NCCN Guidelines for Patients® | Diffuse Large B-cell Lymphoma

29 NCCN Guidelines for Patients ® : Diffuse Large B-cell Lymphoma, 2017 3 Overview of cancer treatments Chemotherapy people. Some people have many side effects. Other people have few. Some side effects can be very serious. Others can be unpleasant but not serious. Side effects of chemotherapy depend on multiple factors. These factors include the drug type, amount taken, length of treatment, and the person. In general, side effects are caused by the death of fast- growing cells. Fast-growing cells are found in the hair follicles, gut, mouth, and blood. Death of these cells can cause low blood cell counts, not feeling hungry, nausea, vomiting, diarrhea, hair loss, and mouth sores. Lung damage may also occur at the time of treatment. Most side effects appear shortly after treatment starts and will stop after treatment. However, other side effects are long-term or may appear years later. Late side effects include another type of cancer, heart disease, low levels of thyroid hormones (hypothyroidism), and problems having babies (infertility). Not all side effects of chemotherapy are listed here. Please ask your treatment team for a complete list of common and rare side effects. If a side effect bothers you, tell your treatment team. There may be ways to help you feel better. There are also ways to prevent some side effects. Guide 3. Steroids Generic (chemical) name Brand name (sold as) Dexamethasone – Methylprednisolone; Methylprednisolone acetate; Methylprednisolone sodium succinate A-Methapred Depo-Medrol ® Medrol ® Solu-Medrol ® Prednisone – Supportive care Supportive care doesn’t aim to treat cancer but aims to improve quality of life. It is also called palliative care. It can address many needs. One example is treatment for physical and emotional symptoms. Supportive care can also help with treatment decisions as you may have more than one option. It can also help with coordination of care between health providers. Talk with your treatment team to plan the best supportive care for you.