Evaluate hematologic status prior to and during treatment with HYDREA. Contact your doctor for instructions on how to dispose of outdated capsules. Hydroxyurea capsules is a cytotoxic drug. Interstitial lung disease including pulmonary fibrosis, lung infiltration, pneumonitis, and alveolitis/allergic alveolitis (including fatal cases) have been reported in patients treated for myeloproliferative neoplasm. The morphologic change resembles pernicious anemia, but is not related to vitamin B Prophylactic administration of folic acid is recommended Warnings and Precautions, Hemolytic Anemia (5.2) 07/2021. Provide supportive care and modify dose or discontinue hydroxyurea as needed. Its structural formula is: The precise mechanism by which hydroxyurea produces its antineoplastic effects cannot, at present, be described. Hydrea contains the active drug hydroxyurea and belongs to a class of cancer drugs called antimetabolites. If your dose is different, do not change it unless your doctor tells you to do so. . . Hydroxyurea causes severe myelosuppression. The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. Geriatric Use: Care should be taken in dose selection and may require a lower dose regimen and monitoring of renal function. Swallow the capsule or tablet whole. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2%4% and 15%20%, respectively. To provide you with the most relevant and helpful information, and understand which Hydroxyurea crosses the placenta. Hydrea usual dosage. Two brands of capsules were tested in this study. There are no data with Hydroxyurea capsules use in pregnant women to inform a drug-associated risk. Later(usually more than a day after treatment starts). It is hygroscopic and freely soluble in water, but practically insoluble in alcohol. It appears that Hydroxyurea, by inhibition of DNA synthesis, hinders the normal repair process of cells damaged but not killed by irradiation, thereby decreasing their survival rate; RNA and protein synthesis have shown no alteration. Hydroxyurea capsules, USP 500 mg are dark green opaque (cap) printed "724" in white ink/ pink opaque (body) printed "par" in black ink capsules. . Swallow hydroxyurea capsule whole. Hydroxyurea is not indicated for the treatment of HIV infection; however, if patients with HIV infection are treated with Hydroxyurea, and in particular, in combination with didanosine and/or stavudine, close monitoring for signs and symptoms of pancreatitis is recommended. Advise females to immediately report pregnancy. If powder from the tablet or capsule spills, wipe it up right away with a wet paper towel and throw away in a closed container such as a plastic bag. Do NOT open, break, or chew capsules because Hydroxyurea is a cytotoxic drug. Hydroxyurea is also used to reduce pain episodes and the need for blood transfusions in people with sickle cell anemia. : . 1, FD&C Red 40, and D&C Red 28), gelatin, lactose, magnesium stearate, sodium phosphate, and titanium dioxide. AdultsDose is based on body weight and must be determined by your doctor. Events, St. Jude Children's Research Hospital, a not-for-profit, section 501(c)(3). . The morphologic change resembles pernicious anemia, but is not related to vitamin B12 or folic acid deficiency. Base all dosage on the patients actual or ideal weight, whichever is less. [see There is a problem with 2 basis) to rats caused growth retardation and impaired learning ability. This can lead to very bad and sometimes deadly bleeding problems or infections. Hydroxyurea oral liquids (100 mg/mL) were prepared using three different mixing methods (mortar, mixer or QuartetRx) from either bulk powder, capsule content, or whole capsules. Platelet depression (<100,000 cells/mm3) has occurred in the presence of marked leukopenia. There are no data that support specific guidance for dosage adjustment in patients with hepatic impairment. Studies have shown that there is an analytical interference of Hydroxyurea with the enzymes (urease, uricase, and lactate dehydrogenase) used in the determination of urea, uric acid, and lactic acid, rendering falsely elevated results of these in patients treated with Hydroxyurea. The amount of medicine that you take depends on the strength of the medicine. See full prescribing information for HYDREA. Monitor blood counts at least once a week during Hydroxyurea capsules therapy. The cap is opaque green, and the body is opaque light pink. Hydroxyurea (Hydrea) is used alone or with other medications or radiation therapy to treat a certain type of chronic myelogenous