Elderly patients may need to receive less. The same dose is recommended for elderly patients given Xeloda alone. A lower dose may be given to elderly patients taking Xeloda in combination with other medicines to treat cancer.
Xeloda tablets should be taken with food. You should take Xeloda no later than 30 minutes after food. Taking your tablets at the same time each day will have the best effect. It will also help you remember when to take the tablets. When taken in combination with chemotherapy, your doctor will advise which days of your treatment cycle Xeloda should be taken. The duration of treatment with Xeloda varies, depending on the nature of your illness and your individual response to the treatment.
Your Xeloda therapy is made up of a series of treatment cycles which usually lasts for 21 days. Your doctor will advise you how many cycles of treatment you will have and whether there are any rest days in the cycle.
In most cases, your treatment cycle will consist of intermittent Xeloda therapy, where you will take Xeloda for 14 days, followed by a rest period of 7 days. During the rest period, you will not take any Xeloda.
Alternatively, your treatment cycle may be continuous, which involves 21 days of Xeloda treatment and no rest period. Immediately telephone your doctor or the Poisons Information Centre Australia telephone 13 11 26; New Zealand telephone for advice or go to Accident and Emergency at your nearest hospital if you think that you or anyone else may have taken too much Xeloda.
Xeloda can sometimes cause diarrhoea in some people. Your doctor may stop your Xeloda treatment and treat your diarrhoea before starting you on Xeloda tablets again. Tell your doctor immediately if you develop nausea feeling like you want to vomit and it has affected your appetite significantly.
Xeloda can cause nausea in some people. Your doctor may stop your Xeloda treatment and treat your nausea before starting you on Xeloda tablets again. Tell your doctor immediately if you develop vomiting, and vomit more than once in a 24 hour period. Xeloda can cause vomiting in some people. Your doctor may stop your Xeloda treatment and treat your vomiting before starting you on Xeloda tablets again.
Xeloda can cause pain, redness, swelling or sores in the mouth in some people. Otherwise, your doctor may think that it was not effective and change your treatment unnecessarily. Do not take any other medicines whether they require a prescription or not without first telling your doctor or consulting with a pharmacist. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines. If your doctor tells you to stop taking Xeloda, or the medication has passed its expiry date, ask your pharmacist what to do with any tablets that are left over.
Xeloda is a Schedule 4 — Prescription Only Medicine. Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Xeloda. Xeloda helps people with bowel cancer, breast cancer, stomach cancer and cancer of the oesophagus food pipe , but it may have unwanted side effects.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects. These are the more common side effects of Xeloda that you are likely to notice. Your doctor will tell you more about them. Your doctor may also recommend that you change the dose of Xeloda that you are taking if you experience any of the above side effects.
You need to stop taking Xeloda if you experience the above side effects. Your doctor will treat your side effects before they start you on Xeloda again. Tell your doctor immediately or go to your nearest Accident and Emergency centre if you notice any of the following:. This is not a complete list of all possible side effects. Others may occur in some people and there may be some side effects not yet known. Please consult your doctor for possible side effects that may be caused by taking Xeloda with a chemotherapy medicine.
Tell your doctor if you notice anything else that is making you feel unwell, even if it is not on this list. View more information about myVMC. Please be aware that we do not give advice on your individual medical condition, if you want advice please see your treating physician.
Parenting information is available at Parenthub. If you miss a dose of capecitabine, do not take an extra dose to make up for the one you missed. Take the next dose at the usual time and speak to someone in your treatment team. Most people tolerate capecitabine well as the side effects are often mild and can usually be controlled. However, everyone reacts differently to drugs. Some people have more side effects than others, and the side effects described here will not affect everyone.
Your specialist can reduce or delay the dose of capecitabine you take if the side effects become too severe. Reducing the dose of capecitabine is common and the treatment can still be effective at a lower dose. Blood is made up of red cells, white cells and platelets.
If the number of blood cells is too low, your next cycle of treatment may be delayed or the dose of chemotherapy reduced. Your treatment team may give you guidelines to follow for reporting signs of an infection, but generally you should contact your hospital immediately if you experience any of the following:.
Before starting chemotherapy you should be given a hour contact number or told where to get emergency care by your treatment team. You may need antibiotics. Sometimes your doctor may recommend injections of drugs called growth factors. This helps the body produce more white blood cells to reduce your risk of infection. Having too few red blood cells is called anaemia.
If you feel particularly tired, breathless or dizzy, let your treatment team know. Capecitabine can reduce the number of platelets, which help the blood to clot. You may bruise more easily, have nosebleeds or your gums may bleed when you brush your teeth. Tell your treatment team if you experience any of these symptoms. Tell your chemotherapy nurse or treatment team as they can prescribe medication and may consider stopping your capecitabine for a time to help control it.
