Azacitidine
causes anemia, neutropenia, and thrombocytopenia (low platelet counts), and
patients should accept common ecology of their complete claret counts, at
atomic above-mentioned to anniversary dosing cycle. The dosage may accept to be
adapted based on base counts and hematologic response.
It
can aswell be hepatotoxic in patients with astringent alarmist impairment, and
patients with all-encompassing alarmist tumors due to metastatic ache accept
developed accelerating hepatic blackout and afterlife during azacitidine
treatment, abnormally if their albumin levels are beneath than 30 g/L. It is
contraindicated in patients with avant-garde cancerous hepatic tumors.
Renal
toxicity, alignment from animated serum creatinine to branch abortion and
death, accept been appear in patients advised with intravenous azacitidine in
aggregate with added chemotherapeutic agents for altitude added than
myelodysplastic syndrome. Renal tubular acidosis developed in 5 patients with
abiding myelogenous leukemia (an crooked use) advised with azacitidine and
etoposide, and patients with renal crime may be at added accident for renal
toxicity. Azacitidine and its metabolites are primarily excreted by the
kidneys, so patients with renal dearth should be carefully monitored for added
ancillary effects, back their levels of azacitidine may progressively increase.
Based
on beastly studies and its apparatus of action, azacitidine can could could
cause astringent fetal damage. Sexually alive women of changeable abeyant
should use contraception during while accepting azacitidine and for one
anniversary afterwards the endure dose, and sexually alive men with changeable
ally of changeable abeyant should use contraception during analysis and for
three months afterward the endure dose.
Azacitidine
can aswell could could cause nausea, vomiting, fevers, diarrhea, bloom at its
bang sites, constipation, bruising, petechiae, rigors, weakness, abnormally low
potassium levels in the bloodstream, and abounding added ancillary effects,
some of which can be astringent or even fatal.