Official recommendations

Formal consensus
Our purpose is to unify and optimise our practices. Their objective is to improve quality of life for patients and the safety of supportive care.

They are not intended to replace what is already being done but seek to improve it. They are part of a plan to improve good practice in supportive care.

  • These recommendations are not intended to be limiting or restrictive but informative.
  • Any homeopathic medicines indicated following the principles of similitude and individualisation have their place in supportive care.
  • The experience of the prescriber is of primary importance.

1.2.1

Prevention of the Side Effects of Chemotherapy (MAJ 2018):

  • Arsenicum album 9C, 3 pills in the morning.
  • Phosphorus 15C, 3 pills in the evening.

to begin 3 days before the start of the chemo session, to continue during and for 3 days after.

1.2.2

First line prevention of nausea (in addition to conventional anti-emetics):

  • Nux vomica 6C, 3 pellets 3 times a day, starting the day before, every day of chemotherapy and for the next two days.
  • Phosphorus 30C, 3 pellets in the evening, from D-1 to D + 2.

1.2.3

Treatment of nausea:

  • Ipeca 30C, if Nux vomica is not effective enough.

+/-

  • Ignatia amara 30C, if nausea of anticipation.
  • Colchicum 30C, if nausea is triggered by odours.

1 dose en 9 CH du médicament choisi la veille de la CT, puis 3 granules 3 à 4 fois par jour selon la fréquence des nausées.

1.2.4

Treatment of constipation:

  • Opium 6C, 3 pellets 3 times daily during periods of constipation.

1.2.5

Treatment of diarrhoea:

  • Arsenicum album 30C, 3 pellets in the evening.
  • Podophyllum 6C, 3 pellets 3 times a day during periods of diarrhoea.

1.2.6

Treatment of mouth ulcers:

  • Borax 6C, 3 pellets 3 times a day.

1.2.7

Prevention and treatment of mucositis (eg ENT radiochemotherapy).

  • Kalium bichromicum 9C and
  • Mercurius corrosivus 9 C,

3 pellets of each 3 times a day or diluted in a glass or a bottle of water after vigorously shaking the mixture, take a mouthful 3 to 5 times a day.

1.2.8

Treatment of urticaria:

  • Apis mellifica 30C, 3 pellets every hour, space out according to improvement.

1.2.9

Treatment of fissures in the extremities:

  • Petroleum 6C, 3 pellets morning and evening until healing.

1.2.10

Treatment of hand-foot erythema:

  • Sanguinaria canadensis 6C, 3 pellets morning and evening.

1.2.11

Treatment of musculoskeletal pain:

  • Rhus toxicodendron 9C and
  • Ruta graveolens 6C,

3 pellets of each to be sucked together morning, noon and evening.

1.2.12

Treatment of Fatigue:

  • Acidum phosphoricu 6C, 10 pellets on day 1.
  • Acidum phosphoricu 6C, 10 pellets on day 2.
  • Acidum phosphoricu 12C, 10 pellets on day 3.
  • Acidum phosphoricu 12C, 10 pellets on day 4.
  • Acidum phosphoricu 30C, 10 pellets on day 5.

in sessions of 5 days to be renewed every 10 days if necessary (3 sessions per month).

1.2.13

Prevention of peripheral neuropathies:

  • Nerfs Nervus 8 X or 4C, 10 drops in a little water, to be kept a short while in mouth before swallowing, morning and evening on D-1, D0, D1, D2 and longer if persistent tingling.
  • Phosphorus 30C, 3 pellets in the evening on D-1, D0, D1, D2.

1.2.14

Plus si traitement à l’oxaliplatine:

  • Oxalicum acidum 9C, 3 pellets in the morning on D-1, D0, D1, D2 if associated with oxaliplatin treatment.

1.3.1

Prevention of stress and agitation during the centering scan and / or radiotherapy sessions.:

  • Gelsemium sempervirens 30 C.

