• Starting R-CHOP-Want the best tips to prevent Nausea/Vomiting-

    Asked by stacyuf1 on Sunday, August 28, 2016

    Starting R-CHOP-Want the best tips to prevent Nausea/Vomiting-

    I'd love any information for those of you who are/or have been on R-CHOP on how you prepare for chemo to avoid Nausea/Vomiting? I want to feel as good as possible-Did you pre-medicate with zofran/and/or Compazine? Did you ask for IV-Anti-emetics? How many hours does the infusion usually take? Also, did most of you gain weight on R-CHOP or lose or stay the same? Appreciate any guidance as I prep for September 6th start date. Thank you everyone-Stacy

    13 Answers from the Community

    13 answers
    • dhtdiver's Avatar
      dhtdiver

      Went through 4 rounds of RCHOP21 in 2012...part of the CHOP combo is an anti nausea/vomiting. The only side effect that I had was 1 day of fatigue on the day after each rounds' treatment. i.e.: My treatments were Mon, Tues & Wed every 3 weeks. On the Thurs after Wed's treatment, I was tired.

      about 3 years ago
    • Mimmi's Avatar
      Mimmi

      I had RCHOP last year. I was given anti nausea tablets to take for the first 4-5 days and I didn't feel bad once. I also took Probiotics ( high grade) every day, and still do. I took 400 billion / each morning. I cut back to 100 billion / day after I finished chemo..Your food during chemo, especially the first days, 1st and 2nd in particular, wont taste good, its like the medications plays havoc with your taste buds..Eat spicy foods, if you can manage that..I found that anything else just tasted like cardboard...Water even tastes awful. But this doesn't last...It gets better each day...You will be tired. Each chemo adds to this, so I found by chemo number 3 onwards I had to lie down and rest a lot. So you listen to your body. I finished chemo last November and slowly I started to build up my strength slowly daily by doing 5-7 minutes a day of light exercises, slowly increasing this and now I am at the gym 4 days a week/ ..Take it easy, listen to your body ..It'll be fine. I spent about 6 hrs at the hospital because I also needed spinal tap to check that no cancer had escaped in to the spinal fluid/ plus chemo administrated into the spinal fluid...At least here in UK this goes hand in hand with R-CHOP treatment , at least for patients who has DLBCL....Best of luck..

      about 3 years ago
    • Schlegel's Avatar
      Schlegel

      I was given two anti-emetics thirty minutes before treatment. I think one was Ativan, not sure about that. I never had a problem with nausea or vomiting. The first treatment will take six or seven hours. That includes the time you wait after they do your blood work. The times get worked down with successive treatments to about four hours. Everyone responds differently to the treatment. Although extreme fatigue was one of my presenting symptoms, the treatment did not make me fatigued. By the fourth treatment I would get the treatment on Monday, get my Neulasta shot on Tuesday morning, see my home physical therapy patients during the day, then go to band practice at night.
      Most infusion centers keep it cool to minimize nausea, so bring a sweater. Also, bring something to do like a book or knitting. I am in a couple writing groups, so I would bring writing materials. You may want to bring a snack or even a sandwich although some infusion centers provide snacks.
      Keeping a journal during this time may be a good idea. It is therapeutic, and I later converted mine into a book.
      Chemo is not as bad as everything you've heard. You will do well.

      about 3 years ago
    • GregP_WN's Avatar
      GregP_WN

      Here is an article on helping with nausea from treatment that we just posted last week on our Blog page, take a look here>> https://www.whatnext.com/blog/posts/cancer-and-nausea-seven-tips-for-relief

      about 3 years ago
    • rdy2trvl's Avatar
      rdy2trvl

      I took zofran and also bought quest pops.... nausea was very minimal....you can get the quest pops online....also the center will provide snacks and juice but I usually brought my own that I knew I could tolerate and a good movie on my iPad...it is not as bad as you think..

      about 3 years ago
    • rdy2trvl's Avatar
      rdy2trvl

      It is quesy pops not quest pops!!

      about 3 years ago
    • stacyuf1's Avatar
      stacyuf1

      Thanks for all of the responses

      about 3 years ago
    • kalindria's Avatar
      kalindria

      Benadryl worked better for my nausea (for a different type of treatment) than Zofran or compazine.

      about 3 years ago
    • aracooper's Avatar
      aracooper

      I had RCHOP 5 years ago and my oncologist prescribed for me two different anti nausea medications to take after each treatment. They were both prescribed to take every six hours and my doctor advised me to space them so I could take one of the drugs, then 3 hours later take the other medication, then 3 hours later it would be time for the first medication again and so on. That way every three hours I was taking an anti nausea medication and there was no lapse. It worked beautifully. I never got sick at all and I never once felt nauseous. I took the anti nausea medication the second I walked into my home after my chemotherapy treatment, and I continued taking it thru the 4th. Day after treatment. My oncologist used to say to me that if a patient gets sick from chemotherapy in this day and age then the doctor is not doing there job!
      Good luck to you! I will keep you in my prayers.

      about 3 years ago
    • acshipway's Avatar
      acshipway

      Hi Stacy, I was on a different treatment (Treanda/Rituxin) but I was on zofran, they gave me zofran at the start of each chemo session and then I had a prescription for zofran at home, I took them around the clock, every 8 hours for 5 days following every treatment, then a few times after the 5th day experienced some nausea, went ahead and did one extra day of zofran. It did the trick, just beware, the anti nausea meds will slow down the whole GI system, it will back you up, so maybe a fiber supplement, metamucil or something like that. Good luck.

      about 3 years ago
    • kalindria's Avatar
      kalindria

      Medical marijuana works well on nausea too.

      about 3 years ago
    • stacyuf1's Avatar
      stacyuf1

      I received emend this cycle and I had no nausea. My first cycle I had tons of nausea and vomiting even with compazine and zofran. The emend was great!

      about 3 years ago
    • acshipway's Avatar
      acshipway

      Glad to hear you found something that works for you!

      about 3 years ago

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