Taxotere® Chemotherapy Side Effects

Taxotere® (docetaxel) works by attacking cancer cells.
In the process of attacking cancer cells, Taxotere® chemotherapy treatment may harm healthy cells, such as blood cells and cells in the mouth, stomach, intestines, esophagus and hair follicles. This harm to healthy cells is what causes chemotherapy side effects.

WARNING: Some Taxotere® chemotherapy side effects may be dangerous and even life-threatening, such as serious infections, allergic reactions and fluid retention. It is important to report ALL side effects to your doctor or nurse.

Below are some of the side effects that are associated with Taxotere® chemotherapy treatment. Your experience with side effects will depend on factors like your Taxotere® dose, schedule, and your body's response to the treatment.

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Drop in Number of White and Red Blood Cells

Taxotere® chemotherapy treatment may cause a temporary drop in the number of white blood cells. White blood cells help protect your body from infection, so if your white blood cell count is low, you may be at a higher risk of getting an infection. Your doctor will routinely check your blood count and tell you if it is too low.

It is important to look for signs of infection because infections can be dangerous. Fever often is one of the most common and earliest signs of infection. Your doctor will recommend that you take your temperature frequently, especially during the days after Taxotere® treatments, to check for fever. If you have a fever, tell your doctor or nurse immediately.

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Allergic Reactions to Chemotherapy Treatment

Some people may experience allergic reactions during Taxotere® chemotherapy treatment. If you feel a warm sensation, tightness in your chest, or itching during or shortly after your treatment, tell your doctor or nurse immediately. Allergic reactions can be dangerous.

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Fluid Retention

Fluid retention means your body is holding extra water. If this fluid retention is in the chest or around the heart, it can be life threatening. If you notice swelling in the feet and legs or slight weight gain, these may be the first warning signs of fluid retention.

Fluid retention usually does not start immediately. If it occurs, it may start around your fifth treatment. Generally fluid retention will go away within weeks or months after your treatments are completed.

Your doctor will prescribe a medication called dexamethasone to help protect you from significant fluid retention. It is important that you take this medication as prescribed. If you do not take it as prescribed, it is important to tell your doctor or nurse before receiving your next Taxotere® treatment.

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Diarrhea

Diarrhea has been associated with Taxotere® use and can be severe in some people. Severe inflammation of the intestines also may occur.

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Nausea/Vomiting

Many people may experience nausea and/or vomiting.

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Chemotherapy Hair Loss

Most people taking Taxotere® chemotherapy experience hair loss (including head, underarm, pubic, eyebrow and eyelash hair). Hair loss may begin after the first few Taxotere® chemotherapy treatments. The extent and location of the hair loss varies from person to person. Hair generally grows back after all Taxotere® treatments are completed.

Hair loss can be difficult to accept and cause feelings of anger and depression. This is common. It may help to talk to others who have gone through the same thing. Also, if you choose to wear a head covering, your doctor or nurse can refer you to a store that carries wigs, hairpieces and turbans for people with cancer.

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Chemotherapy Fatigue

Some people receiving Taxotere® feel very tired following their Taxotere® treatments. If you feel tired or weak, allow yourself extra rest before your next treatment. If it is bothersome or lasts for longer than 1 week, inform your doctor or nurse.

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Muscle Pain and Bone Pain

Muscle pain can happen in people receiving Taxotere®, but it rarely is severe. You also may feel joint pain. Tell your doctor or nurse if you experience muscle or joint pain because he or she may have suggestions for ways to make you more comfortable.

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Rash

This chemotherapy side effect is common, but rarely severe in people taking Taxotere®. You may develop a rash that looks like a blotchy, hive-like reaction. This usually occurs on the hands and feet but also may appear on the arms, face or other areas of the body.

Generally a rash will appear between treatments and will go away before your next Taxotere® treatment. Inform your doctor or nurse if you experience a rash because he or she may be able to help you get relief.

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Nail Changes

You may experience color changes to your fingernails or toenails while taking Taxotere®. In rare cases, nails may fall off. If you do experience nail loss, your nails probably will grow back after your Taxotere® treatment ends.

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Eye Changes

You might experience excessive eye tearing while receiving Taxotere®. This tearing may be related to blockage of the tear ducts or conjunctivitis (also known as "pink eye"), which is inflammation of the membrane that covers the white part of the eye and inside of the eyelids.

