Yesterday my hair began to fall out. I told the pharmacist that it's not as much a shock for a man that's already bald. A friend asked, will you lose your eyebrows? They warned me that I could lose all body hair. I think that includes eyebrows. I wonder if it includes ear and nose hair, not that I have any noticeable, because of my good grooming habits! HA!
Next Monday I have my second chemotherapy treatment. And I have been going over the treatment plan to understand what I am receiving. I receive 10 medications with each cycle. The first 8 take about 6 hours, one after another, with constant monitoring by the care team.
1) Tylenol tablets
2) Benadryl, 50 mg, first time was liquid in my IV, during which I jumped all over the chair, not pleasant
3) Dexamethasone, a glucorticosteroid, treats nausea and lymphoma
4) Fosnetupitant, used with above medication to treat nausea and vomiting
5) Doxorubicin, the red liquid, that treats cancer by interfering with DNA of cancer cells
6) Vincristine, attacks normal and cancerous cells during cell division, hair loss, causes extensive tissue damage if it escapes the veins
7) Cyclophosphamide, works as above, but attacks normal and cancer cells during rest phase of cell division
8) Rituximab, monoclonal antibody, targeted antibody that attaches to the cancerous B cells and destroys them
9) Neulasta, attached to my waist and automatically dispenses 27 hours later, expensive ($6,231) stimulate WBC production in bone marrow
10 Prednisone, five daily doses, a steroid to decrease my immune systems response to the medications and to reduce reactions
Quite a regime, but far from the most difficult. Explains the fatigue. I'm counting all of this to kill my cancer!