Long term medication Hydroxyurea

Posted by lindy25 @lindy25, Aug 12 12:26pm

Hello
I was recently diagnosed with the JAK 2 mutation. My hematologist prescribed 500 mg of Hydroxyurea 2 times a day.
I just started taking it 6 days ago. So far I haven’t had any side effects, maybe stomach upset but I also have diverticulitis so it’s hard to tell.
I’m really grateful for this support group. So many of my questions have been answered by reading through the posts.
Most of all it’s nice to find others who know what’s going on, none of my family & friends understand this.
Thank you

Interested in more discussions like this? Go to the Blood Cancers & Disorders Support Group.

Thank you, My doctor took me off HU for 3 days and I had to start again take it 5 days a week. Those 3 days were best days I've had in 3 years, I'm hoping this new doctor I'm seeing takes me off of it for good.

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Profile picture for Lori, Volunteer Mentor @loribmt

Hello @susita and welcome to Mayo Connect. Congratulations on your super blood results yesterday! You’ve had a very good response to taking HU for your ET. I can’t help but think your positive attitude can be attributed, in part, to your overall outcome. ☺️

Thank you so much for sharing your experiences and what you’ve learned over the few short months after your diagnosis. Drinking plenty of water can really make an impact on so many facets of our health. You were able to pick up on that quickly by correlating the headaches from the medication with being dehydrated. I learned that too with meds I was taking a few years ago. I no longer have to take medication but still keep up with extra hydration during the day. I can tell ‘when I’m down a quart’. ☺️

You mentioned that your feet had been burning and aching for years before your diagnosis. Have those symptoms improved now that your platelet levels are decreasing?

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@loribmt
No, my feet are still in bad shape and ache and get hot at night. I’ve been an avid tennis player my whole life, playing collegiate and competitive league play until this spring. I’m sure arthritis has something to do with this but I’ve read other posts where someone complained about tingling hot feet at night.

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Profile picture for lindy25 @lindy25

@janemc
I have just been taking it twice a day, about 10-12 hours apart, usually at 9am and 9pm, I am still having trouble getting into the habit of taking meds twice a day so sometimes I do forget at night and end up taking it much later.
It does feel like it's DIY!

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@lindy25 I take mine together right before bedtime. I wondered what the benefits would be to take one early and one late. But, I don't have any issues at night and have been taking them for 2 years.

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Thank you for sharing that info.
I am taking them as I was directed by the hemotologist.
It's only been 3 weeks for me, at first I thought no side effects, but now I am feeling VERY exhausted and having some joint aches and pains.
Hoping that some if it will level out over time.

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Hello and welcome. I also have PV/JAK 2and diverticulitis. I’m 78 and have been on 1000 mg of HU daily for over 5 years. I take both capsules at night before bed as was suggested by my hematologist and that works out well for me.
I don’t have family but when I told my best friend it was rather a “Ho hum” reaction. That surprised me and made me feel bad but I got over it. There is not a lot of “press” for this condition and maybe that’s a good thing. But,I think the medical profession, in general, needs more info about it. My GP seemed panicked when he told me I needed to find a hematologist asap and wondered out loud if my moving to Arizona, and the heat, caused it!
While I don’t think it caused it, after reading as much as I have about it and reading some of the comments on this forum, I am convinced that heat aggravates it.
I’ve never been too bothered by the diverticulitis but I do “blame” a lot of my symptoms on age as much as I feel the PV and HU are the cause.

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Profile picture for nohrt4me (Jean) @nohrt4me

@mdramsey48 "Cost is said to go down ..."

By how much? Even if they cut the cost by half, most people could not afford it. It will be a hard sell for insurance companies to pay for it, especially when generic HU costs $40-$80 per month.

Perhaps we'll be pleasantly surprised, but not holding my breath.

I am in the US, but have had ET x 18 years and talked to patients in other countries where interferons are used more often, especially for younger people. Even in countries where HU is still the first-line drug, it is possible to switch to the interferon without going broke if a doc demonstrates HU is ineffective or has too many side effects.

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@nohrt4me Since FDA approval today actually, it will be easier to get assistance since all the trials are over for ET. There are lots of programs out there to help financially and even though hematologists prescribe HU as first line, MPN specialists generally do not unless counts need to come down quickly.

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Profile picture for sanlee7 @sanlee7

I take 500 mg a day and my side effects are extreme tiredness, dry mouth and dry scalp. I tried cutting it down to every other day and my count went back up to 700. Anyone else having these symptoms?

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@sanlee7
Yes, to the dry mouth, and tiredness. I also have anemia because the Hydrea does affect and lower your red and white cells. Also itchy skin. I also had pretty bad heart burn right away but my hematologist that first diagnosed me put me on an acid reducer twice a day and now I am on one that I only have to take once a day. But as I have said, I have been on Hydrea for 11 years and 4 months now and it has been very effective in keeping my platelets down to a manageble count but seldom under 450,000. I have had minimal side effects and no more blood clots after the first one found at the time of diagnosis, for which I had to be on Warfarin for over a year. I am grateful for that. Oh, I am 76 years old so I was diagnosed at the age of 65.

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Profile picture for Jennifer @williamsjen

@lindy25 I take mine together right before bedtime. I wondered what the benefits would be to take one early and one late. But, I don't have any issues at night and have been taking them for 2 years.

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@williamsjen
Not sure about benefits but the first hematologist that diagnosed me directed me to take the Hydrea one capsule in the morning and one at bedtime. I think it does help to take them separately. I have been on the Hydrea for 11 + years.

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Profile picture for eileen11108 @eileen11108

I am 82 and was diagnosed with ET JAK2 in 2022. I started with 500 mg daily of Hydroxyurea. I had headaches and was lightheaded. I was switched to every other day which helped. I currently take it four days a week. I am on a blood thinner for AFib so I cannot take aspirin or anything other than Tylenol. I have hypothyroidism.

My problem is daily headaches and my arthritis has gotten much worse. My hematologist told me to stop taking HU for a few weeks to see if headaches continue. They are continuing daily. She mentioned a possible medication change. I researched Pegasys and Besremi, They also have many side effects. So I am very hesitant.
Best wishes, Eileen

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@eileen11108 I am 78 and diagnosed with PV 6 yrs ago. Been in HU for a yr along with phlebs as needed . I just started Besremi and will be slowly going off HU. Yes, a lot of scary side effects are possible. Just like HU did, but I have been fine on it. Besremi is a drug designed to reduce the JAK 2 burden so I decided to try it. Time will tell if it is the right choice. The good news is you do a painless injection once every two weeks. That’s it.

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Profile picture for christina3444 @christina3444

Hello and welcome. I also have PV/JAK 2and diverticulitis. I’m 78 and have been on 1000 mg of HU daily for over 5 years. I take both capsules at night before bed as was suggested by my hematologist and that works out well for me.
I don’t have family but when I told my best friend it was rather a “Ho hum” reaction. That surprised me and made me feel bad but I got over it. There is not a lot of “press” for this condition and maybe that’s a good thing. But,I think the medical profession, in general, needs more info about it. My GP seemed panicked when he told me I needed to find a hematologist asap and wondered out loud if my moving to Arizona, and the heat, caused it!
While I don’t think it caused it, after reading as much as I have about it and reading some of the comments on this forum, I am convinced that heat aggravates it.
I’ve never been too bothered by the diverticulitis but I do “blame” a lot of my symptoms on age as much as I feel the PV and HU are the cause.

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Christina, thanks for mentioning diverticulitis! I'm 76 and find tomatoes are not my friends anymore. Finding rice and stir fry seem most compatible with the digestive system. On HU 500 daily four years now.

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