No, the temperature of the cap is not cold enough to cause burning, however, we would recommend the use of paper surgical/scrub cap to protect any exposed areas. It may also be worth reassessing the cap size if patches have occurred.

We recommend you are very gentle with your hair. Any additional heat or stress to your hair may cause damage.

The cap is non-refundable. Any unused treatment cooling credits are refundable following completion of an enrollment form by the treating physician.

Yes the cap comes in 3 sizes. The healthcare provider will fit you for your cap before you start your treatment and provide your size on the enrolment form.

Yes, it is encouraged to regularly brush your hair gently to avoid excessive tangling. We recommend use the brush provided in the Cap Kit or something similar. Failing to brush the hair can cause the hair can cause the hair to become severely tangled and even lead to a rare condition known as bird’s nest syndrome.

We would recommend gently brushing your hair before shampooing to remove any loose strands of hair.

Visa, Mastercard, Discover, debit cards, bank account with routing information.

Yes, use warm soapy water and cleaning wipes provided in the Cap Kit and allow to air dry

The main reason for advising against coloring of the hair during chemotherapy is due to increased scalp skin sensitivity, due to the chemotherapy drugs. We do know of people who have continued to color their hair with the guidance of a professional colorist and using natural products. We would recommend that a patch test is carried out with any product to ensure no undue sensitivity.

Root touch-up wands and powders can be useful.

We would recommend that coloring is carried out 1 full week prior to starting chemotherapy.

We don’t store payment information. When you’re providing banking information it is through a secured IVR system, which is not visible to us. This is to stay in compliance with PCI (payment card industry) standards.

A nurse at the physician’s office will provide you with more information on how to fit the cap on your head, connect to the Paxman Scalp Cooling System and what will take place during each stage. Once you receive your cap at home, it is essential that you the patient tutorials to assist you with the cap fitting process. These can be viewed at www.paxmanUSA.com

Yes, it is possible to have your hair styled, highlighted, colored before you start treatment, particularly as it is not recommended during treatment.

No, not at this time. The Paxman Scalp Cooling Cap and cycles are not covered by insurance companies. We are working with insurance companies with the view to there being cover in the future.

Patients and physicians will need to complete an enrolment form and submit it to the Paxman Hub. The Hub will review and process the request, and contact the patient for payment information. Once payment information is received, the pharmacy will ship the cooling cap to the patient’s home via overnight delivery.

It is not necessary to cut your hair prior to treatment. Manageability throughout scalp cooling is key, so if you have very long hair, having it cut may make it more manageable.

If you have thick braids, hair extensions, or weaves, please remove before using the scalp cooling system as they will create a natural barrier between the cold cap and the scalp which prevents the all-important cooling effect.

HairToStay provide financial assistance to patients who qualify to receive funding for the cap and cycles.

You can order additional supplies from our shop

We would recommend that you get the help of a family member, friend or indeed a hairdresser to try to detangle the hair. Use lots of conditioner, hold the hair at the root and slowly and carefully begin to detangle the hair starting from the bottom with a detangling brush. We are sorry that in some cases it is impossible to untangle the hair and the only remedy is to cut the hair in the affected area.

This is why it is so important to brush your hair at least daily to avoid tangles developing.

Yes, a soft fabric option would be preferable to avoid pulling the hair upon removal of the cap.  There is no reason why swimming should be stopped during scalp cooling treatment.  We just advise the continued overall gentle treatment of the hair and to be aware of the drying effect of chlorine, ensuring that  you regularly brush your hair (including before shampooing) and to use plenty of conditioner.

Please get in touch with the Paxman Hub

No, just try to avoid anything too tight or that will pull on your hair.

Yes, there is no reason why riding should be stopped during scalp cooling treatment.

The pharmacy will ship overnight delivery from the time of a completed payment transaction. If paying with a credit card, please allow 1-2 days. If paying by debit card or banking information, please allow 3-4 days.

However often you would feel comfortable with, however we would recommend washing your hair less regularly than your usual hair care routine.

Yes, there is no reason why cycling should be stopped during scalp cooling treatment.

Patients and physicians will need to complete an enrollment form and submit it to the Paxman Hub. The Hub will review and process the request, and contact the patient for payment information. Once payment information is received, the pharmacy will ship the cooling cap to the patient’s home via overnight delivery.

A nurse at the physician’s office will provide you with more information on how to fit the cap on your head, connect to the Paxman Scalp Cooling System and what will take place during each stage.

