Chemo and Pre-meds

So, yesterday was day 8 in my chemo cycle (Carboplatin/Gemzar). Day 1 was a week ago, and I really didn’t like how I felt afterward. I was given dexamethasone and some anti-nausea meds and those made me feel yucky. After chemo was done I felt tired and had trouble coming up with the words I wanted to use. It was a terrible feeling.

The dexamethasone is a steroid and it skyrocketed my glucose, even up to 5-6 hours after being administered. My glucose peaked at about 144 mg/dL around 7 hours after the steroid. I didn’t even have issues with nausea, so much so that I didn’t take all my anti-nausea meds.

This time (week 2) I asked for no pre-meds, which my nurse was happy to do. I also only had one of the two chemo agents (Gemzar). I felt great after. There were no glucose spikes, no cognitive issues, and no nausea. Overall, I’m of the mind to add medications in as needed, rather than pre-medicating and then taking things out.

Next session, in two weeks, I plan to follow the same routine of no pre-meds. I expect to have similar results, with little to no nausea. I’m very much a fan of listening to your own body. From what little I can tell, by feeling around my armpit, my lymph nodes seem to be smaller. That’s a good sign, meaning the chemo is doing its job.

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