#81778 10-09-2008 12:49 PM | Joined: May 2008 Posts: 219 Platinum Member (200+ posts) | OP Platinum Member (200+ posts) Joined: May 2008 Posts: 219 | If anyone is familiar with cisplatin I wanted to know if nausea was a serous problem and if so did the nausea drugs work. Also did anyone loose their hair due to cisplatin? Thank you, Angel
SCC left tonsil, tonsillectomy with additional tissue removed 06/10/08, a few teeth on top left side removed 09/05/08,recurrence before treatment started at BOT and tonsil area, 35 IMRT treatments began 10/15/08, and Cisplatin IV (began10/16/08) weekly for duration of radiation.
| | | | Joined: Feb 2004 Posts: 598 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Feb 2004 Posts: 598 | Lots of folks here had Cisplatin. As with most chemo, nausea is a potential side effect. However, I personally did not have any nausea from the treatment, likely due to the anti-nausea medication.
The only hair I lost (besides my beard and neck hair due to radiation) was at the back of my head at the neckline. Whether this was radiation or Cisplatin, I couldn't say, but believe it was radiation. It was not very noticeable anyway, and grew back quickly. To my knowledge, substantial hair loss is not customarily associated with Cisplatin treatment. Jeff SCC Right BOT Dx 3/28/2007 T2N2a M0G1,Stage IVa Bilateral Neck Dissection 4/11/2007 39 x IMRT, 8 x Cisplatin Ended 7/11/07 Complete response to treatment so far!!
| | | | Joined: May 2008 Posts: 551 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: May 2008 Posts: 551 | Hi Angel,
I had weekly cisplatin during my treatment and yes, I had trouble for the first couple of weeks with nausea. It generally hit about the second or third day and although I didn't vomit it made eating tough. After the third week, I got a different combination of anti-nausea drugs and I didn't have any further trouble with it. The other significant side effect for me was a terrible metallic taste in my mouth that made food taste really terrible. One way to combat that was to use plastic utensils but like the nausea, it did impact my ability to eat normally.
As far as hair loss, cisplatin shouldn't cause hair loss - it works differently than the drugs that do cause hair loss. That said, like Jeff, I lost hair at the back of my neck from the radiation and I also experienced some thinning overall. Not really noticeable to most people, but I notice it. I don't think anything has grown back yet, but its only been a couple of months.
- Margaret
Stage IV SCC lt lateral tongue, surgery 5/19/08 (partial gloss/upper neck dissection left side/radial free flap reconstruction) IMRT w/weekly Cisplatin & Erbitux 6/30/08, PEG 1 6/12/08 - out 7/14 (in abdominal wall, not stomach), PEG 2 7/23/08 - out 11/20/08, Tx done 8/18/08 Second SCC tumor, Stage 1, rt mobile tongue, removed 10/18/2016, right neck dissection 12/9/2016 Third SCC tumor, diagnosed, 4/19/2108, rt submandibular mass, HPV-, IMRT w/ weekly Cisplatin, 5/9 - 6/25/2018, PEG 3 5/31/2018
| | | | Joined: May 2008 Posts: 219 Platinum Member (200+ posts) | OP Platinum Member (200+ posts) Joined: May 2008 Posts: 219 | Jeff and Margaret, Thanks for the info. The 2 med's given to me for nausea are Emend (3 pills costs $350.00) take the day of treatment, 2 day after and 3rd day after chemo, and I also have phenegrin that can be used with the Emend. All I can say is I hope medicare drug coverage pays for it, if not maybe they can change it. That is a little expensive for 3 pills. Angel
SCC left tonsil, tonsillectomy with additional tissue removed 06/10/08, a few teeth on top left side removed 09/05/08,recurrence before treatment started at BOT and tonsil area, 35 IMRT treatments began 10/15/08, and Cisplatin IV (began10/16/08) weekly for duration of radiation.
| | | | Joined: Jul 2007 Posts: 939 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2007 Posts: 939 | Angels,
During your chemo infusions, you will also get bags of drugs other than the Cisplatin...some to help you hydrate, some to offset toxicity to your kidneys, some for nausea.....Bill would go thru 10 bags of solution during each weekly (approx. 6 hour) infusion. The first one was usually benedryl (sp?) so he would be nodding off to la la land very quickly.
