Phesgo Side Effects
Generic name: hyaluronidase / pertuzumab / trastuzumab
Medically reviewed by Drugs.com. Last updated on Jan 14, 2025.
Note: This document provides detailed information about Phesgo Side Effects associated with hyaluronidase / pertuzumab / trastuzumab. Some dosage forms listed on this page may not apply specifically to the brand name Phesgo.
Applies to hyaluronidase / pertuzumab / trastuzumab: subcutaneous solution.
Important warnings
This medicine can cause some serious health issues
Subcutaneous route (solution)
Cardiomyopathy. Pertuzumab/trastuzumab/hyaluronidase-zzxf administration can result in subclinical and clinical cardiac failure manifesting as congesting heart failure, and decreased LVEF, with greatest risk when administered concurrently with anthracyclines.
Evaluate cardiac function prior to and during treatment.
Discontinue pertuzumab/trastuzumab/hyaluronidase-zzxf for cardiomyopathy.Embryo-fetal Toxicity. Exposure to pertuzumab/trastuzumab/hyaluronidase-zzxf can result in embryo-fetal death and birth defects.
Advise patients of these risks and the need for effective contraception.Pulmonary Toxicity. Discontinue pertuzumab/trastuzumab/hyaluronidase-zzxf for anaphylaxis, angioedema, interstitial pneumonitis, or acute respiratory distress syndrome.
Precautions
It is very important that your doctor check your progress closely and at regular visits to make sure that this medicine is working properly. Blood and urine tests may be needed to check for unwanted effects.
Receiving this medicine while you are pregnant can harm your unborn baby. If you are a woman who can bear children, your doctor may give you a pregnancy test before you start receiving this medicine to make sure you are not pregnant. You should use an effective form of birth control during treatment and for at least 7 months after the last dose. If you think you have become pregnant while receiving this medicine, tell your doctor right away.
This medicine may cause heart problems, including heart failure, thickening of the heart, heart rhythm problems, or high blood pressure. Your doctor may test your heart before and during treatment with this medicine. Contact your doctor right away if you experience any chest pain, fast, slow, or uneven heartbeat, increased coughing, trouble with breathing, a sudden difficulty with breathing at night, rapid weight gain, swelling in your ankles or legs, blurred vision, dizziness, or headache.
You may also have an increased risk of having heart problems if you receive an anthracycline medicine after treatment with this medicine. You should not receive an anthracycline medicine for up to 7 months after stopping treatment with this medicine.
Serious lung or breathing problems may occur after you receive this medicine and could be life-threatening. Check with your doctor right away if have changes in your breathing, chest tightness, or any type of breathing problem.
This medicine can temporarily lower the number of some types of blood cells in your body. Because of this, you may bleed or get infections more easily. To help with these problems, avoid being near people who are sick or have infections. Wash your hands often. Stay away from rough sports or other situations where you could be bruised, cut, or injured. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers.
This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and requires immediate medical attention. Tell your doctor right away if you have a rash, itching, hoarseness, trouble breathing or swallowing, or any swelling of your hands, face, or mouth after receiving this medicine.
Serious side effects of Phesgo
Along with its needed effects, hyaluronidase / pertuzumab / trastuzumab 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 hyaluronidase / pertuzumab / trastuzumab:
More common side effects
- black, tarry stools
- bladder pain
- bleeding, blistering, burning, coldness, discoloration of the skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site
- bloody or cloudy urine
- body aches or pain
- burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
- chest pain or tightness
- chills
- cough
- cracked lips
- decreased urine
- diarrhea
- difficult, burning, or painful urination
- difficult or labored breathing
- difficulty swallowing
- dry mouth
- ear congestion
- fever
- frequent urge to urinate
- general feeling of discomfort or illness
- headache
- increased thirst
- irregular heartbeat
- joint pain
- lack or loss of strength
- loss of appetite
- loss of voice
- lower back or side pain
- mood changes
- muscle pain or cramps
- nausea
- nosebleed
- numbness or tingling in the hands, feet, or lips
- pale skin
- redness, swelling, pain of the skin
- runny or stuffy nose
- scaling of the skin on the hands and feet
- seizures
- shivering
- sneezing
- sore throat
- sores, ulcers, or white spots on the lips, tongue, or inside the mouth
- sweating
- swelling of the hands, ankles, feet, or lower legs
- trouble sleeping
- unusual bleeding or bruising
- unusual tiredness or weakness
- vomiting
Less common side effects
- dizziness
- itching, skin rash
Rare side effects
- chest discomfort
- dilated neck veins
- thickening of bronchial secretions
- weight gain
Incidence not known
- agitation
- bleeding gums
- confusion
- decreased awareness or responsiveness
- depression
- hostility
- irritability
- joint stiffness or swelling
- loss of consciousness
- lower back, side, or stomach pain
- mood or mental changes
- muscle twitching
- pinpoint red spots on the skin
- severe sleepiness
- stomach cramps
- tremor
- unusual drowsiness, dullness, or feeling of sluggishness
Other side effects of Phesgo
Some side effects of hyaluronidase / pertuzumab / trastuzumab 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
- belching
- bleeding after defecation
- bone pain
- change in or loss of taste
- constipation
- difficulty in moving
- discoloration of the nails
- dry eye or skin
- feeling of warmth
- heartburn
- increased tearing of the eye
- indigestion
- pain and redness of the skin at the place of radiation treatment
- redness of the face, neck, arms and occasionally, upper chest
- stomach discomfort or upset
- thinning or loss of hair
- uncomfortable swelling around the anus
For healthcare professionals
Applies to hyaluronidase / pertuzumab / trastuzumab: subcutaneous solution.
