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Anemia (low red blood cell count) decreases the body's ability to carry oxygen and iron. It can occur 7-14 days after each chemotherapy treatment, but is more likely to occur after many months of treatment. Your doctor may prescribe erythropoietin (EpogenĀ®) to minimize this side effect. This drug is given by injection at home, usually by the patient or a family member, on specific days after the chemotherapy treatment. If you are to receive this drug, your doctor or nurse will instruct you on how to administer it.

Self-Care Measures:

  • Eat lean meat, chicken, dried apricots, raisins, split-peas, and lima beans to increase dietary iron.
  • Limit your activities to conserve energy.
  • Perform activities at high energy times.
  • Change positions slowly, e.g., from sitting to standing.
  • Take iron supplements if prescribed.

Things to Avoid:

  • Strenuous activities
  • High-altitude environments (may cause extreme dizziness)

Contact your physician or nurse if you have:

  • Dizziness.
  • Severe fatigue.
  • Shortness of breath.
  • Chest pain.
Last Updated: Apr. 14, 2003
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