Where chemotherapy treatment is given

Chemotherapy units are very specialised and not all hospitals have them, so you may need to travel for treatment. Chemotherapy drugs are usually prepared in a special area of the hospital pharmacy. All the drugs are carefully checked by the pharmacy staff to ensure that they are the right ones for you. Chemotherapy tablets, capsules or creams can be given to you to take home.

Most intravenous chemotherapy drugs can be given to you as a day patient at the hospital. This may take from half an hour to a few hours. However, some treatments, such as having chemotherapy into the abdominal cavity, will mean a short stay in hospital – perhaps overnight or for a couple of days. For some chemotherapy treatments – for example, high-dose chemotherapy – you will need to stay in hospital longer, perhaps for a few weeks. Your doctor or nurse will explain exactly what your treatment will involve before it starts.

If you are having chemotherapy by intramuscular injection, subcutaneous injection, intrathecal injection, or intracavity injection into the bladder, it is usually given in the outpatients department or the chemotherapy day unit at the hospital. It may also be given on certain wards within the hospital.

Sometimes, specialist chemotherapy nurses can visit you at home to give intravenous chemotherapy. This sort of service is only available in some parts of the UK and with some types of chemotherapy treatment. You can ask your doctor whether it is possible to have your treatment at home.

Points to remember when having chemotherapy at home

• Chemotherapy tablets, capsules or injections may need to be stored in a particular way, such as in the fridge. Always follow the instructions given by your pharmacist.
• It is important not to touch some chemotherapy drugs with your fingers. You can check this with your pharmacist.
• All drugs must be stored out of the reach of children as they could cause serious harm if taken by accident.
• If you are having intravenous chemotherapy by pump and you notice any leakage of the drug from the pump or tube it is essential to let the nurse or doctor at the hospital know immediately.
• If you feel unwell at any time, phone the nurse or doctor at the hospital for advice.