v
Susan A. Kraegel
WHAT IS CHEMOTHERAPY?
The use of a drug or chemical to treat any illness is
chemotherapy, but this term commonly refers to the use of drugs in the
treatment of cancer. The goal of chemotherapy in companion animals is
either to increase the life span or to improve the quality of life for
the animal with cancer.
HOW DOES CHEMOTHERAPY WORK?
Cancer can be defined as a rapid, uncontrolled growth
of cells. Anticancer drugs work by blocking cell growth and division.
Different drugs interfere with different steps in these processes. In
many cases, a combination of drugs is the most effective way to kill the
cancer cells.
HOW IS CHEMOTHERAPY GIVEN?
Most anticancer drugs are given by mouth or by
injection. The route chosen depends on the type of drug and the type of
cancer.
HOW LONG WILL MY PET RECEIVE CHEMOTHERAPY?
The length of time and frequency of drug
administration depend on the kind of cancer being treated and how well
the therapy is tolerated by the patient. Treatment may be given daily,
weekly, or monthly.
AM I AT RISK OF EXPOSURE TO THESE DRUGS?
Yes. Most anticancer drugs are very potent and must
be handled with care. Some are "carcinogens" and can cause
cancer with prolonged exposure. With orally administered drugs, it is
important that the pills or capsules are kept out of reach of children
in childproof containers. When handling these drugs, the owner should
wear latex or polyvinyl gloves to avoid unnecessary exposure. With oral
and injectable drugs, the urine and feces of the animal may be
contaminated with active drug compounds for several days after
administration.
Always avoid contact with the urine and feces of
animals receiving chemotherapy. Wear latex or polyvinyl gloves to clean
up accidents or the litter box. Rinse exposed surfaces well.
WILL MY PET EXPERIENCE SIDE EFFECTS?
Maybe. Veterinarians try to choose drug doses and
combinations that cause the fewest side effects. Ideally, the animal
receiving chemotherapy does not even realize that he or she is ill. The
drugs used in chemotherapy, however, are extremely potent and side
effects can occur. The potential for side effects must be balanced
against the benefits of the chemotherapy and the side effects of the
cancer if left untreated. Choosing chemotherapy for your pet is an
individual decision.
WHAT KINDS OF SIDE EFFECTS OCCUR?
Side effects arise because the normal cells in the
body are also exposed to the anticancer drug. J The most sensitive
normal cells are found in the blood, gastrointestinal tract, skin, and
reproductive system. Consequently, potential side effects include
infection, bleeding, decreased appetite, vomiting, diarrhea, thin
haircoat or skin color changes, and sterility. Rare side effects
associated with specific drugs include bladder discomfort, kidney
damage, and heart failure. The most serious side effect is overwhelming
infection leading to death.
WHAT ARE THE MOST COMMON SIDE EFFECTS?
The most common side effect reported by owners is
that the pet seems to be "off" for a day or two. This might
mean that the pet has slightly less energy or seems less excited than
normal about eating. Less commonly, the pet may skip a meal or two, have
one episode of vomiting or diarrhea, or seem lethargic. Unfortunately,
there is no way to predict which pet will develop the most serious
reactions. The animal receiving chemotherapy needs to be watched closely
and taken to his or her veterinarian at the first signs of illness.