Cancer Cancer Medications in the Medications in the

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Cancer Medications & Cancer Medications & TeamworkTeamwork

●Health providers play a role●Increased use of cancer medications at

home●Patient’s role is expanding

Healthcare team + Patient = Improved Patient Outcome

Medications to Treat CancerMedications to Treat Cancer

●Cytotoxic Chemotherapy

●Hormonal Agents

●Immunotherapy

●Targeted therapies

Supportive Care MedicationsSupportive Care Medications

●Prevent nausea ●Prevent reactions from IV drugs●Prevent diarrhea or constipation●Increase white blood cells●Treat blood clots●Example: steroids, antibiotics

Cancer Treatment GoalsCancer Treatment Goals

●Neo-adjuvant: Shrink cancer before surgery

●Adjuvant: Reduce chance of cancer coming back after surgery

●Metastatic: Shrink or control cancer growth (palliative)

Cancer Treatment PlansCancer Treatment Plans

●Treatment plans (regimens) – combination of cancer meds (oral and IV) plus supportive care meds

●Treatment Cycles otime period medications are givenocounted in days – treatment occurs on day 1oUsually dispensed one cycle at a time to

increase safety

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Cancer Treatment PlansCancer Treatment Plans

May include oral cancer meds, IV cancer meds or both.

May include radiation therapy

Radiation may be given before, after or during medication

Unwanted (Adverse) EffectsUnwanted (Adverse) Effects●Cytotoxic drugsoDrop in white blood cells/platelets oSick to stomach, vomit, diarrheaoHair loss

●Targeted therapiesoSkin rashes, sensitivity to sun, diarrhea,

changes in blood pressure or heart function

●Hormone or ImmunotherapiesoSide effects are specific to process in body

affected

How can you help?How can you help?●Know signs (symptoms) of cancer versus unwanted

effects of medications

●Write down symptoms you have

●Ask how to identify which symptoms require immediate medical attention

●Tell provider about symptoms, unwanted effects

●Tell your provider about missed doses

●Talk about if your treatment needs changing

True or False?True or False?

1. Oral cancer medications have less side effects than injected (IV) medications.

2. Oral cancer medications are safer to take than IV medications.

Drug InteractionsDrug Interactions

●“Patient Story”

●Drug interactions may occur with any medication: prescription, over the counter, vitamins & minerals, herbal or natural products, specific foods and alcohol

●Can be harmful and reduce effectiveness of treatment

You can prevent harm from drug You can prevent harm from drug interactions …here’s howinteractions …here’s how ●Use the same pharmacy

●Keep a list of all medications-work with your pharmacists

●Share your list with all healthcare providers

●Read instructions on labels on all medication bottles

●Always read auxiliary labels and other handouts given

How can you prevent errors How can you prevent errors in your prescriptions?in your prescriptions?

●Know names of your meds - generic & brand

●Know what your tablets or capsules look like

●Spell your drug names for healthcare providers

●Check 5 Rs-right patient, right med, right dose, right time, right route

● If a medicine does not look or sound right-ASK the provider to check

Safety in YOUR HomeSafety in YOUR Home

Do not split or crush cancer medications Tell your pharmacist if you cannot

swallow the drugs wholeStore drugs in a secure place away from

heat & moistureStore drugs out of reach of children and

petsTake medications to a pharmacy for

disposal

Safety in YOUR Home:Safety in YOUR Home:Hazardous MedicationsHazardous Medications

●Many cancer medications are “hazardous”

o Can cause harm to healthy persono Limit exposure

●Ask if your medications are hazardouso Learn safe handling of medicationo Learn safe clean up of body wastes

Safety in YOUR Home:Safety in YOUR Home:Hazardous MedicationsHazardous Medications

●Wear gloves when handling tablets or capsules

o Wash hands after removing gloves

●Body waste is contaminated for about 48 hours after the last dose of medication is taken (IV or oral)

o Wear gloves when cleaning up wasteo Wash hands wello Close toilet lid and flush twice

Safety in YOUR Home:Safety in YOUR Home:Hazardous MedicationsHazardous Medications

●If a spill occurs:o Use spill kit if provided

o Wear gloves when cleaning up

o Wash soiled clothes separately

o Wash surfaces twice

Cancer Medications and Cancer Medications and Safety: What did we learn?Safety: What did we learn?

YOU are part of the teamYOU can help prevent errorsLearn about your cancer and your

treatment plan Know which medications you take and

howAsk if there are extra safety

precautions for your medicationAsk if anything doesn’t look right

Where Can You Look for Where Can You Look for More Information?More Information?

CancerCare Manitoba website www.cancercare.mb.ca

CCMB Patient and Family Resource Center

CCMB Pharmacy Department Ph: 204-787-1902

The Patient JourneyThe Patient Journey

If you or a loved one have a cancer diagnosis, there are things you can do to help.

The Patient JourneyThe Patient Journey: : What You Need to Know & DoWhat You Need to Know & Do

1. Confirmed Diagnosis & Treatment Plan

•Choose patient advocate to attend meetings

•Share your concerns & fears with your team

•Ask questions about your treatment choices

•Ask providers’ contact names & numbers

•Ask for information on your type of cancer

•Read up on your cancer & treatment choices

The Patient Journey: The Patient Journey: What You Need to Know & DoWhat You Need to Know & Do

2. First Follow Up Meeting

● Ask questions about: o How to safely take your meds at home

o Possible side effects and what to do

o Write down key content discussed

o Ask if you do not understand

o Repeat back key messages you heard

The Patient Journey: The Patient Journey: What You Need to Know & DoWhat You Need to Know & Do

3. Ongoing during your Journey

•Review your cancer meds and how to take safely at home

•Write a list of all your cancer meds

•Read how to take properly

•Ask questions if you are not sure

•Review possible side effects of cancer meds

The Patient Journey: The Patient Journey: What You Need to Know & DoWhat You Need to Know & Do

4. Self Monitor & Agree to Follow Plan

• Review possible side effects of cancer meds

• Write in a journal your cancer symptoms and any side effects of cancer medications

• Write any problems you are having

• Share this info with your provider

• Ask questions

• Use aids such as reminder notes to help you

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