www.know_the_risk_of_5fu_chemotherapy.com

ask about your risk of serious side effects before starting 5-FU Chemotherapy


Warning Signs to report & act upon

Date of latest revision:2 February 2025

The best write up on this subject is found in an article published in 2018 in the Clinical Journal of Oncology Nursing (thanks to my friend who co-authored this J. Thompson).  The article is entitled: 5-Fluorouracil and Capecitabine: Assessment and Treatment of Uncommon Early On-Set Severe Toxicities Associated with Administration.

 

https://cjon.ons.org/cjon/22/6/5-fluorouracil-and-capecitabine-assessment-and-treatment-uncommon-early-onset-severe

 

If you experience any of the early on-set symptoms, I implore you to report them immediately to your oncologist.  Do not feel bashful about reporting into the oncologist -- you should already have a good rapport and if you do not, consider a different physician.  Furthermore, do NOT allow the staff or oncologist to easily dismiss your symptoms: time is of the essence in treating potential severe toxicity!

 

The antidote for any "over-dose" of 5-FU and Capecitabine is Vistogard and this must be administered within 96 hours of your last chemotherapy treatment. 

 

The Colorectal Cancer Alliance has published a helpful paper on 5-FU & Xeloda: Side Effects vs Symptoms