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Erlotinib

Erlotinib Side Effects

Jenny Zhang, PharmD, BCOPConnie Zheng, PharmD
Reviewed by Jenny Zhang, PharmD, BCOP, Connie Zheng, PharmD
Last reviewed on October 4, 2022

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

  • Rash (up to 85%)
  • Diarrhea (up to 62%)
  • Loss of appetite (up to 52%)
  • Extreme tiredness (52%)
  • Cough (48%)
  • Difficulty breathing (up to 45%)
  • Nausea (33%)
  • Infection (24%)

Less Common Side Effects

  • Dry skin
  • Back pain
  • Chest pain
  • Itching
  • Nail changes or infection
  • Joint pain
  • Muscle pain
  • Eye inflammation (pink eye)

Erlotinib serious side effects

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

  • Stroke: severe headaches, visual changes, sudden confusion, weakness on one side of the body, dizziness, trouble speaking or walking
  • Serious lung problems: extreme tiredness, dry cough, trouble catching your breath (especially after an activity), fast and shallow breathing, chest discomfort
  • Kidney problems: blood in the urine, painful urination, dark urine
  • Liver damage: dark urine, right-sided stomach pain, yellowing of the eyes or skin, tiredness, loss of appetite, nausea, vomiting
  • Damage to the gut: fevers, chills, nausea, vomiting, feeling bloated, intense stomach pain
  • Severe skin reactions: painful blisters, skin wounds, peeling skin, painful sores in your mouth or around your eyes
  • Serious bleeds: bleeding or bruising that doesn’t stop or go away, large amount of bleeding, blood in the urine, throwing up blood, bloody or black and tarry stool

Source: DailyMed

The following Erlotinib 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 immediately if any of the following side effects occur:

More common

Burning, tingling, numbness or pain in the hands, arms, feet, or legs

cough or hoarseness

diarrhea (severe)

difficult or labored breathing

fever or chills

lower back or side pain

painful or difficult urination

rash (severe)

sensation of pins and needles

stabbing chest pain

tightness in the chest

Rare

Bloody or black, tarry stools

blurred vision

chest pain or discomfort

constipation

convulsions (seizures)

eye irritation or redness

inability to speak

pain or discomfort in the arms, jaw, back, or neck

severe stomach pain

slurred speech

sudden, severe chest pain

sudden, severe headache

sudden, severe weakness in the arm or leg on one side of the body

sweating

vision changes

vomiting of blood or material that looks like coffee grounds

Incidence not known

Agitation

blistering, peeling, or loosening of the skin

bloody nose

burning feeling in the chest or stomach

burning upper abdominal or stomach pain

confusion

dark-colored urine

darkening of the skin

decreased urine output

general feeling of tiredness or weakness

headache

increased thirst

irregular heartbeat

lethargy

light-colored stools

loss of appetite

mood changes

muscle pain or stiffness

muscle twitching

nausea or vomiting

rapid weight gain

red skin lesions, often with a purple center

sore throat

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

stomach pain, continuing

stupor

swelling of the face, ankles, or hands

tenderness in the stomach area

trouble breathing

unusual tiredness or weakness

yellow eyes or skin

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:

More common

Acid or sour stomach

belching

blemishes on the skin

bloated or full feeling

bone pain

burning, dry, or itching eyes

diarrhea (mild)

difficulty with moving

dizziness

dry eyes

dry skin

excess air or gas in the stomach or intestines

excessive tearing

fear

feeling sad or empty

feeling unusually cold

hair loss

headache

heartburn

indigestion

irritability

itching skin

joint pain

loss of interest or pleasure

nervousness

passing gas

pimples

rash, mild

redness, pain, or swelling of the eye, eyelid, or inner lining of the eyelid

shivering

stomach discomfort, upset, or pain

swelling

swelling or inflammation of the mouth

swollen joints

thinning of the hair

tiredness

trouble or inability to sleep

trouble with concentrating

weight loss

Less common

Loosening of the fingernails

redness or soreness around the fingernails

Incidence not known

Brittle and loose nails

discharge, excessive tearing

increased hair growth, especially on the face

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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