Chemotherapy

Chemotherapy treatment uses drugs that travel through the blood to find and kill fast-dividing cancer cells, wherever they are. Why does one person's plan include it and another's doesn't? This page explains when it's used, how a course is built, what an infusion day feels like and what drives the cost. Partner medical oncologists at Apollo Hospital give it, and Dr. Karan coordinates it with radiation.

Reviewed by Dr. P. Vijay Karan Reddy · Radiation Oncologist
Last updated October 2026

Key Takeaways

Chemotherapy treatment uses anticancer drugs to kill fast-dividing cells throughout the body. It can be given before surgery, after surgery, as the main treatment, alongside radiation, or to ease symptoms. Drugs are given by IV or as tablets in cycles, with rest periods between. Side effects and cost depend on the drugs and the number of cycles.

What It Is

Chemotherapy Treatment: Drugs That Reach Cancer Cells Anywhere

Picture a cancer that has already sent a few cells into the bloodstream. Surgery and radiation treat a place. Chemotherapy treats the whole body. Its drugs travel in the blood and attack cells that divide quickly, which is exactly what cancer cells tend to do. That's why it's called systemic treatment.

Healthy cells that divide fast, like hair roots, the gut lining and bone marrow, can be hit too. That explains most side effects. As Cancer Research UK explains, normal cells can usually repair themselves, so many effects fade after treatment. At Apollo Hospital, a partner medical oncologist leads your chemotherapy.

How It Works

How Chemotherapy Treatment Works in the Body and Over a Course

The drugs act on dividing cells, and they're given in rounds. Here's what happens in the body, and how a course is built.

How It Works in the Body

  • Drugs enter the bloodstream by infusion or tablet and reach cancer cells in most parts of the body.
  • They damage the machinery cells use to copy themselves, so cells caught mid-division die or stop dividing.
  • Doctors often combine drugs that act at different stages of division, which can kill more cancer cells.
  • Healthy fast-dividing cells are affected too, but they usually repair themselves, which is why most side effects ease.

How a Course Is Structured

  • A course is split into cycles, each with treatment days followed by a rest period for recovery.
  • Cycles may be daily, weekly or every few weeks, depending on the drugs and the cancer.
  • Blood tests before each cycle check that your counts have recovered enough to continue safely.
  • Scans and check-ups during the course show how the cancer is responding, and the plan can change.
When It's Used

When Chemotherapy Is Used

In cancer treatment, chemotherapy can serve different goals, set by the cancer, its stage and the tumour board's plan.

Given first to shrink a tumour so surgery or radiation works better. In breast and pancreatic cancer it may come before or after surgery. For breast cancer it's used in almost all cases, but in early or very early stage disease, where the tumour is only in the breast, the team looks at the tumour type and its characteristics, or runs an Oncotype DX test, to judge whether chemotherapy would add to the cure rate.

Given after surgery to clear stray cancer cells and lower the risk of return, as in stage 2 to 3 colon cancer. In lung cancer it's used at every stage except stage 1.

Chemotherapy is the main treatment for childhood cancers, blood cancers and all stage 4 cancers. In cancers that have spread, such as stage 4 prostate cancer, drugs treat the whole body, often alongside other therapies.

Chemotherapy can make radiation work better. In advanced head and neck cancers it's given alongside radiation as a sensitising agent, and Dr. Karan plans the radiation with the medical oncologist giving the drugs.

To control symptoms (palliative)

When cure isn't realistic, drugs can shrink tumours that cause pain or pressure and slow the disease. The aim is comfort and time, and it runs alongside supportive care.

Costs

Chemotherapy Treatment Cost in India

There's no single chemotherapy treatment price, because no two plans are alike. These four things shape what you'll pay.

Drug type

Older generic drugs usually cost less than newer branded ones. The dose is calculated for each patient, so even the same drug can cost two people different amounts. Your oncologist chooses by cancer type and stage first.

