What should I watch for?
This drug may make you feel generally unwell. This is not uncommon, as chemotherapy can affect healthy cells as well as cancer cells. Report any side effects. Continue your course of treatment even though you feel ill unless your doctor tells you to stop.
This medicine may increase your risk to bruise or bleed. Call your doctor or health care professional if you notice any unusual bleeding.
Call your doctor or health care professional for advice if you get a fever, chills or sore throat, or other symptoms of a cold or flu. Do not treat yourself. This drug decreases your body's ability to fight infections. Try to avoid being around people who are sick.
You may need blood work done while you are taking this medicine.
You may get drowsy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you.
Do not become pregnant while taking this medicine. Women should inform their doctor if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your health care professional or pharmacist for more information. Do not breast-feed an infant while taking this medicine.
Common and Rare Side Effects
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:
Black, tarry stools
bloating or swelling of the face, arms, hands, lower legs, or feet
blood in the urine or stools
lower back or side pain
painful or difficult urination
pinpoint red spots on the skin
rapid weight gain
shortness of breath
tingling of the hands or feet
troubled breathing with exertion
ulcers, sores, or white spots in the mouth
unusual bleeding or bruising
unusual tiredness or weakness
unusual weight gain or loss
Incidence not known
Arm, back, or jaw pain
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
chest pain or discomfort
deep, dark purple bruises
difficulty with speaking
dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
fast, shallow breathing
fast, slow, pounding, or irregular heartbeat or pulse
flushed, dry skin
fruit-like breath odor
inability to move the arms, legs, or facial muscles
inability to speak
joint pain, stiffness, or swelling
loss of consciousness
pale, clammy skin
pounding in the ears
swelling of the eyelids, face, lips, hands, or feet
troubled breathing or swallowing
unexplained weight loss
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:
Abdominal or stomach pain
bleeding, blistering, burning, coldness, discoloration of the skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site
difficulty having a bowel movement (stool)
difficulty with moving
hair loss or thinning of the hair
lack or loss of strength
loss of appetite
muscle pain or stiffness
pain in the arms or legs
upper abdominal or stomach pain
Incidence not known
Acid or sour stomach
burning, dry, or itching eyes
continuous ringing or buzzing or other unexplained noise in the ears
darkening of the skin
eye discharge or excessive tearing
general feeling of discomfort or illness
muscle spasm, stiffness, or weakness
redness and swelling of the gums
redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid
stomach discomfort or upset
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.