Hi Linda,
Thank you for taking the trouble to reply to my post. I was sorry to see how badly your husband has suffered with this horrible disease. I am a novice in comparison, his and my backgrounds do sound so similar. I also had a Gleason of 9, a PSA of 168 and secondaries in lymph nodes, spine and lungs at diagnosis.
I generally get the flu like symptoms about 8 hours after the injection and normally, the ill effects last for the next day. By the third day I am usually back to normal. I do get the redness too, which lasts about 3 days. But this last time (and it has happened similarly once before) It was much much worse than normal. I spent the entire night in dreadful pain and I couldn't wait for morning to come.
It is the pain that concerns me. As my oncologist constantly reminds me, I have got an aggressive cancer, so I have to expect some discomfort. But that pain was unbearable and paracetamol did nothing to ease it.
Once again, thank you for the information and I will certainly take on board your advice about taking paracetamol before the injection. I wish you and your husband lots of luck for the future.
Peter