New to Hydrea for ET

Posted by mfeley @mfeley, Feb 22 5:24pm

I am a 73 year old very active woman who was recently diagnosed with Essential Thrombocythemia by having a high blood platelet in a CBC and then a bone marrow biopsy that confirmed the diagnosis with a CALr gene. I have no symptoms and am on no medications for anything else except for a yearly infusion of Reclast for the old bones. I run most days of the week and work out at the gym.
My oncologist hematologist says I will start on 500mg of Hydrea when I get back from my monthlong trip to sunny Costa Rica. Right now I’m just taking a baby aspirin. I’m not so afraid of the cancer as I am the treatment. I can overcome a lot of things but one I can’t is the fear of losing my hair. I’m just going to say this is all about vanity. I haven’t read much on this forum about this possible side effect. I’m looking for reassurance that this is a rare occurrence. I hope you can help. Thank you.

Interested in more discussions like this? Go to the Blood Cancers & Disorders Support Group.

@tamlyn74

My platelets were high in 2015 and I was basically dismissed by hem/onc I saw at the time. Was in the 600’s. I am pretty angry that no follow up was ever done. My current hem/onc was confused by this too.

Jump to this post

The same thing happen to be my levels were always low, when I saw it went from 324 to 600 in a year i asked the Dr. and she said she was worried about it to wait until next year. Good I went back and had my blood work done the following year because it had went up to the 700s. I had taken the covid vaccination and had shingles all in one year then the high platelets. They are back in the 200s hopefully she reduces my mg when in go back and pray the numbers stay down. I heard the go up and down.

REPLY

Glad to hear you say that, it is about vanity. I was afraid of losing my hair as well. I haven't loss any hair and to be honest my hair has grown longer. I do use organic hair products as well. I have talked with several people taking HU and they have not loss hair. My oncologist said that it doesn't cause hair loss. Another issue I have notice is skin discoloration I don't like that part of it either but, this could all be worse. If I start to lose hair , she would have to put me on another medicine. Just thankful that my platelets are down to the 200s and I feel good.

REPLY
@williamsjen

Hello, sorry to hear that HU did not work. i heard it had the least amount of side effects. You may want to try another specialist.

Jump to this post

Thank you @ williamsjen.

REPLY
@mw2023

Your transition from ET to PV--was that new diagnosis from symptoms, blood tests or bone marrow biopsy? I was diagnosed with ET in June 2023 but had higher than normal platelets for years. Only taking daily aspirin since waiting for platelets to reach over 800 before starting HU. I saw hematologist/oncologist last week and shockingly was told actually might have PV. Platelets staying in 600s but WBC, RBC, hemoglobin and hematocrit are showing a trend of increasing every 3 months. Waiting 2 weeks for another hormone test results that might show probable PV. I've done a lot of research on ET but didn't know about this possibility of transition to PV. My doctor immediately ordered HU which I've just started but no discussion of other available meds.
How long from your diagnosis of probable PV did they recommend Besremi? Did HU work ok for a long time with PV or was HU only successful with your ET? This is all news to me--I was just getting comfortable at 73 to living with ET but in 5 minutes last week that all changed. There was no time for questions and I wasn't even prepared to ask questions about a new diagnosis. So back to Mayo chat research.

Jump to this post

Aloha MW2023.. yes. found you!. I had a trend of increased WBC, HCT and within a month's time. So the increase was very slight, but new. I was diagnosed with ET in 1992.. so 33 years ago. I have been on HU mostly since then and I take an occasional ASA. (twice a week). My doctor does not talk to me so when I asked if I was transitioning to PV he said "no" but why would he recommend Besremi when its not approved for E.T. but for PV right now? I am currently looking for another hematologist that will spend more than 2 minutes with me. The amount of time I was on HU seemed like most of my life, and it works well for me, and one point my Doctor said I was "sensative" to it. We tried it more that once a day and I had too many symptoms. My platelets stay below 500 on one pill a day. If I go off the HU my platelets shoot up to 800 or 900 and I have symptoms. (TIAs, Headaches) My advise is to pin down your doctor and ask if transitioning to PV is normal for an ET patient. I had another blood test two days ago and all my counts went back down, including my HCT. So its the TREND that they are looking at to determine next steps. I wish my doctor would have discussed this more with me as well. It seems they only look at the numbers, and not the patient sometimes. What is the Hormone test they are doing? My doctor did not say anything about doing that. Thanks and good luck.. remember you are the patient and we both need to ask more questions as they run out of the room! Leene

Shared files

Leene Lab 6-16 (Leene-Lab-6-16.pdf)

REPLY
@williamsjen

Glad to hear you say that, it is about vanity. I was afraid of losing my hair as well. I haven't loss any hair and to be honest my hair has grown longer. I do use organic hair products as well. I have talked with several people taking HU and they have not loss hair. My oncologist said that it doesn't cause hair loss. Another issue I have notice is skin discoloration I don't like that part of it either but, this could all be worse. If I start to lose hair , she would have to put me on another medicine. Just thankful that my platelets are down to the 200s and I feel good.

Jump to this post

What is HU?

REPLY
In reply to @mmwagner46 "What is HU?" + (show)
@mmwagner46

What is HU?

Jump to this post

Hydroxyurea. or Hydrea which is a chemo medication you take orally. Very old medication, but seems to work for Myeloproliferative disorders like E.T, and Leukemia.

REPLY
Please sign in or register to post a reply.