Chemotherapy does have side effects that need to be considered. About 5% of these will require your pet to be hospitalized, on the average, and there is a 1% chance of fatal reactions overall with chemotherapy.
Although I have not seen any published data, unpublished estimates on overall risks of any side effect are roughly 25-40%. This means that about one in three dogs will have some kind of adverse effect, but it could be a mild one.
Some of these milder side effects include loss of appetite, vomiting, and diarrhea. Other adverse reactions include lowering of white cells (leukopenia, which causes immune system suppression), heart damage, lung damage, kidney injury, anemia, blood clotting problems, liver injury, and others.
Of course, this is a summed list for many different drugs. A given drug will not have all of these. You should certainly be aware of side effects with all drugs but particularly Doxorubicin (Adriamycin), cyclophoshamide, prednisolone or prednisone, Lomustine, Palladia, vincristine, L-asparaginase, and more.
You should ask your veterinarian or oncologist about the specific effects of your dog’s treatment, and what to watch for.
For example, keeping track of body weight is quite important during cancer care. You may need to increase the amount of calories your dog consumes. When muscle is lost, the amino acids loss in the body hinder the immune system and the lining of the intestine.
Learn more on how you can help manage your dog’s side effects by getting a copy of Dr. Dressler’s informative webinar!
Similarly, it is also important to monitor your dog’s rectal temperature. The reason for this is that a low white blood cell count can often lead to infection in the body. Most commonly, infection will produce a fever. Most chemotherapy drugs used in cancer protocols can cause low white blood cell counts.
If your dog is drooling or smacking his or her lips, it could be a sign of nausea or too much acid in the stomach. Usually this means we need to temporarily rest the stomach, then go on a special diet, offer antacids like cimetidine, give ginger, and consider branched chain amino acid supplements to help restore stomach or intestinal health.
Keeping an eye on the quality of the stool is vital too. Many chemo drugs will cause diarrhea. If this occurs, your vet should also temporarily change to a highly digestible food, and consider using something to help with the diarrhea. Slippery elm, pepto bismol, kaopectate, or other medications and supplements can all help.
The Dog Cancer Survival Guide has more information about what you can do to help with some of the more serious side effects by giving certain supplements. Please consult with your veterinarian and the Dog Cancer Survival Guide for proper doses for your individual dog.
Best to all,
Dr. Demian Dressler is internationally recognized as “the dog cancer vet” because of his innovations in the field of dog cancer management, and the popularity of his blog here at Dog Cancer Blog. The owner of South Shore Veterinary Care, a full-service veterinary hospital in Maui, Hawaii, Dr. Dressler studied Animal Physiology and received a Bachelor of Science degree from the University of California at Davis before earning his Doctorate in Veterinary Medicine from Cornell University. After practicing at Killewald Animal Hospital in Amherst, New York, he returned to his home state, Hawaii, to practice at the East Honolulu Pet Hospital before heading home to Maui to open his own hospital. Dr. Dressler consults both dog lovers and veterinary professionals, and is sought after as a speaker on topics ranging from the links between lifestyle choices and disease, nutrition and cancer, and animal ethics. His television appearances include “Ask the Vet” segments on local news programs. He is the author of The Dog Cancer Survival Guide: Full Spectrum Treatments to Optimize Your Dog’s Life Quality and Longevity. He is a member of the American Veterinary Medical Association, the Hawaii Veterinary Medical Association, the American Association of Avian Veterinarians, the National Animal Supplement Council and CORE (Comparative Orthopedic Research Evaluation). He is also an advisory board member for Pacific Primate Sanctuary.