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Arsenic Trioxide

Arsenic Trioxide Side Effects

Allison Baxley, PharmD, BCOPDaisy Chau, PharmD
Reviewed by Allison Baxley, PharmD, BCOP, Daisy Chau, PharmD
Last reviewed on July 16, 2024

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Nausea (75%)
  • Cough (65%)
  • Tiredness (63%)
  • Fever (63%)
  • Headache (60%)
  • Stomach pain (58%)
  • Vomiting (58%)
  • Faster heart rate (55%)
  • Diarrhea (53%)
  • Trouble breathing (53%)
  • Electrolyte changes in blood (up to 50%)
  • Higher white blood cells (50%)
  • Trouble sleeping (43%)
  • Rash (43%)
  • Swelling (40%)
  • Heart rhythm changes (40%)
  • Shivering (38%)
  • Sore throat (35%)
  • Itching (33%)
  • Joint aches (33%)
  • Numbness (33%)

Less Common Side Effects

  • Anxiety
  • Constipation
  • Nosebleeds
  • Muscle aches
  • Low blood pressure
  • Chest pain
  • Dizziness
  • Bone pain
  • Neck pain
  • Lower appetite
  • Depression
  • Vaginal bleeding
  • Blurred vision
  • Eye irritation
  • Dry eye
  • Earache
  • Ringing in the ears

Arsenic Trioxide serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Differentiation syndrome: fever, fluid build-up and swelling in the lower legs, weight gain, trouble breathing, low blood pressure, kidney problems
  • Changes in heart rhythm: lightheadedness, irregular heartbeat, blurry vision, fainting, loss of consciousness, seizures
  • Brain damage: confusion, loss of consciousness, muscle coordination problems, seizures

Source: DailyMed

The following Arsenic Trioxide side effects have also been reported

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 or nurse immediately if any of the following side effects occur:

More common

Chills

cough

decreased urine output

dry mouth

eye pain

general feeling of illness

headache

increased thirst

irregular heartbeat

loss of appetite

mood changes

muscle pain or cramps

nausea

numbness or tingling in hands, feet, or lips

seizures

sore throat

trouble breathing

unusual tiredness or weakness

vomiting

Less common

Black, tarry stools

bluish lips or skin

blurred vision

chest pain

dizziness or lightheadedness

fever

flushed, dry skin

fruit-like breath odor

increased hunger

increased urine output

irregular or pounding heartbeat or pulse

painful or difficult urination

sores, ulcers, or white spots on the lips or in the mouth

stomach ache or cramps

sweating

swollen glands

unexplained weight loss

unusual bleeding or bruising

unusual weight gain

Incidence not known

Agitation

anxiety

back pain

behavior changes similar to drunkenness

bleeding

blistering, peeling, or loosening of the skin

bloating

blood in the urine or stools

bluish fingernails, palms, or nailbeds

bruising

change in size, shape, or color of existing mole

cloudy urine

cold sweats

cool, pale skin

confusion

constipation

coughing that sometimes produces a pink frothy sputum

coughing or spitting up blood

dark urine

diarrhea

difficult, fast, noisy breathing

dilated neck veins

drowsiness

extreme tiredness or weakness

fainting

fast heartbeat

high fever

indigestion

irregular heartbeat, recurrent

irritability

joint pain

large hives, itching, or skin rash

loss of consciousness

mole that leaks fluid or bleeds new mole

painful blisters on the trunk of the body

pains in the stomach, side, or abdomen, possibly radiating to the back

pale skin

persistent bleeding or oozing from puncture sites, mouth, or nose

rapid, shallow breathing

red skin lesions, often with a purple center

red, irritated eyes

seeing, hearing, or feeling things that are not there

severe nausea

shakiness

stiff neck

sudden weight gain

tightness in the chest

swelling of the eyelids, lips, face, fingers, or lower legs

unsteadiness or awkwardness

vomiting of blood or material that looks like coffee grounds

yellow eyes or skin

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Confusion

muscle weakness, severe

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:

Less common

Belching

bone pain

feeling of warmth

heartburn

heavy non-menstrual vaginal bleeding

injection site pain, redness, or swelling

limb pain

mental depression

neck pain

nosebleeds

redness of the face, neck, arms, and occasionally, upper chest

trouble sleeping or getting to sleep

Incidence not known

Deafness

difficulty moving

earache

eye dryness, redness, or pain

loss of bowel or bladder control

night sweats

ringing in the ears

small red or purple spots on the skin

swelling of the abdominal or stomach area

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.

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