Number of cycles

Cost adds up cycle by cycle, so six cycles cost more than three. The higher average is ₹40,000 to ₹60,000 per cycle, but it can be as low as ₹10,000 to ₹15,000 or as high as ₹80,000. That's only to give you an idea, not a blanket price. For brain cancer, chemotherapy given with radiation costs ₹30,000 to ₹40,000 for the whole six-week course.

Day-care or inpatient

Most chemotherapy is a day-care visit. An overnight stay for long infusions or complications raises the bill.

Supportive medicines and tests

Anti-sickness medicines, blood tests and scans add to the total, so ask for them to be itemised.

Many health policies cover chemotherapy, including day-care sessions, but limits and exclusions vary. Ask your insurer for pre-authorisation before the first cycle, and keep every bill.

Compare

Chemotherapy vs. Other Cancer Treatments

Chemotherapy is often compared with newer drugs like targeted therapy and immunotherapy, and with radiation. They do different jobs, and many plans use more than one.

Chemotherapy vs. targeted therapy and immunotherapy

Chemotherapy attacks any fast-dividing cell. Targeted drugs aim at specific changes inside cancer cells, found through molecular testing, and immunotherapy helps the immune system spot cancer. They suit fewer cancers, so chemotherapy often stays the base.

Chemotherapy vs. radiation therapy

Chemotherapy treats the whole body through the blood, so it can reach cancer that has spread. Radiation treats one area with focused beams. Dr. Karan delivers the radiation, and when both are planned he works out timing with the medical oncologist.

Preparing

Preparing for Chemotherapy

Most preparation is tests and planning, done before the first cycle. These are the four things to expect.

Tests first

Blood tests check your blood counts, kidneys and liver, and a heart check may be needed. If something's off, the plan or dose can change.

Your plan and tumour board

Every case goes to a weekly tumour board. The plan is confirmed that day and explained before treatment starts, with your physical, mental and social needs in mind.

A port or catheter

Some IV courses use a port or catheter placed in advance, so each infusion doesn't need a new needle. Apollo Hospital, Financial District runs a day-care chemotherapy unit, and ports and portable home pumps are available there too.

Life logistics

Plan a lift home for the first visit, eat lightly beforehand and sort time off work. If you may want children, ask about fertility preservation before the first cycle.

Types of Chemotherapy

Types of Chemotherapy Treatment by How It's Given

Your medical oncologist picks the route based on the drug and your cancer type.

Into a Vein

  • Intravenous (IV) infusion. The most common route. Drugs drip into a vein through a needle, port or catheter over minutes to hours.

  • Continuous infusion pump. A small portable pump gives drugs slowly over days, sometimes at home, for drugs that work best given steadily.

By Mouth or Injection

  • Oral chemotherapy. Tablets or capsules taken at home on a set schedule. Doses must follow the timetable exactly, and blood tests continue.

  • Injection. A shot under the skin or into a muscle, given in clinic. It's quick, and used for specific drugs.

Straight to the Target Area

  • Intrathecal chemotherapy. Drugs injected into the fluid around the brain and spinal cord, because many IV drugs reach it poorly.

  • Regional delivery. Drugs placed directly in the abdomen or chest cavity, or into the artery feeding a tumour, to concentrate the dose.

Treatment Day

What a Chemotherapy Day Looks Like

  1. 01

    Check-in and blood test

    You arrive at Apollo Hospital, Financial District. Nurses check your vitals, and a blood test confirms your counts are safe for treatment.

  2. 02

    Pre-medicines and set-up

    Anti-sickness medicines and fluids come first. Then a nurse connects the IV through a needle or port and double-checks the drugs against your plan.

  3. 03

    Infusion or tablets

    IV drugs run in over minutes to hours while you rest, read or chat. Oral drugs are taken at home on a written schedule.

  4. 04

    Going home

    Once the drugs finish, you head home with anti-sickness medicines and a number to call, usually the same day.

