Start chemo Friday

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biz
biz Member Posts: 60 Member
I finally have a plan for chemo. I will be doing folfox every two weeks, taking a pump home for the weekend. This will last for six months. I'm stage IIIb. Is this a typical regimen? My onc said only about 30 percent of people lose their hair. I know a lot of other people who have had different kinds of cancer and they all lost their hair with chemo. Is folfox just different that way? Have the nausea medications worked for you?

Sorry about all the questions. I'm just a little nervous.
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  • PhillieG
    PhillieG Member Posts: 4,866 Member
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    Hi Biz
    The FOLFOX every 2 weeks is a pretty common treatment. I've never lost my hair but on one treatment (Irinotecan) I did have it thin out a bit but never lost it. All chemo is not created equally, some you lose you hair some you don't.
    I used the Emend that was prescribed for me for nausea at one point but I didn't find it that effective. Marijuana is still by far the best thing for that. Unfortunately it's not legal in all states but it is just tons better in my experience.
    Hope this helps...
    -phil
  • christinecarl
    christinecarl Member Posts: 543 Member
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    Pretty common chemo. This
    Pretty common chemo. This is what I was on when diagnosed at the same stage as you. My hair got thinner, especially towards the end, but you could not really tell. I never wore a hat or anything. One plus is I hardly had to shave my legs :)

    I used Emend and found it to be helpful, but is it very expensive, even with insurance. I found pot to helpful too. The first two weeks with the chemo were a bit tough with the nausea, but I made sure to tell my Onc and they upped the IV anti nausea meds I got. I also recommend asking them to give you fluids when you go in for the pump disconnect, they gave me IV anti nausea meds at that time too and it helped pull me through the rest of the week.
  • ketziah35
    ketziah35 Member Posts: 1,145
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    My mom didn't lose her hair,
    My mom didn't lose her hair, like having alapecia (sp?), but her hair became dry and thinned. So she had to have it trimmed. BTW your oncoligist should have told u not to get chemicals in ur hair until about 3 months after the end of chemo. The reactions lead to a pretty nasty chemical burn.
  • biz
    biz Member Posts: 60 Member
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    ketziah35 said:

    My mom didn't lose her hair,
    My mom didn't lose her hair, like having alapecia (sp?), but her hair became dry and thinned. So she had to have it trimmed. BTW your oncoligist should have told u not to get chemicals in ur hair until about 3 months after the end of chemo. The reactions lead to a pretty nasty chemical burn.

    Thank you
    Thank you everyone. I really appreciate your comments. So, no more dying my gray hair, but at least I may not lose it all. I could get used to not having to shave my legs as much :)

    You guys are all great. This seems to be a wonderful community.

    -Biz
  • Annabelle41415
    Annabelle41415 Member Posts: 6,742 Member
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    Typical
    Yes this is a typical treatment and losing hair is not a big side affect but thinning could be. Never really got sick to tummy but tummy was upset but my medication never really worked good. Hope you do good in this treatment. Keep us posted.

    Kim
  • k1
    k1 Member Posts: 220 Member
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    Typical
    Yes this is a typical treatment and losing hair is not a big side affect but thinning could be. Never really got sick to tummy but tummy was upset but my medication never really worked good. Hope you do good in this treatment. Keep us posted.

    Kim

    Another chemo hair question
    So the remaining question to the hair problem is, if the hair only thins in 70 percent of the people on the regimen, does it grow back thicker after chemo is done or does is stay thinned permanently?

    I start chemo next week too and my hair is already fairly thin naturally, so this is a big question for me.

    Thanks.

    K1
  • yoga
    yoga Member Posts: 87
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    k1 said:

    Another chemo hair question
    So the remaining question to the hair problem is, if the hair only thins in 70 percent of the people on the regimen, does it grow back thicker after chemo is done or does is stay thinned permanently?

    I start chemo next week too and my hair is already fairly thin naturally, so this is a big question for me.

    Thanks.

    K1

    hair loss
    I was not part of the fortunate group who did not loose their hair. My lovely, long curly locks started falling out after my second treatment. Then I ended up with large bald spots. I had my hair shaved almost off. However, my dose was changed over time and the hair that did not fall out started growing - I looked a bit like Albert Einstein! After 24 treatments I have had my hair cut (if you can call it that) and I now have really, really short hair and much of it is filling back in.

    I have a wig that would fool anybody - even fooled a hairstylist and an oncologist I was talking with. And . . . . hats are very trendy right now so it is easy to look good.

    There were a lot of tears shed by me in the name of vanity, but in the end I tell myself 'it is what it is' and I always remind myself that it could be worse.

