The best for you that your family doctor check your progress at regular appointments to make sure that the drug is help you and does not cause unwanted effects.
While you are being treated with estramustine and after you stop treat with it, do not have any immunizations - vaccinations without your family doctor's approval . Estramustine may lower your body's resistance and there is a risk you might get the infection the immunization is meant to prevent. In addition, other people living in your household must not take oral polio vaccine since there is a risk they could pass the polio virus on to you. Always avoid people who have recently taken oral polio vaccine. Do not get close to them and do not stay in the same room with them for very long. If you can't take these precautions, you must consider wearing a protective face mask that covers the nose and mouth.