There is little information on how long it takes for the drug to take effect. The immune system is suppressed, and can cause an increased susceptibility to infections. The bone marrow may be suppressed and result in reductions in red blood cells, white blood cells, and platelets. Blood tests should be taken each month Suppression of hair cell growth may lead to a net loss of hair. Patients on cytoxan MAY have an increased risk of developing malignancies such as leukemia, bladder cancer, and other tumors.
Many side effects are generally reversible by reducing the dosage or stopping the medication.
Although this drug can have some serious side effects, it is of great value in the treatment of lupus, can help prolong life, preserve kidney function, and reduce symptoms.