In addition to treatment with antiemetics before chemotherapy, many medications -- including those mentioned above -- are available to help control vomiting and nausea on an ongoing basis. Keep in mind that if the first medication your doctor tries isn't effective, it doesn't mean another one won't work. Every patient's response is individual, and finding a solution is often a process of trial and error.
Likewise, one medication may work for a while and then mysteriously lose its effectiveness. Doctors have an arsenal of medications to chose from, so don't hesitate to call and request a switch.
Another option is to combine drug-based antinausea treatment with alternative approaches. In recent years, many breast cancer patients have found that simultaneous treatment by an herbalist specializing in Chinese herbal medicine (CHM) can make a big difference in reducing nausea and vomiting and strengthening the body to withstand chemotherapy. Acupunture has been shown to be effective.
With the recent publication of a study in the Annals of Oncology showing a significant reduction in nausea among patients treated with CHM, many leading cancer centers are starting to incorporate this alternative treatment.
If this approach sounds appealing, ask the doctor about additional treatment by a CHM practitioner or look for a clinic specializing in such a program, which can coordinate communication between the CHM specialist and your doctor.
Many cancer patients have found that smoking marijuana reduces nausea and stimulates appetite. It's currently legal in eight states for this specific purpose, although there are conflicts between national and state laws, and the issue is complex. For more information, contact the National Organization for Reform of Marijuana Laws (NORML)