10 pellets the day before and 10 pellets on the day of the scan.

1.3.2

In cases of side effects during radiotherapy:

  • Radium bromatum 9C, 3 pellets every day.

A specialised homeopathic consultation may be necessary.

1.2.3

Treatment of Fatigue:

  • Acidum phosphoricum 6C, 10 pellets on day 1.
  • Acidum phosphoricum 6C, 10 pellets on day 2.
  • Acidum phosphoricum 12C, 10 pellets on day 3.
  • Acidum phosphoricum 12C, 10 pellets on day 4.
  • Acidum phosphoricum 30C, 10 pellets on day 5.

in sessions of 5 days to be renewed every 10 days if necessary (3 sessions per month).

1.3.4

Radiodermatitis:

  • X-ray 15C, 3 pellets on a day.

1.3.5

Grade 1 Radiodermatitis:

  • Apis mellifica 30 C and
  • Belladonna 6 C,

3 pellets of each to suck together 3 times a day.

1.3.6

Grade 2 Radiodermatitis

  • Cantharis 6C, 3 pellets 3 times daily.

1.3.7

Treatment of constipation:

  • Opium 6C, 3 pellets 3 times daily during periods of constipation.

1.3.8

Treatment of diarrhoea:

  • Arsenicum album 30C, 3 pellets in the evening.
  • Podophyllum 6C, 3 pellets 3 times a day during periods of diarrhoea.

1.3.9

Treatment of mouth ulcers:

  • Borax 6C, 3 pellets 3 times a day.

1.3.10

Prevention and treatment of mucositis (eg ENT radiochemotherapy):

  • Kalium bichromicum 9C and
  • Mercurius corrosivus 9C,

3 pellets of each 3 times a day or diluted in a glass or a bottle of water after vigorously shaking the mixture, take a mouthful 3 to 5 times a day.

1.4.1

Treatment of hot flushes:

  • Sepia 6C +.
  • Belladonna 6 C+.
  • Sanguinaria canadensis 6 C+.
  • Lachesis mutus 6 C.

2 pellets of each to be sucked together 3 to 6 times a day or diluted in a glass or a bottle of water after shaking vigorously. Take a sip 3 to 6 times a day as the flushes occur.

1.4.2

Prevention and treatment of musculoskeletal pain:

  • Rhus toxicodendron 9 C and
  • Ruta graveolens 6 C,

3 pellets of each to be sucked together morning, noon and evening.

1.4.3

Treatment of Fatigue:

  • Acidum phosphoricum 6C, 10 pellets on day 1.
  • Acidum phosphoricum 6C, 10 pellets on day 2.
  • Acidum phosphoricum 12C, 10 pellets on day 3.
  • Acidum phosphoricum 12C, 10 pellets on day 4.
  • Acidum phosphoricum 30C, 10 pellets on day 5.

in sessions of 5 days to be renewed every 10 days if necessary (3 sessions per month).

Regardless of the symptom, in cases of insufficient therapeutic results of the above protocols, an individualised homeopathic consultation is recommended.

1.4.4

Prevention and treatment of a reaction or pain at the injection site:

  • Ledum palustr 6C, 10 pellets after injection.
  • Ledum palustr 30C, 10 pellets the day after.

1.5.1

pre-operatively

1.5.1.1

Anxiety prevention:

  • Gelsemium sempervirens 30C.

10 pellets in the morning, the day before surgery.

1.5.1.2

Prevention of surgical shock:

  • Arnica montana 30C.

10 pellets in the evening, the day before surgery.

1.5.2

post-operatively:

 

1.5.2.1

Prevention of pain and haematoma:

  • Arnica montana 330C, 10 pellets when the patient is allowed to drink again.

1.5.2.2

In cases of breast surgery:

  • Bellis perennis 30C, 10 pellets at D + 1 (D= day) in prevention or treatment of post-operative pain in the breast.

