While mitoxantrone is effective, it does come with potential side effects. Common adverse reactions include nausea, vomiting, fatigue, and temporary hair loss. More severe side effects can include bone marrow suppression, leading to increased risk of infection, anemia, and bleeding. Although less cardiotoxic than anthracyclines, mitoxantrone can still cause cardiac issues, particularly with long-term use, necessitating regular heart function monitoring.
