Monitor your blood counts regularly, especially your white blood cell count (WBC), as low WBC is a common side effect. Your doctor will schedule blood tests to track this. A decrease in WBC increases your risk of infection; report any signs of infection immediately – fever, sore throat, chills – to your healthcare provider.
Liver function tests are also crucial. Mercaptopurine can affect your liver. Abnormal liver enzyme levels might necessitate a dose adjustment or discontinuation of the medication. Open communication with your doctor is vital for proactive management.
Nausea and vomiting are possible. Smaller, more frequent meals can often alleviate these symptoms. Your doctor might also suggest anti-nausea medication if needed.
Hair loss is a less frequent but reported side effect. It usually resolves once the medication is stopped.
Pancreatitis, though rare, is a serious side effect. Severe abdominal pain, particularly radiating to your back, requires immediate medical attention. This warrants prompt hospital evaluation.
Diarrhea is another potential side effect. Increasing fluid intake and dietary adjustments may help manage it. Speak to your doctor if diarrhea is persistent or severe.
Always discuss any new or worsening symptoms with your doctor. Early detection and management of side effects are key to successful treatment with mercaptopurine.
