Nab-paclitaxel can increase your risk of getting an infection. An infection is an emergency if you are having chemotherapy, and needs to be treated straight away.
If you have a high temperature, or you have any other signs of an infection, , call your chemotherapy team on the emergency number, or go to A&E and tell them you are having chemotherapy.
If you have runny poo (diarrhoea) more than four times a day, tell your chemotherapy team. They can give you medicines to help, or they can lower the dose of nab-paclitaxel until the diarrhoea is better. We have tips on dealing with diarrhoea.
You may also have trouble emptying your bowels (constipation). If this happens, drink lots of water and try to eat foods that are high in fibre, such as fruit and vegetables. Speak to your doctor about medicines that can help.
Fatigue (extreme tiredness)
Fatigue is a common side effect of nab-paclitaxel. It isn’t the same as feeling tired. Fatigue can make you feel weak and have problems concentrating.
Some people find that the fatigue starts a few hours to a few days after having chemotherapy, and starts to get better after a few days. There are things that you can do to help with fatigue. We have tips on coping with fatigue.
Nab-paclitaxel may also make you feel dizzy. Feeling tired and dizzy may affect your ability to drive. If you have these side effects, talk to your doctor about driving.
Feeling or being sick (nausea or vomiting)
This is a common side effect of nab-paclitaxel. You will normally be given anti-sickness medicines before your chemotherapy starts. If these medicines don’t help, speak to your chemotherapy team about changing to a different medicine. We have tips on coping with feeling and being sick.
Nab-paclitaxel may cause your hair to thin, or you may lose some hair – but it should grow back once your treatment stops.
Tingling and numbness in your fingers and toes
Nab-paclitaxel can affect the nerves in your hands and feet, which can cause tingling and numbness (peripheral neuropathy). This normally gets better after your treatment, but for some people it may never go away. Talk to your chemotherapy team if you have any tingling or numbness in your fingers or toes.
Bruising and bleeding
Nab-paclitaxel can lower the number of platelets in your blood – this is called thrombocytopenia. This can cause you to bruise more easily than normal, and you may be more likely to have nosebleeds or bleeding gums. Speak to your chemotherapy team straight away about any of these side effects.
Loss of appetite
During your treatment you may not feel like eating, and you may start to lose weight. Try eating small meals often. If your appetite doesn’t get better after a few days, tell your doctor or dietitian. We have tips on dealing with a loss of appetite.
Sore mouth and mouth ulcers
Nab-paclitaxel can make your mouth sore, or cause mouth ulcers which can be painful. Tell your chemotherapy team about any problems you have with your mouth. They can make sure you don’t have a mouth infection, and give you a mouthwash which should help.
Anaemia (feeling tired or dizzy)
Nab-paclitaxel can lower the number of red blood cells in your blood. This is called anaemia, and can make you feel tired, dizzy, or short of breath. If your red blood cell level is very low, you may need to be given blood through a drip. This is called a blood transfusion.
Wheezing or feeling short of breath
Nab-paclitaxel can cause wheezing, a cough, a high temperature or shortness of breath. If this happens, tell your chemotherapy team straight away. They can arrange for you to have tests to check how your lungs are working.
Some people have swelling in their feet, ankles, legs, fingers or face. This is because of a build-up of fluid, which is called oedema. This normally gets better by itself. If you have swelling in your feet, it may help to have your legs up on a cushion when you are sitting down. Your doctor may also be able to give you medicines to help.
Joint and muscle pain
Nab-paclitaxel can cause problems with your joints, such as swelling or pain. Your muscles may also feel weak or stiff. Tell your chemotherapy team if you have these side effects. They can give you painkillers. Make sure that you check your temperature before taking any painkillers. If you have a high temperature, tell your chemotherapy team.
Nab-paclitaxel can cause headaches. Tell your chemotherapy team if you have headaches – they can give you painkillers such as paracetamol or ibuprofen to help.
Sore, itchy eyes
Nab-paclitaxel can cause sore, itchy or watery eyes. Your chemotherapy team may need to give you some eye drops. Some people get blurred vision when taking nab-paclitaxel, but this isn’t common.