Necitumumab Side Effects
Medically reviewed by Drugs.com. Last updated on Feb 28, 2025.
Applies to necitumumab: intravenous solution.
Important warnings
This medicine can cause some serious health issues
Intravenous route (solution)
Cardiopulmonary arrest and/or sudden death have been reported with necitumumab in combination with gemcitabine and cisplatin.
Monitor serum electrolytes, including serum magnesium, potassium, and calcium. Hypomagnesemia has been reported with necitumumab plus gemcitabine and cisplatin.
Monitor for hypomagnesemia, hypocalcemia, and hypokalemia prior to each necitumumab dose and for at least 8 weeks after discontinuation.
Withhold treatment if grade 3 or 4 electrolyte abnormalities occur.
Precautions
It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly and to check for unwanted effects. Blood tests may be needed to check for unwanted effects.
Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant during therapy and for 3 months after the last dose of this medicine. If you think you have become pregnant while using the medicine, tell your doctor right away.
Hypomagnesemia may occur while you are receiving this medicine. Tell your doctor right away if you have drowsiness, mood or mental changes, muscle spasms or twitching, seizures, or unusual tiredness or weakness after receiving this medicine.
Blood clots may occur while you are receiving this medicine. Call your doctor if you have chest pain that may spread to your arms, jaw, back, or neck, coughing up blood, nausea, numbness or weakness in your arm or leg, or on one side of your body, sudden or severe headache, problems with vision, speech, or walking, trouble breathing, or unusual sweating.
This medicine may make your skin more sensitive to sunlight. Use a sunscreen when you are outdoors. Avoid sunlamps and tanning beds.
Infusion-related reactions may occur while you are receiving this medicine. Tell your doctor right away if you have the following symptoms: back pain, chest tightness, chills, fever, flushing, headache, nausea and vomiting, weakness, or trouble breathing.
Serious side effects of necitumumab
Along with its needed effects, necitumumab may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor or nurse immediately if any of the following side effects occur while taking necitumumab:
More common side effects
- abdominal or stomach cramps
- confusion
- convulsions
- decreased urine
- difficulty with breathing
- drowsiness
- dry mouth
- increased thirst
- irregular heartbeat
- loss of appetite
- mood or mental changes
- muscle cramps in the hands, arms, feet, legs, or face
- muscle pain or muscle spasms (tetany) or twitching
- nausea or vomiting
- numbness and tingling around the mouth, fingertips, or feet
- tremor
- unusual tiredness or weakness
Less common side effects
- anxiety
- back pain
- chest pain or discomfort
- chest tightness
- chills
- cough
- difficulty with speaking
- dizziness or lightheadedness
- double vision
- fainting
- fast heartbeat
- fever
- flushing
- headache
- heart stops
- inability to move the arms, legs, or facial muscles
- no breathing
- no pulse or blood pressure
- pain or discomfort in the arms, jaw, back, or neck
- pain, redness, or swelling in the arm or leg
- pains in the chest, groin, or legs, especially the calves of the legs
- severe headaches of sudden onset
- slow speech
- sudden loss of coordination
- sudden onset of slurred speech
- sudden shortness of breath or troubled breathing
- sudden vision changes
- sweating
- trouble breathing
- unconscious
Other side effects of necitumumab
Some side effects of necitumumab may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common side effects
- blemishes on the skin
- burning, dry, or itching eyes
- decreased weight
- diarrhea
- discharge or excessive tearing
- dry skin
- itching skin or rash
- loosening of the fingernails
- pimples
- rash with flat lesions or small raised lesions on the skin
- redness or soreness around the fingernails
- redness, pain, or swelling of the eye, eyelid, or inner lining of the eyelid
- swelling or inflammation of the mouth
For healthcare professionals
Applies to necitumumab: intravenous solution.
Cardiovascular adverse events
- Common (1% to 10%): Venous thromboembolic events (VTE), arterial thromboembolic events (ATE), phlebitis
- Frequency not reported: Cardiopulmonary arrest[Ref]
Dermatologic
- Very common (10% or more): Rash (44%), dermatitis acneiform (15%)
- Common (1% to 10%): Acne, pruritus, dry skin, skin fissures[Ref]
Gastrointestinal
- Very common (10% or more): Vomiting (29%), diarrhea (16%), stomatitis (11%)
- Common (1% to 10%): Dysphagia, mouth ulceration[Ref]
Local
- Frequency not reported: Infusion related reactions[Ref]
Metabolic
- Very common (10% or more): Hypomagnesemia (83%), hypocalcemia (45%), hypocalcemia (albumin corrected) (36%), hypophosphatemia (31%), hypokalemia (28%), weight loss (13%)[Ref]
Nervous system
- Very common (10% or more): Headache (11%)
- Common (1% to 10%): Dysgeusia[Ref]
Ocular
- Common (1% to 10%): Conjunctivitis (includes conjunctivitis, eye irritation, vision blurred, conjunctivitis bacterial, dry eye, visual acuity reduced, blepharitis, allergic blepharitis, conjunctiva hemorrhage, eye infection, eye pain, lacrimation increased, ocular hyperemia, Sjogren's syndrome, visual impairment, and eye pruritus)
- Frequency not reported: Eyelash trichomegaly[Ref]
Oncologic
- Frequency not reported: Non-Squamous NSCLC -increased toxicity and increased mortality[Ref]
Respiratory
- Very common (10% or more): Hemoptysis (10%)
- Common (1% to 10%): Pulmonary embolism, epistaxis, oropharyngeal pain[Ref]
Hypersensitivity
- Common (1% to 10%): Hypersensitivity reactions[Ref]
Immunologic
- Common (1% to 10%): Paronychia[Ref]
Musculoskeletal
- Common (1% to 10%): Muscle spasms[Ref]
Genitourinary
- Common (1% to 10%): Urinary tract infection, dysuria[Ref]
Other
- Common (1% to 10%): Pyrexia[Ref]
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References
1. British Medical Association. Royal Pharmaceutical Society of Great Britain. Joint Formulary Committee (2006) British National Formulary. http://bnf.org/bnf/
2. (2015) "Product Information. Portrazza (necitumumab)." Eli Lilly and Company
More about necitumumab
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Further information
Necitumumab side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.