Dr P informed me of the chemo protocols and what was in his future if I elected for him to have chemo. He would have a cycle of 8 weeks of chemo before we would have to do an ultra sound to see if the chemo was having any positive effect on him. Megat would also have to have a blood test every week before the doc progress with anything else to see if it was possible for him to continue.
The side effects would be - vomitting, no appetite, listlessness and if he should lose any hair, it would be his whiskers only. But the doc said it was unlikely that he would lose any as it would be only in extreme cases. She said that cats go through chemo relatively well but she needed me to be sure that that was the way I wanted to go. Whatever I decide, she said that his hematology tests must allow me to make the decision as if it was not good, then no chemo would take place.
As usual Megat was very good at the blood letting and then we had to wait for the results.
Megat's hematology test was not so good.
WBC = 3.97 (5.5 to 19.5 normal); PLT is 33 (300-800 normal); but his RBC is ok at 6.26 (5 to 10 normal) However even if his WBC is 3.97, it was still more than 2.5, which makes it ok for his first round of chemo with Vincristine.
And so I had to make a decision for Megat. Dr P showed me his personal chemo protocol and what will be done when.
We are doing Vincristine which is an IV; prednisone (a steroid at home which he takes every day at 1.5 tablets a day); cyclophosphamide ( a tablet at home) and adramycine - an IV. We have to be at the hospital every tue and the doc would take his blood test to see if he could proceed for the whole first series.
02/06 - Vincristine (45 minute IV) + prednisolone (steroid pills)
09/06 - cyclophosphamide (IV) + prednisolone
16/06 - Vincristine (IV) + prednisone
23/06 - adriamycine (IV if possible - depends on his platelets) + prednisolone
30/06 - rest
07/07 - Vincristine
14/07 - cyclophosphamide
21/07 - Vincristine
28/07 - adriamcycine
End of 1st cycle - Ultra sound to check mass and organs