Back

I've heard all kinds of horror stories about taking steroids. But I have to take dexamethasone for nausea while having chemotherapy for my cancer. Is there anything I should do to prevent the negative effects of the dexamethasone?

You should really bring this question up to your physician. There are many risk factors to consider along with the amount of medication you are taking. Both the dose and the duration of steroid drug use are important. The type of cancer you have and whether or not there is any bone involvement are also factors to consider. For anyone taking corticosteroids for any reason, it is important to take steps to prevent osteoporosis and bone fracture. Calcium and vitamin D supplementation is first. Then a bone density test should be done. If your bone density T-score is normal, then the physician will monitor you with repeat bone density tests every six months. If the score indicates mild bone loss, then besides supplementation, you may be advised to take an anti-resportive agent such as Fosamax or Boniva. Exercise is also important. Weight-bearing and resistance training are best for building up bone and prevention of bone loss. If you are unsure what to do, see a physical therapist. The therapist can set you up on a home program of exercises that you can progress on your own. Exercise is important not only for osteoporosis prevention but also for prevention of cancer and cancer recurrence.

« Back