Some of the most common short-term side effects of chemotherapy are hair loss (alopecia), nausea and vomiting. The side effects you will likely have depend on the chemotherapy drugs you are given.
Learn about long-term side effects of chemotherapy.
Hair loss (called alopecia (A-loh-PEE-shuh)) is a well-known side effect of chemotherapy. Though it's most visible on your head, hair loss may occur all over your body (including eyebrows and pubic hair).
With some chemotherapy drugs (including doxorubicin, paclitaxel and docetaxel), you almost always lose your hair.
Over the years, people have tried many things to prevent hair loss. Using a gentle shampoo and washing your hair less often may help.
A technique called scalp cooling may slightly reduce hair loss . It is a special cap filled with a very cold substance and worn during each chemotherapy session. Talk with your health care provider about whether this cap is right for you (and if so, how to use it).
Even with these measures and a possible slight reduction in hair loss, many will still choose to wear a wig or other head covering.
Losing your hair is very hard. As with breast surgery, it affects a part of your body often tied to your identity.
Some people cut their hair short once they start chemotherapy to prepare for the loss of their hair. This may help you feel in control.
Wigs, hats and scarves may help you cope. If you are thinking about wearing a wig, you may want to pick one out before you start chemotherapy to find a good match for your natural color and cut. Or, this could be a good time to try out something new.
Many insurance plans cover all or part of the cost of a wig if the claim includes a health care provider's prescription or letter. Komen supports some programs that can also help with the cost of a wig.
Hair will begin to grow back 1-2 months after treatment ends, though it may be a different color and texture than it was before. It often comes in curlier. Hair texture will return to normal over many months.
You may dye, color or treat your hair whenever you like.
A note if you are traveling by air
Susan G. Komen wants to ensure breast cancer survivors are treated with respect and dignity. If you have lost your hair due to chemotherapy and wear a scarf or other head covering, below are some steps you can take that may help you as you plan your air travel.
You do not need to do so, but if you wish, tell the Transportation Security Administration (TSA) agent you are undergoing breast cancer treatment. If you prefer to give this information more discreetly, the TSA offers a notification card you can give to the agent (find this card on the TSA website).
If you have concerns about airline security screening, visit the TSA website.
Some (but not all) chemotherapy drugs cause nausea and vomiting.
To help prevent and control nausea and vomiting, your health care provider will prescribe anti-nausea medications and give you instructions on how to use them. The anti-nausea medications you get depend on the chemotherapy drugs you are given.
Tips to manage nausea
Some chemotherapy drugs (such as paclitaxel and docetaxel) can damage your fingernails and toenails. The nails may:
Like hair loss, nail problems are short-term though.
Keeping your nails short during treatment may make nail care easier. Your nails will return to normal once chemotherapy ends.
You can use nail polish whenever you wish.
Chemotherapy drugs (including vinorelbine, cisplatin and taxanes such as paclitaxel and docetaxel) can cause nerve damage. If this happens, you may feel a burning or shooting pain (neuropathy) or numbness, usually in your fingers or toes.
These side effects almost always go away after chemotherapy ends, though it may take weeks or months. In rare cases, the numbness or pain can persist.
Chemotherapy can also cause muscle pain (myalgia) or numbness. If you have these side effects, tell your health care provider right away. He/she may want to adjust your chemotherapy plan to ease these symptoms.
Your provider may also prescribe mild pain relievers or suggest other treatments to ease the pain or numbness.
Learn more about managing pain related to treatment.
Some chemotherapy drugs (including doxorubicin and docetaxel) can harm the tissues that line your mouth and throat, causing sores (called mucositis or stomatitis). These sores can make it painful to eat and drink.
Mouth sores go away once chemotherapy ends. However if you have any pain or see any problems in your mouth or throat, contact your health care provider. He/she can prescribe a special mouthwash or other medication to relieve pain and treat the sores.
Chemotherapy can cause fatigue (extreme tiredness). You may feel like you don’t have any energy and may be tired all of the time. Sometimes, getting enough rest doesn’t help.
Regular exercise, even just walking for 20 minutes every day, can help reduce fatigue [29-31]. Getting a good night’s sleep is also important.
Talk with your health care provider if you are fatigued or have problems sleeping (insomnia).
Although studies of ways to ease fatigue are limited, some tips may help [31-32]. See below for some suggestions that may help (if possible).
Tips to manage fatigue
Adapted from selected sources [29,32].
Learn more about fatigue and insomnia.
Chemotherapy drugs can cause other short-term side effects, including:
Unfortunately, some of these side effects (such as loss of menstrual periods) may last after treatment ends.
Chemotherapy can cause a drop in the red blood cell count (called anemia). Anemia can cause fatigue and shortness of breath. It can also make you look pale.
Sometimes, anemia can be treated by increasing iron or folate in the diet. Severe anemia can be treated with a blood transfusion.
Growth factors, such as erythropoietin (Procrit, Epogen and Aranesp) and similar drugs can increase red blood cell count. However, safety analyses have raised questions about whether people with breast cancer should get erythropoietin (for more on these safety analyses, visit the FDA website).
Chemotherapy can also cause a drop in the white blood cell count (called leukopenia or neutropenia).
Some chemotherapy plans include white blood cell growth factors such as filgrastim (Neupogen) and pegfilgrastim (Neulasta). These growth factors help maintain white blood cell counts and reduce the risk of infection while you are undergoing chemotherapy.
Growth factors are given by injection. A nurse can inject these medications, or you can learn to do it yourself.
Learn about long-term side effects of chemotherapy.
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