Tegafur-uracil is a chemotherapy drug used to treat colorectal cancer. It is a combination of two drugs: tegaful and uracil (uracil is also called fluorouracil or 5FU). It is sometimes given alongside other chemotherapy medications.
HOW IS TEGAFUR-URACIL ADMINISTERED?
Tegafur-uracil is given as capsules. Before the day of treatment, a nurse will take a blood sample from you to see if you are fit for chemotherapy.
You will also be able to see a doctor or nurse before having chemotherapy. They will ask you how you have been feeling. If the results of your blood test are good on the day of your treatment, the pharmacist will prepare your chemotherapy.
Taking the capsules
Before you leave the hospital, your nurse or pharmacist will give you the capsules to take home with you. Always take the capsules exactly as you are instructed. This is important to ensure that it is working as well as possible.
The capsules should be taken three times a day at regular intervals. They should be taken whole, either one hour before or one hour after a meal.
Tegaful-uracil is given with a tablet called folinic acid. This helps tegafur-uracil work better. Both pills should be taken at the same time.
You will also be given drugs to control your dizziness while at home. Take all the medication exactly as your nurse or pharmacist has told you.
If you vomit right after taking the capsules, get in touch with your hospital. You may have to take another dose. If you forget to take a capsule, do not take a double dose. Keep your normal schedule and tell your doctor or nurse.
Other things to keep in mind regarding your capsules:
- Keep them in their original packaging at room temperature. They should be stored away from heat and direct sunlight.
- Keep them safe and out of the reach of children.
- Return any remaining capsules to the hospital if the treatment is discontinued.
YOUR COURSE OF TEGAFUR-URACIL
You will have chemotherapy as part of a course or cycle, consisting of several treatment sessions and lasting several months. Tegafur-uracil is usually given over 28 days (4 weeks), followed by a 7-day rest. Then the cycle is repeated.
POSSIBLE SIDE EFFECTS OF TEGAFUR-URACIL
You may experience some of the side effects mentioned here, though it is rare for a patient to have all of them. If you receive other chemotherapy drugs, you may have other side effects that are not mentioned here. Always inform your doctor of the effects you experience.
Your doctor can prescribe medication to help control some of the side effects. It is very important to take the medication exactly as your doctor says for it to have the highest chance of working well. Your nurse will advise you on managing the side effects. After treatment, the side effects start to get better.
RISK OF INFECTION
Tegafur-uracil may lower the number of white blood cells in your blood. This will make you more susceptible to infection. Your nurse can tell you when you might have the lowest levels of these cells. When the number of white blood cells is low, this is called neutropenia.
Contact your hospital immediately if any of the following happens:
- your temperature goes above 38 ° C
- you suddenly feel unwell, even if your temperature is normal.
- You have symptoms of infection, which may include sore throat, coughing, or the need to urinate frequently.
The number of white blood cells normally increases gradually, returning to normal before your next chemotherapy session. You will have a blood test before your next chemotherapy. If your white blood cells are still low, your doctor may postpone the treatment for a short period of time.
BRUISING AND BLEEDING
Tegafur-uracil may lower the number of platelets in your blood. Platelets are cells that help the blood to clot. Tell your doctor if you have any unexplained bleeding or bruising. This includes nosebleeds, bleeding gums, blood spots, or skin eruptions (rashes). Some people may require additional platelets.
Tegafur-uracil may lower the number of red blood cells in your blood. Red blood cells transport oxygen throughout the body. If you have a low number of red blood cells, you may be tired and short of breath. Tell your doctor or nurse if you feel like this. If you are very anemic, it's possible you will require a blood transfusion.
This can happen on the first few days after chemotherapy. Your doctor will prescribe you antiemetic drugs to help prevent or control your nausea. It is easier to prevent nausea than it is to treat it once it has begun.
If you still have nausea or are vomiting, get in touch with the hospital as soon as possible. They can give you advice and change your medication to one that works better.
Your doctor can prescribe medicines to control diarrhea. Let them know if your diarrhea is severe or if it doesn't get better. Make sure you drink at least two liters of fluids each day if you have diarrhea.
