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Xgeva

Xgeva Side Effects

Kristianne Hannemann, PharmDDaisy Chau, PharmD
Reviewed by Kristianne Hannemann, PharmD, Daisy Chau, PharmD
Last reviewed on July 16, 2026

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

Cancer that has spread to the bones:

  • Tiredness (45%)
  • Low phosphate levels (32%)
  • Nausea (31%)

Multiple myeloma:

  • Diarrhea (34%)
  • Nausea (32%)
  • Low red blood cells (22%)
  • Back pain (21%)

Giant cell tumor of bone: (all ≥ 10%)

  • Joint pain
  • Back pain
  • Pain in the arms and legs
  • Tiredness
  • Headache
  • Nausea
  • Common cold symptoms
  • Muscle or bone pain
  • Toothache
  • Vomiting
  • Low phosphate levels
  • Constipation
  • Diarrhea
  • Cough

High calcium due to cancer:

  • Nausea (30%)
  • Shortness of breath (27%)
  • Reduced appetite (24%)
  • Headache (24%)
  • Swelling (24%)
  • Vomiting (24%)
  • Low red blood cell count (21%)
  • Constipation (21%)
  • Diarrhea (21%)

Less Common Side Effects

Cancer that has spread to the bones:

  • Shortness of breath
  • Diarrhea
  • Low calcium levels
  • Cough
  • Headache

Multiple myeloma:

  • Low platelet levels
  • Swelling
  • Low calcium levels
  • Upper respiratory tract infection
  • Rash
  • Headache

Giant cell tumor of bone:

  • Jaw problems
  • Low red blood cell count
  • Pneumonia
  • Back pain

High calcium due to cancer:

  • Tiredness
  • Infection

Xgeva serious side effects

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

  • Serious allergic reactions: dizziness, trouble breathing, tightness in your throat, swelling in your face and throat, itchiness, rash
  • Dangerously low calcium levels: tingling, numbness, muscle cramps, irregular heart rhythm, seizures, confusion
  • Osteonecrosis of the jaw: pain, swelling, exposed bone, bad breath, loose teeth, gum infection
  • Fractures: thigh pain, hip pain, groin pain

Source: DailyMed

The following Xgeva 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

Back pain

blistering, crusting, irritation, itching, or reddening of the skin

bloody or cloudy urine

cracked, dry, or scaly skin

difficult, burning, or painful urination

frequent urge to urinate

muscle or bone pain

pain in the arms or legs

rash

skin rash, encrusted, scaly, and oozing

swelling

Less common

Arm or jaw pain

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

body aches or pain

chest pain or discomfort

chest tightness or heaviness

chills

confusion

congestion

cough

difficulty with breathing

difficulty with moving

dryness or soreness of the throat

ear congestion

fast or irregular heartbeat

fever

headache

hoarseness

joint pain

loss of voice

muscle cramps in the hands, arms, feet, legs, or face

muscle stiffness

numbness and tingling around the mouth, fingertips, hands, or feet

pain in the lower back, bottom, upper leg, or hips

painful blisters on the trunk of the body

pale skin

rapid weight gain

runny or stuffy nose

seizures

sneezing

stomach cramps

swollen joints

tender, swollen glands in the neck

tremor

trouble swallowing

troubled breathing with exertion

unusual bleeding or bruising

unusual tiredness or weakness

unusual weight gain or loss

voice changes

Rare

Blood in the stool

change in bowel habits

clear or bloody discharge from the nipple

constipation

darkened urine

difficulty with eating

dimpling of the breast skin

indigestion

inverted nipple

itching, pain, redness, swelling, tenderness, or warmth on the skin

loss of appetite

lower back or side pain

lump in the breast or under the arm

lump or swelling in the abdomen or stomach

nausea

pains in the stomach, side, or abdomen, possibly radiating to the back

persistent crusting or scaling of the nipple

raised, firm, and bright red patches of the skin on the arm or leg

redness or swelling of the breast

sore on the skin of the breast that does not heal

stomach discomfort

unexplained weight loss

vomiting

yellow eyes or skin

Incidence not known

Heavy feeling in the jaw

loose teeth

pain, swelling, or numbness in the mouth or jaw

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:

Less common

Dizziness or lightheadedness

excess air or gas in the stomach or bowels

feeling of constant movement of self or surroundings

feeling of fullness

heartburn

lack or loss of strength

passing gas

redness, pain, itching, burning, swelling, or a lump under your skin where the shot was given

sensation of spinning

trouble sleeping

upper abdominal or stomach 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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