With over 725,000 people currently diagnosed with Bladder Cancer experts are warning the public of common household medications which may cause an increased risk in developing bladder cancer.

What is Bladder Cancer?
Bladder cancer is a type of cancer that originates in the bladder, a hollow organ located in the lower abdomen. The bladder’s primary function is to store urine produced by the kidneys until it is ready to be expelled from the body through the urethra.1 When cancer develops in the bladder, it typically starts in the innermost layer of the bladder wall, known as the urothelium. However, it can also develop in other layers of the bladder wall.
What Medications May Cause Bladder Cancer?
Certain medications have been associated with an increased risk of bladder cancer. While not all cases of bladder cancer can be directly attributed to medication use, some drugs have been linked to a higher incidence of this type of cancer. It’s important to note that these associations may vary based on individual factors, including dosage, duration of use, and other health conditions. Here are some medications that have been associated with an elevated risk of bladder cancer:
- Pioglitazone (Actos): Pioglitazone is a medication used to treat type 2 diabetes by improving insulin sensitivity. Studies have shown a potential link between long-term use of pioglitazone and an increased risk of bladder cancer.
- Cyclophosphamide (Cytoxan): Cyclophosphamide is a chemotherapy drug used to treat various types of cancer and autoimmune diseases. Prolonged use of cyclophosphamide has been associated with an elevated risk of bladder cancer, particularly in high doses or when used for extended periods.
- Arsenic: While not a medication per se, exposure to high levels of arsenic, often found in contaminated water or certain medications, has been linked to an increased risk of bladder cancer. Arsenic exposure is more common in certain geographical areas and occupations.
- Phenacetin: Phenacetin was once used as a pain reliever and fever reducer but has since been withdrawn from the market due to its association with kidney damage and bladder cancer. Long-term use of phenacetin-containing medications has been linked to an elevated risk of bladder cancer.
Who is Most at Risk?
While bladder cancer can affect anyone, certain factors increase the risk of developing this condition:
- Age: Bladder cancer is more common in older adults, with the majority of cases occurring after the age of 55.2
- Gender: Men are more likely to develop bladder cancer than women, with a ratio of approximately 3 to 1.
- Tobacco Use: Smoking is one of the most significant risk factors for bladder cancer. Chemicals in tobacco smoke can enter the bloodstream and be filtered by the kidneys, exposing the bladder to harmful substances.
- Occupational Exposures: Some jobs, such as those involving exposure to certain chemicals or dyes, may increase the risk of bladder cancer. If you work in such an environment, it’s crucial to follow safety guidelines and wear protective gear.
- Chronic Bladder Inflammation: Conditions that cause chronic bladder inflammation, such as recurrent urinary tract infections or bladder stones, can increase the risk of bladder cancer over time.
- Chemotherapy and Radiation: Previous cancer treatments, such as radiation therapy or certain chemotherapy drugs, may slightly elevate the risk of developing bladder cancer.
- Family History: Individuals with a family history of bladder cancer may have a higher risk of developing the disease.
Early Signs of Bladder Cancer
Recognizing the early signs of bladder cancer is crucial for timely diagnosis and effective treatment.
- Blood in Urine (Hematuria): One of the most significant and often the first sign of bladder cancer is blood in the urine. This may cause the urine to appear pink, red, or brown. It’s essential to note that hematuria can result from various conditions, but it should never be ignored.3
- Frequent Urination: Bladder cancer can irritate the bladder, leading to increased urgency and frequency of urination. You may find yourself needing to visit the bathroom more often than usual.
- Painful Urination: Some individuals with bladder cancer may experience pain or discomfort while urinating. This can be a sign of irritation or infection within the bladder.
- Pelvic Pain: As the cancer progresses, it may cause persistent pelvic pain. This discomfort can range from mild to severe and may be accompanied by lower back pain.
- Unexplained Weight Loss: In some cases, bladder cancer can lead to unexplained weight loss. If you are losing weight without trying, it’s essential to consult a healthcare professional.
- Fatigue: Bladder cancer can cause fatigue, which is a feeling of extreme tiredness that doesn’t improve with rest. Fatigue can affect your ability to perform daily activities.
- Swelling in the Lower Legs: In advanced cases, bladder cancer may lead to swelling in the lower legs, known as edema. This can occur when the cancer obstructs the flow of urine from the bladder.
It’s important to remember that these signs and symptoms can also be indicative of other health issues, such as urinary tract infections or kidney stones. However, if you experience any of these symptoms, it is essential to consult a healthcare professional for a proper evaluation and diagnosis.
Treatment Options for Bladder Cancer
The treatment approach for bladder cancer depends on various factors, including the stage and grade of the cancer, the patient’s overall health, and their treatment preferences.
- Surgery: Surgery is often the primary treatment for bladder cancer. The type of surgery may vary from the removal of cancerous tissue from the bladder lining (transurethral resection) to the removal of the entire bladder (radical cystectomy). In cases where the bladder is removed, a urinary diversion is created to allow urine to exit the body.
- Chemotherapy: Chemotherapy drugs can be used to treat bladder cancer. They can be administered before or after surgery to shrink tumors, or in cases where surgery is not an option. Intravesical chemotherapy involves placing chemotherapy drugs directly into the bladder.
- Radiation Therapy: Radiation therapy uses high-energy rays to target and kill cancer cells. It can be used as the primary treatment for some bladder cancers or in combination with other treatments.
- Immunotherapy: Some advanced bladder cancers can be treated with immunotherapy drugs. These drugs stimulate the immune system to recognize and attack cancer cells.
- Targeted Therapy: Targeted therapy drugs are designed to target specific molecules involved in cancer growth. They may be used in certain cases of advanced bladder cancer.
- Clinical Trials: Participation in clinical trials may be an option for individuals with bladder cancer, especially if standard treatments are not effective. Clinical trials explore new treatments and therapies that may offer better outcomes.
Stay Informed and Seek Medical Advice
Recognizing the early signs of bladder cancer and understanding the risk factors can empower individuals to seek timely medical attention. If you or someone you know experiences any of the mentioned symptoms, it is crucial to consult a healthcare professional. Early detection and prompt treatment can significantly improve the chances of successfully managing bladder cancer and achieving better overall health and well-being. To see early signs of bladder cancer, start an online search.
References:
- https://www.cancer.gov/types/bladder
- https://www.cancer.net/cancer-types/bladder-cancer/statistics
- https://www.urologymedicalgroup.com/blog/understanding-the-signs-of-bladder-cancer