Can’t Tolerate Chemotherapy? These 5 Alternatives Might Help! #cancertreatment | Dr Praveen Kammar

Hi, I’m Dr Praveen Kammar, a leading cancer surgeon. One common concern among cancer patients and their families is what happens if the patient cannot tolerate chemotherapy?
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The Video Flow:
0:00 – Introduction
0:26 – Is chemotherapy the same for all patients?
1:48 – How do we monitor and grade side effects?
3:10 – What options are available if chemo is not tolerated?
5:01 – Can we shift to surgery or radiation?
6:02 – Low-dose chemo strategies for weak patients
7:04 – Are other factors increasing the side effects?
8:01 – Final thoughts
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Can’t Tolerate Chemotherapy? These 5 Alternatives Might Help! #cancertreatment | Dr Praveen Kammar

Is chemotherapy the same for everyone?
No, it’s not. Chemotherapy doses are never one-size-fits-all. We calculate the dose based on your body surface area, height, weight, overall health, and other risk factors like heart, liver, or kidney conditions. Everything is customized.

Why do some patients struggle more than others during Chemo?
Some patients are more vulnerable due to malnutrition, pre-existing conditions, or general weakness. The intensity of chemotherapy and how your body handles it can vary widely. That’s why planning is done very carefully before starting any chemo cycle. Despite all precautions, some patients still face difficulties.

What if Chemo side effects become too serious?
Every side effect is graded — from mild (Grade 1) to very severe (Grade 4). We monitor each chemo session closely to catch complications early. If side effects hit Grade 3 or 4, we adjust the plan immediately. The goal is to prevent long-term harm while still treating the cancer effectively.

What are the options when chemotherapy is not tolerated?
There are five clear paths:
???????? Reduce the dose of the chemotherapy drug.
???????? Remove the specific drug causing the issue.
???????? Stop chemotherapy temporarily and allow recovery.
???????? Shift to the next treatment option — surgery or radiation, depending on the cancer stage.
???????? Switch to a different chemotherapy drug with fewer side effects.

Can you Restart chemo after stopping it?
Yes, in many cases. Once the patient recovers, we reassess and either restart the same drug at a lower dose or introduce a new agent. We don’t abandon treatment — we adjust it. The plan always depends on how the cancer is behaving and how the body is responding.

Weak Patients During Chemotherapy
For undernourished or high-risk patients, we often begin with single-agent or low-dose chemotherapy. If the response is good and side effects are minimal, we gradually increase the strength.

How is the final decision made for Chemotherapy?
No two patients are alike. That’s why decisions like dose reduction, drug change, or switching treatment paths must happen after discussing with your treating oncologist. It’s not about avoiding chemo — it’s about finding what works best for your situation.
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Related Videos!
1. Does Chemo Port hurt? | ChemoTherapy with Chemo Port: Is it Painful? | Dr Praveen Kammar, Mumbai
https://youtu.be/VZxqhfh_UTU

2. Chemotherapy और Herbal Supplements: ख़तरनाक Combo? | Here's the Truth! | Dr Praveen Kammar
https://youtu.be/9e__B1bCaqU

3. क्या Chemotherapy काम कर रही है? | Is Your Cancer Treatment Working? | Dr Praveen Kammar, Mumbai
https://youtu.be/Lao4TuwVCcU
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About Dr. Praveen Kammar

Dr Praveen Kammar is a surgical oncologist practising in the city of Mumbai.
He completed his MCh course in surgical oncology from the reputed Tata Memorial Centre, Mumbai, one of the premier cancer care centres in the country. He also holds a fellowship in Colorectal surgery from Yopnsei cancer centre, Seoul, South Korea. Dr Praveen’s main area of focus is colorectal and GI oncology, Gynecological cancers, minimal access surgeries for abdominal and thoracic malignancies, transanal surgeries, and sphincter-saving surgeries for rectal cancer, cytoreductive surgeries, and HIPEC for advanced abdominal cancers.

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