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The following unwanted side effects have been reported with pembrolizumab alone: Very widespread (might affect greater than 1 in 10 folks) lower in the variety of red blood cells decreased thyroid gland exercise feeling less hungry headache 147 shortness of breath; cough diarrhoea; stomach pain; nausea; vomiting; constipation itching; skin rash pain in muscle and bones; joint pain feeling tired; uncommon tiredness or weakness; swelling; fever Common (could have an effect on as much as 1 in 10 folks) lung infection lower within the number of platelets (bruising or bleeding extra easily); lower within the variety of white blood cell (lymphocytes) reactions related to the infusion of the medication overactive thyroid gland activity; sizzling flush decreased sodium, potassium, or calcium in the blood bother sleeping dizziness; inflammation of the nerves inflicting numbness, weak spot, tingling or burning pain of the legs and arms; lack of vitality; change in your sense of style dry eye irregular coronary heart rhythm high blood pressure irritation of the lungs inflammation of the intestines; dry mouth red raised rash typically with blisters; patches of pores and skin which have misplaced colour; dry, itchy skin; hair loss; pimples-like skin problem muscle pain, aches or tenderness; ache in arms or legs; joint ache with swelling chills; flu-like illness elevated liver enzyme ranges within the blood; elevated calcium within the blood; abnormal kidney function check Uncommon (could have an effect on as much as 1 in 100 folks) a decreased variety of white blood cells (neutrophils, leukocytes, and eosinophils) an immune disorder that can affect the lungs, pores and skin, eyes and/or lymph nodes (sarcoidosis) irritation of the pituitary gland situated at the base of the brain; decreased secretion of hormones produced by the adrenal glands; irritation of the thyroid sort 1 diabetes seizure inflammation of the eyes; eye pain, irritation, itchiness or redness; uncomfortable sensitivity to gentle; seeing spots inflammation of the covering of the heart; accumulation of fluid across the heart inflammation of the pancreas irritation of the liver thickened, typically scaly, skin progress; inflammation of the pores and skin; hair colour adjustments; small pores and skin bumps, lumps or sores irritation of the sheath that surrounds tendons irritation of the kidneys elevated degree of amylase, an enzyme that breaks down starch Rare (could affect up to 1 in 1,000 people) irritation response in opposition to platelets or pink blood cells; feeling weak, lightheaded, in need of breath or in case your pores and skin seems pale (signs of low level of pink blood cells, possibly because of a sort of anaemia known as pure pink cell aplasia); a situation known as haemophagocytic lymphohistiocytosis, where the immune system makes too many infection preventing cells known as histiocytes and lymphocytes that may cause varied symptoms a short lived inflammation of the nerves that causes ache, weakness, and paralysis within the extremities; a situation during which the muscular tissues turn into weak and tire easily irritation of the membrane across the spinal cord and brain, which may present as neck stiffness, headache, fever, eye sensitivity to mild, nausea or vomiting (meningitis); inflammation of the brain, which may current as confusion, fever, memory issues or seizures (encephalitis) irritation of the heart muscle, which can current as shortness of breath, irregular heartbeat, feeling tired, or chest ache 148 a hole in the small intestines tender red bumps underneath the pores and skin itching, pores and skin blistering, peeling or sores, and/or ulcers in mouth or in lining of nostril, throat, or genital area (toxic epidermal necrolysis or Stevens-Johnson syndrome) the next unwanted side effects have been reported in medical studies with pembrolizumab in combination with chemotherapy: Very widespread (could have an effect on more than 1 in 10 individuals) lower within the variety of red blood cells decreased variety of white blood cells; lower within the number of platelets (bruising or bleeding extra easily) decreased potassium within the blood; feeling much less hungry dizziness; headache; irritation of the nerves inflicting numbness, weak point, tingling or burning ache of the arms and legs; change in your sense of style shortness of breath; cough diarrhoea; nausea; vomiting; constipation; stomach pain skin rash; itching; hair loss ache