Make those chemo nurses your friends...they are usually a special bunch. I know we became fond of them and sometimes they intervened when no one else would.
Sending strength and positive vibes your way as you begin treatment.
Deb
Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997. DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0 TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5. TREATMENT END: 10/1/07 PEG OUT: 1/08 PORT OUT: 4/09 FOLLOWUP: Now only annual exams. ALL CLEAR!
Passed away 1/7/17 RIP Bill
| | | | Joined: May 2008 Posts: 219 Platinum Member (200+ posts) | OP Platinum Member (200+ posts) Joined: May 2008 Posts: 219 | Debandbill, Thank you for the inspiring information. I hope they give me the benedryl first 2 so I can sleep through it. lol, It seems that everyone I have encountered so far has been very nice to me and I really do appreciate everyone here as well. All of you are very special people. Angel
SCC left tonsil, tonsillectomy with additional tissue removed 06/10/08, a few teeth on top left side removed 09/05/08,recurrence before treatment started at BOT and tonsil area, 35 IMRT treatments began 10/15/08, and Cisplatin IV (began10/16/08) weekly for duration of radiation.
| | | | Joined: Sep 2006 Posts: 493 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Sep 2006 Posts: 493 | Angels,
I struggled with nausea quite a bit until I got my anti nausea meds in order. I too had emend and that worked on the days I took it, but I also had Zofran ODT. That worked best for me, after I couldn't swallow that well. It's a small tablet that went under my tongue and disolved. I could also mix it with a little water and put it down my PEG tube. I also had daily IV fluids and I'm sure that helped.
My hair loss was mainly due to radiation treatment.
Stay hydrated, make your self swallow even when it hurts the worst, gargle 4 to 5 times daily with baking soda, salt and warm water to keep your mouth clean and stay as active and positive as you can.
Tom
Tim Stoj 60 yr old. Dx Jun 06 with BOT Stage IV. Neck dissesction on 19 Jun 06. Started Tx on 21 Aug 06/completed 33 IMRTs and 3 CT (2 Cisplat & 1 Carboplat) on 5 Oct 06.
| | | | Joined: Jul 2008 Posts: 507 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2008 Posts: 507 | Angels, I didn't have Chemo, but my last week of RT I had a really bad bout with nausea and was given liquid Zofran (Ondansetron Hydrochloride Oral Solution).
It worked great.
Don TXN2bM0 Stage IVa SCC-Occult Primary FNA 6/6/08-SCC in node<2cm PET/CT 6/19/08-SCC in 2nd node<1cm HiRes CT 6/21/08 Exploratory,Tonsillectomy(benign),Right SND 6/23/08 PEG 7/3/08-11/6/08 35 TomoTherapy 7/16/08-9/04/08 No Chemo Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11
| | | | Joined: May 2008 Posts: 219 Platinum Member (200+ posts) | OP Platinum Member (200+ posts) Joined: May 2008 Posts: 219 | Stoj, I found out my drug coverage didn't cover the Emend so I will have to wait and see what the Dr. replaces it with. Thank you for all the good advice.I hadn't heard about the soda and salt water so I was glad to hear about that. Even now I have trouble swallowing so I am still on a soft/liquid diet. Good info, Thanks, Angel
SCC left tonsil, tonsillectomy with additional tissue removed 06/10/08, a few teeth on top left side removed 09/05/08,recurrence before treatment started at BOT and tonsil area, 35 IMRT treatments began 10/15/08, and Cisplatin IV (began10/16/08) weekly for duration of radiation.
| | | | Joined: May 2008 Posts: 219 Platinum Member (200+ posts) | OP Platinum Member (200+ posts) Joined: May 2008 Posts: 219 | DonB, I keep reminding mysel that this is only for 7 weeks and then I will be on the road to recovery. I will be glad when I get this dental problem cleared up so I can get this done asap. Thanks a lot, Angel
SCC left tonsil, tonsillectomy with additional tissue removed 06/10/08, a few teeth on top left side removed 09/05/08,recurrence before treatment started at BOT and tonsil area, 35 IMRT treatments began 10/15/08, and Cisplatin IV (began10/16/08) weekly for duration of radiation.
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