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Temozolomide

Temozolomide Side Effects

Allison Baxley, PharmD, BCOPCydnee Ng, PharmD
Reviewed by Allison Baxley, PharmD, BCOP, Cydnee Ng, PharmD
Last reviewed on June 10, 2025

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

  • Tiredness (61%)
  • Hair loss (55%)
  • Nausea (49%)
  • Vomiting (29%)
  • Low appetite (27%)
  • Headache (23%)
  • Constipation (22%)

Less Common Side Effects

  • Diarrhea
  • Stomach pain
  • Rash
  • Dry skin
  • Cough
  • Shortness of breath
  • Blurry vision
  • Joint pain
  • Weakness
  • Dizziness
  • Trouble sleeping
  • Low white blood cell count
  • Low platelets
  • Injection site reactions, like pain and irritation (with the IV infusion only)

Note: Side effects listed for [[EDITOR|DRUG_DISPLAY_NAME]] by itself as maintenance therapy for glioblastoma. Side effects might differ when taken with radiation or for people with anaplastic astrocytoma.

Temozolomide serious side effects

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

  • Serious lung infection: fever, cough, trouble breathing, weakness
  • Serious liver problems: belly pain, yellow skin, yellow eyes, swollen belly
  • Low platelets: unexplained bruising, nosebleeds
  • Serious infection (from having low white blood cell counts): temperature of 100.4ºF or higher, with or without other symptoms, such as chills, cough, muscle aches, very fast heartbeat, confusion

Source: DailyMed

The following Temozolomide 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:

Less common or rare

Amnesia

black, tarry stools

blood in the urine or stools

convulsions

cough or hoarseness

fever or chills

lower back or side pain

muscle weakness or paralysis on one or both sides of the body

painful or difficult urination

pinpoint red spots on the skin

swelling of the feet or lower legs

unusual bleeding or bruising

Incidence not known

Abdominal or stomach pain or tenderness

blistering, peeling, or loosening of the skin

chest pain

clay colored stools

cough

decreased appetite

diarrhea

difficulty with swallowing

dizziness

fast heartbeat

headache

hives, itching, or skin rash

joint or muscle pain

nausea or vomiting

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

red skin lesions, often with a purple center

red, irritated eyes

sneezing

sore throat

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

tightness in the chest

troubled breathing

unusual tiredness or weakness

yellow skin or eyes

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

Constipation

Less common or rare

Anxiety

blurred or double vision

breast pain (in females)

burning or prickling feeling on the skin

confusion

diarrhea

difficulty with speaking

drowsiness

increased urge to urinate

loss of appetite

loss of muscle coordination

mental depression

runny or stuffy nose

trouble sleeping

unusual weight gain

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?

Allison is a Board Certified Oncology Pharmacist with more than 12 years of clinical experience in oncology. After completing her residency, she accepted a position at the OU Health Stephenson Cancer Center and she has remained there ever since.
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.

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