Special precautions:  Check with your doctor or hospital emergency room immediately if severe headache, stiff neck, chest pains, or rapid heartbeat, with nausea and vomiting, occur while you are taking this medicine. These may be symptoms of a serious high blood pressure reaction. When taken with certain foods, drinks, or other medicines, procarbazine can cause very dangerous reactions. To avoid such reactions:  Do not eat foods that have a high tyramine content (most common in foods that are aged to increase their flavor), such as cheeses, sour cream, yogurt, pickled herring, chicken liver, canned figs, raisins, bananas, avocados, soy sauce, broad bean pods, yeast extracts, or meats prepared with tenderizers. Do not drink alcoholic beverages, including beer and wines (especially chianti and other hearty red wines).  

Side effects that usually do not require medical attention:  Drowsiness, muscle or joint pain; muscle twitching; nervousness; nightmares; nausea; vomiting; sweating; weakness; darkening of skin; dizziness or lightheadedness when getting up from a lying or sitting position; hair loss.   

“Each day I remove a shovelful of silt from my own grave. It gives me something to look forward to.” 

“You’re your own favorite corpse,” she interrupted. 

“It’s true.  And my love of the thought of my own demise becomes ever deeper as it is fed by the smell of my burning flesh, which fills my nostrils and infects the air around me.” 
She said: 

“Oh god, I am so stupid. . . such a fool, I’ve been destroying myself over your mixed signals, and you don’t even know what the hell signals you are giving. I seriously think you don’t even know you are doing it.” 

“Doing what, I said to myself, and then again, aloud.” 

“Quietly acting like you’re already dead. You like it—NO, you love it.  You’re your own favorite corpse (she said this twice). And at the same time, it seems like you’re begging for help, starved for love and in desperate need of it. Yet you politely throw your guests out of second-story windows. Who are you hiding from? People, or yourself? And you’re only excuse is guilt, you feel it and you pass it on to others. That’s the stupidest crock of shit I’ve ever heard.” 

“So I just changed Telly’s face around, made up all of the parts so he would look more convincing, so he would look more like he would be saying that, and then threw in some other odds and ends like some weird little monster dog jumping out of the picture—I pasted that one. And had some guy with a gun in the corner, and gave Telly one of those mouths from dental school opening wide.” 

Special precautions:  While you are using asparaginase, your doctor may want you to drink extra fluids so that you will pass more urine.  This will help prevent kidney and bladder problems and keep your kidneys working well. 

Side effects needing immediate medical attention:  Difficulty in breathing; joint pain; puffy face; skin rash or itching; severe stomach pain with nausea and vomiting.  

Other side effects needing prompt medical attention:  Yellowing of eyes and skin; confusion; drowsiness; fever, chills, or sore throat; flank or stomach pain; hallucinations; mental depression; nervousness; sores in mouth or on lips; swelling of feet or lower legs; tiredness; unusually frequent urination; unusual thirst; convulsions (seizures); severe headache.  

After you stop receiving this medicine, it may still produce some side effects that need attention. During this time check with your doctor immediately if you have severe stomach pain with nausea and vomiting.  

Side effects that do not usually require medical attention (unless prolonged or severe):  Headache; loss of appetite; nausea and vomiting; stomach cramps; weight loss.