Intrathecal Chemotherapy Injection

What Is Intrathecal Chemotherapy Injection?

Intrathecal Chemotherapy Injection is a procedure that uses X-ray to inject chemotherapy (Methotrexate/Sodium) into the spinal canal.

Before the Procedure

Providing safe, quality patient care is our highest priority. For the best experience please properly prepare for your appointment:

  • Radiation is used for this procedure. Please notify your doctor if you are pregnant.
  • Certain medications cannot be taken prior to this procedure; your doctor will provide instructions if you need to adjust your medication.
  • If you are not on a fluid restriction, drink plenty of fluids the day before your procedure.
  • You will need to arrange transportation, as you will not be able to drive home after the procedure.
  • Do not bring children with you to your appointment. For their safety children are not allowed to accompany you in the exam room. Staff are unable to monitor children.

During the Procedure

A team of nurses, imaging technologists and a doctor will explain and perform the procedure.

  • You are asked to change into a gown.
  • Radiologic technologist helps position you on the X-ray table. You lie on your stomach.
  • Radiologist(doctor) marks an area on your lower back and cleans the skin.
  • Radiologist uses a small needle to inject numbing medication before injecting the chemo/methotrexate.

After the Procedure

  • You will be monitored by nurses after the procedure.
  • Occasionally a headache may develop. Staying in bed with your head flat or slightly elevated until the next morning may help.
  • Unless you are on fluid restrictions, drink plenty of fluids for the next 24 hours.
  • A nurse will provide home instructions to care for your procedure site and manage pain.
  • Follow-up care is a key part of your health. Be sure to make and go to all appointments and call your primary care provider if you have questions.

If you have any questions or concerns, please contact your provider.

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