    Whatever happens, it is just hair and it will grow back if it falls out! (Took me a long time to come to this realization.) Remember to love yourself - others do, and will, no matter what you look like.
  • herdizziness
    herdizziness Member Posts: 3,624 Member
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    Not shaving legs
    Good luck with that!!! LOL, still had to shave legs, armpits and worse yet, the steroids helped grow hair on my chinny chin chin.
    My head hair did thin, thank goodness I was born with an overabundance of hair, so no one apparently but me notices it, and notice it I do. It's been 6 months since chemo (I'm on Avastin only now)and it doesn't appear thicker yet, still hoping.
    I never needed my nausea meds, but I did do the "special truffles" (lovely chocolate marijuana)I sent my meds to someone else who needed it more (Emend). Each person is different, you may be lucky like me, and feel tired and worn out first couple of cycles and by the third I was coming home, cooking dinner, housework, etc. But each person is different, I am just wishing on you the same reactions I got, they weren't bad at all, I had expected so much worse and was pleasantly surprised.
    Winter Marie
  • herdizziness
    herdizziness Member Posts: 3,624 Member
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    Also Biz
    Hopefully you'll notice another side effect, my nails grew so beautifully, I never could grow a decent nail before, one thing I enjoyed to be sure (you look for those, the enjoyable moments and surprises that are good).
    Winter Marie
  • plh4gail
    plh4gail Member Posts: 1,238 Member
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    get some Biotin
    Hi Biz, I also had 6 months of chemo after the initial radiation/chemo pump and surgeries. I had folfox for the first three then was changed to folfiri. On the folfox my hair thinned some but then when I was changed to the folfiri...it was comming out a lot. I ended up with a very short haircut (I wore hats and caps before the cut). I went from long to shoulder blades to shoulders to...well you get the picture. So now its a short cut grown out and is coming in thick! I have all these shorter baby hairs filing in with my old hair.

    Someone told me to take Biotin for hair growth. I have been taking that and wether its the Biotin or being off chemo...something is growing and making me very happy. Now it looks thick and short...I'm talking little boy hair short (was even shorter!!) You will do just fine girly. Give it 2 months after you stop chemo and you will see sprouts too :)

    peacelove&happiness to you, gail

    and like winter marie said...the nail are crazy strong!
  • Jane822
    Jane822 Member Posts: 50
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    plh4gail said:

    get some Biotin
    Hi Biz, I also had 6 months of chemo after the initial radiation/chemo pump and surgeries. I had folfox for the first three then was changed to folfiri. On the folfox my hair thinned some but then when I was changed to the folfiri...it was comming out a lot. I ended up with a very short haircut (I wore hats and caps before the cut). I went from long to shoulder blades to shoulders to...well you get the picture. So now its a short cut grown out and is coming in thick! I have all these shorter baby hairs filing in with my old hair.

    Someone told me to take Biotin for hair growth. I have been taking that and wether its the Biotin or being off chemo...something is growing and making me very happy. Now it looks thick and short...I'm talking little boy hair short (was even shorter!!) You will do just fine girly. Give it 2 months after you stop chemo and you will see sprouts too :)

    peacelove&happiness to you, gail

    and like winter marie said...the nail are crazy strong!

    Different reactions
    Interestng how side effects are different. I was on Folfox and had no problem with my hair falling out or thinning. I also colored my hair and did not have any adverse reaction to the chemicals. However, my nails got very weak and split and broke so I just kept them very short. I'm now on Folfiri and have had 4 treatments. My hair started falling out after the second treatment and I have to wear a wig, still havng problems with my nails and haven't had to shave my legs ... Obviously no need to color my hair! I'm loving the wigs and having fun with dfferent looks. it's traumatic when your hair starts thinnng and falling out - just turn lemons into lemonade - there are cute and affordable wigs and hats. I may never show my real hair again!
  • ade7682
    ade7682 Member Posts: 31
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    husband just started folfox and avastin on 8/12 too
    How's it going?
  • herdizziness
    herdizziness Member Posts: 3,624 Member
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    darn double posting
    darn double posting
  • biz
    biz Member Posts: 60 Member
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    ade7682 said:

    husband just started folfox and avastin on 8/12 too
    How's it going?

    fine, I guess
    I can deal with the neuropathy okay, although warm water is so unappealing when I am thirsty. But it's the nausea that I'm really struggling with. I hope your husband is tougher than I am. How is it going for him?
  • ade7682
    ade7682 Member Posts: 31
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    biz said:

    fine, I guess
    I can deal with the neuropathy okay, although warm water is so unappealing when I am thirsty. But it's the nausea that I'm really struggling with. I hope your husband is tougher than I am. How is it going for him?

