Prostate Cancer: Chemotherapy

What is chemotherapy?

Chemotherapy (chemo) uses medicines to fight your cancer. Cancer cells grow fast, but the medicines destroy them.

Some of your normal cells also grow quickly. Chemo can attack them too. This can cause side effects. Side effects often get better or go away after the treatment is over.

When might chemotherapy be used for prostate cancer?

Chemo can be used to treat later stage prostate cancer. It may be used if hormone therapy isn’t working. Or it may be given along with hormone therapy.

How is chemotherapy given for prostate cancer?

There are many different kinds of chemo medicines. The chemo medicines for prostate cancer are usually given as an infusion through an IV in the vein. Most patients get this type of chemo at hospitals or chemo clinics. You likely won't need to stay the night.

Some medicines such as estramustine are given as a pill that you take by mouth at home.

Chemo is done in cycles that last a few weeks. You’ll take the medicines with time to rest after each cycle. This lets your body recover.

What types of medicines are used to treat prostate cancer?

The most common chemo medicine for prostate cancer is called docetaxel. It's usually given with a steroid called prednisone. Other chemo medicines you might receive include cabazitaxel, mitoxantrone, and estramustine.

What side effects of chemo should I watch for?

Chemo is good for attacking cells that grow and divide quickly like cancer. Chemo attacks normal cells that divide quickly too, like those that line your gut and mouth or cause your hair to grow. This can cause side effects. The side effects depend on the amount and type of medicine used. Side effects may happen in the days or weeks while you are getting chemo. It’s a good idea to talk about them with your provider so you’ll be ready to treat them.

Side effects might include:

• Hair loss

• Easy bruising or bleeding

• Feeling tired

• Feeling less interested in food

• Feeling sick to the stomach or throwing up

• Mouth sores

• Diarrhea

• Increased risk of infection

• Feeling tingling, burning, or numbness in the hands or feet (called neuropathy). This feeling can sometimes last for a while or be lifelong.

The good news is most of these side effects can be treated. After your chemo is over, most of the side effects usually go away.

Talk with your providers about any side effects you have.

Working with your healthcare team

When you know which medicines you’ll take, you’ll want to write all their names down, and ask your healthcare team how they work and what side effects they might have.

Talk with your healthcare team about what signs to look for and when to call them. It’s a good idea to get a number to reach them on evenings, holidays, and weekends.

It’s also a good idea to keep a diary of your side effects. You can write down any changes in your body, your thoughts, or your emotions. This list will help you if you have questions when you meet with your provider. You and your provider will work on a plan to treat your side effects.