People living with ET and taking Hydrea: Anybody setting records?

Posted by lefsequeen @lefsequeen, Feb 5, 2021

I've been wondering if there are any stats on people who have lived the longest with ET and taking Hydrea? As I hit the 30-year mark soon, I'd like to know about long-term survivors! 🙂 Guess I'm looking for some encouragement--haha!

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I have been living with ET since my 50's, I am now 72. I didn't start taking any meds until I turned 60, as I was told this was a risk factor for stroke and blood clots. I have been taking hydroxyurea with an aspirin for 12 years. I am supposed to take 2 500MG capsules every day but I only take 1 as I cannot take the fatigue, drives my hematologist crazy! I have managed to live an active life without limitations until recently.

I am in otherwise good health but have recently had a hernia which I want repaired. It has now turned into an event as my platlet count with the 1 capsule of urea was 963. Surgeon won't proceed until count is under 500. So I am now on 3 capsules per day for the next few weeks. I am so tired I can't function.

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@claire39

Hello capacity.......I have had ET and myloproliferative neoplasm for almost three years now. The 500mgs of Hydrea seem to work okay for me. I take one every day. I understand what you mean about the blood Doctor being evasive about the disease and the treatment. When I ask questions he tells me to let him do the worrying and that he will take good care of me. That is why I joined the Mayo Clinic forum, to get answers and feedback from others with the same problems. For the most part I think I am doing well but I still have fatigue and a bit of itchiness, my face is always red with pinpoint marks and I have tried every cream available and nothing works. Do you have any symptons such as mine. I have heard from others that the doctors do not like to discuss details they are just interested in the blood work. If you have any questions that I might be able to answer please contact me.......Claire39

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so true about the blood work comment. My physician likes to check the platelet count and seems to ignore the fact that I am anemic. He does routinely check my metabolic counts and iron but I get frustrated trying to tell him that I am not interested in being so tired that I cant go about my life.

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@memere09

I have been living with ET since my 50's, I am now 72. I didn't start taking any meds until I turned 60, as I was told this was a risk factor for stroke and blood clots. I have been taking hydroxyurea with an aspirin for 12 years. I am supposed to take 2 500MG capsules every day but I only take 1 as I cannot take the fatigue, drives my hematologist crazy! I have managed to live an active life without limitations until recently.

I am in otherwise good health but have recently had a hernia which I want repaired. It has now turned into an event as my platlet count with the 1 capsule of urea was 963. Surgeon won't proceed until count is under 500. So I am now on 3 capsules per day for the next few weeks. I am so tired I can't function.

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Finding a balance between medications and their side effects can sure be challenging. I’m sorry to hear you’re so fatigued with taking Hydroxurea at the recommended dosage. I know right now you don’t have a choice because of the upcoming surgery. Your surgeon doesn’t want you to experience any blood clotting so it’s important to get your platelet level down to a healthy limit.
After surgery and recovery, maybe you can speak with your hematologist about adjusting your dosage to a different schedule? I know some members have mentioned their doctors have allowed them do something like alternate 1 pill per day/2 pills per day. Or 1 pill daily but twice per week they add the extra pill. It can minimize the side effects but also maintain a healthy platelet level.
In the meantime I hope your numbers get to a happy spot so that you can go ahead with your surgery! Do you have a target date for surgery?

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I have am 69 yo and been living with ET for 21 years.I have been on Hydrea and aspirin for 9 years. I am doing well. My platelets range around 600,000- 800,000. I cannot seem to get them below 550,000 without lowering all the other blood cells to a dangerously low level. I take hydrea 1,000 milligrams 4 days a week and 1,500 3 days a week. I do get tired but I just rest and read or watch movies and try to enjoy life. I walk and do yoga but I am thinking of adding swimming a couple of days a week. I am glad you are at the 30 year mark. I really have to follow all the best advise given in order to live well. For example, my body, mind and liver will not tolerate any alcohol, I have to drink at least 90 ounces of water per day, I need to exercise, I need to stay calm and centered and continue in therapy, I need to eat well and avoid gluten, and sugar and keep the dairy to a minimum. If I do these things I do not suffer as badly from pain, numbness, headaches and many other strange symptoms. It gives me hope that you are doing so well at 30 years. Thanks for posting. I wish you all the best.

