Does anyone know about the long term side effects from adriamycin (doxorubicin)?

Possible AE's: May include infertility, heart dysfunction, bone marrow insuficiency, a second malignancy ( leukemia) - which may develop years after treatment has ended.

Anthracyclines....: All carry with their use risks for secondary malignancy, particularly acute myeloid leukemia. Likewise, there is a risk of myocardial damage, and this risk increases with cumulative dose (in doxorubicin equivalents). Infertility is also a risk, where risk also increases with dose. Because of these significant, long term adverse events, we monitor cumulative anthracycline dose and limit exposure.