Emend was not a drug I was familiar with before this horrible journey.....I was told by the bc nurse I would only have the emend for the FEC because of the cost of £400....when on Tax no sickness expected so not prescribed Emend.........other ladies have been told they can only have it if they are actually sick....my hospital believes it is cheaper to give the emend rather than an admission for sickness...... which runs into the hundreds.........not actually looked it up in the BNF......regardless I think everyone should be offered it because no one wants to be sick....and £40 or £400 is cheap for patient comfort... XXX Donna
the best antisickness is Aprepitant (Emend - brand name) - it is very expensive at over £400 for 3 tablets......most hospitals give this one hour before chemo and then one tablet for the following 2 days - a total of 3 - This drug works in the brain and promotes the effectiveness of ondansetron and dexamethasone which are usually given alongside for the first dose
However some hospitals will only prescribe this when the patient has actually been sick because of the cost
Everyone responds differently to antisickness meds......ondansetron can cause constipation and is .....domperidone works well for most people
I took my domperidone x 4 daily for first 3 days...to make sure I wasn't sick...but you soon learn to tailor to suit you
I am 9 days now post first chemo (FEC) .. I was given dexamethasone , 4mg bd ( steroid and anti sickness ) and ondansetron 8mg bd for 3 days folllowing chemo then domperidone 10mg to take as required if needed to afterwards. I haven't been sick at all but did feel a bit queezy and appetite changes but now a week on I am feeling fine, just tired. So, fingers crossed so far has not been as bad as i was expecting so hope yours goes well too . Oh yes before they ran the chemo through they gave intravenous antisickness drugs plus intravenous steroids,
I was given Metaclopramide but never needed it as I had no nausea or sickness. They will probably try you with that first, don't wait until you feel sick or are actually being sick, take the tablets anyway, but if it doesn't do the trick, ask for Emend next time.
All the best
Hi Jinny & Angel
My picc line goes in on Friday too, and start chemo on next Wednesday also. I'm TNBC also Jinny, will be thinking of you both over the next few days. Stay strong.
no im trip neg but just had phone call to go in morning to get other breast checked as found new lump i cant believe it i feel sick and just cant cope no more
Dear Angel and Jinny,
Sending lots of positive thoughts for you both for 11th. I'll remember, as I'm in for my op on 12th - not that they'll know what to expect until they go in apparently, as MRI doesn't give them enough info.
We'll all have to take deep breaths and put our shoulders firmly down - mine are spending a lot of time by my ears at the moment due to the stress of it!
ive finally got my start date for chemo and herceptin its 11th june .picc line being put in this friday .. my first apointment i have to be up the hospital 6 hours ,did anyone else have to be up there that long ?? x