Tell your doctor if you have pain in your stomach. They can give you mild painkillers to help.
LOSS OF APPETITE
You may lose your appetite during the treatment. Try to eat in small quantities and have frequent meals. Don't worry if you don't eat much for a day or two. If your appetite doesn't get any better after a few days, tell your nurse or dietitian. They can give you nutritional supplements or good-tasting meal-replacement drinks.
SORENESS OF THE MOUTH
You may have a sore mouth or mouth ulcers, which could make you more prone to getting a mouth infection. Lightly brush your teeth and/or dentures in the morning and night and after meals. Use a soft-bristle toothbrush. Your nurse might ask you to rinse your mouth out regularly or use mouthwash. It is important that you follow all the instructions you are given and that you drink a lot of fluids.
Tell your nurse or doctor if you have any mouth problems. They can prescribe you drugs to prevent or treat infections of the mouth and to treat any kind of pain.
Feeling very tired is a common side effect. Fatigue is often worst toward the end of treatment and for a few months after the treatment has finished. Try to pace yourself and rest as much as you need to. Help balance this with a bit of light exercise, such as short walks. If you feel drowsy, don't drive or operate heavy machinery.
CHANGES IN THE LIVER
Tegafur-uracil can affect the functioning of your liver. These changes are normally mild and return to normal after the treatment. You will have blood tests done to see how your liver is working.
LESS COMMON SIDE EFFECTS OF TEGAFUR-URACIL
Your hair may thin out, though it is unlikely you will lose all of the hair on your head. Hair loss normally starts after your first or second cycle of chemotherapy. It is almost always temporary, and the hair will continue to grow after you finish your treatment. Your nurse can give you advice on how to cope with losing your hair.
Chemotherapy can affect your skin. Tegafur-uracil can produce a rash, which may cause itchiness. If your skin is dry, try to use a fragrance-free moisturizing cream every day. Always tell your doctor about any change to your skin. These changes can be temporary, improving once the treatment is over.
CHANGES IN TASTE
You may get a bitter or metallic taste in your mouth or find that food tastes different. This should go away when your treatment is over. Unless you have pain or mouth ulcers, try to use herbs and spices or strong-tasting sauces to give your food more flavor. Sucking on candy can sometimes help bitter or metallic tastes go away. Your nurse can give you further advice on this.
Your eyes may become watery. They may sometimes hurt or become inflamed (conjunctivitis). Your doctor can prescribe eye drops if you need them.
CHANGES IN THE HEART
In rare cases, tegafur-uracil can affect the way the heart functions. This is more likely if you have had previous heart problems. Some people may experience chest pain while taking tegafur-uracil. Chest pain may be caused by a number of factors other than chemotherapy. If you have any of these symptoms, tell your doctor immediately.
ADDITIONAL INFORMATION ABOUT TEGAFUR-URACIL
BLOOD CLOT RISK
Cancer and chemotherapy increase the chances of a blood (thrombosis). The symptoms include pain, reddening or swelling in a leg, difficulty breathing, and pain in the chest. Get in touch with your doctor immediately if you have any of these symptoms.
Some medicines can interact with chemotherapy or be harmful if they are taken alongside chemotherapy. This includes medications that can be purchased in a store or pharmacy. Tell your doctor the medicines you are taking, including over-the-counter medications, complementary therapies, and herbal medicines.
Tegafur-uracil can affect your fertility. If this worries you, you can talk to your doctor before beginning treatment.
Your doctor will advise you not to become pregnant during the treatment. This is because the drugs can harm developing babies. It is important to use contraception during chemotherapy and for a few months after the treatment ends.
If you have sex within the first few days after chemotherapy, it is necessary to use a condom. This is to protect your partner in case there is chemotherapy in semen or vaginal fluid.
Women are recommended not to breastfeed during treatment and for a few months after chemotherapy has concluded. This is in case the chemotherapy enters their breast milk.
MEDICAL AND DENTAL TREATMENT
If you have to go to the hospital for whatever reason other than cancer, always tell the doctors and nurses that you are having chemotherapy.
Talk to your cancer doctor or nurse if you think you need dental treatment. Always let your dentist know that you are having chemotherapy.