Meds one hour before chemo:
Oral Aprepitant 120mg (anti-emetic used for acute and delayed nausea and vomiting)
When we arrived at chemo centre I learned my BP was 89/45. This is a much lower BP than my usual. I guess that explained the severe morning fatigue, dizziness, lacking coordination, etc.
Sidebar: for those curious pre-HSCT patients considering about using their arm veins for apheresis instead of a PICC line. My thoughts are that it was such a treat to not undergo yet another IV catheter for chemo today/tomorrow and then transplant on the third day. Plus you need to keep your arms locked straight for 3+ hours during apheresis. I heard the pain of the size of the catheter in your arm is like nothing else felt before. Let’s keep in mind everyone is different though 😉
Ondanestron 8mg (anti-nausea)
Dexamethasone 4mg (steroid)
Pantoprazole 40mg (PPI, similar class of Omaprozole)
Cyclophosphamide 1900mg (chemotherapy dosage decreased today 40mg/kg body weight)
MESNA 2000mg (used to prevent hemorrhagic cystitis/bleeding in the bladder from chemo)
Ondansetron 8mg (as above)
While I was at chemo, I learned we collected 4.3 million stem cells per kg/body weight. This equates to 227,000,000 stem cells. That was the most outstanding news I could have hoped for! All of that extra time and discomfort was worth it.
I was exhausted by the time we reached the apartment at 9pm, and after a small stretch went to bed with no nausea. Yessssssssssssss!