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Promacta

Promacta Side Effects

Mason DavisDaisy Chau, PharmD
Reviewed by Mason Davis, Daisy Chau, PharmD, Connie Zheng, PharmD
Last reviewed on April 11, 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

Long-term ITP and severe/refractory aplastic anemia:

  • Nausea (4-33%)
  • Fever (9-14%)
  • Tiredness (5-28%)
  • Cough (9-23%)
  • Headache (10-21%)
  • Diarrhea (9-21%)

The risk of developing these side effects depends on your dose.

Long-term hepatitis C:

  • Low red blood cell levels (anemia) (40%)
  • Fever (30%)
  • Tiredness (28%)
  • Headache (21%)
  • Nausea (19%)
  • Diarrhea (19%)

People with hepatitis C who reported side effects were also taking interferon and ribavirin together with Promacta (eltrombopag). All of the listed side effects for people with long-term hepatitis C might not be caused by Promacta (eltrombopag) alone.

Less Common Side Effects

  • Flu virus
  • Muscle pain
  • New or worsening cloudiness in the eye (cataracts)
  • Back pain
  • Tingling feeling

Promacta serious side effects

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

  • Liver damage: stomach swelling, dark stool or urine, tiredness, confusion, and yellowing of the skin or eyes
  • Blood clot in the liver: nausea, vomiting, abdominal pain, and diarrhea
  • Other types of blood clots: legs, (redness, pain, tenderness, swelling of the skin), lungs (cough, difficulty breathing, chest pain), heart attack (chest pain, pain in the arms or shoulders, pain in the neck or jaw), stroke (difficulty speaking, numbness on one side of the body, confusion)

Source: DailyMed

The following Promacta 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

Bloating or swelling of the face, arms, hands, lower legs, or feet

body aches or pain

chills

cough

difficulty with breathing

fever

headache

loss of voice

pain in the chest, groin, or legs, especially the calves

pale skin

rapid weight gain

runny nose

severe, sudden headache

slurred speech

sore throat

sudden loss of coordination

sudden, severe weakness or numbness in the arm or leg

tingling of the hands or feet

troubled breathing with exertion

unusual tiredness or weakness

unusual weight gain or loss

yellow eyes or skin

Less common

Bladder pain

blindness

blurred or decreased vision

bruising

burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

diarrhea

general feeling of discomfort or illness

hoarseness

joint pain

lower back or side pain

muscle aches and pains

nausea

pinpoint red spots on the skin

redness of the eye

shivering

sweating

tender, swollen glands in the neck

trouble sleeping

trouble swallowing

voice changes

vomiting

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

Decreased appetite

difficulty with moving

hair loss or thinning of the hair

itching skin

lack or loss of strength

muscle cramps or stiffness

swollen joints

Less common

Back pain

belching

bone pain

darkening of the skin

dry mouth

heartburn

indigestion

rash

stomach discomfort, upset, or pain

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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