Oral chemotherapy
A printable oral chemotherapy safety card
Oral chemotherapy comes with many rules that are easy to forget. This page gathers the essential ones in a single card you can print, fill in and keep with your tablets: your medicine and schedule, how to take and handle it, what to do about missed or vomited doses, which symptoms mean calling, and your helpline number.
The short answer
What should an oral chemotherapy safety card include?
A safety card puts the most important rules for your tablets in one place, so you and your family do not have to remember everything or search through leaflets when something happens. It should be filled in with your team at the start of treatment and kept with your medicines, with a photo on your phone and a copy for the main carer. The card below is a template of the headings to use. It does not replace your team's instructions; it is a way of writing those instructions down clearly. Ideally, your oncology nurse or pharmacist fills in the details with you and checks that you understand each section.
Oral chemotherapy is safest when everyone in the home follows the same rules: how and when to take tablets, how to handle and store them, what to do if a dose is missed or vomited, which symptoms mean holding the next dose and calling, and who to call at any time of day. Many problems happen in the evening, at weekends or during travel, when it is harder to reach the team and easy to guess. A completed card gives you and your family a clear plan in those moments. It is also useful to show to other doctors, pharmacists, emergency staff and anyone who helps care for you, because it tells them at a glance which medicine you are taking and what matters most.
Fill it in with your team
Ask your nurse or pharmacist to complete the medicine, schedule and warning sign sections.
Keep copies
Keep one with your tablets, one in your wallet or phone, and one with your main carer.
Update when anything changes
If your dose, schedule or medicine changes, make a new card.
Print the card headings below, take them to your next appointment, and ask your team to help you complete them.The card
Oral chemotherapy safety card: headings to complete
- My medicine and schedule
- Medicine name and strength, how many tablets, which days to take them, which days are rest days, and with or without food. Completed by your team.
- How to take and handle
- Swallow whole with water. Do not crush, split or open. Wash hands before and after. Carers use gloves or a spoon. No pregnant or breastfeeding person handles tablets.
- Storage
- Original packaging, cool, dry place, away from sunlight, locked or out of reach of children.
- If I miss a dose
- Do not double up. Call the helpline. Space for your team's specific instructions.
- If I vomit after a dose
- Do not retake without advice. Call the helpline. Space for your team's specific instructions.
- Hold my next dose and call if
- Fever, significant diarrhoea, repeated vomiting, painful mouth sores, blistering hands or feet, bleeding, jaundice, chest pain or breathlessness.
Not sure whether this applies to you?
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Contact details to add to your card
Write these in before you need them.
Chemotherapy helpline
The number to call for side effects, missed doses and questions, including out-of-hours arrangements.
Note
- Daytime number
- Night and weekend number
Oncologist and nurse
Names of your treating doctor and nurse, and your hospital registration number.
Pharmacy
Where you collect your tablets, with phone number for stock checks and refills.
Include
- Refill due date
- Pharmacy hours
Nearest emergency department
The address and route to the closest hospital with emergency care.
Main carer
Name and phone number of the family member who helps with treatment.
Fever with shivering or feeling very unwell · chest pain or severe breathlessness · heavy bleeding or vomiting blood · fainting, confusion or extreme drowsiness · severe dehydration with dizziness and very little urine · a child or another person swallowing your tablets. Show staff this card and say clearly that the person is on oral chemotherapy.
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Being straight with you
What this page cannot tell you
It cannot fill in your medicine details, schedule, missed-dose or vomiting instructions. These must come from your team, because they differ between medicines. A card with blank or guessed sections is less safe than no card.
It also cannot replace talking to your team. If anything on the card is unclear, or a situation is not covered, call your helpline.
Language
Ask for the card to be completed in the language you and your family read most easily.
Large print
Older adults may prefer larger text. Print the headings in a bigger font.
Children on oral treatment
Parents and all carers, including school staff if relevant, should have a copy.
Travel
Carry the card with your tablets and prescription when travelling.
Other doctors
Show the card to dentists, family doctors and pharmacists before any new treatment.
Hospital admission
Bring the card and tablets if admitted, so staff know exactly what you take.
Old cards
Destroy old cards when your treatment changes, to avoid confusion.
Pair with a diary
Use the card for rules and a dose diary for daily records.
Share with helpers
Anyone who helps at home should read the card.
Why a card matters in real situations
Imagine vomiting late at night soon after taking a tablet, or a grandchild finding the medicine box, or waking with a fever while travelling. In moments like these, it is easy to panic, guess or waste time searching for leaflets and phone numbers. A completed safety card gives clear steps and the right number to call straight away. It also helps relatives who may be less familiar with your treatment act correctly if you are too unwell to explain. For emergency staff who do not know you, the card quickly shows which medicine you take and why symptoms such as fever or bleeding need urgent attention.
Making the card easy to use
Keep the wording short and practical, use large clear writing, and highlight the helpline number and the warning signs. Place the card where it can be seen when taking tablets, such as inside the medicine box lid, and take a photo so it is always on your phone. Review it with your family every few weeks, especially after any change in your treatment.
Using the card with a dose diary
The safety card holds the rules; the dose diary records what actually happened each day. Keeping them together means that when you call the helpline, you have both your instructions and your recent doses and symptoms in front of you. This makes conversations quicker and advice more accurate.
Checking the card together
Read the completed card aloud with your family once, so everyone understands it.
What to do next
Print the card headings, ask your team to complete them at your next appointment, keep copies with your tablets, phone and carer, update the card whenever treatment changes, and take it with you to any emergency or new doctor.
Commonly believed
Four beliefs about safety cards
Instructions are easy to forget, especially in stressful moments. A card helps.
Ask your team to complete medicine-specific sections.
It helps daily with taking, handling and storing tablets too.
Update it whenever dose, schedule or medicine changes.
Questions we are asked
Common questions about the safety card
What are the main rules on the card?
Take tablets exactly as prescribed, swallow whole, handle and store safely, never double up, and hold and call for warning signs.
What if I miss a dose?
Do not double up. Call your helpline and follow the specific instructions your team adds to the card.
Who do I call?
The chemotherapy helpline written on your card, and emergency services for severe symptoms.
Who should fill in the card?
Your oncology nurse or pharmacist, with you.
Where should I keep it?
With your tablets, on your phone, and with your main carer.
Should I show it to other doctors?
Yes, especially before any new medicine or procedure.
When should I update it?
Whenever your dose, schedule or medicine changes.
Does it replace my team's advice?
No. It records their advice. Call them whenever you are unsure.
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Sources
- Cancer.Net (ASCO) — What to Know About Oral Chemotherapy
- Cancer Research UK — Chemotherapy tablets
- American Cancer Society — Oral Chemotherapy: What You Need to Know
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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