Hand-foot syndrome, often called Palmar-Plantar syndrome , is a common side effect of some chemotherapy drugs used to treat breast cancer. The palms of the hands and the soles of the feet can become red and sore. Sometimes you may also notice a tingling sensation, numbness or some swelling. The skin on your hands and feet may also become red, dry and flaky. This should improve if the treatment is delayed or if the dose is reduced.
Although most people will not be sick vomit , anti-sickness drugs can help reduce or stop this happening, so take these as prescribed. Steroids may also be given to make the anti-sickness drugs work more effectively.
Your mouth and gums can become sore and small ulcers may develop. Your chemotherapy nurse or treatment team will advise you about suitable mouthwashes or medicine if these problems occur. Looking after your mouth, including your teeth and gums, is very important during treatment. If you do need to have dental treatment during chemotherapy, talk with your oncologist about the best time to have this.
You can lose your appetite while taking capecitabine. Your sense of taste can also change and some foods and drink may taste different. Talk to your treatment team about this. They will give you advice and information to help, or refer you to a dietitian if needed.
Find out more about diet during treatment. If you think you have fatigue, tell your GP or treatment team. They can assess you and offer advice on how to manage your energy levels. Find out more about managing fatigue. When used on its own, capecitabine occasionally causes some temporary hair thinning.
It very rarely causes complete hair loss. If capecitabine is taken in combination with another chemotherapy drug, most people will lose all their hair including eyebrows, eyelashes and body hair. Find out more about hair loss. Very occasionally allergic reactions to a drug can occur. Reactions can vary from mild to severe, although severe reactions are uncommon.
Would it be possible to get her information? Hi I just had a lumpectomy also had chemo before surgery now oncologist wants to put me on a chemo pill for 6 months as a precaution has anyone else have this. Hello, so good to hear your story!
I was diagnosed with rectal cancer on May 26th. I am on xeloda mg in the morning and mg in the evening along with radiation.
I do this Monday- Friday for 28 days. I have had 6 days so far, and I am feeling tired and my legs are very achy. Every day it seems to get a little worse but I just tell myself it will be over soon. My main concern is that I spend a lot of time feeling like I need to go to the bathroom only to get there and go very little and then back again within a few minutes.
Also when I think I am done peeing, I am not, is this normal? I have an appointment with my oncologist Tuesday, but I wanted to hear from someone who has gone through this. I will have surgery in the fall and then months of chemo through a port. Thank you all for being here for us! Glad to read your awesome results with Xeloda. I have been taking it the drug for 18 months now but I also get Avastin with it.
Have you taken that medication? I have some recent concerns as my sodium number has dropped and my platelets are very low. He removed me from the Xeloda to check my sodium again. It came back a little higher but still considered low. I would like to just be on Xeloda. Thanks for your encouraging story. My mom had colon cancer in and they got it all out and tested 29 lymph nodes around the area and none had cancer so they did not have her do chemo or radiation. Last month they found a mass on her bladder and they went in and removed it but it was cancer.
They believe her colon cancer has returned but are surprised since she has been in remission for so many years. They do not see cancer any where else. January it was 15 and now its at 42! They have decided because of her age 83 that she is not a candidate for surgery due to the fact she just spend 22 days in the hospital from a colonoscopy that went bad.
So they want her to start 6 weeks of radiation and start Xeloda the same day and for 6 weeks also. Just wanted to ask what side effects you had and when did they start…. Thank you for all your information and help! I was diagnosed with stage IV rectal adenocarcinoma with metastatic to the lung. I have undergone a surgery just this past December with a leakage in my intestines from the stint that was put in he tumor back in October when I was diagnosed!
I had complete blockage and that allowed me to go to the bathroom! Then when I got my ileostomy bag in December I have lost all of my dignity and hopes that I could live a normal life. I get a treatment of oxaliplatin and get sent home with xeloda. I have to take mg of xeloda every day. For two weeks on and one week off.. I was told by my oncologist to make all my arrangements and get things in order. My tumor in my lung has shrunk by a.
I am hopeful. We are currently on xeloda at a dose of mg a day. Also have stage IV rectal cancer which metastasis to the lungs and the doctor told us last month that we need to get all my things in order! I am also getting the infusion of oxaliplatin. That seriously makes me sick and sensitive to cold. I am scared that this cancer is going to take my life so I stay active and staying positive. I have not had surgery and I have an ileostomy bag due to a leakage in my intestines that was caused by a stint in the tumor!
Please tell me what you think about my case! I am demanding surgery but they have not done it yet! I think they want to wait and see if the tumor shrinks in my rectum.
Pam, the moment I read your story i saw that my wife Glenda right now is on nearly the identical track that you were on prior to your surgery, but more importantly, your story filled us with hope!
Glenda is Stage 4, with solid tumors in her lower abdominal area, and spots on liver and lungs.
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