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The Sidney Kimmel Comprehensive Cancer Center

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Getting Started with Treatment

1. Baseline labs will be obtained prior to starting chemotherapy. Once treatment starts, labs will be drawn every week and you will have a weekly nurse visit to review results and assess any side effects.

2. A chemotherapy teaching class will be scheduled for you on the "first day" of radiation treatment. The "first day" of radiation is actually a "dry run" and no radiation will be given. The actual radiation treatment and chemotherapy will begin the following day.

3. Prescriptions for Temodar, an anti-nausea medicine and an antibiotic will all be submitted to the pharmacy.

4. Treatment with radiation, chemotherapy, and steroids can weaken your immune system and make you more susceptible to a severe lung infection. Make sure you take your antibiotic as instructed. Do not stop until instructed to stop.

5. Herbal medications, supplements and over the counter (OTC) medications can interfere with Temodar and radiation treatment. Please discuss ALL herbal medications, supplements, or over the counter medications with your provider PRIOR to beginning treatment.


During Treatment

1. Temodar should be taken about an hour prior to radiation treatment every day.

2. Take Temodar on an EMPTY stomach (no food for 60-90 minutes before and after taking Temodar).

3. The anti-nausea medication should be taken about 30 minutes prior to the Temodar.

4. It is VERY important that you have your labs drawn every week. If your blood counts drop too low, your Temodar may be placed on hold or stopped altogether for your safety.

5. Blood clots are common. If you develop any leg swelling, pain or redness contact your provider ASAP.

6. If you develop any shortness of breath, call 911.

7. Temodar can cause fetal harm and death; it can also alter sperm count and sperm genetics. You should not become pregnant nor father a child while taking Temodar. If you are pregnant and your spouse/partner is on Temodar, a condom should be used for all sexual encounters.