Hematologic adverse events
- Very common (10% or more): Hemoglobin low (90%), absolute lymphocytes low (89%), leukocyte count low (82%), neutrophils low (68%), anemia (36%), platelets low (27%), neutropenia (22%)
- Common (1% to 10%): Leukopenia, febrile neutropenia[Ref]
Hypersensitivity
- Common (1% to 10%): Hypersensitivity[Ref]
Immunologic
- Common (1% to 10%): Influenza-like illness[Ref]
Local
- Very common (10% or more): Radiation skin injury (19%), injection site reaction (15%), procedural pain (13%)
- Common (1% to 10%): Injection site pain[Ref]
Musculoskeletal
- Very common (10% or more): Myalgia (25%), arthralgia (24%), pack pain (10%)
- Common (1% to 10%): Bone pain, pain in extremity, muscle spasms, musculoskeletal pain[Ref]
Ocular
- Common (1% to 10%): Lacrimation increased, dry eye[Ref]
Metabolic
- Very common (10% or more): Decreased appetite (17%), potassium low (17%), albumin low (16%), potassium high (13%), sodium low (13%), weight loss (11%)
- Common (1% to 10%): Hypokalemia, glucose low, sodium high[Ref]
Psychiatric
- Very common (10% or more): Insomnia (17%)[Ref]
Genitourinary
- Common (1% to 10%): Urinary tract infection[Ref]
Hepatic
- Very common (10% or more): Alanine aminotransferase high (58%), aspartate aminotransferase high (50%)
- Common (1% to 10%): Bilirubin high
Respiratory
- Very common (10% or more): Cough (15%), epistaxis (12%), upper respiratory infection (11%), dyspnea (10%)
- Common (1% to 10%): Rhinorrhea, nasopharyngitis, paronychia
- Frequency not reported: Dyspnea, interstitial pneumonitis, pulmonary infiltrates, pleural effusions, non-cardiogenic pulmonary edema, pulmonary insufficiency/hypoxia, acute respiratory distress syndrome, pulmonary fibrosis, exacerbation of chemotherapy-induced neutropenia[Ref]
Other
- Very common (10% or more): Asthenia (31%), fatigue (29%), pyrexia (13%)
- Common (1% to 10%): Edema peripheral, malaise
- Frequency not reported: Embryofetal toxicity[Ref]
Nervous system
- Very common (10% or more): Dysgeusia (17%), headache (17%), peripheral sensory neuropathy (16%), peripheral neuropathy (12%), dizziness (13%), paresthesia (10%)[Ref]
Renal
- Very common (10% or more): Creatinine high (84%)[Ref]
Cardiovascular
- Very common (10% or more): Hot flush (12%), left ventricular cardiac dysfunction (LVEF)
- Common (1% to 10%): Ejection fraction decreased
- Frequency not reported: Hypertension, arrhythmias, left ventricular cardiac dysfunction, disabling cardiac failure, cardiomyopathy, cardiac death[Ref]
Dermatologic
- Very common (10% or more): Alopecia (77%), rash (16%), dry skin (15%)
- Common (1% to 10%): Nail discoloration, erythema, dermatitis, nail disorder, palmar-plantar erythrodysesthesia syndrome
- Uncommon (0.1% to 1%): Pruritus[Ref]
Gastrointestinal
- Very common (10% or more): Nausea (60%), diarrhea (60%), stomatitis (25%), constipation (22%), vomiting (20%), mucosal inflammation (15%), dyspepsia (14%)
- Common (1% to 10%): Hemorrhoids, abdominal pain, abdominal pain upper[Ref]
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References
1. (2020) "Product Information. Phesgo (hyaluronidase / pertuzumab / trastuzumab)." Genentech
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Further information
Phesgo 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.