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Odd Sensations

People receiving Taxotere® may feel numbness, tingling or burning sensations in their hands and feet. Some people also may develop weakness in their hands and feet. Generally these sensations go away within a few weeks or months after your treatments are completed. If you experience any of these sensations, be sure to tell your doctor or nurse.

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Infection

Infection can be a serious condition that can occur in patients receiving Taxotere.

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Mouth and Throat Irritation

Mouth and throat irritation are common adverse reaction that can occur with chemotherapy.

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Infusion Site Reaction

Infusion Site Reactions generally are mild and consist of hyperpigmentation, inflammation, redness or dryness of the skin, phlebitis, extravasation or swelling of the vein.

It is important to tell your doctor or nurse if you experience any of the side effects listed on this page. And be sure to visit our Managing Side Effects page for helpful coping tips.

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IMPORTANT SAFETY INFORMATION

WARNING: Taxotere® treatment can cause serious, physically limiting, and potentially life-threatening side effects, such as infection, low blood-cell counts, allergic reaction, and retention of excess fluid (edema).

Taxotere® should not be given to patients with low white–blood-cell counts, abnormal liver function, or a history of allergic reactions to Taxotere® or any of the ingredients in Taxotere®.

Before each Taxotere® treatment, all patients treated with Taxotere® must receive another medicine called dexamethasone. This drug can help reduce the risk of fluid retention (edema) and allergic reactions.

Taxotere® should be administered only under the supervision of a qualified physician experienced in the use of anticancer treatments. Appropriate management of complications is possible only when adequate diagnostic and treatment facilities are readily available.

Treatment-related acute myeloid leukemia (AML) or myelodysplasia has occurred in patients given anthracyclines and/or cyclophosphamide, including use with Taxotere® in adjuvant therapy for breast cancer.

The most common severe side effects are low white–blood-cell count, anemia, fatigue, diarrhea, and mouth and throat irritation. Low white–blood-cell count can lead to life-threatening infections. The earliest sign of infection may be fever, so tell your doctor right away if you have a fever.

Other common side effects from Taxotere® include nausea, vomiting, hair loss, rash, infusion-site reactions, odd sensations (such as numbness, tingling, or burning) or weakness in the hands and feet, nail changes, muscle and/or bone pain, or excessive tearing.

Because of the potential risk of fetal harm, pregnant women should not receive Taxotere®. Women of childbearing potential should avoid becoming pregnant during treatment with Taxotere®.

Before receiving Taxotere®, tell your doctor if

  • You have any allergies
  • You are taking any other medicines — including nonprescription (over-the-counter) drugs, vitamins, and dietary or herbal supplements

When taking Taxotere®, contact your doctor if

  • You have symptoms of an allergic reaction (warm sensation, tightness in your chest, itching/hives, or shortness of breath)
  • You experience any other side effects

Please see accompanying full prescribing information, including boxed WARNING.

Click here for information on drug anti-counterfeiting.

Taxotere® (docetaxel) Injection Concentrate Indications

Breast Cancer
TAXOTERE® is indicated for the treatment of patients with locally advanced or metastatic breast cancer after failure of prior chemotherapy
TAXOTERE® in combination with doxorubicin and cyclophosphamide is indicated for the adjuvant treatment of patients with operable node-positive breast cancer

Non-Small Cell Lung Cancer
TAXOTERE®, as a single agent, is indicated for the treatment of patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) after failure of prior platinum-based chemotherapy
TAXOTERE® in combination with cisplatin is indicated for the treatment of patients with unresectable, locally advanced or metastatic NSCLC who have not previously received chemotherapy for this condition.

Prostate Cancer
TAXOTERE® in combination with prednisone is indicated for the treatment of patients with androgen independent (hormone refractory) metastatic prostate cancer.

Gastric Cancer
TAXOTERE® in combination with cisplatin and fluorouracil is indicated for the treatment of patients with advanced gastric adenocarcinoma, including adenocarcinoma of the gastroesophageal junction, who have not received prior chemotherapy for advanced disease.

Head and Neck Cancer
TAXOTERE® in combination with cisplatin and fluorouracil is indicated for the induction treatment of patients with locally advanced squamous cell carcinoma of the head and neck (SCCHN).