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Combination In Chemotherapy

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Introduction:
Chemotheraputic drugs used in cancer treatment can be administered as a single agent or in combination (combination chemotherapy). It is known that the combination works better because different drugs work by different mechanisms and thus decreasing the chance of developing of resistant cancer cells. Also, combination allows the use of each drug at its optimal dose without side effects that can’t be tolerated by the patient. Sometimes combination chemotherapy is used to reduce symptoms and increase quality of life. As many things in this life, combination is a double edged sword may lead to serous side effects and risks and which could be reversible or irreversible.
Benefits of combination in chemotherapy: ϖ Increase remission and decrease mortality rate
In metastatic …show more content…

Hematologic toxicities susceptibility and severity are usually difficult to be predicted in patients. Myelotoxicity is one of the primary causes of death following cancer treatments use. Patients who have myelosuppression are at a great risk of developing adverse effects rlated to chemotherapy. Adverse effects include fatigue which makes the routine tasks difficult to perform, bleeding and life threatening infection manifesting as febrile neutropenia and sepsis. (4) ϖ Sever nausea and vomiting
Cisplatin is a chemotherapeutic agent used as a part of combination therapy in the treatment of germ cell tumors. Beside the huge benefit of this combination, a big problem exists. Cisplatin has common side effects which are sever nausea and vomiting. In germ cell tumors, the combination is used for five days so, it was noticed that the patients are suffering from nausea and vomiting during the treatment period and it tends to be milder at the end of these 5 days. (5) ϖ Life threatening

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