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
- Low platelet count (85%)
- Low white blood cell count (74%)
- Diarrhea (52%)
- Constipation (35%)
- Nausea (32%)
- Nerve pain (peripheral neuropathy) (32%)
- Back pain (27%)
- Sore throat, runny nose, and other symptoms of sinus or throat infections (27%)
- Rash (27%)
- Swelling of arms and legs (27%)
- Vomiting (26%)
Please note: The side effects above were reported by people in clinical trials who also took lenalidomide (Revlimid) and dexamethasone.
Less Common Side Effects
- Cough, trouble breathing, and other symptoms of bronchitis
- Clouding of the lens of the eye (cataract)
- Pink eye (conjunctivitis)
- Blurred vision
- Dry eye
- Shingles (herpes zoster infection)
Ninlaro serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- Severe loss of fluids and electrolytes: dizziness, confusion, fainting, feeling tired, feeling thirsty, dry skin, vomiting or diarrhea that’s difficult to stop, not making much urine
- Serious blood clots in small arteries: tiredness, nausea, vomiting, bruising, rash-like patches on the skin, nosebleeds, blood in the urine, pale skin
- Serious liver problems: tiredness, loss of appetite, nausea or vomiting, dark urine, stomach pain, yellowing of the eyes or skin
- Serious skin reactions: new or worsening rash, severe blistering or peeling of your skin, mouth sores
Source: DailyMed
The following Ninlaro side effects have also been reported
Side effects that you should report to your care team as soon as possible:
- Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
- Infection—fever, chills, cough, or sore throat
- Liver injury—right upper belly pain, loss of appetite, nausea, light-colored stool, dark yellow or brown urine, yellowing skin or eyes, unusual weakness or fatigue
- Pain, tingling, or numbness in the hands or feet
- Redness, blistering, peeling, or loosening of the skin, including inside the mouth
- Swelling of the ankles, hands, or feet
- TTP—purple spots on the skin or inside the mouth, pale skin, yellowing skin or eyes, unusual weakness or fatigue, fever, fast or irregular heartbeat, confusion, change in vision, trouble speaking, trouble walking
- Unusual bruising or bleeding
Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
- Constipation
- Cough
- Diarrhea
- Nausea
- Vomiting
