OXALIPLATIN KEY can have side effects.
Not all side effects reported for OXALIPLATIN KEY are included in this leaflet. Should your general health worsen or if you experience any untoward effects while taking OXALIPLATIN KEY, please consult your healthcare provider for advice.
If any of the following happens, stop receiving OXALIPLATIN KEY and tell your doctor immediately or go to the casualty department at your nearest hospital:
• swelling of the hands, feet, ankles, face, lips, mouth or throat, which may cause difficulty in swallowing or breathing,
• rash or itching,
• fainting,
• serious infection of the blood in addition to a reduction in white blood cells (neutropenic sepsis), which may be fatal,
• reduction in white blood cells accompanied by fever > 38.3 °C or a prolonged fever > 38 °C for more than one hour (febrile neutropenia),
• pain in the chest or upper back, difficulty breathing and coughing up blood (symptoms of clots in the lungs),
• unexpected bleeding or bruising due to widespread blood clots throughout the small blood vessels of the body (disseminated intravascular coagulation), which may be fatal. Blood clots, usually in the leg, which can cause pain, swelling or redness,
• headache, altered mental functioning, seizures (fits) and abnormal vision from blurriness to vision loss (symptoms of reversible posterior leukoencephalopathy syndrome, a rare neurological disorder),
• scarring and thickening in the lungs with difficulties in breathing, sometimes fatal (interstitial lung disease),
• serious infection of the blood and low blood pressure (septic shock), which may be fatal,
• kidney disease where you pass little or no urine (symptoms of Haemolytic-uraemic syndrome),
• stroke symptoms (including sudden severe headache, confusion, trouble seeing in one or both eyes, numbness or weakness of face, arm or leg usually on one side, face drooping, trouble walking, dizziness, loss of balance and speech difficulty),
• abnormal heart rhythm (QT prolongation), that can be seen on electrocardiogram (ECG), which may be fatal,
• pneumonia (serious lung infection) which may be fatal,
• abdominal pain, nausea, bloody vomit or vomit that looks like "coffee grounds”, or dark coloured/ tarry stools (symptoms of gastrointestinal ulcer, with potential bleeding or perforation), which may be fatal,
• decreased blood flow to the intestine/bowel (intestinal ischaemia), which may be fatal,
• muscle pain and swelling, in combination with weakness, fever, or red-brown urine (symptoms of muscle damage called rhabdomyolysis), which may be fatal.
These are all very serious side effects. If you have them, you may have had a serious allergic reaction to OXALIPLATIN KEY. You may need urgent medical attention or hospitalisation.
Tell your doctor immediately or go to the casualty department at your nearest hospital if you notice any of the following:
• abnormal bruising, bleeding or signs of infection such as a sore throat and high temperature,
• persistent or severe diarrhoea or vomiting,
• sore lips or mouth ulcers (stomatitis/mucositis),
• unexplained symptoms affecting your breathing system, such as non-productive cough, breathing difficulties,
• effects on the nerves (peripheral sensory neuropathy). you may feel a tingling and/or numbness in the fingers, toes, around the mouth or in the throat, which may sometimes occur in association with cramps. This side effect is often triggered by exposure to cold e.g. opening a refrigerator or holding a cold drink,
• you may also have difficulty in performing delicate tasks, such as buttoning clothes,
• some people have experienced a tingling shock-like sensation passing down the arms or trunk when the neck is flexed,
• OXALIPLATIN KEY can sometimes cause an unpleasant sensation in the throat, in particular when swallowing, and give the sensation of shortness of breath. This sensation, if it happens, usually occurs during or within hours of the infusion and may be triggered by exposure to the cold,
• decreased number of red blood cells, which may make the skin pale, and cause weakness or breathlessness. Your doctor will take blood to check that you have sufficient blood cells before you start treatment and before each subsequent course,
• blood abnormality (lack of platelets) caused by an allergic reaction associated with bruises and abnormal bleeding (immunoallergic thrombocytopenia),
These are all serious side effects. You may need urgent medical attention.