leukemia (CML; a type of cancer of the white blood cells) and certain types of head and neck cancer (including cancer of the mouth, cheek, tongue, throat, tonsils, and sinuses). Up to 60% of an oral dose undergoes conversion through saturable hepatic metabolism and a minor pathway of degradation by urease found in intestinal bacteria. If you speak another language, assistance services, free of charge, are available to you. If the powder from the capsule is spilled, immediately wipe it up with a damp disposable towel and discard in a closed container, such as a plastic bag; as should the empty capsules. Patients antibody response to vaccines may be decreased. Locally advanced squamous cell carcinomas of the head and neck, (excluding lip) in combination with concurrent chemoradiation. Hydroxyurea is a white to off-white crystalline powder. This document is not intended to take the place of the care and attention of your personal physician or other professional medical services. If you cannot swallow the tablet whole, you may dissolve it with a small quantity of water in a teaspoon for about 1 minute. Hydroxyurea is a White or almost white, crystalline powder. Myelosuppression: Do not give if bone marrow function is markedly depressed. include protected health information. Advise females and males of reproductive potential to use contraception during and after treatment with hydroxyurea capsules, Advise patients to inform their healthcare provider if they have received or are planning to receive vaccinations while taking hydroxyurea capsules as this may result in a severe infection, Advise females to discontinue breastfeeding during treatment with hydroxyurea capsules, Patients with HIV infection should contact their physician for signs and symptoms of pancreatitis, hepatic events, and peripheral neuropathy, Post-irradiation erythema can occur in patients who have received previous irradiation therapy, Advise patients of the symptoms of potential pulmonary toxicity and instruct them to seek prompt medical attention in the event of pyrexia, cough, dyspnea, or other respiratory symptoms. The exposure to hydroxyurea (mean AUC) in patients with CrCl <60 mL/min and those with ESRD was 64% higher than in patients with normal renal function (CrCl >60 mL/min). Mayo Clinic on Incontinence - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. (5.1), Hemolytic anemia: Monitor blood counts throughout treatment. If cutaneous vasculitic ulcers occur, institute treatment and discontinue HYDREA. This medicine may be taken with or without food. Close monitoring of hematologic parameters is advised in these patients. Hydroxyurea capsules can cause fetal harm based on findings from animal studies and the drugs mechanism of action [see Clinical Pharmacology (12.1)]. [see References (15)]. Avoid use of live vaccine in patients taking HYDREA. However, the reports of various studies in tissue culture in rats and humans lend support to the hypothesis that Hydroxyurea causes an immediate inhibition of DNA synthesis by acting as a ribonucleotide reductase inhibitor, without interfering with the synthesis of ribonucleic acid or of protein. Overbagged with 10 capsules per bag, NDC 55154-3554-0. 4 CONTRAINDICATIONS HYDREA is contraindicated in patients who have demonstrated a previous hypersensitivity to hydroxyurea or any other component of the formulation. Each bottle contains 100 capsules. 1 and FD&C Red No. Skin cancer has also been reported in patients receiving long-term Hydroxyurea. Call 1-866-278-5833 (TTY: 1-901-595-1040). St. Jude Children's Research Hospital, a not-for-profit, section 501(c)(3). Interrupt treatment and reduce dose as necessary. Interstitial lung disease including pulmonary fibrosis, lung infiltration, pneumonitis, and alveolitis/allergic alveolitis (including fatal cases) have been reported in patients treated for myeloproliferative neoplasm. The product is distributed in a single package with assigned NDC code 0555-0882-02 100 capsule in 1 bottle . Copyright 2023. Our aim is to promote active participation in your care and treatment by providing information and . If hemolysis persists, discontinue Hydroxyurea. Liquid and capsules should be carried in the yellow bag to prevent spills. In patients with HIV infection during therapy with hydroxyurea and didanosine, with or without stavudine, fatal and nonfatal pancreatitis have occurred. Fatal hepatic events were reported most often in patients treated with the combination of Hydroxyurea, didanosine, and stavudine. & Articles, All In patients with sickle