Somebody at work said they think I can draw full disability and still work a limited amount of hours weekly, so I will be checking on that.

    On a side note, does anybody else have a problem with the smell of food being cooked. It just turns my stomach these days. I think the Chicken we had for dinner did me in for today.

    Don

    nausea
    Hi Don,

    Just the semll of food cooking was unbearable for me sometimes. I was warned about this by my chemo nurses. Sorry it's bothering you.

    As far as marinol - my pain management doctor said it was not as effective, however i don't know if it would work better than what you taking now. I guess the marijuana works so fast because it travels immediatly to the brain and that is where the nausea trigger is. The doctors said that marinol does not have all the properties of marijuana and that it takes longer because it has to be ingested.

    I don't know if you would like to contact one of the marijuana clinics and discuss your situation with them. They have attorneys that they use to help them with situation like yours.

    Anyway, I hope you can take some time off and get the rest you need to fight this monster. I don't know how people work while on treatment. I used to be a real go getter but I'm different now.

    God Bless You and Your Family,

    Debbie (gramma)
  • Buzzard
    Buzzard Member Posts: 3,043 Member

    nausea
    Hi Don,

    Just the semll of food cooking was unbearable for me sometimes. I was warned about this by my chemo nurses. Sorry it's bothering you.

    As far as marinol - my pain management doctor said it was not as effective, however i don't know if it would work better than what you taking now. I guess the marijuana works so fast because it travels immediatly to the brain and that is where the nausea trigger is. The doctors said that marinol does not have all the properties of marijuana and that it takes longer because it has to be ingested.

    I don't know if you would like to contact one of the marijuana clinics and discuss your situation with them. They have attorneys that they use to help them with situation like yours.

    Anyway, I hope you can take some time off and get the rest you need to fight this monster. I don't know how people work while on treatment. I used to be a real go getter but I'm different now.

    God Bless You and Your Family,

    Debbie (gramma)

    smelling food being cooked.....
    Yep, made me sick as a dog, so did coffee brewing even though I love my coffee the first 3-5 days of infusion it made me sick to even smell it.......Try chili or some type of spicy foods...I think they overwhelm the nausea and also give you some nutrition. Small bowls of some good chili went a long way for me...also Sunkist Orange drink (tepid) because of the oxaliplatin cold sensitivity was the best thing for me during the first days of infusion and also when cold sensitivity set in and didn't go away...

    also...I too work for Uncle Sam and my job has random testing also...I wouldn't take the chance either.....
  • PhillieG
    PhillieG Member Posts: 4,866 Member
    coolvdub said:

    Yes they do random testing
    Phil and Donna,

    Thanks for the replies. Unfortunately I am subject to random testing at work. Next week when I see my Onc, I'm going to bring up Marinol and see what he says. Maybe work will deal with it if I'm on the pill form and can prove it. There really needs to be a law on the Federal level. I wonder if I could get some sort of waiver through the Feds? Any how only made it two hours at work today and had to come home. Somebody at work said they think I can draw full disability and still work a limited amount of hours weekly, so I will be checking on that.

    On a side note, does anybody else have a problem with the smell of food being cooked. It just turns my stomach these days. I think the Chicken we had for dinner did me in for today.

    Don

    Food - A Smelly Smell that Smells Smelly
    Yes, the smell of food would often make me queasy. I've found too that my sense of smell has heightened a lot over the past 5 years. I find that kind of odd but I alway had a good sniffer. It's good for some things but not for stinky things.

    I really think that if I worked for the govt or had a position where I was tested that I would have to have an "off the record" conversation with someone in HR about it. I certainly would make sure I hadn't done anything and need not worry but I would ask that if I had a note from the doctor etc. that they might look the other way. I know, not likely at all. I wish too that they had federal laws allowing us to use it. I won't go on too big of a rant now but with all of the other meds we have to take along with chemo (which certainly is not real good for you other than it kills cells, mostly cancer ones thank God) you would think they would realize it's beneficial use. I think most of us would agree it's less a moral question than a financial one having to do with Big Pharm and the govt.

