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Sonidegib Side Effects

In Summary

Commonly reported side effects of sonidegib include: muscle spasm, musculoskeletal pain, and myalgia. See below for a comprehensive list of adverse effects.

For the Consumer

Applies to sonidegib: oral capsule

Along with its needed effects, sonidegib 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 immediately if any of the following side effects occur while taking sonidegib:

More common
  • Difficulty with moving
  • joint pain
  • muscle aching or cramping
  • muscle pains or stiffness
  • muscle spasms
  • swollen joints
  • Dark-colored urine
  • fever
  • muscle stiffness
  • unusual tiredness or weakness

Some side effects of sonidegib 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

For Healthcare Professionals

Applies to sonidegib: oral capsule


Adverse reactions reported in at least 2 patients that led to discontinuation of this drug were muscle spasms, dysgeusia, asthenia, increased lipase, nausea, fatigue, decreased appetite, alopecia, and decreased weight. Serious adverse reactions occurred in 18% of patients.[Ref]


75% of patients with increased serum creatinine had levels that remained within normal range.[Ref]

Very common (10% or more): Increased serum creatinine (92%), increased serum creatinine kinase (61%), muscle spasms (54%), musculoskeletal pain (32%), myalgia (19%)
Uncommon (0.1% to 1%): Rhabdomyolysis[Ref]


Very common (10% or more): Alopecia (53%), pruritus (10%)[Ref]


Very common (10% or more): Hyperglycemia (51%), decreased weight (30%), decreased appetite (23%)[Ref]

Nervous system

Very common (10% or more): Dysgeusia (46%), headache (15%)[Ref]


Very common (10% or more): Increased lipase (43%), nausea (39%), diarrhea (32%), abdominal pain (18%), increased amylase (16%), vomiting (11%)[Ref]


Very common (10% or more): Fatigue (41%), pain (14%)[Ref]


Very common (10% or more): Anemia (32%), lymphopenia (28%)[Ref]


Very common (10% or more): Increased ALT (19%), increased AST (19%)[Ref]


Frequency not reported: Amenorrhea[Ref]


1. "Product Information. Odomzo (sonidegib)." Novartis Pharmaceuticals, East Hanover, NJ.

Some side effects of sonidegib may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

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