Summary
Commonly reported side effects of pertuzumab include: anaphylaxis, cytokine release syndrome, hypersensitivity condition, and infusion related reaction. Continue reading for a comprehensive list of adverse effects.
Applies to pertuzumab: intravenous solution.
Warning
Intravenous route (Solution)
Pertuzumab can result in subclinical and clinical cardiac failure manifesting as decreased left ventricular ejection fraction and congestive heart failure. Evaluate cardiac function prior to and during treatment. Discontinue pertuzumab treatment for a confirmed clinically significant decrease in left ventricular function. Exposure to pertuzumab can result in embryo-fetal death and birth defects. Advise patients of these risks and the need for effective contraception.
Serious side effects of Pertuzumab
Along with its needed effects, pertuzumab 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 while taking pertuzumab:
More common
- Black, tarry stools
- burning, numbness, tingling, or painful sensations
- chills
- cough
- fast heartbeat
- fever
- hives, itching, or rash
- hoarseness
- joint pain, stiffness, or swelling
- lower back or side pain
- painful or difficult urination
- pale skin
- redness of the skin
- sore throat
- swelling of the eyelids, face, lips, hands, or feet
- tightness in the chest
- troubled breathing or swallowing
- ulcers, sores, or white spots in the mouth
- unsteadiness or awkwardness
- unusual bleeding or bruising
- unusual tiredness or weakness
- weakness in the arms, hands, legs, or feet
Other side effects of Pertuzumab
Some side effects of pertuzumab 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
- Body aches or pain
- change in taste
- cracked lips
- decreased appetite
- diarrhea
- dizziness
- dry skin
- ear congestion
- hair loss or thinning of the hair
- headache
- loosening of the fingernails
- loss of taste
- loss of voice
- nasal congestion
- nausea
- redness or soreness around the fingernails
- runny nose
- sneezing
- vomiting
- watering of the eyes
For Healthcare Professionals
Applies to pertuzumab: intravenous solution.
Cardiovascular
Common (1% to 10%): Left ventricular dysfunction (including congestive heart failure)[Ref]
Dermatologic
Very Common (10% or more): Alopecia (61%), rash (34%), nail disorder (23%), pruritus (14%)
Common (1% to 10%): Dry skin, palmar-plantar erythrodysesthesia syndrome[Ref]
Gastrointestinal
Very common (10% or more): Diarrhea (67%), nausea (42%), mucositis/mucosal inflammation (28%), constipation (25%), vomiting (24%), stomatitis (19%), dyspepsia (12%)[Ref]
Hematologic
Very common (10% or more): Neutropenia (53%), anemia (23%), leucopenia (20%), febrile neutropenia (13%)[Ref]
Hypersensitivity
Very common (10% or more): Hypersensitivity/anaphylactic reaction, infusion reaction/cytokine release syndrome[Ref]
Metabolic
Very common (10% or more): Decreased appetite (29%)[Ref]
Musculoskeletal
Very common (10% or more): Myalgia (24%), arthralgia (15%), pain in extremity (15%)[Ref]
Nervous system
Very common (10% or more): Peripheral neuropathy (21%), headache (21%), dysgeusia (18%), peripheral sensory neuropathy (14%), dizziness (13%)[Ref]
Ocular
Very common (10% or more): Increased lacrimation (14%)[Ref]
Psychiatric
Very common (10% or more): Insomnia (13%)[Ref]
Respiratory
Very common (10% or more): Cough (21%), upper respiratory tract infection (17%), dyspnea (16%), nasopharyngitis (13%)
Common (1% to 10%): Paronychia, pleural effusion, epistaxis
Uncommon (0.1% to 1%): Interstitial lung disease[Ref]
Other
Very common (10% or more): Fatigue (38%), peripheral edema (30%), asthenia (30%), pyrexia (19%), pain
Common (1% to 10%): Chills[Ref]