Sunday, October 10, 2021

Bladder Cancer Medications for Symptom Management

 

Pain Medications to Help With Bladder Cancer

🔶 Acetaminophen / Tylenol 1000mg every 8 hours: over the counter, and helps with pain, muscle aches, and fevers. Don't ever take more than 4 grams in 24 hours. This can be taken every 8 hours. This is also often in narcotics. Make sure you are adding up the TOTAL Tylenol usage for the day. Tylenol is processed in your liver, so can be taken at the same time as Ibuprofen.

🔶 Ibuprofen / Advil / Motrin 600 mg every 6-8 hours:  over the counter, and helps with pain, muscle aches, inflammation, and fevers. This can be taken every 6-8 hours. Ibuprofen is processed in the kidneys, thus it's okay to take Tylenol at the same time (Tylenol is processed in the liver). Make sure you are drinking enough water to not stress your kidneys. Ibuprofen can cause irritation and bleeding in your stomach. Ibuprofen is classified as an NSAID (non-steroidal anti-inflammatory drug). DO NOT COMBINE WITH ASPRIN!

🔶 Cannabis / Marijuana, oil or gummy, aprox. 10mg THC: Lots of people use this for the pain or nausea caused by cancer treatments, including BCG. Cannabis can also can help with the anxiety related to all of these painful experiences. If you use an edible (gummies, brownies, oil put under the tongue),  you have to remember it takes 1-2 hours for it to take effect.The total time that it will be in your system is 12 hours from the time you take it. Smoking it will get you high and out of pain/nausea faster, but it will leave you much faster as well. You'll want to make sure that whatever you get has THC in it.  you can start around 10mg. The THC is what will help you relax and what will take the pain away. However, CBD and CBG are also fantastic! They take away inflammation as well!! Great for pain management. If you live in a country and state in which you can get this, you should! I was shocked how much it has helped my urinary pain/urgency/frequency on bad BCG days and after the TURBT. It did so much better than a narcotic that I was prescribed. 

🔶 Aspirin / Acetylsalicylic Acid / Bayer / 500mg every 6 hours : over the counter, and helps with pain, muscle aches, inflammation, and fevers. Aspirin is processed in the kidneys, thus it's okay to take Tylenol at the same time (Tylenol is processed in the liver). Make sure you are drinking enough water to not stress your kidneys. Aspirin can cause irritation and bleeding in your stomach. Aspirin is classified as an NSAID (non-steroidal anti-inflammatory drug). DO NOT COMBINE WITH IBUPROFEN!

🔶 Narcotics / Hydrocodone (Vicodin, Norco, Lortab) / Oxycodone (Percocet, Percodan): These are all serious pain killers. You will get them after surgery if you need them. I found that I needed one pill prescribed for BCG #12. It's about a 4-6 hour window that the pain is just intolerable, right after you void the BCG out. What is interesting, is I found that narcotics don't really do much for bladder pain. I didn't ask for this again. The cannabis did much better for me.

🔶 AZO / Pyridium / Phenazopyridine / Prodium / Pyridate / Baridium / Uricalm / Urodine / UTI Relief:a medication that works as a painkiller to sooth the lining of the urinary tract. It helps relieve pain, urgency, and frequency when urinating. It will turn your urine orange while it's in your system. This is totally normal. 😊 It does stain underwear permanently, so get some undies you can throw away. You can get this over the counter, however I highly recommend you get your doctor to order it. 200mg dose of pyridium. I'm grateful for this dose, and this medication. It really helps.

🔶 Anti-Anxiety : There can develop some real anxiety around tests, procedures and treatments. Lots of these things are painful, and so we develop anxiety about them, often making the pain even worse. So take that anxiety medication! Let someone else drive you to the appointment. 💗


Overactive Bladder or Bladder Spasm Medications

These are medications that help with bladder spasms or overactive bladder. This can help after BCG therapy and after a TURBT. The ER or XL stands for extended release. It makes it so you take the medication once a day, and it release  that medicine throughout the day.

🔶 Toterodine / Detrol 

🔶 Oxybutynin (oxy-BYOO-ti-nin) / Oxybutynin ER / Ditropan XL - This is the medication that I take. It greatly helps with bladder spasms and urinary urgency and frequency.

🔶 Trospium / Sanctura

🔶  Solifenacin / Vesicare

🔶 Darifenacin / Enablex

🔶 Fesoterodine / Toviaz

🔶 Mirabegron / Myrbetriq

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