1.5.2.3

To promote the resumption of transit and gases:

  • Opium 15C, 10 pellets on D0.
  • Opium Opium 30C, 10 pellets at D +1.
  • Raphanus niger 6C, 3 x 3 pellets per day until resumption of transit.

1.5.2.4

In prevention of pain and to promote healing:

  • Staphysagria 9C 3 pellets morning and evening until healing.

1.5.2.5

In cases of laparoscopy or drains:

  • Ledum palustre 9C, 3 pellets morning and evening until healing.

1.6.1

Prevention of epistaxis:

  • Phosphorus 30C, 3 pellets in the evening.

1.6.2

Treatment of epistaxis:

  • Achillea millefolium 6C, 3 pellets to repeat every 15 minutes if there is bleeding.

1.6.3

Prevention and treatment of folliculitis:

  • Rhus toxicodendron 6C, 3 pellets morning and noon.
  • Arsenicum iodatum 12C, 3 pellets in the evening.

1.6.4

Treatment of diarrhoea:

  • Arsenicum album 30C, 3 pellets in the evening.
  • Podophyllum 6C, 3 pellets 3 times a day during periods of diarrhoea.

1.6.5

Treatment of Fatigue:

  • Acidum phosphoricum 6C, 10 pellets on day 1.
  • Acidum phosphoricum 6C, 10 pellets on day 2.
  • Acidum phosphoricum 12C, 10 pellets on day 3.
  • Acidum phosphoricum 12C, 10 pellets on day 4.
  • Acidum phosphoricum 30C, 10 pellets on day 5.

1.5.2.4

in sessions of 5 days to be renewed every 10 days if necessary (3 sessions per month)

Time of diagnosis disclosure

No standard recommendation.
A homeopathic consultation is recommended.

1.8

Palliative care

Improved quality of life:

A homeopathic consultation is recommended as part of a multidisciplinary approach.

Contribution 2018

1.8.1

Announcement of the shift to palliative care: for the patient and for the caregivers.

  • State of shocked speechlessness:Opium 30C, 10 pills as soon as possible, then 3pills twice a day if necessary.
  • State of shock Arnica montana 30C, 10 pills as soon as possible, then 3 pills twice a day if necessary.
  • Feeling of injustice and anger Staphysagria 0C, 10 pills as soon as possible, then 3 pills twice a day if necessary.

1.8.2

Digestive and stomatological disorders: see the 2017 recommendations

1.8.3

In addition to psychological support for patients and carers:

  • Anguish, lump in the throat: Ignatia 15C, 10 pills or 3 pills twice a day.
  • Anxiety, fear of the future: Gelsemium 15C, 10 pills or 3 pills twice a day.
  • Sense of injustice, anger, annoyance: Staphysagria 15C, 10 pills or 3 pills twice a day.
  • Sudden and intense anxiety, fear of death: Aconit napellus 15C, 10 pills or 3 pills twice a day

1.8.4

For patients only:

  • Anxiety, fear of dying, digestive, pulmonary, renal, haemorrhagic disorders: Phosphorus15C or 30C, 3 pills per day.
  • Anxiety, deterioration of the general condition: 15C or 30C, 3 pills per day.

To accompany agitation and anxiety related to agony:

  • Arsenicum album 15 or 30C if agitation and anxiety.
  • Carbo vegetabilis 15 or 30C if marbling and in need of oxygen therapy.
  • Tarentula cubensis 15 or 30C if agitation and pain.
  • Aconit 15 or 30C if agitation and pain.

3 pills morning and evening, to be spaced out with improvement.

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Post cancer support

Improved quality of life

A homeopathic consultation is recommended as part of a multidisciplinary approach.

Correspondences CH/DH

It has been agreed that the following dilutions could be replaced each other:

  • 4C by 8D (or D8)
  • 5C by 10D (or D10)
  • 9C by 15D (ou D15)
  • 15C et 30C by 30D (or D30)