Dexamethasone

I'm supposed to take the steroid dexamethasone the day before, day of, and day after chemo. The dosage is two 4 mg tablets with breakfast and lunch. I realized today that I had been taking only one tablet at a time with the exception of the one given to me at the hospital. 😯

Dex is supposed to minimise delayed nausea and vomiting and help with other side effects. I haven't noticed any ill effects from my lower dose of dex. I've even reduced my Zofran from 3x a day to 2x a day. I wonder if my fasting helped. There was a trial where patients who fasted and didn't take dex compared favorably to patients who didn't fast but took dex.