Chemo & Vitamins

We recommend a multivitamin only with most chemotherapy. With 5-fu or Xeloda orally, we recommend Vitamin B6 to help with hand/foot toxicity. With Alimta the patient takes daily folic acid and B12 injections every 9 weeks both are initiated a week prior. (to decrease hematological and stomach complications Also with Alimta NSAIDS need to be stopped 5 days before and 2 days after treatment as it can increase toxicity by decreasing drug clearance from the kidneys.