Knowing what to expect during and after treatment can help you prepare and reduce any anxiety that you may be feeling. The following information has been put together to help you understand your radiation therapy treatment, and we hope to reduce any concerns you have. It does not replace discussion with your doctor, or the advice of your treatment team specific to your needs.

Radiation therapy may cause side effects. Everyone is different and you’re unlikely to experience all of the side effects listed.

Skin reaction

During treatment your skin may become red, itchy or irritated. Towards the end of treatment, the skin reaction can become more intense however usually returns to normal four to six weeks after treatment finishes. Your treatment team will show you how to care for your skin and provide support. Tell your treatment team if you are experiencing any skin changes.

Fatigue

You may feel tired or lack energy for daily activities during your treatment. This is a common reaction to radiation therapy and each person can be affected differently. Finding a balance between rest and activity will help you manage daily life.

Hair loss

Radiation therapy to the skin may cause the hair in the treatment area to fall out, usually a few weeks after treatment begins. Hair will usually regrow within three to six months. The colour or texture may be different, and it may grow back thinner or patchy.

Occasionally, hair loss can be permanent if you have a high dose of radiation therapy. Your doctor will discuss this with you before you start your treatment. Please talk to us if have any questions regarding losing your hair.

Your radiation oncologist will discuss any possible long-term side effects related specifically to your treatment.

Moisturise twice a day

At the start of your treatment, apply cream to the area being treated twice a day. As treatment progresses, you may need to apply the cream three to four times per day. Let your treatment team know if you continue to experience skin changes.

Wear loose fitting clothing

Avoid wearing tight fitting clothing that could potentially rub or irritate the skin in the treatment area. You may find singlets, cotton ‘crop-tops’ or loose fitting bras more comfortable.

Avoid excessive temperatures

Avoid exposing the treatment area to excessive temperatures, such as direct sunlight, heat packs, ice packs, electric blankets, saunas, hot spas or swimming in chlorinated pools.

Wash with warm water and pat dry

Gently wash the treatment area with warm water and a mild, non-perfumed soap. Pat your skin dry – do not rub. If the treatment area is on your scalp, you can wash your hair daily using a mild shampoo. Use an electric razor if shaving in the area is necessary and avoid applying makeup in the treatment area.

Wear a soft, wide brimmed hat

If the treatment area is on your scalp, ears and face, wear a soft wide brimmed hat to protect from the sun. Avoid wearing sunscreen on the treatment area while receiving radiation therapy.

Skin loss

If you experience any skin breakdown this can be managed with a simple dressing until the area heals. It is important to talk to your treatment team about the best way to manage any broken skin as many types of dressings can’t be used on the treatment area.

Discomfort and sensitivity

Skin changes should settle within four weeks of your last treatment. If you experience discomfort in the area you may need to take some pain medication. Please talk to your treatment team about any discomfort.

Prescriptions and vitamins

Continue to take any prescribed medications. Please inform your nurse if you are taking vitamins, antioxidants or herbal supplements and if you are commenced on any new medications during your radiation therapy treatment.

If you have any questions regarding medications please discuss this with your radiation oncologist or nurse.