What should I watch for?
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. You will need blood work done while you are taking this medicine.
This medicine may increase your risk to bruise or bleed. Call your doctor or health care professional if you notice any unusual bleeding.
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.
If you are going to have surgery or any other procedures, tell your doctor you are taking this medicine.
Do not become pregnant while taking this medicine or for 6 months after the last dose. Women should inform their doctor if they wish to become pregnant or think they might be pregnant. Men should not father a child while taking this medicine and for 3 months after stopping it. Do not donate sperm while taking this medicine and for 3 months after you stop taking this medicine. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information. Women who are able to become pregnant should use effective birth control during treatment and for at least 6 months after receiving the last dose. Talk to your healthcare provider about birth control methods that may be right for you. Do not breast-feed an infant while taking this medicine or for 1 month after the last dose.
Side Effects to watch for
Side effects that you should report to your doctor or health care professional as soon as possible:
- allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
- breathing problems, like shortness of breath, cough, or wheezing
- low blood counts - this medicine may decrease the number of white blood cells, red blood cells and platelets. You may be at increased risk for infections and bleeding.
- signs and symptoms of bleeding such as bloody or black, tarry stools; red or dark-brown urine; spitting up blood or brown material that looks like coffee grounds; red spots on the skin; unusual bruising or bleeding from the eye, gums, or nose
- signs and symptoms of a blood clot such as changes in vision; chest pain with breathing problems; severe, sudden headache; pain, swelling, warmth in the leg; trouble speaking; sudden numbness or weakness of the face, arm or leg
- signs and symptoms of low magnesium like muscle cramps or muscle pain; tingling or tremors; muscle weakness; seizures; or fast, irregular heartbeat
- signs and symptoms of infection like fever or chills; cough; sore throat; pain or trouble passing urine
- weak or tired
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
What may interact with this drug?
- antiviral medicines for hepatitis, HIV or AIDS
- certain medicines for fungal infections like fluconazole, ketoconazole, itraconazole, posaconazole, and voriconazole
- certain medicines for infections, such as ciprofloxacin, clarithromycin, erythromycin, telithromycin
- grapefruit juice
- Seville oranges
- St. John's Wort