Therapy will render a patient susceptible to infections. Maintaining strict personal hygiene is very important. Antibacterial soap can be used to combat skin bacteria, and the mouth should be kept clean. Anaemia and thrombocytopaenia are common and patients should be encouraged to recognise and report symptoms such as lethargy, headaches, nose bleeds and bruising. Red blood cell and platelet transfusions are required to correct these symptoms.
Symptoms usually abate several months after completion of treatment.
Other symptoms may include muscle weakness, poor co-ordination, unsteadiness and constipation. Constipation may be improved by eating a high fibre diet, or by taking laxatives. This is a common side effect. Hair will eventually grow back several weeks after completion of treatment. If nausea persists, further medication is offered.