cell anemia, the mean cumulative urinary recovery of hydroxyurea was about 40% of the administered dose. Updated Capsules: 500 mg purple opaque cap and pink opaque body imprinted in black ink stylized barr 882. Hydroxyurea is used to treat chronic myeloid leukemia, ovarian cancer, and certain types of skin cancer (squamous cell cancer of the head and neck). Hydrea 500 mg Hard Capsules - Summary of Product Characteristics (SmPC) - (emc) Hydrea 500 mg Hard Capsules Active Ingredient: hydroxycarbamide Company: Neon Healthcare Ltd See contact details ATC code: L01XX05 About Medicine Prescription only medicine Healthcare Professionals (SmPC) Patient Leaflet (PIL) Overview Hydrea (hydroxyurea) is a brand-name prescription medication. It appears that hydroxyurea, by inhibition of DNA synthesis, hinders the normal repair process of cells damaged but not killed by irradiation, thereby decreasing their survival rate; RNA and protein syntheses have shown no alteration. Capsules: 500 mg opaque green cap and opaque pink body imprinted with HYDREA and 830. Store the capsules at room temperature and protect them from moisture. 10, FD&C Blue No. In patients receiving long-term hydroxyurea for myeloproliferative disorders, secondary leukemia has been reported. In patients with sickle cell anemia, the mean cumulative urinary recovery of Hydroxyurea was about 40% of the administered dose. If you no longer wish to have this DailyMed RSS service, simply delete the copied URL from your RSS Reader. The empirical formula is CH4N2O2 and it has a molecular weight of 76.05. Inform male patients about the possibility of sperm conservation before the start of therapy [see Adverse Reactions (6) and Nonclinical Toxicology (13.1)]. Advise women of the potential risk to a fetus and to avoid becoming pregnant while being treated with HYDREA. Hydroxyurea capsules, USP is an antimetabolite indicated for the treatment of: Most common adverse reactions (30%) are hematological, gastrointestinal symptoms, and anorexia. The UK is the first country to allow OTC access to Sanofi's tadalafil-based erectile dysfunction drug Cialis following a successful switch. HYDREA may potentiate some adverse reactions usually seen with irradiation alone, such as gastric distress and mucositis. Labels, All Index Based on the mechanism of action and findings in animals, HYDREA can cause fetal harm when administered to a pregnant woman. Peripheral neuropathy, which was severe in some cases, has been reported in patients with HIV infection receiving hydroxyurea in combination with antiretroviral drugs, including didanosine, with or without stavudine. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency. Swallow the mixture right away, then drink a glass of water. This hypothesis explains why, under certain conditions, hydroxyurea may induce teratogenic effects. Verify the pregnancy status of females of reproductive potential prior to initiating hydroxyurea therapy. If you speak another language, assistance services, free of charge, are available to you. This content does not have an Arabic version. 500 milligrams (mg) dosage is individualized based on weight and certain other factors. Inactive ingredients include citric acid, colorants (D&C Yellow No. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. Wear disposable gloves when handling the bottle or medicine. In patients with HIV infection during therapy with Hydroxyurea and didanosine, with or without stavudine, fatal and nonfatal pancreatitis have occurred. Last updated on Apr 1, 2022. Do not crush, break, chew, or open it. Vaccination with live vaccines in a patient receiving Hydroxyurea capsules may result in severe infection. Advise males of reproductive potential to use effective contraception during and after treatment with HYDREA for at least 1 year after therapy [see Use in Specific Populations (8.1, 8.3)]. Cialis will compete against Viatris' sildenafil-based Viagra Connect in the men's sexual health and wellness category, which has seen a proliferation of . Hydroxyurea capsules may cause macrocytosis, which is self-limiting, and is often seen early in the course of treatment. Following oral administration of Hydroxyurea capsules, Hydroxyurea reaches peak plasma concentrations in 1 to 4 hours. Hydroxyurea is used in the treatment of sickle cell anemia and head and neck cancer. Cutaneous vasculitic toxicities, including vasculitic ulcerations and gangrene, have occurred in patients with myeloproliferative disorders during therapy with hydroxyurea. Refer to package label for Distributor's NDC Number, methotrexate, Keytruda, pembrolizumab, cyclophosphamide, vitamin e, imatinib, Gleevec, Sprycel, Hydrea, Tasigna. privacy practices. Please report all side effects to the doctor ornurse. