Niraparib causing emotional problems

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Hi, I started on 200 mg Niraparib 2 weeks ago after 6 rounds of chemo for stage 4 ovarian cancer. 

After 10 days on the Niraparib, I started to feel very anxious, jumpy and tense. It's hard to explain - a bit like you've had 10 coffees, or waiting to go into the dentist for root canal surgery with no anaesthetic -that kind of stressed up feeling. I can also feel my heart jumping in my chest. It's getting worse every day and I can't really cope with feeling like this. 

I read in the Niraparib advice sheet on here that it can cause emotional problems, which I suppose is what's happening.  I really don't want to stop the Niraparib as I've been told my cancer will return, but at least the Niraparib may slow it down. I feel caught between a rock and a hard place .....

Does anyone have any advice? Or experienced the same thing? 

I would be so grateful for any advice. 

  • No experience of niraparib but was on olaparib for a few years and remember to feeling very "off" for weeks at the beginning. I did not like how I was feeling but decided to give it 2 months to see if things improved. They did improve. Not entirely but enough to enable me to keep taking it.

  • Hi there

    I don't have experience of Niraparib as yet but I also have stage 4 ovarian cancer, mine is a rare type called CLEAR CELL & I have been advised this is the drug my Oncologist wants me to take as maintenance treatment as Avastin (the recommended drug for clear cell) is causing so many side effects. 

    I wonder how I will react to this too? 

    What have your team advised? Do the symptoms calm down do you know? Xx

  • So far, they haven't advised anything apart from stop it and see.... But then, the cancer will come back quicker, so I really don't know what to do. I'm seeing the consultant in a couple of days so we'll see what they say. They don't seem very well informed on Niraparib generally, perhaps because it's a fairly new drug? One of the questions I will be asking is whether the symptoms will reduce with time. 

    I've stopped the Niraparib at the moment and do feel better without it. I'm really disappointed, I so wanted to be okay with it x

  • Hi

    i have been taking niraparib since July 2023. I was initially taking two tablets 200 mg and was ok with them for a couple of months . But the. I got terrible constipation and felt really unwell and my blood count went down. The nurse took me off the tablets for 2/3 weeks. I the saw my consultant again and she reduced the dose to 100mg a day. I have been fine since , occasional bouts of constipation but nothing major. Don’t know how much you are taking but it might be worth checking to see if it could be reduced.