Hydroxyurea and Sun Exposure

Posted by johnnychips @johnnychips, Apr 28 1:28pm

I recently started taking Hydroxyurea (for ET) with seemingly minimal side effects if any. However, I've been reading about having to avoid the sun rays when taking the drug because of potential photosensitivity, rashes, sunburn and even skin cancer. I love the sun and planning on a getaway to the Caribbean armed with SPF 30 sunscreen. How paranoid should I be in spending time in the sun?

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Profile picture for irishnanny3 @irishnanny3

@1995victoria
Great advice. I’ve been on hydroxyurea since 2018
and have developed multiple skin cancers, several requiring MOHS
surgery. I avoid the sun, always wear spf 50 and
add a hat if I’m outdoors.
My dr doesn’t want to switch me to another @ since this one works so well to control my PV
I wish there was a bed to prevent skin cancers!

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@irishnanny3
Sure everyone knows I meant “med”😂

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Profile picture for irishnanny3 @irishnanny3

@irishnanny3
Sure everyone knows I meant “med”😂

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@irishnanny3

I loved your skin-cancer-preventing bed concept!

Much better than a tanning bed!!

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The worst side effect I have experienced with Hydroxyurea is the destruction of some of my red blood cells, leading to a low red cell count. Anyone else have this effect?

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Profile picture for jodyjazz @jodyjazz

@garyr443
Well this is another thing you can thank HU for, besides keeping your platelets lower.
I was born and raised in FL and got taken to the beach as cure for colds as a child. Now at this age, I prob shouldn't be out in the sun anyway. So take care of yourself its serious business.

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@jodyjazz Have you seen anything about using ginger to control platelet count? I'm especially interested in using ginger oil on my face to both protect from the sun and to remove rashes.

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I have been taking Hydroxyurea for 10 months now and last week I went in and them take blood and my platelets final came down to 366 so now I have to go back every 3 months know. Three months ago when I went in to checked my platelets level was 446.

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Profile picture for garyr443 @garyr443

The worst side effect I have experienced with Hydroxyurea is the destruction of some of my red blood cells, leading to a low red cell count. Anyone else have this effect?

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@garyr443 Yes, HU can reduce all blood cell counts. The trick is to find the HU dose that addresses platelet over production but doesn't tank everything else.

Remember that blood counts do fluctuate normally. So it's important to look at whether yr red cell number is not just reduced but below normal.

If you are dipping into below- or above-normal levels with anything, that would be something to discuss with your doc or hemo nurse.

In my experience (18 years w ET, 8 on HU), even if a number dips a bit below normal, they'll wait another 3-6 months to see if it recovers on its own.

Also, my hospital system has narrowed the normal range for several blood counts. So my other blood cells may not have taken dropped much, but suddenly they're classified as low.

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Profile picture for biggermike3 @biggermike3

I have been taking Hydroxyurea for 10 months now and last week I went in and them take blood and my platelets final came down to 366 so now I have to go back every 3 months know. Three months ago when I went in to checked my platelets level was 446.

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@biggermike3

Congrats on getting your count down so fast!

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Profile picture for nohrt4me (Jean) @nohrt4me

@garyr443 Yes, HU can reduce all blood cell counts. The trick is to find the HU dose that addresses platelet over production but doesn't tank everything else.

Remember that blood counts do fluctuate normally. So it's important to look at whether yr red cell number is not just reduced but below normal.

If you are dipping into below- or above-normal levels with anything, that would be something to discuss with your doc or hemo nurse.

In my experience (18 years w ET, 8 on HU), even if a number dips a bit below normal, they'll wait another 3-6 months to see if it recovers on its own.

Also, my hospital system has narrowed the normal range for several blood counts. So my other blood cells may not have taken dropped much, but suddenly they're classified as low.

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@nohrt4me Yes, I know all about the Hydroxyurea. As I've said, I've been using it, under my hematologist's supervision, for 12 years. If you read what I said about it, you would know it's Hydroxyurea's side-effect of destroying some of my red blood cells that is the problem, as well as the reason why I'll be replacing the Hydroxyurea with unsweetened cranberry juice in June. If this is successful in controlling my platelet count, I will continue the use of the cranberry juice indefinitely.

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Profile picture for garyr443 @garyr443

@jodyjazz Have you seen anything about using ginger to control platelet count? I'm especially interested in using ginger oil on my face to both protect from the sun and to remove rashes.

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@garyr443
Have not heard of Ginger for that purpose. Prob your best sheild if sunscreen for face and a wide brimmed hat. I hate to say this cause I hate suncreen and do not look good in a hat. But i don't look good in red face either:-

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Profile picture for garyr443 @garyr443

@jodyjazz Have you seen anything about using ginger to control platelet count? I'm especially interested in using ginger oil on my face to both protect from the sun and to remove rashes.

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@garyr443 Not specifically to control platelet count, although there may be that possibility. I'm going to try using unsweetened cranberry juice for that purpose and I'll see how it goes. The ginger I'll be using is more for dental health (hence the chewable ginger) and for skin care (hence the ginger oil). So, one thing I'll be looking at is whether the ginger oil can get rid of my facial rashes. I'll let you know how that goes. If it works, beyond that, I expect it may smooth a few wrinkles and make me look more like fifty than sixty (which is how old some people now think I am, despite my 74th birthday coming up in October).

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