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Hydroxyurea side effects lessen over time?

Blood Cancers & Disorders | Last Active: Mar 31, 2023 | Replies (36)

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@springer44

I first found out about my high platelet count during my annual Medicare checkup last fall; it was 1.2 million. Around the same time, I found that I have celiac disease and I am anemic. My oncologist put me on a daily baby aspirin and 500 mg daily of Hydrea. I have my blood tested weekly to monitor results. My platelet count (PC) dropped quickly (down to around 600k). Then she started me on iron tablets to address the anemia. My PC count went back up to almost 1 million, so she said stop taking the iron. My oncologist has tried to manage the PC by adjusting how many days per week I take Hydrea. Since then (about 3-4 months ago) my PC has ranged from the upper 400k's to the upper 900k's. I had two surgeries during this time, which did cause some fluctuations in platelet, white and red blood cell counts (for one week only and then back to pre-surgery levels). This approach seemed like it was working, and we got to the point where one 500 mg Hydrea 6 days a week was showing a slow decline in PC (still above 500k until two weeks ago when it started climbing again. So now I'm back to taking Hydrea 7 days a week. The saga continues. I see my oncologist next week to see what happens next.

I have never suffered any side effects from the Hydrea, and after seeing the range of reactions that people are having, I consider myself quite lucky. Thankfully I have no other obvious symptoms due to PC at this time.

I am on otherwise healthy 68 year old guy that still plays hockey 3 days a week (when I'm not recovering from surgery). Finally, are you having a phlebotomy to reduce your PC, and it works? My doctor has not mentioned this as an option. Forgive me but that sounds so 17th century.

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Replies to "I first found out about my high platelet count during my annual Medicare checkup last fall;..."

I’m diagnosed with PV Polycythemia Vera. The phlebotomies are to lower my hematocrit but I’ve noticed it lowers the platelets as well. The HU is for the high platelets and slightly elevated red cells from the PV. I’d like the option to monitor the platelets with just the phlebotomies and see if my platelets stay acceptable but it’s too soon i guess. I was just diagnosed about 10 weeks ago. I’m a 56 yr old female with no other ailments. From what I’ve read, it takes some months to figure dosage/phlebotomies to get the PV stable