    I hope you get some relief Don.
    -phil
  • taraHK
    taraHK Member Posts: 1,952 Member
    not for me
    I'm afraid I didn't find a cumulative effect with antinausea meds. But, I did keep trying different ones till I found the one that worked best for me (ended up with Emend, which was covered for me). And I tried various non-drug things as well -- candied ginger, white ginger oil on inside of wrists (thanks, Sponge Bob!), ginger ale. I sure hope you get the best relief possible....

    Tara
  • GOOFYLADIE
    GOOFYLADIE Member Posts: 232 Member
    This worked for me
    Hi Don,

    We haven't met but I am an 11 year stage IV colon cancer survivor. I was really, really, nauseated all the time until the Dr. gave me Ativan. It is a sleeping medicine and for chemo patients it works for nausea. I also had a routine before I went to chemo.

    I love homemade BBQ hamburgers, but I was not going to ask my husband or mom to make me a burger before we left town for chemo. Nor did I feel like cooking. We would go to Burger King and get a Whopper Jr. the small hamburger, well done, with everything on it and leave at about 8:00am.I would take a nausea pill, then we would drive an hour and 45 minutes to my chemo destination and get the lovely 5FU and Leuk with cocktail. Then straight to the spiciest food I could find usually mexican food. Chemo screwed my tastebuds up so much that spicy is about all I could taste. I would then take another nausea pill and drive another hour and 45 minutes home. It was a huge difference.

    By now you should be getting some idea with what sits okay with you and what doesn't. Some of this is a game. I had lost a ton of weight and could not afford to lose an ounce more. It became a game to see if I could stop the nausea and actually get something in me that I enjoyed not just need for nutritional value. Eventually I was my doctors first patient to finish chemo gaining weight. He was so proud. I felt like a blimp. But I felt better with some weight on my bones then skin an bones and nothing to fight this hideous disease with. So if anyone is using this to watch there weight. Don't!! This is just like getting to have a baby. You get to gain weight no should ever say a thing to you. Unless your diabetic and your not watching that end of it. If you gain weight and someone says something to ya! Tell em bite me, I'm fighten cancer, what have you done today?? LOL I'm kidding, I know sometimes people say weird things when we are sick, I think they are just feeling helpless and know there's not a whole lot they can do on their end except be there.

    Everyone can get over the nausea and eat and have a good life. I know its hard I did it. Hang tough and just keep asking the doctor to change the meds if something isn't working for you, there is all kinds of meds and meds to be used in combination. Make it a game, it's a little easier to control when you look at that way. Our minds are great things.
    Make it a Great Day!
    Goofyladie (Cass) PS. I answered this kind of generically, sorry.
    I was told you can get disability and if you have vacation hrs, or other hrs on the books at work they can pay you with disability up to your original pay. For instance disabilty pays 800.00 you make 1200 at work. Work can pay you up to 400 not exceeding your normal pay. I am not sure about being able to actually work. I think that counts against you. That's in CA anyway.
  • pokismom
    pokismom Member Posts: 153
    Mashed Potatoes
    Hi Don,
    I too was very sick, I couldnt stand the smell of the refrigerator every time my family opened the door. Unfortunately the first night I had chemo, I ate Thai food, that wasnt good for me as I was throwing up all night. I took dexametrzone or something like that but too much steroids made me hyper so my chemo nurse also reduced the dosage in my cocktail to 1/2. I used to take Ativan every night so I could sleep soundly and not be sick it worked okay for me. I also found comfort in mashed potatoes, I guess its soft and creamy and goes down pretty easily, its like a warm blanket to comfort you. Well I'm sure that you will find some ways to deal with it and in time you'll have it wired to what you need to do and when to do it. Take care, you know it only goes up from here so hang in there.
    Donna