Travel and activity
Holiday during chemotherapy
Often yes, and the thing most families do not know is that cycle dates can sometimes be moved. If a wedding, a festival or a trip everybody needs falls badly, ask early and say why it matters. What is not acceptable is deciding on your own to skip a cycle and go.
The short answer
Can you take a holiday during chemotherapy?
Often, yes, and the thing most families do not know is that cycle dates can sometimes be moved. If a wedding, a festival, a school holiday or a trip everybody needs falls badly, ask. It will not always be possible, and it is possible far more often than patients assume, because almost nobody thinks to raise it.
What is not acceptable is deciding on your own to skip a cycle and go. Delays have consequences, and a delay your oncologist has agreed to is a completely different thing from one they learn about afterwards.
Ask early, not the week before
Schedules are easier to adjust with notice. Raise it at the appointment where the plan is being written, or as soon as the occasion is known, rather than three days before the cycle.
Pick the good week of the cycle
Usually the days before the next treatment rather than the low-count stretch after one. Sometimes no adjustment is needed at all once the trip is placed in the right week.
Say why it matters
A doctor weighing a few days' delay wants to know whether this is a daughter's wedding or a casual weekend. Tell them plainly; it genuinely changes the conversation.
Ask whether the cycle can be moved. Never skip one and tell the team afterwards.What to ask
The questions that decide whether the trip works
- Can this cycle be moved, and by how much
- The central question. Some schedules bend by a few days without affecting the treatment; others cannot bend at all. Only your oncologist knows which yours is, and they cannot tell you if you do not ask.
- Which days of my cycle are safest to be away
- If the dates can be worked around, you may not need any change to the schedule. Ask when your counts are usually lowest and plan the trip into the other week.
- What would you advise against
- Remote places with no hospital, very long journeys, extreme heat, high altitude and swimming are the usual concerns. Describe the actual trip rather than asking in general terms.
- What should we carry
- A treatment summary, all medicines with a dose list, several spare days' worth, and both hospital numbers. Ask what to do about a fever while away, and write the answer down.
- Where should we go if something happens there
- Ask your team to help you identify a hospital at the destination, and save its address before leaving. This is the planning that turns a frightening night into a manageable one.
- Is there anything to do beforehand
- Sometimes a blood test before travelling, sometimes a supportive injection, sometimes nothing. Ask, because a small step before departure occasionally makes the whole trip safer.
Not sure whether this applies to you?
Ask an oncologistPractical
How to plan a trip that works
Modest, close and well timed beats ambitious.
Choose somewhere with a hospital
Not necessarily a city, but not a hill village three hours from the nearest emergency department either. A fever during treatment needs care the same day, wherever you happen to be.
Before booking
- Find the nearest hospital and save the address
- Check how long it takes to reach it
Keep it short and unhurried
Two or three days somewhere near, with nothing scheduled, suits treatment tiredness far better than a week of sightseeing. Plan half the activity you would normally plan.
Book things that can be cancelled
Counts come back low, cycles get postponed and plans move. Refundable bookings mean an unavoidable change costs you nothing more than the disappointment.
Expect
- A possible last-minute postponement
- The need to rest more than planned
Take the medicines and the papers, not just the clothes
Every tablet with its label, a written dose list, spare days, the treatment summary and both hospital numbers. Kept with you rather than in a bag that travels separately.
Be careful about food, water, sun and swimming
Freshly cooked hot food, bottled or boiled water, shade and cover in the sun, and no swimming while a port or line is in place or counts are low without asking first.
A fever or shivering uncontrollably · breathlessness or chest pain · nothing staying down · no urine since the morning · bleeding that will not stop · severe stomach pain or a hard swollen stomach · confusion or being very hard to rouse · redness, pain or discharge around a port or line · pain, swelling or warmth in one calf. Say clearly that the person is on chemotherapy and show the treatment summary. Do not give paracetamol to bring a temperature down first, and do not try to get home before being seen.
Being straight with you
What this page cannot tell you
It cannot tell you that your cycle can be moved. That depends on the drugs, the intention of the treatment, how your counts have behaved and how the course is going. The answer may be a firm no, and a firm no from your oncologist is worth more than a trip.
It also cannot promise that a holiday will be restful. Treatment tiredness travels with you, and plenty of families come back more worn out than they left. Plan less than you want to and you will enjoy more of it.
Do not let the trip become another duty
Households sometimes organise an elaborate outing because the patient "deserves something nice", and the patient then has to perform enjoyment through exhaustion. Ask what they actually want. It is frequently smaller and closer than what is being planned.
The attendant needs the break at least as much
If the trip is really about rest, the person who has not slept properly in three months should be considered in the plan rather than put in charge of it.
Missing a cycle is not a small thing
Ask, accept the answer, and if it is no then plan the occasion around the treatment instead. Attending a wedding by video, or holding a celebration a fortnight later, has been the right answer for many families.
What to do next
Ask your oncologist early whether the cycle can be moved, and say why it matters. Place the trip in the good week, choose somewhere with a hospital, keep it short, and book things you can cancel. Carry the medicines, the summary and both hospital numbers with you.
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Commonly believed
Four things families assume
Sometimes they can move by a few days, and patients miss weddings and funerals every month because nobody asks. Raise it early, explain why it matters, and accept whatever answer you get.
A delay your oncologist has agreed to is a different thing from one they discover afterwards. Skipping treatment on your own initiative has consequences that a conversation would have avoided.
A well-timed, modest trip with the medicines, the papers and a named hospital nearby is a reasonable thing to do. Months of treatment with nothing to look forward to has its own cost.
Ask her. Elaborate trips planned on a patient's behalf often become one more thing to endure. Most people want something smaller, nearer and calmer than the family imagines.
Questions we are asked
Common questions about holidays and occasions
Can my chemotherapy date be moved?
Sometimes, by a few days, depending on the drugs and how the course is going. Ask early and say why it matters. Never decide to skip a cycle yourself and inform the team afterwards.
When in the cycle should we travel?
Usually the days just before the next treatment, once counts have recovered, rather than the low-count stretch after one. Placing the trip in the right week sometimes removes the need to change anything.
Where should we avoid going?
Anywhere hours from an emergency department, very hot or high-altitude places, and long exhausting journeys. Describe the specific trip to your team rather than asking whether travel in general is allowed.
Can I swim on holiday?
Ask first. Swimming is usually out while a port or line is in place, when counts are low, or if your skin is broken. Pools, lakes and the sea each carry a different infection risk.
What if the cycle gets postponed and we lose the booking?
Expect it as a possibility and book refundable options. Counts do come back low and treatments are put off, and that is an ordinary part of a course rather than bad luck.
What should we carry?
Every medicine with its label, a written dose list, several spare days' worth, the treatment summary, both hospital numbers, and the address of a hospital at the destination. Keep it all with you.
What do we do about a fever away from home?
Go to the nearest emergency department the same day, say the person is on chemotherapy, and show the treatment summary. Then ring your own hospital. Do not give paracetamol to bring it down first.
Should we plan a big trip after treatment instead?
Many families do, and it gives everybody something to aim at. Bear in mind that tiredness takes a while to lift after a course ends, so plan it for a few months out rather than the week after.
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Sources
- Cancer Research UK — Travel and cancer
- Macmillan Cancer Support — Travel and holidays
- American Cancer Society — Travel Tips for People with Cancer
This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.
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