within the muscles and bones; joint ache unusual tiredness or weak point; swelling; fever irregular kidney function test Common (may affect as much as 1 in 10 individuals) lung infection decreased number of white blood cells (neutrophils) with a fever reaction associated to the infusion of the medication thyroid gland issues decreased sodium or calcium in the blood bother sleeping dry eye irregular coronary heart rhythm high blood pressure inflammation of the lungs inflammation of the intestines; dry mouth pink raised rash, generally with blisters muscle ache, aches or tenderness; joint pain with swelling; pain in arms or legs inflammation of the kidneys; sudden kidney damage chills; flu-like sickness elevated calcium within the blood; increased liver enzyme ranges in the blood Uncommon (could affect as much as 1 in one hundred folks) irritation of the pituitary gland located on the base of the brain; inflammation of the thyroid; decreased secretion of hormones produced by the adrenal glands sort 1 diabetes seizure accumulation of fluid around the heart inflammation of the pancreas irritation of the liver thickened, typically scaly, skin progress; zits-like pores and skin problem; inflammation of the skin; patches of pores and skin which have lost color inflammation of the sheath that surrounds tendons elevated degree of amylase, an enzyme that breaks down starch; elevated bilirubin in the blood Rare (may affect up to 1 in 1,000 people) a decreased variety of white blood cells (eosinophils) irritation of the center muscle, which may current as shortness of breath, irregular heartbeat, feeling drained, or chest pain; inflammation of the overlaying of the heart hair colour changes; dry, itchy pores and skin; small pores and skin bumps, lumps or sores 149 the next side effects have been reported in scientific research with pembrolizumab together with axitinib: Very frequent (might affect greater than 1 in 10 folks) thyroid gland problems feeling less hungry headache; change in your sense of taste hypertension shortness of breath; cough; hoarseness diarrhoea; stomach pain; nausea; vomiting; constipation blisters or rash on palms of palms or soles of ft; skin rash; itching feeling drained; unusual tiredness or weakness; fever elevated liver enzyme ranges within the blood; abnormal kidney function test pain within the muscle tissue and bones; joint or muscle ache, aches or tenderness; pain in arms or legs Common (may have an effect on up to 1 in 10 people) lung an infection lower in the number of pink blood cells; decreased variety of white blood cells (neutrophils, leukocytes); lower in the variety of platelets (bruising or bleeding more simply) reaction related to the infusion of the medication irritation of the pituitary gland situated at the base of the mind; inflammation of the thyroid; decreased secretion of hormones produced by the adrenal glands decreased potassium, sodium or calcium within the blood bother sleeping dizziness; lack of energy; irritation of the nerves causing numbness, weak spot, tingling or burning ache of the legs and arms dry eye abnormal coronary heart rhythm irritation of the lungs irritation of the intestines; dry mouth purple raised rash, generally with blisters; pimples-like pores and skin drawback; inflammation of the pores and skin; dry, itchy pores and skin; hair loss inflammation of the liver muscle ache, aches or tenderness; joint or muscle pain with swelling; irritation of the sheath that surrounds tendons sudden kidney injury; inflammation of the kidneys swelling; flu-like sickness; chills elevated calcium in the blood; increased liver enzyme ranges in the blood Uncommon (might have an effect on as much as 1 in 100 individuals) decreased number of white blood cells (lymphocytes and eosinophils) sort 1 diabetes a condition during which the muscular tissues become weak and tire simply inflammation of the center muscle, which can present as shortness of breath, irregular heartbeat, feeling tired, or chest ache irritation of the eyes; eye ache, irritation, itchiness or redness; uncomfortable sensitivity to mild; seeing spots inflammation of the pancreas hair color adjustments; thickened, typically scaly, pores and skin progress; small pores and skin bumps, lumps or sores; patches of skin which have misplaced colour increased degree of amylase, an enzyme that breaks down starch Reporting of unwanted effects If you get any side effects, speak to your doctor medicine for bronchitis
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