Capecitabine

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Hello - I am new to this forum so I will start by saying what happened to me.

I had no real symptoms of bowel cancer until two days before emergency surgery. I didn’t have my regular morning poo for two days and then developed awful stomach cramps and was sent the A&E. The doctors there said all my rest were OK and my tummy was soft with nothing to feel. In the end they sent me for a CT scan which showed a 6cm tumour blocking my descending colon.

This was at around 11pm on Easter Sunday this year and by midnight I was in the anaesthetic room and woke up in the morning g with a colostomy after a left hemicolectomy. I made a good recovery from the surgery but as I had no physical or psychological prep for such a big operation I expected a massive reaction when J went home. Yes it did come eventually with a huge realisation what had happened to me and my body!

Anyway I am a lucky one that there was minimal involvement anywhere in my body other that some lymph vessel involvement for which I am now on my first cycle of Capecitabine. I am OK at the moment with minimal side effects but I’m finding taking six tablets twice a day very restricting as I was told to take them after breakfast and then between 9 and 12 hours later.

Please can anyone tell me at what times do you take your meds and how long do leave from the last lot if the day to the next lot on the following day? I have three days left of my first cycle and can’t wait for my rest week!

Thanks!

  • Hi Jackie,

    I managed 6 cycles of Capox last year, so I was having ocuparon infusions as well as the capecitabine tablets. I think I just took them after breakfast and then after dinner. I do remember it getting harder to take them as I got further into the treatment - from a purely psychological point of view. And they were big tablets! 

    Hope it all goes well for you.

  • Thanks for your reply - I’m finding it hard now and it’s still my first cycle! It seems relentless taking six tablets twice a day - did you have any side effects from your chemo regime?

    Hope you are OK?

  • Relentless is the perfect word! 

    Because I was on 2 drugs I’m not sure which side effects came from which drug but yes plenty of side effects which increased as I went through the cycles. I did suffer with hand and foot syndrome after a couple of cycles with really painful feet, red and blistered. I was given pyidoxine (not the right spelling, but it was high dose of B6) tablets which did sort that out. Loose bowels later and I still have peripheral neuropathy in my hands and  but its much improved now. I stopped after 6 cycles as my body appeared to have had enough and my platelet count dropped too far to continue.

    I am ok now but I am recovering from surgery to remove a metastatic growth from my liver. This was picked up in my first surveillance scan. It is always a waiting game!

    I found it helpful to keep a symptom diary to keep a more objective track of things. 

    Take care.

  • Hi  I pretended they were vitamins! I was told I could take them with a couple of biscuits for example so I’d take them at 7am with a couple of digestives then go back to bed and read for an hour before breakfast then I’d have the evening ones with my tea at 7pm. I suppose it depends on what time you’re used to eating at? x

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
  • I  can appreciate the difficulty telling which drug caused what - I’m ‘lucky’ that I’m only taking one! Ithink the team at the Cancer Hospital gave me a Symptom diary - I’ll have to get it out! As I have a stoma it’s hard to tell true side effects such as real diarrhoea or  increased normal output but my hands are tingling a little bit in the mornings - hope it doesn’t progress - you sounds as you had a bad time with your hands and feet? 

  • The worst thing for me is that I’m not a very good breakfast person so a biscuit might do the trick! Thanks for the tip!

  • As I’m new to this page I think my reply to you is underneath! I’ll get it right next time!!

  • I was worried about being sick on them (emetophobic) but the  oncology nurse reassured me I almost certainly wouldn't be- the worst I'd feel was a bit of nausea/dodgy stomach- and they loaded me up with antiemetics anyway! She was right, I was ok- but I did ask what to do about taking them with food if I woke up feeling sick and,  same as Karen, she said to just manage a biscuit and that would be fine!  ...Again, I'm not sure what effects  were radiotherapy and what was chemo but the malaise/yukky feeling/brain fog effects disappeared a few days after I stopped taking them/having treatment. Hurrah.

  • Did you have stoma? I’ve just had my first episode of diarrhoea I think - I guess it must have been as my stoma bag burst its banks!! If it was I’m wondering how I’m going to cope although I have just taken some Imodium in a beat to beat the bag!! I never thought my life would be like this - afraid to go out in case you sh*t yourself!

  • You have to laugh! Even now 18 months after my bowel surgery I still often go to the loo to fart, I’m not always certain if it is just gas or solid Joy