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@memere09

I have been living with ET since my 50's, I am now 72. I didn't start taking any meds until I turned 60, as I was told this was a risk factor for stroke and blood clots. I have been taking hydroxyurea with an aspirin for 12 years. I am supposed to take 2 500MG capsules every day but I only take 1 as I cannot take the fatigue, drives my hematologist crazy! I have managed to live an active life without limitations until recently.

I am in otherwise good health but have recently had a hernia which I want repaired. It has now turned into an event as my platlet count with the 1 capsule of urea was 963. Surgeon won't proceed until count is under 500. So I am now on 3 capsules per day for the next few weeks. I am so tired I can't function.

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May your platelets continue to go down so that you can put the surgery behind you.

To better days ahead.

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@lynnevb

I have am 69 yo and been living with ET for 21 years.I have been on Hydrea and aspirin for 9 years. I am doing well. My platelets range around 600,000- 800,000. I cannot seem to get them below 550,000 without lowering all the other blood cells to a dangerously low level. I take hydrea 1,000 milligrams 4 days a week and 1,500 3 days a week. I do get tired but I just rest and read or watch movies and try to enjoy life. I walk and do yoga but I am thinking of adding swimming a couple of days a week. I am glad you are at the 30 year mark. I really have to follow all the best advise given in order to live well. For example, my body, mind and liver will not tolerate any alcohol, I have to drink at least 90 ounces of water per day, I need to exercise, I need to stay calm and centered and continue in therapy, I need to eat well and avoid gluten, and sugar and keep the dairy to a minimum. If I do these things I do not suffer as badly from pain, numbness, headaches and many other strange symptoms. It gives me hope that you are doing so well at 30 years. Thanks for posting. I wish you all the best.

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Please give swimming a try!

It unkinks the muscles, strengthens your heart and lifts your spirits.

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@loribmt

Finding a balance between medications and their side effects can sure be challenging. I’m sorry to hear you’re so fatigued with taking Hydroxurea at the recommended dosage. I know right now you don’t have a choice because of the upcoming surgery. Your surgeon doesn’t want you to experience any blood clotting so it’s important to get your platelet level down to a healthy limit.
After surgery and recovery, maybe you can speak with your hematologist about adjusting your dosage to a different schedule? I know some members have mentioned their doctors have allowed them do something like alternate 1 pill per day/2 pills per day. Or 1 pill daily but twice per week they add the extra pill. It can minimize the side effects but also maintain a healthy platelet level.
In the meantime I hope your numbers get to a happy spot so that you can go ahead with your surgery! Do you have a target date for surgery?

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Thank you for your encouragement. I am really a very bad patient! When I was first diagnosed I did get a second opinion from a hematologist at Mass General and she said not to really get concerned until the number hits 1 million. So I have never taken anymore than 1 pill per day. At that level I have energy and can stay active. More than that I get fatigued.
Obviously my regular hematologist is not too happy with me. LOL

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I’ve had ET for at least 30,maybe 40 years a kept my platelets down with Hydroxy with no symptoms or side affects until about 4 or 5 years when my anemia showed up. I was switched to Anagralide because the Hydroxy seemed to quit working. I need red blood cell transfusion every week or three I feel much better after them. Still not feeling like running around the block but I can tell when I’m needing blood. The threshold for getting blood is 22 hematocrit and the transfusions raise it to 24, 27 and once 30. 27 and 30 are good for 3 weeks. I can do anything I want, just not for very long.

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@bj87

I’ve had ET for at least 30,maybe 40 years a kept my platelets down with Hydroxy with no symptoms or side affects until about 4 or 5 years when my anemia showed up. I was switched to Anagralide because the Hydroxy seemed to quit working. I need red blood cell transfusion every week or three I feel much better after them. Still not feeling like running around the block but I can tell when I’m needing blood. The threshold for getting blood is 22 hematocrit and the transfusions raise it to 24, 27 and once 30. 27 and 30 are good for 3 weeks. I can do anything I want, just not for very long.

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I am sorry to hear there have been some changes with your ET, but glad you found some workarounds. I have heard from other patients that HU can lose its punch. Just wondering if your doc gave you any info about whether that is typical for those who are longtime patients. I'm 15 years from symptom onset (elevated platelets). Keeping fingers crossed for you!

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Thank you. I will ask about the effects of HU. That is something that I did not know

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