What should I watch for?
Visit your doctor for checks on your progress. 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.
Be careful brushing and flossing your teeth or using a toothpick because you may get an infection or bleed more easily. If you have any dental work done, tell your dentist you are receiving 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 immediately if any of the following side effects occur:
blood in urine or stools
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
coughing up blood
cough or hoarseness
difficult or labored breathing
difficulty in moving
difficulty in swallowing
fever or chills
general feeling of discomfort or illness
increased menstrual flow or vaginal bleeding
lack or loss of strength
loss of appetite
lower back or side pain
muscle aching or cramping
muscle pains or stiffness
painful or difficult urination
pinpoint red spots on skin
prolonged bleeding from cuts
red or black, tarry stools
red or dark brown urine
shortness of breath
sores, ulcers, or white spots on lips or in mouth
swelling of hands, ankles, feet, or lower legs
tightness in chest
troubled breathing with exertion
unusual bleeding or bruising
unusual tiredness or weakness
fast, slow, or irregular heartbeat
headache (sudden and severe)
inability to speak
pain or discomfort in arms, jaw, back or neck
pounding in the ears
weakness in arm and/or leg on one side of the body (sudden and severe)
rapid, shallow breathing
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:
Difficulty having a bowel movement (stool)
sleepiness or unusual drowsiness
swelling or inflammation of the mouth
thinning of hair
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.