Hi, I have had 24 of 25 radiation zaps at Wollongong Hospital (last one on Mon. 10/4/17) who have use the Mepitel Film (glad wrap type adhesive cling film) with success. I had the film placed all over my right (implant) breast, centre of chest and under right armpit. My radiated skin went pinkish red after a week and itchy in centre after about 10 days. So the film was removed from centre of chest and I used antihistamine tablets and a hydrocortisone cream plus sorbolene cream. Now using papaw ointment. Tiredness/ exhaustion after 2 weeks then again in third week (just the odd day needing an afternoon nap or rest). I unfortunately took Mepitel Film off after about 12 zaps (whilst dry) which was stupid. I was told later by nursing staff that I should have removed Film in shower as it probably rippled off some precious skin. I used creams after this. But TRY to keep Mepitel Film on as long as possible. I have listed below some products I used and my personal advice from my experience which worked for me. Hopefully this may help anyone going through or about to go through radiotherapy.
PRODUCTS AND HELPFUL ADVICE TO HELP WITH RADIATION BURNS, BLISTERS & ITCHING caused by radiotherapy (during breast cancer treatment).
- MEPITEL FILM (it's like an adhesive cling film) - Insist on your hospital (radiotherapy nurses) sourcing and using this product - as it's been successfully used on burn patients and now breast cancer patients. To protect longevity of Mepitel Film (whilst on the breast, chest and armpit areas) avoid getting it wet when showering/ washing. Place a clean bath flannel or small hand towel inside a plastic bag and then place plastic bag over breast, chest and arm pit area (where Mepitel Film is secured) during showering or washing. Use sorbolene soap or Dove soap around Mepitel Film. If not using film, then gently wash with lukewarm water over radiated area using sorbolene soap or Dove soap. When film edges fray, just cut off edges but try and keep film in place. DO NOT remove Mepitel Film unless in shower or when it's almost peeling off. Without moisture, it can hurt taking Mepitel film off as it's adhesive and you can unfortunately remove previous skin cells, making it easier to "burn" skin. If a certain area on chest becomes inflamed, red, itchy or breaking/ blistering, (Folliculitis), then Mepitel Film will need to be removed and creams used instead. Seek medical advice as everyone's skin is different. Ask medical hospital radiotherapy nursing staff to put on new Mepitel film when replacement needed if advised. But best method is to keep Mepitel Film on as long as possible during radiotherapy treatment.
- CREAMS - Sorbolene a few times a day to "burned" areas. Do not use any creams before radiation treatment (allow 5 hour gap say in morning of treatment e.g. apply creams at 6am latest for 11am treatment). Apply Hydrocortisone acetate cream (sigmacort 1%) from hospital or chemist (keep in fridge to keep cool) for use on itchy areas. Be careful not to use 2.5% hydrocortisone cream (needs a prescription) as it can reduce skin layers, unless advised by treating doctor. Try Solugel for burns and especially recommended is Lucas' papaw ointment as useful for itchy red blistered areas. Use Claratyne in day or Phernegan or chemist equivalent antihistamine at night for itch. Allersoothe 25 (up to 3 tablets) is an antihistamine - use just before bedtime as it can make you drowsy. If you have an aloe vera plant (do not use the liquid spray from chemists and supermarkets due to preservatives) - apply this plant onto affected areas as it's natural and therapeutic.
- COLD PACK (wrapped in thin layer of cotton towel or thick kitchen paper towel or a bandage). "Body Plus" (blue gel type) product is softer and less icy when used from freezer. Apply covered ice pack on burned areas to reduce heat and itch.
- BRA - Soft wireless front opening cotton bra with pockets (for prothesis or extra padding). (When possible, don't use a bra - but a very loose cotton top that is low at front and sleeveless to help prevent friction).
- PADDING/ BANDAGES - obtain from hospital to place inside bra (or a loose top) around bottom and top sections of bra and especially under armpit to help prevent friction of skin rubbing onto bra and clothing. Use a small pillow or rolled up face cloth or small hand towel over chest when wearing a car seat belt (if that area hurts) when driving or as a passenger.
Regards,
Sharon