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Casgevy

Casgevy Side Effects

Ally Tsai, PharmDKristianne Hannemann, PharmD
Reviewed by Ally Tsai, PharmD, Kristianne Hannemann, PharmD
Last reviewed on December 11, 2025

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

SCD:

  • Lower blood cell counts (up to 100%)
  • Mouth sores (86%)
  • Fever related to low blood cell counts (48%)
  • Reduced appetite (41%)

β-thal:

  • Lower blood cell counts (up to 100%)
  • Mouth sores (71%)
  • Fever related to low blood cell counts (54%)

Less Common Side Effects

SCD:

  • Muscle pain
  • Stomach pain
  • Gallstones
  • Itching
  • High bilirubin

β-thal:

  • Reduced appetite
  • Nosebleed
  • Rise in liver enzymes
  • Liver problems

Casgevy serious side effects

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

  • Severe allergic reaction: hives, swelling of the face or throat, trouble breathing

Source: DailyMed

The following Casgevy side effects have also been reported

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
  • Bleeding—bloody or black, tar-like stools, vomiting blood or brown material that looks like coffee grounds, red or dark brown urine, small red or purple spots on skin, unusual bruising or bleeding
  • Infection—fever, chills, cough, or sore throat

Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):

  • Back pain
  • Loss of appetite
  • Pain, redness, or swelling with sores inside the mouth or throat
  • Stomach pain
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