    folfox side effects
    He had mild neuropathy just after the main chemo treatment, but it has eased up. He's had a tiny bit of hair loss. He has a little of that "first bite" pain when he first eats something and begins to salivate and a little mouth soreness. He's had an unsettled stomach, but no vomiting. Our oncologist prescribed him something for the nausea, phenergan, I think. I haven't seen the bottle yet. He hasn't tried it yet, partly because constipation can be a side effect, and he's already struggling with that. Biz, make sure you call your oncologist about the nausea and have experiment with different medications to find what works for you. Anyone found a good remedy for constipation due to chemo after a colon resection? Biz, let me know how things go. You can friend me and send me a private message, if you like.
  • Hoku
    Hoku Member Posts: 1
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    Side effects
    Hi. I am on my seventh round of Folfox. I had a resection as well and am stage 3c at 45 years old. Constipation is my worse side effect. Prune juice
    Or prunes work but you have to drink it at room temp because of neuropathy.
    Miralax (over the counter) may work for you but didn't for me. My doc gave me that to try but everyone is different. Acupuncture helps
    Overall for nausea and constipation if you can afford it. But....really..I have
    Not found anything that works really well. I just suffer for the first 4 days during and after
    Treatment. Sorry that have better news but if I find
    Something else I'll be sure to let you know. Ohhh. And lots of liquids is a must. Hang in there and keep up the positive spirits as much
    As possible. It will be hard to do but you have to do it. Laughter is key.
  • biz
    biz Member Posts: 60 Member
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    Hoku said:

    Side effects
    Hi. I am on my seventh round of Folfox. I had a resection as well and am stage 3c at 45 years old. Constipation is my worse side effect. Prune juice
    Or prunes work but you have to drink it at room temp because of neuropathy.
    Miralax (over the counter) may work for you but didn't for me. My doc gave me that to try but everyone is different. Acupuncture helps
    Overall for nausea and constipation if you can afford it. But....really..I have
    Not found anything that works really well. I just suffer for the first 4 days during and after
    Treatment. Sorry that have better news but if I find
    Something else I'll be sure to let you know. Ohhh. And lots of liquids is a must. Hang in there and keep up the positive spirits as much
    As possible. It will be hard to do but you have to do it. Laughter is key.

    I think pear juice works
    I think pear juice works better than prune, but it is a little harder to find.

    I may look into acupuncture because my hospital is offering a free clinical trial on it right now. Thanks.
  • marqimark
    marqimark Member Posts: 242 Member
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    Hope things get better
    My wife would not hear of me using marijauna even though none of the anti-nausea meds worked for me. I lost 55 lbs and was miserable. If you have no phobias about MJ please use it if possible. I WILL use if I haven't beat this thing (NED at this time).

    My prayers are with you

    Mark
  • Buzzard
    Buzzard Member Posts: 3,043 Member
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    marqimark said:

    Hope things get better
    My wife would not hear of me using marijauna even though none of the anti-nausea meds worked for me. I lost 55 lbs and was miserable. If you have no phobias about MJ please use it if possible. I WILL use if I haven't beat this thing (NED at this time).

    My prayers are with you

    Mark

    I did them all except for MJ
    Compazine,Zofran, Anzemet,Emend and was still sick as a dog...I think hydration was my biggest deal, I just couldn't or wouldn't drink enough water ...Usually about 4-6 days then it would dissapate.....buzz
  • Believer8
    Believer8 Member Posts: 1
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    Hoku said:

    Side effects
    Hi. I am on my seventh round of Folfox. I had a resection as well and am stage 3c at 45 years old. Constipation is my worse side effect. Prune juice
    Or prunes work but you have to drink it at room temp because of neuropathy.
    Miralax (over the counter) may work for you but didn't for me. My doc gave me that to try but everyone is different. Acupuncture helps
    Overall for nausea and constipation if you can afford it. But....really..I have
    Not found anything that works really well. I just suffer for the first 4 days during and after
    Treatment. Sorry that have better news but if I find
    Something else I'll be sure to let you know. Ohhh. And lots of liquids is a must. Hang in there and keep up the positive spirits as much
    As possible. It will be hard to do but you have to do it. Laughter is key.

    anything for insomnia?
    Hi. Hoku means star in Hawaiian where I am from :) My father had his first treatment for folfox and the pump. He had a hard time sleeping, and the onc suggested Melatonin but it did not help. Any suggestions?