Ifosfamide is a chemotherapy agent used to treat different types of cancer including testicular cancer, sarcoma, and certain types of lymphoma.

HOW IS IFOSFAMIDE ADMINISTERED?

Ifosfamide is given in the chemotherapy day unit or during a hospital stay. A chemotherapy nurse will give it to you.

Before the day of treatment, a nurse will take a blood sample from you to see if you are fit for chemotherapy.

You will also be able to see a doctor or nurse before having chemotherapy. They will ask you how you have been feeling. If the results of your blood test are good on the day of your treatment, the pharmacist will prepare your chemotherapy. Your nurse will give you medication for nausea and, sometimes, steroids administered intravenously. Chemotherapy drugs may be given in the following ways:

• Through a thin tube (line) inserted into a vein in the arm or hand by a nurse
• Through a tube that goes below the skin of your chest to a nearby vein (central line)
• Through a thin tube that is placed in a vein of the arm and goes up through a vein toward the chest (PICC)

Your nurse will give you ifosfamide as a drip (perfusion) through a cannula or a line over a few hours. This kind of drip is usually given using a perfusion pump for the sake of timing.

YOUR CHEMOTHERAPY CYCLE

You will have chemotherapy as part of a course or cycle, consisting of several treatment sessions and lasting several months. Your doctor or nurse will tell you how many cycles you are going to have.

POSSIBLE SIDE EFFECTS OF IFOSFAMIDE

You may experience some of the side effects mentioned here, though it is rare for a patient to have all of them. If you receive other chemotherapy drugs, you may have other side effects that are not mentioned here. Always inform your doctor of the effects you experience.

Your doctor can prescribe medication to help control some of the side effects. It is very important to take the medication exactly as your doctor says for it to have the highest chance of working well. Your nurse will advise you on managing the side effects. After treatment, the side effects start to get better.

RISK OF INFECTION

Ifosfamide may lower the number of white blood cells in your blood. This will make you more susceptible to infection. Your nurse can tell you when you might have the lowest levels of these cells. When the number of white blood cells is low, this is called neutropenia.

Contact your hospital immediately if any of the following happens:

• your temperature goes above 38 ° C
• you suddenly feel unwell, even if your temperature is normal.
• You have symptoms of infection, which may include sore throat, coughing, or the need to urinate frequently.

The number of white blood cells normally increases gradually, returning to normal before your next chemotherapy session. You will have a blood test before your next chemotherapy. If your white blood cells are still low, your doctor may postpone the treatment for a short period of time.

BRUISING AND BLEEDING

Ifosfamide may lower the number of platelets in your blood. Platelets are cells that help the blood to clot. Tell your doctor if you have any unexplained bleeding or bruising. This includes nosebleeds, bleeding gums, blood spots, or skin eruptions (rashes). Some people may require additional platelets.

ANEMIA

Ifosfamide may lower the number of red blood cells in your blood. Red blood cells transport oxygen throughout the body. If you have a low number of red blood cells, you may be tired and short of breath. Tell your doctor or nurse if you feel like this. If you are very anemic, it's possible you will require a blood transfusion.

NAUSEA

This can happen on the first few days after chemotherapy. Your doctor will prescribe you antiemetic drugs to help prevent or control your nausea. It is easier to prevent nausea than it is to treat it once it has begun.

If you still have nausea or are vomiting, get in touch with the hospital as soon as possible. They can give you advice and change your medication to one that works better.

LOSS OF APPETITE

You may lose your appetite during the treatment. Try to eat in small quantities and have frequent meals. Don't worry if you don't eat much for a day or two. If your appetite doesn't get any better after a few days, tell your nurse or dietitian. They can give you nutritional supplements or good-tasting meal-replacement drinks.

HAIR LOSS

Usually, people lose all of their hair. Also, the eyelashes, eyebrows, and other parts of the body may lose their hair. This normally starts after your first or second cycle of chemotherapy. It is almost always temporary, and the hair will continue to grow after you finish your chemotherapy. Until the time when you hair grows back, it is important to cover your head so as to protect the scalp while it is exposed to the sun's rays. Your nurse can give you advice on how to cope with losing your hair.

BLADDER IRRITATION

Ifosfamide can irritate the bladder and cause discomfort when urinating. Drink lots of fluids – at least two liters in the 24 hours after chemotherapy. It is also important to empty your bladder regularly and try to urinate as soon as you feel the need.

Patients are normally given fluids through a drip (infusion) and a drug called mesna as an infusion and/or tablets. This helps prevent bladder irritation.

Get in touch with your hospital immediately if you feel discomfort or burning when urinating or if you notice blood in your urine.

TIREDNESS

Feeling very tired is a common side effect. Fatigue is often worst toward the end of treatment and for a few months after the treatment has finished. Try to pace yourself and rest as much as you need to. Help balance this with a bit of light exercise, such as short walks. If you feel drowsy, don't drive or operate heavy machinery.

LESS COMMON SIDE EFFECTS OF IFOSFAMIDE

EFFECTS ON THE NERVOUS SYSTEM

Ifosfamide can affect the nervous system. You may feel drowsy or confused, and may have hallucinations. You may feel dizzy or unsteady. In rare cases, this treatment can cause seizures. Tell your doctor or nurse immediately if you have any of these symptoms. They can make changes in your treatment if the seizures become a problem.

It is important not to drive or operate machinery if you notice these effects.

CHANGES IN THE LIVER

Ifosfamide can affect the functioning of your liver. These changes are normally mild and return to normal after the treatment. You will have blood tests done to see how your liver is working.

SKIN CHANGES

Chemotherapy can affect your skin. If your skin is dry, try to use a fragrance-free moisturizing cream every day. Ifosfamide can produce a rash, which may cause itchiness. Rarely, skin may darken, though it will return to its normal color after the treatment is finished. If you have had radiotherapy—either recently or in the past—the treated area may turn red. Always tell your doctor or nurse about any change to your skin. They can advise you and prescribe creams or medication that may help. Normally, changes in the skin are temporary and get better as soon as the treatment is over.

MORE INFORMATION ABOUT IFOSFAMIDE

BLOOD CLOT RISK

Cancer and chemotherapy increase the chances of a blood (thrombosis). The symptoms include pain, reddening or swelling in a leg, difficulty breathing, and pain in the chest. Get in touch with your doctor immediately if you have any of these symptoms.

OTHER DRUGS

Some medicines can interact with chemotherapy or be harmful if they are taken alongside chemotherapy. This includes medications that can be purchased in a store or pharmacy. Tell your doctor the medicines you are taking, including over-the-counter medications, complementary therapies, and herbal medicines.

FERTILITY

Ifosfamide may affect your fertility. If this worries you, you can talk to your doctor before beginning treatment.

CONTRACEPTION

Your doctor will advise you not to become pregnant during the treatment. This is because the drugs can harm developing babies. It is important to use contraception during chemotherapy and for a few months after the treatment ends.

SEX

If you have sex within the first few days after chemotherapy, it is necessary to use a condom. This is to protect your partner in case there is chemotherapy in semen or vaginal fluid.

BREASTFEEDING

Women are recommended not to breastfeed during treatment and for a few months after chemotherapy has concluded. This is in case the chemotherapy enters their breast milk.

MEDICAL AND DENTAL TREATMENT

If you have to go to the hospital for whatever reason other than cancer, always tell the doctors and nurses that you are having chemotherapy.

Talk to your cancer doctor or nurse if you think you need dental treatment. Always let your dentist know that you are having chemotherapy.