Wednesday 15 February 2012

Some tips about managing Azacitadine

I have been taking AZT for 8 months. I have just completed my last session and it went very well. I am now able to do work outside and do other things even while having the treatment - which is great. There are now another 4 patients are into month one or two having AZT in Plymouth, so there has been much discussion on what can help.

I understand that around 30% of people that have it react well to it, and others cannot get on with it. Normal side effects are rashes which can be awful I am told, itches, can effect your liver etc. It is like many other chemos in that respect. The other side effects are to the Ondonsatron  anti-sickness tablets you can get - which can cause things like intense constipation, and to the anti-histamine tablets you might need to keep the rashes down - which cause you to feel very tired.

The first two months I felt pretty awful with it, but I recovered just before my next bought. Since then it has been easier each time. I guess my body is getting used to it.

OK lets look at the rashes. My Professor told me if you can put up with it then the benefits can be very good. I have met a patient that had to give up having AZT as the rashes were just too much for her.

What I have learned is that there are lots of things that may help but you have to keep trying different ones as sometimes they work, and sometimes they do not - weird.

Antihistamine tablets - the one a day ones - are good for me. There are several that you can be given - try them about and see which works for you under direction from your Doctor (which applies to all of these)

Steroids. In really sever cases they can prescribe steroid cream - but my Doctors advised me to keep off them if at all possible, as you might more easily catch a skin infection, which is not good. I had one, and was on antibiotics and anti fungals for 10 days.

Creams and potions

To soothe
Evening primrose oil - pierce the capsules and rub on gently. (I have stopped using them for the moment)

To hydrate the skin and reducing the itchiness
E45 - I also use this on areas like legs to re-hydrate before it gets rashes
Calamine lotion
Witch Hazel - advised by a fellow patient - I have not tried it

If you are worried about getting skin infections try using
Allergenics non steroidal cream
Sudacream antiseptic 
Germoline
And tell your doctor anyway ASAP

General Cleanliness
Antibacterial hand wash with hydrating components, stops your skin getting too dry.

Other things
The Ondonsatron anti sickness tablets were prescribed twice a day. I now only take them once a day before the AZT injections, and this has dramatically reduced the side effects of this medication.

I try and get exercise every day - sufficient to push my heart. I am sure that helps. So take the stairs instead of the lifts, is a good start. Dogs need walking. Hills need climbing. ...

Not every thing will work for every body. These are just my findings.