What should I watch for?
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.
Men and women should use effective birth control while taking 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.
This medicine may increase your risk to bruise or bleed. Call your doctor or health care professional if you notice any unusual bleeding.
If you are going to have surgery or any other procedures, tell your doctor you are taking this medicine.
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 need blood work done while you are taking this medicine.
Side Effects to watch for
Side effects that you should report to your doctor or health care professional as soon as possible:
- allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
- breathing problems
- low blood counts - this medicine may decrease the number of white blood cells, red blood cells and platelets. You may be at increased risk for infections and bleeding
- nausea, vomiting
- redness, blistering, peeling or loosening of the skin, including inside the mouth
- signs and symptoms of bleeding such as bloody or black, tarry stools; red or dark-brown urine; spitting up blood or brown material that looks like coffee grounds; red spots on the skin; unusual bruising or bleeding from the eye, gums, or nose
- signs of infection - fever or chills, cough, sore throat, pain or difficulty passing urine
- signs and symptoms of liver injury like dark yellow or brown urine; general ill feeling or flu-like symptoms; light-colored stools; loss of appetite; nausea; right upper belly pain; unusually weak or tired; yellowing of the eyes or skin
- stomach pain
Side effects that usually do not require medical attention (Report these to your doctor or health care professional if they continue or are bothersome.):
- signs and symptoms of high blood sugar such as dizziness; dry mouth; dry skin; fruity breath; nausea; stomach pain; increased hunger or thirst; increased urination
- signs and symptoms of low blood sugar such as feeling anxious; confusion; dizziness; increased hunger; unusually weak or tired; sweating; shakiness; cold; irritable; headache; blurred vision; fast heartbeat; loss of consciousness
- weak or tired
What may interact with this drug?
Do not take this medicine with any of the following medications:
- St. John's Wort, Hypericum perforatum
This medicine may also interact with the following medications:
- certain medicines for blood pressure, heart disease, irregular heart beat
- certain medicines for blood pressure like amlodipine, felodipine, nifedipine
- certain medicines for cholesterol like atorvastatin, lovastatin, and simvastatin
- certain medicines for depression, anxiety, or psychotic disturbances
- certain medicines for erectile dysfunction
- certain medicines that treat or prevent blood clots like warfarin, enoxaparin, dalteparin, apixaban, dabigatran, and rivaroxaban
- ergot alkaloids like dihydroergotamine, ergotamine
- narcotic medicines for pain