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Preparation for treatment

Forums General Melanoma Community Preparation for treatment

  • Post
    thinkingofu
    Participant

      Dear All, 

      Hope you are well

      My mom is to have her first infusion tomorrow (finally) (yevroy+opdivo) and we were wondering if you could please share some tips as to how get through it as easy as possible. In term of food, drink, etc. Thank you xxxx

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    • Replies
        jennunicorn
        Participant

          Everyone has very individual side effects and some don't experience many at all. I have not had many issues with the combo, it's not like traditional chemo, generally most can handle immunotherapy well. But, be aware of the more serious side effects like colitis and thyroid issues, anything like diarrhea, headache that doesn't go away, major fatigue to the point of not being able to get out of bed in the morning, should be reported to her oncologist right away. Not everyone experiences these things, but best to be aware so in the event something does come up it can be treated quickly. You can go into my profile and read a more detailed description of all of the side effects I have come accross. Most people don't experience any side effects after the first infusion, usually takes after the second or third before something comes up. 

            thinkingofu
            Participant

              Thank you so much for answering. Greatly appreciated xxx

            MichelleRHG
            Participant
              I started taking probiotics prior to starting the combo treatment. It may or may not have kept me from having any gastric effects. Very fatigued but not much else happened until after my 4th dose, then liver enzymes elevated so we skipped a dose, they went back to normal. Am now on opdivo alone and watching thyroid numbers. I, too, was intimidated by the possible bad side effects but so far, so good. Good luck to your mom!
                thinkingofu
                Participant

                  Thank you so much ! heart

                  thinkingofu
                  Participant

                    May I ask, please, would you advice, for instance drinking plentybof water before the treatment, having light or heavy meal etc? 

                    Jubes
                    Participant

                      The first infusion takes a bit longer as they have to check that you are not having a reaction to it. You can eat and drink normally, although drinking water before is helpful to plump up your veins for the canula. These infusions are not like chemo where you feel awful right away. The side effects usually come on gradually as you have more infusions and your immune system starts ramping up. However do be aware especially as the last person commented especially of colitis. The infusions can cause inflammation in your body so it just depends where in your body the inflammation occurs. In my case it took 6 months, and I still have spondylitis arthritis after three years. I also had loss of thyroid function which happened within a month. But so glad she is having the infusions!!!

                      thinkingofu
                      Participant

                        Thank you! xoxo

                      I had only fatigue and mild fever after the first infusion.  The second went the same way until about 10 days post infusion.  I had high fever (104) and severe chills.  This ended up being hepatitis so I ended up on steroids.  The good news is that it was gradual and easily treated.  I think many who've had traditional chemo deal with much worse.  During the hepatitis I couldn't eat/had some nausea and vomiting but again it wasn't horrible.  I was on prednisone for 3 months and another medication to finally get my liver under control.  I've been back on Nivo only since April and doing fine.  Most tumors are gone.  I had a very good response.  I hope your Mom fares well.  I was able to eat and drink normally with the exception of just a few days during the hepatitis.  As another member posted it is incredibly important to report all side effects immediately.  Your Mom may have little to no side effects at all.  Wishing you both well.

                      Jennifer

                        thinkingofu
                        Participant

                          Thank you, Jennifer xxx

                        Sharon93065
                        Participant

                          As they two ladies mentioned and helped me, fatique, thyroied, and rashes.  Bad rashes/hives.  Keep on hand the Aveena for Excema (colooidal oiatmeal).  And i had to start taking Allegra every monrning.  Whenever I didn't I'd wake up with severe rash along side my body whre i slept, and could only wear cotton.  Lots of good advise right here!  I had extreme fatique.  After 3rd infusion of Opdivo/Yervoy my liver panel eas extreme.  I was put on what they call (I am learining alot) the 5 pack of Presnisone.  5 pills for 5 days, 4 for 5 days etc and just started the 1/2 for 5 days.  My blood is tested weekly now and almost down to normal level!!  Because of this i was unable to have the 4th dose.  But was so fortunate to not have the fever, nauea etc that Ii have read others have had.  Since starting the Prednisone tho i have had bad insomnia.  Ffor 10 days i averagemmaybe 3  hours a night sleep.  Finally when my liver panel was ccoming down Dr said I cook take the xanax or mellatonin .  Those were the side effects i experrienced.  Don't be afraid to ask, others before us are very helpful.  I get my Petscan on Seppt 11. Anxious to see what went oni nside??

                          Sharon

                           

                            Sharon93065
                            Participant

                              Excuse many typos.

                              thinkingofu
                              Participant

                                Thank you so much for your answer xxx

                                thinkingofu
                                Participant

                                  Hope you scan is clear! xxx

                                Edwin
                                Participant

                                   I lost 11 lbs after my first Yervoy/Opdivo treatment and had very bad diarrhea.  My doctor postponed my second Yervoy/Opdivo treatment, until I regained weight.  A dietitian told me to eat more calories. I switched from skim milk to full fat milk.  I should have changed my diet before treatment began.

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