  5. 05

    The rest period

    You rest, eat small meals and report any fever at once. Breast and colon cancer courses run 6 to 8 cycles. For lung, and head and neck cancer, chemotherapy is given weekly alongside radiation for 5 to 6 cycles. Lung cancer treated with chemotherapy alone runs 6 cycles, one every 3 weeks.

Side Effects

Chemotherapy Side Effects and Recovery

Will you lose your hair, or feel sick all the time? It depends on the drugs, and many effects can be prevented or treated.

Short-Term Effects

Nausea, tiredness, mouth sores, hair loss and a higher risk of infection are common, though no drug causes all of them. Anti-sickness medicines, mouth care and reporting fever quickly keep most under control.

Long-Term Effects

A few effects show up months or years later, like nerve damage in the hands and feet, or changes to the heart or fertility. Ask which apply to your drugs.

Recovery Between Cycles

The rest period is when blood counts recover. Most people keep up light routines, and many keep working. Rest, fluids and small meals help, and the team reviews you before each cycle.

Second Opinion

Considering Chemotherapy? Get a Second Opinion First

Not sure chemotherapy is the right fit, or how it sits with radiation in your plan? Send your reports and scans. Dr. Karan will review them, explain where radiation fits alongside chemotherapy, and bring in his partner medical oncologist for the drug plan. His eleven years in radiation oncology shape that advice.

After Treatment

What Happens After Treatment

Chemotherapy effects keep easing for weeks after the last cycle. Here's the general roadmap, not a personal schedule.

Follow-up visits

You'll see your medical oncologist after the last cycle to check recovery and manage any lingering side effects.

Follow-up scans and tests

Scans and blood tests are scheduled at intervals to see how the cancer responded and to catch changes early.

Return to routine

Energy and blood counts recover over the following weeks, and most people ease back into work and normal life.

Your timing depends on the cancer, the drugs and how you recover. Your medical oncologist sets the schedule, and Dr. Karan joins in where radiation was part of your plan.

FAQs

Questions Patients Ask Us

It depends on the drugs, the care setting and the number of cycles, so there's no single chemotherapy treatment price. The higher average is ₹40,000 to ₹60,000 per cycle, but it can run from ₹10,000 to ₹15,000 up to ₹80,000. That's only to give you an idea, not a blanket price. It depends largely on the type of drug and the dose calculated for each patient. For brain cancer, chemotherapy with radiation costs ₹30,000 to ₹40,000 for the whole six-week course.

Many health policies cover it, but limits and exclusions vary. Ask your insurer for pre-authorisation, and check what your policy says about day-care and oral drugs.

It depends on the cancer, the drugs and how you respond, and courses often run for a few months. Breast and colon cancer typically need 6 to 8 cycles. Head and neck cancer needs 5 to 6 weekly cycles alongside radiation, and lung cancer needs 5 to 6 weekly cycles alongside radiation or 6 cycles every 3 weeks on its own. Your medical oncologist sets the number.

From under an hour to most of a day, depending on the drugs and any pre-medicines. Oral chemotherapy is taken at home instead.

The infusion usually isn't painful beyond the needle prick. Tell the nurse at once if you feel burning or pain at the IV site.

Hair usually starts to regrow within weeks to months after treatment ends. Not every drug causes hair loss.

Many people can, especially with day-care schedules, though tiredness varies. Plan lighter days around treatment days and talk to your team.

Small, frequent, protein-rich meals often sit best, and food safety matters when counts are low. An oncology dietitian can tailor advice to your drugs.

Partner medical oncologists at Apollo Hospital give it. Dr. Karan is the radiation oncologist and coordinates with them where both treatments are in the plan.

Next Step

Get a Clear Plan for Your Chemotherapy Treatment

Send your reports and scans. Dr. Karan will explain where radiation fits, and his partner medical oncologist will cover the chemotherapy side. Clear next steps, no hard sell.

Dr. P. Vijay Karan Reddy

Written & reviewed by Dr. P. Vijay Karan Reddy
Radiation Oncologist · Last reviewed October 2026