NCCN Guidelines for Patients® | Follicular Lymphoma Grade 1-2

28 NCCN Guidelines for Patients ® : Follicular Lymphoma, Grade 1–2, 2017 3 Overview of cancer treatments Steroids 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. Steroids Steroid is the short name for corticosteroid. It is a type of drug that is often used to relieve inflammation. Steroids also are toxic to lymphoma cells. They have strong anti-cancer effects. The steroids used to treat follicular lymphoma are listed in Guide 3 . Steroids are a part of some chemotherapy regimens. They are often given on the same days as chemotherapy but only for a few days or a week. Prednisone is made in pill form but dexamethasone and methylprednisolone are made both as a liquid to be injected or a pill to be swallowed. Most side effects of steroids fade away once the drugs are stopped. Common side effects include feeling hungry, upset stomach, and mood changes. You may have trouble sleeping. Wounds may be slow to heal. Swelling of ankles, feet, or hands is also common. 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.