Gemcitabine

Early side effects

• Nausea, vomiting and loss of appetite may occur
  There are medications available, which may prevent or decrease these side effects. If you are given these medications, take them as directed.
• Fever (usually within 6-12 hours of treatment)
• Transient flu-like symptoms (e.g. joint and muscle ache, chills, fatigue, headache)
• Diarrhea or constipation.

Delayed side effects

• A drop in the white blood cell counts may occur 7 to 14 days after treatment
• Water retention causing swelling of feet or lower legs
• Itchy rashes may develop
• Temporary hair loss may occur

Inform your doctor if any of the following occurs:

• Fever of 38°C or higher
• Unusual bleeding, bruising or black tarry stools
• Skin rash, itching or unusual redness
• Sore throat, hoarseness or painful mouth sores
• Persistent shortness of breath or difficulty breathing