Summary

Commonly reported side effects of pentostatin include: skin rash. Continue reading for a comprehensive list of adverse effects.

Applies to pentostatin: intravenous powder for solution.

Serious side effects of Pentostatin

Along with its needed effects, pentostatin may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Serious side effects of Pentostatin

Along with its needed effects, pentostatin may cause some unwanted effects. Some side effects will have signs or symptoms that you can see or feel. Your doctor may watch for others by doing certain tests.

Also, because of the way these medicines act on the body, there is a chance that they might cause other unwanted effects that may not occur until months or years after the medicine is used. These delayed effects may include certain types of cancer. Discuss these possible effects with your doctor.

Check with your doctor immediately if any of the following side effects occur while taking pentostatin:

More common

• Cough or hoarseness
• fever or chills
• lower back or side pain
• pain
• painful or difficult urination
• skin rash or itching (sudden)
• unusual tiredness or weakness

Less common

• Anxiety or nervousness
• black, tarry stools
• blood in the urine or stools
• changes in vision
• chest pain
• confusion
• cramps in lower legs
• mental depression
• nosebleed
• numbness or tingling of the hands or feet
• pinpoint red spots on the skin
• shortness of breath
• sleepiness
• sore, red eyes
• sores in the mouth or on the lips
• stomach pain
• swelling of the feet or lower legs
• trouble with sleeping
• unusual bleeding or bruising

Other side effects of Pentostatin

Some side effects of pentostatin 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

• Diarrhea
• headache
• loss of appetite
• muscle pain
• nausea and vomiting
• skin rash

Less common

• Back pain
• bloating or gas
• constipation
• dry skin
• general feeling of discomfort or illness
• itching
• joint pain
• weakness
• weight loss

For Healthcare Professionals

Applies to pentostatin: intravenous powder for injection.

Hematologic

Very common (10% or more): Leukopenia (22%), thrombocytopenia, anemia, blood disorder, eosinophilia, hypochromic pancytopenia

Common (1% to 10%): Agranulocytosis, acute leukemia, febrile neutropenia, ecchymosis, lymphadenopathy, splenomegaly, hemorrhage, agranulocytosis

Uncommon (0.1% to 1%): Pure red cell aplasia, autoimmune hemolytic anemia, anemia-hemolytic, aplastic anemia hemolytic uremic syndrome, idiopathic thrombocytopenia purpura, thrombotic thrombocytopenia purpura

Rare (less than 0.1%): Autoimmune thrombocytopenia^[Ref]

Gastrointestinal

Very common (10% or more): Nausea/vomiting (63%), diarrhea (17%), abdominal pain (16%), stomatitis (12%)

Common (1% to 10%): Oral candidiasis, perianal abscess, dental abnormalities, dyspepsia, flatulence, gingivitis

Uncommon (0.1% to 1%): Acute gastroenteritis

Rare (less than 0.1%): Esophageal candidiasis

Frequency not reported: Constipation, dysphagia, glossitis, ileus^[Ref]

Dermatologic

Very common (10% or more): Rash (43%), pruritus (21%)

Common (1% to 10%): Furunculosis, abscess skin, mycotic skin infection, sweating, skin disorder, face edema, dry skin urticaria^[Ref]

Hepatic

Common (1% to 10%): Hepatic disorder, elevated liver function tests

Frequency not reported: Kidney function abnormal, nephropathy^[Ref]

Genitourinary

Common (1% to 10%): Urinary tract infection

Uncommon (0.1% to 1%): Cystitis

Frequency not reported: Amenorrhea, breast lump, impotence^[Ref]

Respiratory

Very common (10% or more): Cough (20%), upper respiratory infection (13%), rhinitis (11%), dyspnea (11%), pharyngitis

Common (1% to 10%): Sinusitis, pneumonia, bronchitis, E. coli pneumonia, fungal pneumonia, asthma

Uncommon (0.1% to 1%): Pulmonary aspergillosis, pulmonary aspergillosis

Frequency not reported: Bronchospasm, larynx edema^[Ref]

Nervous system

Very common (10% or more): Headache (17%)

Common (1% to 10%): Dizziness, paresthesia

Frequency not reported: Amnesia, ataxia, convulsions, dysarthria, encephalitis, hyperkinesia, meningism, neuralgia, neuritis, neuropathy, paralysis, syncope, twitching, vertigo^[Ref]

Cardiovascular

Common (1% to 10%): Chest pain, hypotension

Frequency not reported: Angina pectoris, arrhythmia, A-V block, bradycardia, extrasystoles ventricular, heart arrest, heart failure, hypertension, pericardial effusion, phlebitis, pulmonary embolus, sinus arrest, tachycardia, thrombophlebitis deep, vasculitis^[Ref]

Hypersensitivity

Common (1% to 10%): Allergic reaction

Rare (0.01% to 0.1%): Anaphylaxis^[Ref]

Ocular

Common (1% to 10%): Conjunctivitis

Frequency not reported: Amblyopia, dry eyes, labyrinthitis, lacrimation disorder, nonreactive eye, photophobia, retinopathy, abnormal vision, watery eyes^[Ref]

Musculoskeletal

Very common (10% or more): Myalgia (19%)

Common (1% to 10%): Osteomyelitis, arthralgia

Frequency not reported: Arthritis, gout^[Ref]

Metabolic

Very common (10% or more): Anorexia (13%)

Common (1% to 10%): Neurologic disorder, CNS/CNS toxicity

Frequency not reported: Hypercalcemia, hyponatremia^[Ref]

Immunologic

Very common (10% or more): Viral infection

Common (1% to 10%): (Herpes zoster, infection unspecified), cellulitis, bacterial infection, herpes simplex, sepsis, septic shock, staphylococcal infection, Graft versus host disease

Uncommon (0.1% to 1%): Clostridium difficile colitis, cytomegalovirus infection, graft failure

Frequency not reported: Influenza-like symptoms^[Ref]

Psychiatric

Common (1% to 10%): Confusion, insomnia, somnolence, anxiety, depression, nervousness

Frequency not reported: decrease/loss libido, emotional lability, hallucination, hostility, neurosis, thinking abnormal, dreaming abnormal^[Ref]

Oncologic

Common (1% to 10%): Neoplasms, skin carcinoma

Uncommon (0.1% to 1%): Tumor lysis syndrome

Frequency not reported: Acute leukemia, hemolytic anemia, aplastic anemia^[Ref]

Other

Very common (10% or more): Fever (46%), fatigue (42%), chills (19%), asthenia (12%)

Common (1% to 10%): Pain, peripheral edema

Frequency not reported: Hangover effect, deafness, earache, tinnitus, unusual taste^[Ref]

Renal

Common (1% to 10%): Urosepsis, elevated creatinine

Frequency not reported: Renal failure, renal insufficiency, renal stone^[Ref]