What should I watch for?
Visit your doctor for checks on your progress. This drug may make you feel generally unwell. This is not uncommon, as chemotherapy can affect healthy cells as well as cancer cells. Report any side effects. Continue your course of treatment even though you feel ill unless your doctor tells you to stop.
Drink water or other fluids as directed after your treatment with this medicine.
In some cases, you may be given additional medicines to help with side effects. Follow all directions for their use.
Call your doctor or health care professional for advice if you get a fever, chills or sore throat, or other symptoms of a cold or flu. Do not treat yourself. This drug decreases your body's ability to fight infections. Try to avoid being around people who are sick.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
This medicine may increase your risk to bruise or bleed. Call your doctor or health care professional if you notice any unusual bleeding.
Be careful brushing and flossing your teeth or using a toothpick because you may get an infection or bleed more easily. If you have any dental work done, tell your dentist you are receiving this medicine.
Do not become pregnant while taking this medicine. Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information. Do not breast-feed an infant while taking this medicine.
Interactions with Medications
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Abdominal pain or cramps
black, tarry stools
blood in the urine or stools
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
change in walking and balance
clumsiness or unsteadiness
cool, pale skin
cough or hoarseness
decreased or uncontrolled urination
difficulty with breathing
dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly
fast or irregular heartbeat
feeling sad or empty
feeling unusually cold
flushed, dry skin
fruit-like breath odor
loss of appetite
loss of interest or pleasure
lower back, side, or stomach pain
mood or mental changes
muscle cramps in hands, arms, feet, legs, or face
muscle spasms (tetany) or twitching seizures
nausea or vomiting
numbness, tingling, pain, or weakness in hands, feet, fingertips, or mouth
pain or tenderness around the eyes and cheekbones
painful or difficult urination
paralysis or severe weakness of legs
shakiness and unsteady walk
shortness of breath
sleepiness or unusual drowsiness
small red or purple spots on skin
sores, ulcers, or white spots on the lips or in the mouth
stuffy or runny nose
swelling of hands, ankles, feet, or lower legs
tightness in chest
troubled breathing with exertion
unable to sleep
uncontrolled bowel movements
unexplained weight loss
unsteadiness, trembling, or other problems with muscle control or coordination
unusual bleeding or bruising
unusual tiredness or weakness
yellow eyes or skin
Change in taste
loss of memory
loss of taste
problems with memory
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
difficulty having a bowel movement (stool)
difficulty with moving
full or bloated feeling
lack or loss of strength
muscle aching or stiffness
pain in the arms or legs
pressure in the stomach
swelling of the abdomen or stomach area
swelling or inflammation of the mouth
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.