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Megestrol

Megestrol Side Effects

Julia Lee, PharmD, BCOPDaisy Chau, PharmD
Reviewed by Julia Lee, PharmD, BCOP, Daisy Chau, PharmD
Last reviewed on April 7, 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

  • Weight gain
  • Increased appetite
  • High blood sugar

Less Common Side Effects

  • Nausea
  • Vomiting
  • Vaginal bleeding
  • Hair loss
  • High blood pressure
  • Carpal tunnel syndrome
  • Mood changes
  • Hot flashes
  • Feeling unwell or weak
  • Sweating
  • Skin rash

Megestrol serious side effects

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

  • Blood clots: legs (pain, swelling, warm to the touch, redness), lungs (trouble breathing, chest pain, cough)
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Source: DailyMed

The following Megestrol side effects have also been reported

Along with their needed effects, progestins used in high doses sometimes cause some unwanted effects such as blood clots, heart attacks, and strokes, or problems of the liver and eyes. Although these effects are rare, some of them can be very serious and cause death. It is not clear if these problems are due to the progestin. They may be caused by the disease or condition for which progestins are being used.

The following side effects may be caused by blood clots. Although not all of these side effects may occur, if they do occur they need immediate medical attention.

Get emergency help immediately if any of the following side effects occur:

Rare

Symptoms of blood clotting problems, usually severe or sudden, such as:

headache or migraine

loss of or change in speech, coordination, or vision

numbness of or pain in chest, arm, or leg

unexplained shortness of breath

Check with your doctor as soon as possible if any of the following side effects occur:

More common

Changes in vaginal bleeding (increased amounts of menstrual bleeding occurring at regular monthly periods, lighter vaginal bleeding between menstrual periods, heavier vaginal bleeding between regular monthly periods, or stopping of menstrual periods)

symptoms of blood sugar problems (dry mouth, frequent urination, loss of appetite, or unusual thirst)

Less common

Mental depression

skin rash

unexpected or increased flow of breast milk

Rare

For megestrol—During chronic treatment

Backache

dizziness

filling or rounding out of the face

irritability

mental depression

nausea or vomiting

unusual decrease in sexual desire or ability in men

unusual tiredness or weakness

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

Abdominal pain or cramping

bloating or swelling of ankles or feet

blood pressure increase (mild)

dizziness

drowsiness (progesterone only)

headache (mild)

mood changes

nervousness

pain or irritation at place of injection site

swelling of face, ankles, or feet

unusual or rapid weight gain

Less common

Acne

breast pain or tenderness

brown spots on exposed skin, possibly long-lasting

hot flashes

loss or gain of body, facial, or scalp hair

loss of sexual desire

trouble in sleeping

Not all of the side effects listed above have been reported for each of these medicines, but they have been reported for at least one of them. All of the progestins are similar, so any of the above side effects may occur with any of these medicines.

After you stop using this medicine, your body may need time to adjust. The length of time this takes depends on the amount of medicine you were using and how long you used it. During this period of time check with your doctor if you notice the following side effect:

Delayed return to fertility

stopping of menstrual periods

unusual menstrual bleeding (continuing)

For megestrol

Dizziness

nausea or vomiting

unusual tiredness or weakness

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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Why trust our experts?

Julia is a clinical hematology/oncology pharmacist working in the San Francisco Bay Area. She has 3 years of experience as a practicing pharmacist at academic medical centers, with 2 years at National Comprehensive Cancer Network member hospitals.
Daisy Chau, PharmD
Reviewed by:
Daisy Chau, PharmD
Daisy Chau, PharmD, is the drug information pharmacist manager at GoodRx. She is licensed in California and has more than 6 years of experience working as a pharmacist in drug information.

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