Chlorambucil

• Nausea and vomiting
• Diarrhea
• Mouth sores
• Changes in menstrual cycle (for women)
• Decreased white and red blood cells, platelets
• Tiredness and lack of energy may occur
  Do not drive a car or operate machinery. Avoid alcohol as it may make you feel more tired and drowsy.
• Changes in the menstrual cycle for women
• Numbness or tingling in hands or feet

Inform your doctor if any of the following occurs:

• Fever of 38 ˚C or higher
• Severe ulcers or sores in the mouth and throat
• Unusual bruising, bleeding or black sticky stools
• Sudden or gradual onset of cough, shortness of breath
• Pain or difficulty in urinating
• Seizures
• Yellowing of the eye whites and skin or dark tea-coloured urine
• Allergic reaction e.g. rash, swelling of eyelids and face

• Effective birth control should be used while taking Chlorambucil. Inform your doctor if you or your partner plan for or suspect pregnancy.
• To minimize infection risk, wash your hands after using the toilet and before handling food, and take precaution when visiting crowded places or being around sick people.