Bone marrow suppression: Low blood counts (thrombocytopenia, neutropenia, leukopenia, anemia)
Nausea and vomiting
Fatigue and weakness (asthenia)
Pain
Hair loss (alopecia)
Peripheral neuropathy (tingling or numbness in hands/feet)
Hearing changes (ototoxicity)
Changes in kidney or liver function tests
Electrolyte imbalances (low sodium, potassium, calcium, magnesium)
Allergic reactions (rash, itching, rarely anaphylaxis)
Mouth sores (mucositis)
Infections and bleeding due to low blood counts

Most side effects are reversible and manageable, but your care team will monitor your blood counts and organ function closely during treatment.