Cooling Caps to Prevent Hair Loss

Posted by sabwal @sabwal, Oct 1 8:23pm

My NP sent me a list of cooling cap companies to choose from. She offered no insight (guess for liability purposes).
My treatments are 5 hours long & I think the cap needs to be on before & after. The dry ice and switching out caps every 20 minutes seems daunting.
Anyone have success?

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Profile picture for carol1024 @carol1024

@sabwal my first chemo treatments were 7 hours. I'd take my phone and charger and activity books to work in. I packed my own lunch and snacks. They have a snack cart at the infusion center the bring around. A lot of people slept through most of treatments but I couldn't do that even with all the pre meds they added. My keytruda only takes about an hour and a few minutes so I just take my phone. Lol

The time goes by faster than you'd think or it did for me because there was always something going on. I took a blanket on the first trip and no other. I didn't need it.

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@carol1024 my infusion center had a blanket warmer. I was very comfortable and never needed a blanket. They also had snacks and plain saltines & ginger snap cookies, ginger ale for nausea and other fruit drinks and sugar free beverages too. Very nice selection 😁

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Profile picture for baravelli @baravelli

@dpcaring4 I had two 1hr chemo infusions every month for 3 months and lost most of my hair. I trimmed it very short, a buzz cut? so I wouldn't find clumps on the bathroom floor or stopping up my shower. But I saved my hair and glued it to a head band that I wore under a scarf head wrap which I appropriated from some of my Creole ancestors who came to my area to work in the cane fields of Louisiana. It's called a Tignon. I just sectioned my hair and put tiny rubber bands close to my scalp & then cut between the rubber band and my scalp then used a fabric glue to glue the tiny pony tails to the stretchy fabric headband headband. I hope it might inspire someone who may not like wigs or going out bald in public to use this idea. I've seen baseball caps with wigs attached & that gave me the idea. I'm not a ball cap wearing girl so I just borrowed the idea.

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@baravelli This is a very clever idea. I love it and will suggest it to my sister. Thank you!

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I had a year of chemo.I didn't use a cold cap. I lost my hair, but it started coming back in about 4 months. It was curly and the best hair I have ever had. The curls disappeared after a few hairuts and I still miss them.. My hair is good now. I've let it grow long so I can wear it back which makes life so much easier. I was 78 wheen I lost my hair. Now I'm 85. I hated wigs. I mostly wore scarves.

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Profile picture for dpcaring4 @dpcaring4

@baravelli This is a very clever idea. I love it and will suggest it to my sister. Thank you!

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@dpcaring4 I used fabric glue so I could wash it. I believe it could be stitched into and encased in a band of stretch fabric using a sewing machine & a row of wide but short zig zag stitches to secure it as well.

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And where fo you get tge tiny rubber bands? Drug store?

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@sabwal, you may also be interested in this blog post from Mayo's Cancer Education team:
- Mayo Clinic Q and A: Cold cap therapy can reduce hair loss caused by chemotherapy https://connect.mayoclinic.org/blog/cancer-education-center/newsfeed-post/mayo-clinic-q-and-a-cold-cap-therapy-can-reduce-hair-loss-caused-by-chemotherapy-1/

When do you start chemo?

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Profile picture for Colleen Young, Connect Director @colleenyoung

@sabwal, you may also be interested in this blog post from Mayo's Cancer Education team:
- Mayo Clinic Q and A: Cold cap therapy can reduce hair loss caused by chemotherapy https://connect.mayoclinic.org/blog/cancer-education-center/newsfeed-post/mayo-clinic-q-and-a-cold-cap-therapy-can-reduce-hair-loss-caused-by-chemotherapy-1/

When do you start chemo?

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@colleenyoung Tuesday is my first treatment. I'm going to give it a try. I chose Paxman. I'm so sensitive to cold so I'm adding a physical challenge to what feels like a mountain of physical challenges. I'm concerned about neuropathy & have bought cooling socks & gloves too. I think I'll try double-gloving & compression socks to mix it up.
Has anyone tried these methods for reducing neuropathy?

