Hydroxycarbamide

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Hi there

I'd be grateful for some info about this drug, which I am due to start soon for polycythaemia. From the info I've read, it would seem many kinds of chemotherapy, you take for a period of time, and then stop, so your system has time to recover and hopefully the cancer will have been seen away.

But I understand with a blood disorder like mine, I could potentially be on hydroxycarbamide for a while.. for years even..or for life. 

So I'm wondering how the body reacts to it long term, in particular the side effects of sickness, fatigue, dizziness, digestive problems, hairloss etc. which are mentioned as being common.

Also the rest of the body - all the healthy cells, organs and systems... is the expectation that long term use of a drug like this would ultimately compromise the immune system and function of the body overall?

Just trying to manage my expectations.

Thanks so much

Caroline 

  • Hi CarolineA

     

    Thanks for getting in touch. I see you have joined some of the online community forums and I hope you find these good sources of support and information.

     

    My name is Eileen and I’m one of the Cancer Information Nurse Specialists on the Macmillan Support Line.

     

    It’s understandable that you have questions and concerns about starting Hydroxycarbamide, particularly as treatment can be ongoing.

     

    Hydroxycarbamide is a mild form of chemotherapy and is generally a very safe treatment which is effective in reducing levels of red blood cells and platelets. It’s the most common drug used to treat Polycythaemia Vera and is usually well tolerated as it’s given in a relatively low dose for this condition with side effects generally being mild.

     

    Whilst the drug may cause thinning of the hair it’s unlikely that you would loss all of your hair.

     

    Any side effects you may experience can usually be managed with help from your treatment team and by using supportive medications if needed.

     

    There may be risks when taking hydroxycarbamide over many years. There is some evidence that it may increase the risk of skin cancer and when taking the drug, you’re advised to protect your skin from the sun.

     

    In rare cases the drug may increase the risk of leukaemia but generally, the benefits of taking the drug outweigh the risks.

     

    It may help to talk to your Clinical Nurse Specialist or Consultant about your concerns. They will be able to talk to you in detail about the dose of the drug you’ll be given and what to expect.

     

    I hope this is helpful but please don’t hesitate to get back in touch if you need further information or support.

     

    Best wishes

     

    Eileen

     

    Our ref: CF

    Eileen M - Macmillan Cancer Information Nurse Specialist
  • Thanks so much Eileen - this is really helpful. I find after every conversation at hospital, I come away realising I have more questions, that weren't on the list i went in with! Your words are very encouraging to reduce the sense of panic I'm feeling, and whatever the outcome, have made me feel more optimistic and calm. Have a lovely day x