What should I watch for?
Your condition will be monitored carefully while you are receiving this medicine. You will need important blood work done while you are taking this medicine.
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.
This medicine may contain alcohol in the product. 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. Avoid alcoholic drinks.
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.
Common and Rare Side Effects
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:
Burning, numbness, tingling, or pain in the arms, hands, legs, or feet
swelling of the stomach, face, fingers, hands, feet, or lower legs
unusual tiredness or weakness
Black, tarry stools
blood in the urine or stools
difficult or labored breathing
difficulty with swallowing
fever or chills
hives or skin rash
itching, puffiness, or swelling of the eyelids or around the eyes, face, lips, or tongue
noisy, rattling breathing
pinpoint red spots on the skin
red, scaly, swollen, or peeling areas of the skin (severe)
tightness in the chest
troubled breathing while at rest
unusual bleeding or bruising
Chest pain or discomfort
decreased blood pressure
fast or irregular heartbeat
increased blood pressure
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:
dryness or soreness of the throat
skin rash or redness (mild)
sores or ulcers on the lips or tongue or inside the mouth
weakness in the arms, hands, legs, or feet
body aches or pain
change in the color of the fingernails or toenails
dry, red, hot, or irritated skin at the injection site
loosening or loss of the fingernails or toenails, sometimes painful
pain in the joints or muscles
pain, swelling, or lump under the skin at the injection site
tender, swollen glands in the neck
incidence not known
Burning, dry, or itching eyes
burning upper abdominal or stomach pain
difficulty having a bowel movement (stool)
discharge from the eyes
pain and redness of the skin at the place of earlier radiation treatment
redness, pain, or swelling of the eye, eyelid, or inner lining of the eyelid
tearing of the eyes
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.