I am currently on monthly Gemcitbine/Docetaxel treatments. I did 6 in 6 weeks in the beginning with no side effects or bladder spasms. However, the once a month treatments have been difficult with spasms, pain, and dysuria. My current regime is to take bladder spasm pill the night before the treatment begins. Drink none or a little amount of liquid in the morning followed by another bladder spasm pill. After I do my urine test to clear for chemo I take an over the counter medicine called AZT. My PA prescribed valium which I take 45 minutes before treatment begins.
Since I started monthly I have a burning sensation when the Gemcitbine is administered throughout the pelivc area. I only have to keep the Gemiciatine in for 1 hour, then it is followed up with Docetaxel for 90 minutes. Before this regiment I was having intense spasms and had to stop at least one monthly maintenance treatment. While still very unpleasant I have not had to quit any treatments with this regime. The post treatment Dysuria is very painful and lasts at least 48-72 hours. I have also noticed sort of a brain fog for a day or two after.
Also very important to not schedule a scope for at least 4-6 weeks after your last Gemcitabine treatment as the inflamation from the treatments can lead to an unncessary TURBT. I did a scope a couple days after a treatment and the Urologist had me do a TURBT. Did biopsy on 5 spots all of which was inflammation, likely from the Gemcitabine treatments.
The more you know.