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I helped my sister through breast cancer treatments. She bought a cold cap and put it on when we got to the clinic and removed it after each session. She lost very little hair. It was a little annoying to wear though, she kept poking at the sides all the time. She said it was really cold. But she was glad she had. At that time cost her $500 and she donated it. That’s all I know. I hope it helps a little.

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Profile picture for sabwal @sabwal

@colleenyoung Tuesday is my first treatment. I'm going to give it a try. I chose Paxman. I'm so sensitive to cold so I'm adding a physical challenge to what feels like a mountain of physical challenges. I'm concerned about neuropathy & have bought cooling socks & gloves too. I think I'll try double-gloving & compression socks to mix it up.
Has anyone tried these methods for reducing neuropathy?

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@sabwal
During my first chemo series (carboplatin, Taxol, keytruda) I used the cold gloves and booties. To keep the gloves/booties cold I brought a cooler with a really tight lid and subzero ice packs. You freeze the gloves/booties the night before your infusion so they get good and cold, I froze them for two nights prior to the infusion with the freezer temp turned down to below zero and had two sets of the socks/gloves. My husband was able to go to each infusion and helped me switch out the gloves/booties when the ice warmed up. The ice packs are actually able to refreeze the gel packs in the small cooler we used.
https://arctic-ice.com/products/tundra-series
I did get foot neuropathy even with the icing but it resolved to tingling in the balls of my feet and toes and does not effect my balance, walking, or exercise capabilities. One pinkie on my left hand had tingling and that resolved within months after the chemo series ended. My thoughts are that success was greater with the hands as they are thinner appendages than feet and thus easier to cool down and slow down blood flow to.
I wore the gloves and booties for the entire appointment and thin socks on my feet. The chemo Nurses tried to tell me that only Taxol causes neuropathy. The drug disclosure information for each chemo drug mentions neuropathy as a side effect so I figured it would not hurt to do it for the full infusion time.
To make it easier to take bathroom breaks I wore slip on sandals since your feet are bare once you take off the booties.
Unfortunately I had a reoccurrence and am doing the series again but this time with Jemperli instead of Keytruda. In addition to icing I have added compression socks and disposable nitrile gloves. The gloves are one size too small to provide compression and the support hose are of high compression (30-40mmhg). I have had two treatments so far, the hands are good and the feet only slightly worse so fingers and toes crossed that continues!

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Profile picture for beebe @beebe

@sabwal
During my first chemo series (carboplatin, Taxol, keytruda) I used the cold gloves and booties. To keep the gloves/booties cold I brought a cooler with a really tight lid and subzero ice packs. You freeze the gloves/booties the night before your infusion so they get good and cold, I froze them for two nights prior to the infusion with the freezer temp turned down to below zero and had two sets of the socks/gloves. My husband was able to go to each infusion and helped me switch out the gloves/booties when the ice warmed up. The ice packs are actually able to refreeze the gel packs in the small cooler we used.
https://arctic-ice.com/products/tundra-series
I did get foot neuropathy even with the icing but it resolved to tingling in the balls of my feet and toes and does not effect my balance, walking, or exercise capabilities. One pinkie on my left hand had tingling and that resolved within months after the chemo series ended. My thoughts are that success was greater with the hands as they are thinner appendages than feet and thus easier to cool down and slow down blood flow to.
I wore the gloves and booties for the entire appointment and thin socks on my feet. The chemo Nurses tried to tell me that only Taxol causes neuropathy. The drug disclosure information for each chemo drug mentions neuropathy as a side effect so I figured it would not hurt to do it for the full infusion time.
To make it easier to take bathroom breaks I wore slip on sandals since your feet are bare once you take off the booties.
Unfortunately I had a reoccurrence and am doing the series again but this time with Jemperli instead of Keytruda. In addition to icing I have added compression socks and disposable nitrile gloves. The gloves are one size too small to provide compression and the support hose are of high compression (30-40mmhg). I have had two treatments so far, the hands are good and the feet only slightly worse so fingers and toes crossed that continues!

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@beebe what about hair loss and cold capping? Worked to begin with for me.

3 months after cold capping hair still shedding. Had a long break 3+ months since last chemo but have to resume chemo asap 😬

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