Once you receive your cap at home it is essential that you to watch the patient tutorials to assist you with the cap fitting process, these can be viewed

Yes, if it is a mild and/or gentle product that will not irritate the scalp. Please also be aware that the product may clog the hair follicles.  At the earliest sign of any irritation please stop use of these products.

Yes, there is no reason at all that you should avoid hot yoga during scalp cooling treatment, this should have no impact whatsoever on  outcomes.

No, there are no restrictions on hair care prior to treatment, only when treatment has started. Please refer to page 25 of the ‘Guide to Scalp Cooling’ brochure.

Leave-in conditioner can be used on treatment and non-treatment days as long as it is a gentle and mild product.

Yes, though we would recommend that a soft or non-snag bobble or scrunchie is used so as not to put any stress on the root of the hair.

Yes, there is no reason at all that you should avoid saunas or steam rooms during scalp cooling treatment, this should have no impact whatsoever on  outcomes.  There is also no issue with getting your hair wet, just try to be as gentle as possible when drying, styling etc.

The FDA has cleared the Paxman Scalp Cooling System for use with all solid tumours. For more information ask your physician.

We have no clinical evidence to support the use of dry shampoo with scalp cooling, the product may clog the hair follicles.

The scalp cooling cap comes with additional items in the Paxman Personal Cap Kit. We recommend to take all the items with you to your appointment in the carry case/bag that is provided.

The items included with the cap are:

  • Purse/carry kit
  • Pay for use token – this is attached to the end of your cap tail and activates the Paxman Scalp Cooling System
  • Headband – the be placed below the ears, to reduce discomfort from the cap
  • Conditioner – to provide a protective layer between the hair and the cooling cap
  • Towel
  • Detangling hairbrush
  • Mirror
  • Cleaning wipes

We would also recommend bringing a hat, scarf or head covering with you to treatment to wear when traveling home as your hair will be damp.

Scalp cooling is contraindicated for pediatric patients.

Yes, patients can put their hair in a ponytail pm treatment and non-treatment days. We do recommend that a soft or non-snag bobble or scrunchie is used so as not to put any stress on the root of the hair.

Yes. It is important that the conditioner used during scalp cooling treatment is rinsed from the hair at the earliest opportunity to avoid undue tangling of the hair. The Paxman conditioner provided in the Cap Kit is not a leave in conditioner.

50% of patients are successful depending on the drug regimen. It is important to understand that moderate hair loss is to be expected (30-50%) when using scalp cooling. If you don’t you need to wear a wig, a head scarf or a head covering during chemo treatment, the scalp cooling is considered a success.

Yes, it is fine but ensure they do wash their hair the day after to avoid the hair tangling.

Your hair will be damp when you complete you treatment appointment so you may find it more comfortable to wear a loose fitting hat or a scarf.

Yes the caps are latex free and made from silicone

This should be fine to continue based on it being medicated and should not cause it irritation to the scalp.

A nurse at the physician’s office will provide you with more information on how to fit the cap on your head, connect to the Paxman Scalp Cooling System and what will take place during each stage. Once you receive your cap at home, it is essential that you view the patient tutorials to assist you with the cap fitting process.

Stage 1 is the pre-cooling stage before your chemotherapy and last 30 mins

  • For patients with thicker hair stage 1 should be extended by a further 15 mins to 45 mins
  • It is not recommended for the patient to use the rest room during stage 1

Stage 2 is the duration of the chemotherapy infusion time

  • Stage 2 varies depending on the duration of the chemotherapy infusion

Stage 3 is the post infusion cooling stage

  • For most drug regimens the post cooling stage lasts 90 mins and you may be moved away to a post cooling area
  • Your nurse will inform you if this should vary based on your treatment

The scalp cooling cap is removed 5 to 10 minutes after the completion of stage 3

Yes. It is important that the conditioner used during scalp cooling treatment is rinsed from the hair at the earliest opportunity to avoid undue tangling of the hair. The Paxman conditioner provided in the Cap Kit is not a leave in conditioner.

Yes, you can. The cap can be disconnected from the system, however, it is recommended that a maximum of 10 minutes is taken for a restroom visit or disconnection. Any longer than this could lead to an increased chance of hair loss.

Although the cap operates around 28.4 degrees Fahrenheit, your scalp will be cooled to between 64 to 71 degrees Fahrenheit

We would recommend using a cooler setting or allow hair to dry naturally.

The cost of the scalp cooling cap is $500. Chemo cycles 1 through 4 are $200 per cycle. Cycles 5 and 6 are $150 per cycle. Cycles 7 through 12 are $100 per cycle. You will never pay more than $2200 as the price is limited.  See full pricing information here.