Interferon-alfa often causes flu-like symptoms, such as fever, severe tiredness (fatigue), weakness, and muscle pain. People often feel sick while getting this treatment. That's one of the reasons it isn't used often. It can also cause liver problems, low blood cell counts, and confusion or mood changes.
Thalidomide and the medicines related to it can cause serious blood clots, including deep vein thrombosis (DVT) and pulmonary embolism (PE). They can also lower your blood cell counts. And they can cause constipation, nerve damage, nausea, and fatigue.