Has anyone had experience with Jakafi?

Posted by papa6275 @papa6275, Aug 5, 2023

I was diagnosed with polycythemia November 23, although it is likely I had it for a significant period prior. I tolerated the hydrea well for three months, then became quite ill as a reaction to the hydrea. After trying to "restart" several times, the same reaction occurred. My oncologist then started me on Jakafi about 10 days ago and, so far, no side effects as I am tolerating the medication well. If all goes well, this is a medication that makes you feel as if you are cured as it controls HCT, WBC, platelets, and iron levels, without phlebotomy. Please advise if you have been on Jakafi and what your experience has been.

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I've been on Jakafi since December 2022 and I've not had any bad side effects. Initially I had frequent headaches but they have been resolved. About 2 months ago I experienced extreme shortness of breath, but it is now getting better. May be related to fluid in the bottom of my right lung.

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I am now 65 and have been taking Hydroxyurea for 10 years to keep my platelets in control from Essential Thrombocythemia with JAK2 mutation. I've had no known side effects from Hydroxyurea and have lived, as though I didn't have ET. Unfortunately, my disease has transitioned into Myelofibrosis with a TP53 mutation and Splenomegaly (an enlarged spleen), a common result of Myelofibrosis. I've been taking Jakafi for 3 months, with the goal of reducing the size of my spleen, before a scheduled Bone Marrow Transplant (also known as a Stem Cell Transplant). I have had no known side effects from taking Jakafi, along with Hydroxyurea. What I have found from reading many blogs and doing research is that everyone is unique in their reaction to both medications and the type of blood disorder. My humble advice is to do your research from credible sources, ask your doctor many questions and get a second opinion, if you feel you need one. It can be a daunting task to live with our blood disorders, both physically and mentally. I know personally, my biggest challenge lies ahead. Best of luck to you. Carpe Diem!

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@jrwilli1

My husband also takes jakafi for his GVHD and is weaning off now but didn’t have any side effects fortunately.

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Hi, you mentioned your husband was weaning off now regarding his taking Jakafi. Does it appear he'll no longer be needing this per his physician?

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@pamdg

I’m doing ok however I am having burning and tingling on the bottom of my feet. Especially in bed at night.

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I get that and am on Hydroxyurea but this is something that PV patients experience sadly.

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Taking 10mg of jakafi twice a day for two weeks with no side effects. I switched from hydroxyurea after a year because I had no improvement of fatigue complaints. We’ll see. My opinion right now is that hematologists don’t know much about polycythemia and treat symptoms as best they can. JJD

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@alive

I have been on Jakafi for two years for a different condition: GVHD. I have responded very well to it. My only side effect has been a lower hemoglobin. It’s still within safe limits, but I had to do labs quite often in the beginning to monitor my numbers.

My insurance pays for it. I had to get an approval for it and my copay is $40 a month.

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My husband also takes jakafi for his GVHD and is weaning off now but didn’t have any side effects fortunately.

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@pamdg

I have the same UTI sensation but no infection. Strange.

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Exactly - I’m glad to hear I’m not alone, but also wish it could be otherwise for you - it’s most disconcerting, sometimes even painful, but am told nothing can be done (Oncologist/haematologist) However, like I said, food intolerances are being examined in my case (GP)….

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@inevanmac

Have been on Jakafi since Fall last year and the only side effect is continuous sensation of starting a UTI when I have to urinate (tied to PV) but it’s never that. Now examining if that might be connected to a food intolerance… Jakafi has been really good at stabilizing platelets and red blood count, and platelets still decreasing. Occasionally fatigue raises its ugly head, but otherwise A-okay.
Good luck going forward.

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I have the same UTI sensation but no infection. Strange.

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@colleenyoung

Welcome @papa6275, I'm tagging fellow members @draney @chattiek @pamdg @lwengel @raremiracle2 to share their experiences with Jakafi (ruxolitinib) for polycythemia vera (PV). Many members have talked about this treatment in the context of other discussions. To find them, you may wish to use Jakafi as a keyword in the Search.

Here are few related discussions that might interest you:
- What's the latest Jakafi (ruxolitinib) for polycythemia vera (PV) https://connect.mayoclinic.org/discussion/polycemia-vera/
- Polycythemia Vera: Just been diagnosed https://connect.mayoclinic.org/discussion/polycythemia-vera-1/

I'm glad to hear that Jakafi is more tolerable for you than your experience with Hydrea. How are you feeling today?

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I’m doing ok however I am having burning and tingling on the bottom of my feet. Especially in bed at night.

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Have been on Jakafi since Fall last year and the only side effect is continuous sensation of starting a UTI when I have to urinate (tied to PV) but it’s never that. Now examining if that might be connected to a food intolerance… Jakafi has been really good at stabilizing platelets and red blood count, and platelets still decreasing. Occasionally fatigue raises its ugly head, but otherwise A-okay.
Good luck going forward.

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