Chemo meds

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I have triple negative bC and also HER positive . Bilateral mastectomy completed 10 weeks ago and no nodes only biopsy nodes removed either side. I started my first  chemo session. Yesterday paclitaxel weekly and carboplatin ( 3 weekly) for 4 cycles before moving onto EC February 2024. I have no effects from the chemo currently but M prescribed anti sickness medication and steroids ( 2 days 2-3)I am also to have filigrim injections for 3 days (day 3-5) . I’m feeling nothing at all from the chemo and doing well. I was reluctant to take the anti sickness medication 9 hours following chemo infusion but I did. I was also reluctant to take the steroids this morning but I have . I do feel I do not need to take the anit sickness or steroids as I am non symptomatic. Would it be ok for me not to take them feeling this way. I would def take them if feeling symptomatic however. I am keen on minimising chemicals put into my body and aware these additional meds are blanketed for all on chemo as a precaution. However , can we decide as individuals based on our own physical experiences of chemo to reduce or omit these additonal meds? I feel I do not know enough myself about chemo treatments to not follow instructions but would like more autonomy and choices given on whether I actually need them myself when being non symptomatic. Yes I am aware things could change quickly and no days will likely be 5e same and don’t for Asec think I’m going to have no symptoms as I progress through the chemo treatments but at times when I’m well and not needing additonal meds is it safe for me to reduce or omit them safely untiI do need them and Inform my oncologist?

  • Hi  DDG1967

    Thanks for getting in touch and welcome to the online community. My name is Karen and I’m one of the Cancer Information Nurse Specialists on the Macmillan Support Line.  


    I can see that you’ve joined three of the online community breast cancer forums. I hope these are a helpful and supportive environment for you.


    It’s understandable that you want to have autonomy and choices regarding your treatment and medications. I hope the following is helpful to inform your choices and/or to discuss with your medical team.


    It’s great to hear that you are not currently having any side effects from the Paclitaxel and that you are feeling well.

    Steroids can be prescribed to treat the cancer itself, to reduce inflammation or allergic response and/or prevent nausea and vomiting. They can be given before, during and after chemotherapy. They are commonly given with another anti-sickness medication. You may not be experiencing any side effects or symptoms so far as you have taken these medications as prescribed. We would always recommend that you discuss with your oncologist or breast care nurse before stopping these medications.

    Filgrastim is a growth factor and lowers the risk of infection in people who are receiving chemotherapy. It works by helping your body make more white blood cells, which protects your body from infection. It’s important not to miss any doses. You should speak to your oncologist or breast care nurse before deciding to stop the injections.


    Please don’t hesitate to give us a call on the support line if you would like to chat through the information or if you have any further questions.


    I hope this information is helpful. If you have any information or support needs, the Macmillan Support Line offers practical, clinical, financial, and emotional support.


    Best wishes


    Karen, Cancer Information Nurse Specialist 


    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email