Hi @surreydeb re cumulative effects.
It often depends on the type of chemo you are having, how many cycles you are having, and how tolerant your body is of the drugs. So it can be hard to guage generally really.
A number of us in May Starters coped reasonably well for 4cycles EC 2xweekly, though fatigue did increase for a number of us. Other side effects seem to remain fairly constant throughout having e.g. EC. So we knew what to expect and what to prepare for.
But if we had more cycles than 4 after that, e.g weekly Paclitaxel weekly for 12 weeks, or like me paclitaxel every two weeks for 4 cycles, then side effects did/have increased for a number of us. Especially fatigue, neuropathy, low bloods, (especially with Pac), feeling weak and wobbly. I found the last 4weeks challenging, but resting/sleeping through it helped a lot. With certain side effects e.g. severe fatigue, neuropathy, Teams will often reduce the doses. They did this for me. So you must speak to your Teams each time you see them if side effects increase in severity, or new ones appear. Or ring 24/7.
Nausea depends on chemo used. But seemed to stay constant. I never got any nausea with Paclitaxel. But i had no appetite and my taste buds altered. Making some food taste yeuk.
Mouth sores seemed to stay constant with e.g EC. So we had to use preventative/daily mouthwashes. Paclitaxel has been more unpredictable. I had no mouth issues for 3cycles, then the last cycle created a sore mouth, which is still up and down 3weeks after the last dose.
So you have to be aware, side effects, especially fatigue, can be cumulative. But rejoyce if you are a lucky one that doesnt get unduly bothered by chemo. Or doesnt get the cumulative impact.
I learnt to go a day at a time. As often each day was different. That helped me more than worrying about it getting worse.
When it did get worse, I rang 24/7 straight away for advice. Sadly some Trusts have not had the most empathic Nurses on call, but my Trust were really on the ball. So my advice is, even if you have some unhelpful Nurses, you must still ring them, then your concerns will be logged and if they make a mistake, they cant say⦠She never rang us.
Make sure you rest as much as you can through chemo. Its a tough treatment, but you will get through it. ![]()
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Hope this helps a little. ![]()
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