What is FEC 100?
FEC 100 is a very common, intensive chemotherapy protocol. It is an association of cancer drugs that can be administered differently depending on the establishment. The term FEC 100 is used when the dosages are higher than other protocols, for example, FEC 100 is stronger than FEC 50. The FEC 100 is generally prescribed over 3 cycles, followed by 9 or 12 cycles of Taxol or Taxotere, and can provoke undesirable side effects, but it is not systematic.
How do I Calm the FEC 100 Side Effects?
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Nausea and vomiting
Generally, the first 72 hours after chemo are the most difficult. Nevertheless, the anti-vomiting medication provided on the day of your chemotherapy is quite efficient, but you can also use an anti-nausea bracelet. Eat more often but in smaller quantities so that your stomach is never empty and opt for cold, non-fatty meals (do not limit yourself to 3 meals a day). Sometimes, drinking soft drinks can also help to reduce nausea. Drink at least 1.5 litres a day (water, teas and herbal teas).
Aromatherapy: You can also inhale peppermint, Bourbon Geranium, Ginger or Mandarin Essential Oils to reduce the effects.
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Coloured urine
Chemotherapy contains a product that may cause your urine to change colour for up to 72 hours after treatment. No need to worry, all you need to do is drink a lot throughout the day.
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Decrease in white blood cells
The role of these cells is to defend your immune system. This diminution can sometimes cause fevers. Please talk to your Doctor if this happens.
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Decrease in red blood cells
These blood cells work to transport a maximum of oxygen to different tissues within the body. This reduction can cause constant breathlessness, extreme fatigue and ringing in the ears.
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Decrease in platelets
Their decline can cause more frequent bleeding (do not be alarmed). Use a soft-bristled toothbrush to avoid bleeding from your gums.
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Hair and body hair loss
Hair loss generally happens after 15 days of treatment and are basically avoidable, even with a cold cap. The warning signs of hair loss include tingling and itching of the scalp. If you want to wear a wig, you should take advantage of this before losing your hair so that you can choose the style that resembles your regular haircut. It is best to cut your hair short or shave your head to avoid any stress caused by sudden hair loss. Lastly, use a mild shampoo and regularly massage your scalp with your fingertips to eliminate any toxins that may have accumulated from the FEC 100.
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Mucositis (damage to the mucous membranes)
Often characterised by ulcers and irritations in the mouth. It is important to practice good dental hygiene, regularly use a mouth wash between meals and avoid any foods that may cause ulcers (nuts, cheeses, tomatoes, acidic fruits, spices). You can also use Tea Tree Oil.
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Fatigue and FEC 100
Pain, medication and illness are all factors that can provoke or increase your overall fatigue. Try to exercise regularly and take several naps throughout the day. Do not hesitate to ask for help with daily tasks from your family and friends or a professional homecare service.
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Menstrual cycle stopped
During chemotherapy, your ovaries are forced to rest, which means that your menstruation cycle is temporarily, or in some cases, permanently stopped (this does not mean that you should stop using your usual forms of contraception). This is frequent for women over 40 and is otherwise uncommon. Generally, for younger women, their cycle restarts after finishing treatment.
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Cardiological problems
One of the products used in the FEC 100 protocol can cause long term cardiac problems. You may feel breathlessness or extreme fatigue, if it is the case, contact your Oncologist. However, your heart function will generally be closely monitored throughout your treatment.
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Dry skin
Often called “Hand-Foot Syndrome”, this side effect causes extreme dryness to the palms of your hands and soles of your feet (sometimes with the sensation of pins and needles). Make sure you properly hydrate your skin in these areas with creams for sensitive skin. There is a large range available on the market for all different skin types!
Even if all these symptoms are common, you should still talk to your doctor for more advice.
Additional Tips During Cancer Treatments
Avoid sun exposure as much as possible during your treatment and for some time afterwards. If you are exposed, make sure you use a SPF50+ sunscreen and anti-UV clothing for maximum protection. You can also wear a chemo cap or head scarf to protect your head.