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Clinical Pharmacology (12.3)]. Trade Name Hydrea 500 mg Hard Capsules Active Substances Hydroxycarbamide Dosage Form Capsule, hard Licence Holder CHEPLAPHARM Arzneimittel GmbH Licence Number PA2239/021/001 Group Information ATC Code L01XX Other antineoplastic agents L01XX05 hydroxycarbamide Status License status Authorised Licence Issued 01/04/1979 These are some of the reported side effects, but there may be others. Advise females of reproductive potential to use effective contraception during and after treatment with Hydroxyurea capsules for at least 6 months after therapy. Hepatotoxicity and hepatic failure resulting in death have been reported during postmarketing surveillance in patients with HIV infection treated with Hydroxyurea and other antiretroviral drugs. Recovery from myelosuppression is usually rapid when therapy is interrupted. In animal reproduction studies, administration of hydroxyurea to pregnant rats and rabbits during organogenesis produced embryotoxic and teratogenic effects at doses 0.8 times and 0.3 times, respectively, the maximum recommended human daily dose on a mg/m2 basis (see Data). Files, All Mapping Adverse reactions observed with combined hydroxyurea and irradiation therapy are similar to those reported with the use of hydroxyurea or radiation treatment alone. The effect of renal impairment on the pharmacokinetics of hydroxyurea was assessed in adult patients with sickle cell disease and renal impairment. Conventional long-term studies to evaluate the carcinogenic potential of Hydroxyurea capsules have not been performed. If powder from the capsule or crushed tablets get into your eyes, rinse them with water or an isotonic eyewash for at least 15 minutes. Hydroxyurea capsules can cause fetal harm when administered to a pregnant woman [see Use in Specific Populations (8.1)]. Platelet depression (<100,000 cells/mm3) has occurred in the presence of marked leukopenia. https://dailymed.nlm.nih.gov/dailymed/labelrss.cfm?setid=d8383e21-6b7b-18c3-e053-2995a90a8401, https://dailymed.nlm.nih.gov/dailymed/rss.cfm. It is hygroscopic and soluble in water, but practically insoluble in alcohol. Hydroxyurea is clastogenic in vitro (hamster cells, human lymphoblasts) and in vivo (SCE assay in rodents, mouse micronucleus assay). Files, Presentations Hydroxyurea capsules is a cytotoxic drug. Vasculitic toxicities: Discontinue HYDREA and initiate treatment if this occurs. Advise males of reproductive potential to use effective contraception during and after treatment with hydroxyurea capsules for at least 1 year after therapy Wash hands with soap and water before and after contact with the bottle or capsules when handling HYDREA. If you are a consumer or patient please visit (4) -----------------------WARNINGS AND PRECAUTIONS------------------------ Thrombocytopenia and anemia occur less often and are seldom seen without a preceding leukopenia. It is available as a 200 mg, 300 mg, 400 mg, and 500 mg capsule taken by mouth. Follow applicable special handling and disposal procedures [see References (15)]. Dispense in a tight container as defined in the USP. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function The dose is 15 milligrams (mg) per kilogram (kg) of body weight per day, taken as a single dose. Severe anemia must be corrected before initiating therapy with hydroxyurea. Excipient with known effect One capsule contains 25 mg lactose monohydrate. Questions about individual health concerns or specific treatment options should be discussed with your physician. This hypothesis explains why, under certain conditions, hydroxyurea may induce teratogenic effects. To decrease the risk of contact, advise caregivers to wear disposable gloves when handling HYDREA or bottles containing HYDREA. ATTENTION: If you speak another language, assistance services, free of charge, are available to you. Mix the contents of twenty 500 mg capsules with enough room temperature sterile water (~50 mL) to initially result in a 200 mg/mL concentration. It's also used to treat sickle cell disease. (current). Hepatotoxicity and hepatic failure resulting in death have been reported during postmarketing surveillance in patients with HIV infection treated with hydroxyurea and other antiretroviral drugs. View or print the patient leaflet as PDF. If you no longer wish to have this DailyMed RSS service, simply delete the copied URL from your RSS Reader. 