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Mitoxantrone

Mitoxantrone Side Effects

Connie Zheng, PharmDSonja Jacobsen, PharmD, BCPS, BCOP
Reviewed by Connie Zheng, PharmD, Sonja Jacobsen, PharmD, BCPS, BCOP
Last reviewed on January 19, 2024

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

Multiple sclerosis

Prostate cancer

  • Changes in blood cell counts (up to 87%)
  • Nausea (up to 61%)
  • Changes in alkaline phosphatase (up to 37%)
  • Tiredness (up to 34%)
  • Higher blood sugar levels (up to 31%)
  • Swelling (up to 30%)
  • Hair thinning (up to 29%)
  • Poor appetite (up to 25%)

Leukemia

  • Fever (up to 78%)
  • Nausea or vomiting (up to 72%)
  • Diarrhea (up to 47%)
  • Hair thinning (up to 37%)
  • Sepsis (up to 34%)
  • Sores or inflammation inside the mouth or gut (up to 29%)

Less Common Side Effects

  • Weakness
  • Headache
  • Irregular heartbeat
  • Constipation
  • Stomach pain
  • Stomach bleeds
  • Bleeding under the skin (small red or purple dots; bruise)
  • Nail bed changes
  • Cough
  • Shortness of breath
  • Throat infection
  • Fungal infections
  • Changes in weight

Please note: Side effects listed might not be from [[EDITOR|DRUG_DISPLAY_NAME]] alone. Some people who took [[EDITOR|DRUG_DISPLAY_NAME]] in clinical trials also took other anticancer medications.

Mitoxantrone serious side effects

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

  • Low blood cell counts (myelosuppression): feeling tired, getting infections more often, bruising and bleeding easily
  • Heart problems: shortness of breath, swelling of your ankles or feet, sudden weight gain, fast heartbeat, pounding in your chest

Source: DailyMed

The following Mitoxantrone 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 or nurse immediately if any of the following side effects occur:

More common

Black, tarry stools

bladder pain

bloody or cloudy urine

cough or shortness of breath

difficult, burning, or painful urination

dizziness

fainting

fast, slow, or irregular heartbeat

frequent urge to urinate

lower back or side pain

pale skin

stomach pain

swelling or inflammation of the mouth

troubled breathing with exertion

ulcers, sores, or white spots in the mouth

unusual bleeding or bruising

unusual tiredness or weakness

Less common

Blood in the urine or stools

decrease in urination

fever or chills

pinpoint red spots on the skin

seizures

sore, red eyes

swelling of the feet and lower legs

yellow eyes or skin

Rare

Blue skin at the place of injection

pain or redness at the place of injection

skin rash

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

Absent, missed, or irregular menstrual periods

back pain

body aches or pains

congestion

constipation

diarrhea

dryness or soreness of the throat

hair loss

headache

longer or heavier menstrual periods

nausea or vomiting

oral bleeding

pain or tenderness around the eyes and cheekbones

runny nose

sneezing

stopping of menstrual bleeding

stuffy nose

tender, swollen glands in the neck

thinning of the 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.

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Why trust our experts?

Connie Zheng, PharmD, is a drug information pharmacist at GoodRx and a licensed pharmacist in California. She has over 6 years of experience working in independent pharmacies.
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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