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What are the long term side effects of rituximab?

Author

Mia Kelly

Published Jan 18, 2026

Does Rituxan cause any long-term side effects?

  • heart problems, such as heart attack or ventricular fibrillation (a type of abnormal heart rhythm)
  • blockage or tearing of your intestines.
  • kidney failure or other serious kidney problems.
  • serious infections, such as shingles.
  • reactivation of the hepatitis B virus*

How long can you stay on rituximab?

Rituxan can provide up to 6 months of symptom improvement from 1 course of treatment (2 infusions given 2 weeks apart). Be sure to talk with your doctor to find out if starting and continuing treatment with Rituxan is right for you.

What does Rituxan do to your body?

RITUXAN targets and attaches to the CD20 protein found on the surface of blood cells with cancer and some healthy blood cells. Once attached to the CD20 protein, RITUXAN is thought to work in different ways including: By helping your own immune system destroy the cancer cells. By destroying the cancer cells on its own.

What are the most common adverse effects of rituximab?

Common side effects may include:

  • low white and red blood cells (fever, chills, body aches, pale skin, unusual tiredness, infections);
  • nausea, diarrhea;
  • swelling in your hands or feet;
  • headache, weakness;
  • painful urination;
  • muscle spasms;
  • depressed mood; or.
  • cold symptoms such as stuffy nose, sneezing, sore throat.

What are serious risks of Rituxan?

Rituxan can increase your risk of getting infections and can lower the ability of your immune system to fight infections. People with serious infections should not receive Rituxan. Heart Problems: Rituxan may cause chest pain, irregular heartbeats, and heart attack.

36 related questions found

How long are you immunocompromised after rituximab?

While plasma cells and existing antibody levels are not affected, depletion of B cells following rituximab decreases humoral immune responses to primary antigens; in addition, as a result of prolonged decrease in MBCs, antibody production to recall antigens is decreased even 6-10 months after treatment (6).

Is rituximab an immunotherapy?

Rituximab was approved by the US Food and Drug Administration for use in DLBCL nearly 20 years ago. It was the first immunotherapy approved for specific use in cancer, and it quickly demonstrated a dramatic improvement in outcomes in patients with DLBCL when combined with chemotherapeutic agents.

Which of the following side effects is the most common reason for discontinuing rituximab?

The three most common reasons for rituximab discontinuation in RA were ineffectiveness, death and adverse events.

How do you feel after a Rituxan infusion?

After a Rituxan (rituximab) infusion you may experience certain side effects or adverse reactions that make you feel unwell. Rituxan affects different people in different ways, but the more common side effects include: Fever (high temperature), muscle aches, headaches and chills, which are signs of infection.

Does Rituxan cause neuropathy?

Conclusion: Although rare, acute worsening of the neuropathy can occur after Rituximab. The deterioration is however reversible within some weeks to several months.

Does rituximab lower immune system?

Rituximab suppresses the immune system. Therefore, serious fungal, bacterial, and new or reactivated viral infections (for example, hepatitis B or C, shingles) can occur during or after treatment with rituximab. Generally, rituximab is avoided in the presence of active, significant infections.

What is the difference between Rituxan and rituximab?

Rituxan is the trade name for rituximab. In some cases, health care professionals may use the trade name rituxan when referring to the generic drug name rituximab. Drug type: Rituximab is a monoclonal antibody. (For more detail, see "How this drug works" section below).

How many times can rituximab be given?

Administer RITUXAN as a single-agent every 8 weeks for 12 doses. Following completion of 6-8 cycles of CVP chemotherapy, administer once weekly for 4 doses at 6-month intervals to a maximum of 16 doses. Administer on Day 1 of each cycle of chemotherapy for up to 8 infusions.

Is there an alternative to rituximab?

Ofatumumab is a feasible alternative anti-CD20 therapy in patients intolerant of rituximab.

Can rituximab cause death?

You may experience a serious reaction while you receive or within 24 hours after receiving a dose of a rituximab injection product. These reactions usually happen during the first dose of a rituximab injection product and may cause death.

How safe is rituximab?

Over 540,000 patients worldwide have now received rituximab and serious adverse reactions have occurred in a small minority of patients, but for the great majority of patients, rituximab is safe and well tolerated.

Does rituximab cause fatigue?

These reactions usually involve fever and chills. Other side effects commonly seen with Rituximab include skin rash and itching, flushing, nausea, vomiting, fatigue, and headache; cold like symptoms; sensation of tongue or throat swelling; and difficulty breathing, including shortness of breath.

How do you know if rituximab is working?

Rituximab works by lowering the number of these B-cells, to reduce inflammation, pain, swelling and joint damage. If rituximab works for you, you'll probably notice an improvement in your symptoms 8-16 weeks after you start treatment.

Does rituximab make you gain weight?

Weight gain or weight loss

Some people took Rituxan afterward and some people didn't take any medication. Of the people who took Rituxan after chemotherapy, 11% gained weight. In comparison, 4% of people who didn't take medication after chemotherapy gained weight.

Can Rituxan cause memory loss?

may cause memory problems, confusion, sight loss and difficulty walking. It can be fatal. It has occurred in roughly 1 in 30,000 people exposed to rituximab. Those who have had chemotherapy or other immunosuppressive treatments seem to be most at risk.

Is rituximab chemotherapy or immunotherapy?

Rituxan (rituximab) is a monoclonal antibody medication that treats different types of blood cancer. Rituxan is also an immunotherapy medication, meaning it helps make the immune system better at fighting cancer. Different Rituxan formulations and biosimilars are available.

Can rituximab cause lung problems?

Rituximab induced lung disease is a rare but potentially fatal pulmonary toxicity which requires a high index of suspicion for early diagnosis and treatment.

What cancers are treated with rituximab?

Use in Cancer

Rituximab is approved to be used in alone or with other drugs to treat: Acute lymphoblastic leukemia or acute myeloid leukemia that is advanced and CD20 positive. Rituximab is used with chemotherapy in children aged 6 months and older whose cancer has not been treated.

Can you beat mantle cell lymphoma?

Mantle cell lymphoma (MCL) is an aggressive type of cancer, but you can go into remission with proper treatment.

Is rituximab used for Covid?

Prior treatment with cancer drug likely renders COVID-19 vaccine ineffective, study finds. Rituximab, a drug widely used in patients with lymphoma, blunts or eliminates the antibody response to COVID-19 vaccines if it is administered before them, Stanford researchers say.