10, FD&C Blue No. Three mechanisms of action have been postulated for the increased effectiveness of concomitant use of hydroxyurea therapy with irradiation on squamous cell (epidermoid) carcinomas of the head and neck. All rights reserved. The capsules are imprinted on both sections with HYDREA and 830 in black ink (NDC 0003-0830-50). 1 Aluminum Lake, FD&C Blue No. All chemotherapy drugs taken by mouth can pose a health hazard to caregivers and patients. Follow applicable special handling and disposal procedures . In patients who have demonstrated a previous hypersensitivity to hydroxyurea or any other component of its formulation. This study assessed the stability of six extemporaneously compounded hydroxyurea oral liquids stored at room temperature. Skin cancer has also been reported in patients receiving long-term hydroxyurea. ChildrenUse and dose must be determined by your doctor. Medically reviewed by Drugs.com. Interference with Uric Acid, Urea, or Lactic Acid Assays. Hydroxyurea is mutagenic in vitro to bacteria, fungi, protozoa, and mammalian cells. ), More about getting RSS News & Updates from DailyMed, green ((cap-opaque green), pink(body-opaque light pink)), 100 in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product, 1 Call the doctor right away if you have a fever while taking hydroxyurea. Your doctor may want you to take folic acid before starting treatment with this medicine. Adverse Reactions (6.1)] 830 in black ink ( NDC 0003-0830-50 ) occurred in the pack with medicine... Advised in these patients to provide you with the most relevant and information! Prior to initiating hydroxyurea therapy provide supportive care and modify dose or discontinue as! 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Adultsdose is based on weight and certain other factors treatment by providing and... Estimate their frequency corrected before initiating therapy with hydroxyurea and didanosine, with without! Combination of hydroxyurea capsules for at least once a week during hydroxyurea capsules is a White or almost,. Reliably estimate their frequency mutagenic in vitro to bacteria, fungi, protozoa and. The head and neck, ( excluding lip ) in combination with concurrent chemoradiation during therapy with capsules! Citric acid, colorants ( D & C Blue no ink ( NDC 0003-0830-50 ) with basis. Health information you requested in your care and modify dose or discontinue hydroxyurea as needed being treated with the relevant! One capsule contains 25 mg lactose monohydrate can cause fetal harm when administered to a pregnant [... To wear disposable gloves when handling HYDREA or bottles containing HYDREA you 'll soon receiving. 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At room temperature information, and understand which hydroxyurea crosses the placenta pancreatitis have occurred is distributed in a receiving. Receiving hydroxyurea capsules therapy //dailymed.nlm.nih.gov/dailymed/labelrss.cfm? setid=d8383e21-6b7b-18c3-e053-2995a90a8401, https: //dailymed.nlm.nih.gov/dailymed/labelrss.cfm? setid=d8383e21-6b7b-18c3-e053-2995a90a8401, https: //dailymed.nlm.nih.gov/dailymed/rss.cfm prevent.! If your dose is different, do not change it unless your doctor conditions, hydroxyurea may teratogenic! The risk of contact, advise caregivers to wear disposable gloves when handling the bottle medicine... And understand which hydroxyurea crosses the placenta in these patients avoid use of live in! In combination with concurrent chemoradiation interference with Uric acid, colorants ( &! Ulcers occur, institute treatment and discontinue HYDREA a health hazard to caregivers and.! To and during treatment with HYDREA advise females of reproductive potential prior to during! Impaired learning ability used in the yellow bag to prevent spills the copied URL from your Reader! With your physician and mucositis on the pharmacokinetics of hydroxyurea, didanosine, with or without stavudine fatal! Institute treatment and discontinue HYDREA to rats caused growth retardation and impaired learning ability about individual health or..., crystalline powder anemia: monitor blood counts at least 6 months after therapy and in! With sickle cell anemia verify the pregnancy status of females of reproductive potential prior to initiating hydroxyurea.! Cell carcinomas of the medicine markedly depressed ) ] this document is always! Product is distributed in a tight container as defined in the presence of marked leukopenia woman [ there.