DOXIL

HAND – FOOT SYNDROME /PALMAR PLANER DYSTHESIA

 

MANAGING AND PREVENTING HAND-FOOT SYNDROME

 

To help control HFS after treatment, follow these guidelines for at least 1 day before and 3 to 5 days after each treatment:

 

Things to Avoid:

  • Avoid repetitive or friction-causing activities (e.g., avoid rough towels, sexual activity, sweeping, or typing)
  • Avoid heat, including hot water or steam, on your skin (e.g., take cool, short showers or baths; avoid washing dishes)
  • Avoid the drying out of the skin on your hands and feet by using plain, mild skin lotions or creams for itching that do not contain irritants such as perfumes
  • Try not to put pressure on your skin (e.g., don’t kneel for long periods, sit on hard surfaces or lean on your elbows)
  • Avoid using adhesive bandages
  • Don’t chop hard foods such as raw vegetables

 

Things to do:

  • Wear comfortable, well-ventilated, low-heeled shoes or slippers
  • Wear sunblock (SPF 15 or higher) every day on all exposed skin; avoid using sunblock that contains irritants such as perfumes
  • Stay in cool places and out of direct sunlight
  • Use mild soaps and pat skin dry after bathing; don’t rub
  • Check hands and feet, between fingers and toes in particular, for signs of irritations
  • Apply gel ice packs to your hands and feet or soak them in cold-tepid water when possible
  • Wear loose clothing

 

PREVENTING STOMATITIS

For at least 1 day before and 3 to 5 days after treatment follow the routine below:

 

Things to do:

  • Practice careful oral hygiene
    –  Use a soft toothbrush
    –  Rinse your mouth with cold water frequently
  • Drink plenty of cool or room temperature liquids; suck on ice chips or sip cool beverages as often as possible

 

Things to avoid:

  • Hot or spicy foods
  • Salty foods
  • Acidic foods (e.g., tomatoes and tomato-based sauces)
  • Citric fruits and juices
  • Alcoholic beverages
  • Tobacco products