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Mercaptopurine

Mercaptopurine Side Effects

Cydnee Ng, PharmDSonja Jacobsen, PharmD, BCPS, BCOP
Reviewed by Cydnee Ng, PharmD, Sonja Jacobsen, PharmD, BCPS, BCOP
Last reviewed on June 12, 2023

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

Less Common Side Effects

  • Mouth sores
  • Itchy skin or hives
  • Darkening of skin color
  • Infection

Mercaptopurine serious side effects

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

  • Low blood cell counts: fever, sore throat, frequent infections, unusual bleeding or bruising, pale skin, tiredness
  • Liver problems: yellowing of the skin or eyes, dark urine, pale stools, loss of appetite, stomach bloating

Source: DailyMed

The following Mercaptopurine 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

Black, tarry stools

bleeding gums

clay colored stools

cough or hoarseness

dark urine

decreased appetite

fever or chills

headache

loss of appetite

lower back or side pain

nausea, vomiting

painful or difficult urination

pale skin

pinpoint red spots on the skin

rash, itchy skin

stomach pain or tenderness

swelling of the feet or lower legs

trouble with breathing upon exertion

unusual bleeding or bruising

unusual tiredness or weakness

yellow eyes or skin

Less common

Chest pain

joint pain

sore throat

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

swollen glands

Incidence not known

Anxiety

blurred vision

cold sweats

coma

confusion

constipation

depression

diarrhea

dizziness

fast heartbeat

heartburn

increased hunger

increased sensitivity of the skin to sunlight

indigestion

joint pain, stiffness, or swelling

nervousness

nightmares

redness or other discoloration of the skin

seizures

severe sunburn

shakiness

slurred speech

stomach cramping or burning

vomiting of blood or material that looks like coffee grounds

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:

Less common

Darkening of the skin

Incidence not known

Hair loss or thinning of the hair

low sperm count

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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Cydnee Ng, PharmD
Reviewed by:
Cydnee Ng, PharmD
Cydnee Ng, PharmD, is a drug information pharmacist at GoodRx, where she lends her expertise to providing reader-friendly, accessible content about medications. She holds her pharmacist license in California.
Sonja Jacobsen, PharmD, BCPS, BCOP,  is a clinical oncology pharmacy specialist currently practicing in Seattle. She has been practicing as a pharmacist since 2015 and is licensed to practice in Washington state and North Carolina.

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