Anyone else find the side effects of Hydrea 500MG frightening?

Posted by eddb @eddb, Oct 1, 2023

I was diagnosed with having a blood cancer that looks and acts a lot like Polycythemia Vera (PV) about 6 years ago. I’ve been rolling along ok with (mostly monthly) phlebotomies, until a year or so ago. At that point my white blood cells and (most importantly) my platelet levels started to increase. The doc did a 2nd bone marrow extraction but I STILL tested negative for PV. After a CT scan and other tests were done to rule out any possible hidden bodily infections, my doc prescribed Hydrea 500 MG. I filled the script about a week and a half ago…and it is still sitting in a bag on my counter, unopened. I got seriously freaked out when I researched the drug and found all those nasty side effects associated with the drug.

Now, I’m sitting here knowing that my platelet count as of 3 days ago was 987 (over twice the normal level limit) and that I could throw a blood clot at anytime. I was holding off taking the drug, to get an appointment with a hematologist/oncologist for a 2nd opinion, but that appointment isn’t for another 10 days - I’m a nervous wreck! I do not want to take the chance with hydrea but I don’t want to clot. I don’t even have a real diagnosis other than suspicion of bone marrow cancer or the beginning stages of it….

I’d be curious to hear about what others have experienced while on this drug. Much appreciated!

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@janetbender

I recently began daily 500 mg HU for ET. Platelet count is 1 million.
My doc said it’s a “low dose” and side effects minimal with low dose.
I have long COVID and have longstanding side effects - nothing new that I’ve noticed.

A listed possible drug side effect of HU is SOB and I thought How Rude!
I looked it up and it means Short of Breath!!
Be careful what you read…

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I've had no side effects from 500mg Hydrea daily. I do get tired by afternoon but I have a lung/heart condition that caused that. A nap in the afternoon helps. I truly believe that whether you get side effects is all in your mindset. Don't read all the stuff on the internet!!

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@lambo1

I have been on Hydroxyurea for 5.5 years with virtually no side effects (other than my hair has become curlier!). I started at 500 mg a day and now only taking this three times a week and my platelets are in the normal range. Within three months of being diagnosed with ET I was also diagnosed with CLL and breast cancer. An overwhelming time to say the least, but things are all stable for now. Skin cancer is also an issue for me, and we know the risk is increased by both the medication and having CLL. But I am active - so far, so good!

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Welcome to Connect, @lambo1 You sure jumped in with both feet having all this medical excitement in a short amount of time. I’m happy to see everything is stable now and you’re doing so well.

Thank you for sharing your positive experience with Hydroxurea. Stories like yours can be so reassuring for anyone just starting hydroxy and feeling uncertain about what they’re facing with their new blood cancer diagnosis and having to start a treatment.

Do you take any medication for your CLL?

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@lambo1

I have been on Hydroxyurea for 5.5 years with virtually no side effects (other than my hair has become curlier!). I started at 500 mg a day and now only taking this three times a week and my platelets are in the normal range. Within three months of being diagnosed with ET I was also diagnosed with CLL and breast cancer. An overwhelming time to say the least, but things are all stable for now. Skin cancer is also an issue for me, and we know the risk is increased by both the medication and having CLL. But I am active - so far, so good!

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I’ve been on 1500 mg of hydrea daily for over 3 decades with minimal side effects and a stable platelet count for ET. Diagnosed when I was 20 and I just turned 56! I’m active and overall fairly healthy (except have strep throat now). I tend to pick up everything with this poor immune system… Anyway My doctor wants to switch me to interferon as he says hydrea for that long is not good. However my insurance doesn’t cover much of it. Monthly amount out of pocket is $2500, who can afford that. I’m not sure what to do. Looking for any suggestions. Thanks!!!

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I have been on Hydroxyurea for 5.5 years with virtually no side effects (other than my hair has become curlier!). I started at 500 mg a day and now only taking this three times a week and my platelets are in the normal range. Within three months of being diagnosed with ET I was also diagnosed with CLL and breast cancer. An overwhelming time to say the least, but things are all stable for now. Skin cancer is also an issue for me, and we know the risk is increased by both the medication and having CLL. But I am active - so far, so good!

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I recently began daily 500 mg HU for ET. Platelet count is 1 million.
My doc said it’s a “low dose” and side effects minimal with low dose.
I have long COVID and have longstanding side effects - nothing new that I’ve noticed.

A listed possible drug side effect of HU is SOB and I thought How Rude!
I looked it up and it means Short of Breath!!
Be careful what you read…

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Hola, si te sirve mi experiencia tengo 40 años y tomo hidrea desde los 32.
El valor de mis plaquetas a mejorado y el efecto secundario que tengo es el cansancio.
Aparte de eso, voy bien.
También tenía muchos miedos al comenzar.

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I have skin only Langerhans cell histiocytosis (LCH), a rare blood disease, chronic myelomonocytic leukemia (CMML) (an MDS/MPN crossover), and immune thrombocytopenia (ITP). These three rare blood diseases may be related, but it is not known because of a lack of research in rare diseases.
Diagnosed with the painful skin lesions off LCH in 2016, I tried many topical treatments and brachytherapy (radiation) without relief.
After a CBC in 2019 showed a platelets count dangerously low at 2, a bone marrow biopsy showed a diagnosis of CMML. My team of hematologists, and a cutaneous oncologist, decided to try hydroxyurea, often used for LCH and forCMML. It has been a miracle for me. I have had occasional headaches that are gone by 10 or 11am and a weight gain of 8-9 lbs. This is a small price to pay for the relief to the painful skin lesions and stability of my blood counts!
This is a very old medication, from the 1960s, that is commonly used very long term for Sickle cell disease in young people and usually with minimal side effects. If it is beneficial for our chronic blood diseases, we can be grateful. I understand that a few people have side effects that may be serious, but it is generally well tolerated and certainly proven!

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I was diagnosed with ET in 2020 and my hematologist put me on 500mg of HU. 1 capsule day one and 2 on day 2 and continuing with this pattern. My platelet counts are in the 400 range. I do take 80mg of aspirin as well as a few supplements because of gut issues related to the HU. I take 2 enzyme capsules and 1 probiotic capsule every day as well as Vitamin D for energy. I've had covid twice, even with the vaccine. Some small hair loss at first but it seems to have plateaued. I've developed Geographic Tongue which is annoying but not a problem. The HU did increase my tinnitus. But overall I can't tell if what I'm feeling is related to the HU or the ET., So, I stay very physically active and push myself to stay busy. I must say there are down times a few days a week where the fatigue does come....but I do rest and pace myself....then get up again and continue on!

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I've been on low dose hydrea for three years now. As long as I hydrate properly and take the med on a full stomach and do not drink alchohol, I do not have any adverse reactions. My hematologist has another patient on the same oral med for the last 20 years without major side effects. Oral hydrea is NOTHING like the intravenous chemo prescribed for things like breast/bladder/prostate cancers.

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I am 75 years old and have ET. I take 2(500) hydroxyurea every other day and 3 (500) on opposite days along with a full dose (325 mg) of aspirin every day. My last platelet count was 500. I have few side effects along with the expected fatigue. Certainly a lot better than the alternatives of risking stroke or death.

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