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.
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.
This medicine may increase your risk to bruise or bleed. Call your doctor or health care professional if you notice any unusual bleeding.
Do not have any vaccinations without your doctor's approval and avoid anyone who has recently had oral polio vaccine.
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.
If you are a man, you should not father a child while receiving treatment.
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.
Also, because of the way these medicines act on the body, there is a chance that they might cause other unwanted effects that may not occur until months or years after the medicine is used. These may include certain types of cancer, such as leukemia or bladder cancer. Discuss these possible effects with your doctor.
Check with your doctor immediately if any of the following side effects occur:
Black, tarry stools
blood in urine or stools
body aches or pain
burning or stinging of skin
frequent urge to urinate
loss of voice
lower back or side pain
pain or tenderness around eyes and cheekbones
painful cold sores or blisters on lips, nose, eyes, or genitals
painful or difficult urination
pain, redness, swelling, tenderness, warmth on skin
pinpoint red spots on skin
puffiness or swelling of the eyelids or around the eyes, face, lips or tongue
shortness of breath
sores, ulcers, or white spots on lips or in mouth
tender, swollen glands in neck
tightness in chest
troubled breathing with exertion
unusual bleeding or bruising
unusual tiredness or weakness
Change in consciousness
increased blood creatinine
increased blood pressure
loss of appetite
muscle pain or cramps
numbness or tingling in hands, feet, or lips
loss of consciousness
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:
Acid or sour stomach
bleeding after defecation
bumps on skin
burning, crawling, itching, numbness, prickling, "pins and needles"; or tingling feelings
burning while urinating
difficulty having a bowel movement (stool)
difficulty in moving
dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly
feeling of discomfort or illness;
feeling of sluggishness
feeling sad or empty
feeling unusually cold
full or bloated feeling or pressure in the stomach
inflamed tissue from infection at the site of injection
injection site bruising
itching at injection site
lack of appetite
large, flat, blue or purplish patches in the skin
loss of interest or pleasure
pain in joints
post procedural hemorrhage
redness of skin
small clicking, bubbling, or rattling sounds in the lung when listening with a stethoscope
small lumps under the skin
small red or purple spots in mouth
soreness or discomfort to touch or pressure on stomach
stomach discomfort upset or pain
swelling of abdominal or stomach area
swelling of hands, ankles, feet, or lower legs
swelling or inflammation of the mouth
swelling with pits or depressions visible on skin
uncomfortable swelling around anus
unusually warm skin
upper abdominal pain
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.