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Side effects of Rucaparib
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Article source: Seagull Pharmacy
Jun 23, 2025

Rucaparib is a PARP inhibitor for the treatment of BRCA mutation-associated ovarian and prostate cancers, with significant efficacy and a variety of side effects, which are described in detail below.

Side effects of Rucaparib

While inhibiting tumor growth, Rucaparib may cause a series of adverse reactions. These side effects vary from patient to patient, but can be broadly divided into common reactions and potential risks. Understanding the symptoms and coping strategies for these reactions is important to improve the quality of life of patients.

Common adverse reactions

Nausea, fatigue, anemia, abnormal liver function (AST/ALT elevation), and digestive problems (eg, vomiting, diarrhea) are the most common side effects in ovarian cancer patients, occurring in more than 10% of patients. Prostate cancer patients are more likely to experience symptoms such as fatigue, rash, and thrombocytopenia. These reactions are usually mild to moderate, but may affect the patient's adherence to treatment.

Potentially serious risks

In addition to the usual symptoms, Rucaparib can cause myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML), which can be fatal. In addition, embryo-fetal toxicity is another significant risk, and women who are pregnant or planning to become pregnant require strict contraception.

Side effects management of Rucaparib should be tailored to the individual situation. Through medical intervention and self-observation, patients can reduce the impact of adverse effects on the course of treatment and lay the foundation for the application of subsequent mitigation methods.

Ways and means to alleviate the side effects of Rucaparib

For the side effects of Rucaparib, patients can use both medical and lifestyle adjustments to reduce discomfort and maintain continuity of treatment. Scientific coping strategies can not only improve tolerance, but also help improve overall prognosis.

Dose adjustment and medical intervention

In the event of a serious adverse reaction, your doctor may recommend a temporary interruption of treatment or a dose reduction. For example, when the platelet count falls below 50×10⁹/L, the drug should be stopped until it is resumed. Nausea or vomiting may be combined with antiemetic drugs such as ondansetron. Patients with abnormal liver function require regular monitoring of AST/ALT and, if necessary, hepatoprotective therapy.

Lifestyle optimization

A regular routine and moderate exercise can help reduce fatigue. Patients can eat small, frequent meals to reduce the burden on the digestive tract while avoiding high-fat or irritating foods. Psychological support is equally important, and participating in a patient support group or counselling can relieve the stress of treatment and increase confidence in coping with side effects.

Through the synergistic management of medicine and lifestyle, patients can effectively control the impact of side effects on the body. On this basis, a reasonable diet will further optimize the treatment effect and safety.

Eating habits of Rucaparib patients

Diet plays an important role in cancer treatment, and proper nutrient intake can not only support the body's recovery, but also reduce the side effects of medications. Patients with Rucaparib need to pay special attention to food choices and dietary patterns to balance the need for treatment with physical tolerance.

Nutritional supplementation recommendations

People with anemia should increase foods rich in iron and vitamin B12, such as lean meats, spinach, and legumes. Patients with abnormal liver function should supplement with high-quality protein (e.g., fish, eggs) to promote liver cell regeneration and limit salt intake. For diarrhea symptoms, low-fiber foods such as bananas and rice can be consumed to stabilize intestinal function.

Dietary contraindications and precautions

Avoid foods that may affect drug metabolism, such as grapefruit or caffeinated beverages, to prevent aggravating side effects. Alcohol should be strictly avoided during treatment, as alcohol may increase the burden on the liver and interfere with the effectiveness of medications. In addition, raw or inthoroughly heated foods may increase the risk of infection, and immunocompromised patients should give preference to cooked foods.

Scientific dietary planning can provide patients with necessary nutritional support and reduce the probability of adverse drug reactions. By combining medical treatment with daily care, patients can cope with the challenges of treatment with greater ease and move towards recovery.

Note: For internal discussion among medical personnel only. For specific medication, please consult the attending physician. Drug information may change over time. For the latest information, we recommend adding a medical consultant or consulting for free online.
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