{"id":13974,"date":"2021-09-23T07:10:24","date_gmt":"2021-09-23T07:10:24","guid":{"rendered":"https:\/\/zeepedia.com\/?p=13974"},"modified":"2021-11-02T10:14:44","modified_gmt":"2021-11-02T10:14:44","slug":"hydroxyurea-medac","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/hydroxyurea-medac\/","title":{"rendered":"Hydroxyurea medac &#8211; Hydroxycarbamide uses, dose and side effects"},"content":{"rendered":"\n<p>500 mg\u00a0capsule, hard<br><em>hydroxycarbamide<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Hydroxyurea medac is and what it is used for<\/h2>\n\n\n\n<p>Hydroxyurea medac contains the active substance hydroxycarbamide, which belongs to a group of medicines used in certain blood diseases and prevents the growth of cancer cells.<\/p>\n\n\n\n<p>This medicine has been prescribed by your doctor for the treatment of blood diseases (&nbsp;tumors&nbsp;in the bone marrow:&nbsp;chronic myeloid leukemia,&nbsp;essential&nbsp;thrombocytemia,&nbsp;and&nbsp;polycythemia vera&nbsp;).<\/p>\n\n\n\n<p>Hydroxyurea contained in Hydroxyurea medac may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or other healthcare professional if you have any further questions, and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you take Hydroxyurea medac<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Hydroxyurea medac<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to hydroxycarbamide or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you have too low a&nbsp;blood cell count&nbsp;.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Hydroxyurea medac.<\/p>\n\n\n\n<p>Treatment with hydroxycarbamide requires extensive monitoring.&nbsp;Before and during treatment with this medicine, your blood levels will be tested to check that you have enough&nbsp;blood cells, as well as tests of kidney and liver function to check that they are adequate.&nbsp;The tests of the blood values \u200b\u200bare normally done once a week.<\/p>\n\n\n\n<p>If you have reduced&nbsp;red blood cell count,&nbsp;anemia&nbsp;(&nbsp;anemia&nbsp;), before, or develop during, treatment, if necessary,&nbsp;red blood cells&nbsp;can be added.<\/p>\n\n\n\n<p>You should drink plenty of fluids during the treatment.<\/p>\n\n\n\n<p>If you have kidney or liver problems, tell your doctor before starting treatment with this medicine.<\/p>\n\n\n\n<p>If you receive long-term treatment with hydroxycarbamide, secondary&nbsp;leukemia&nbsp;may&nbsp;develop.&nbsp;To what extent this is due to the underlying disease or due to the treatment with hydroxycarbamide is currently unknown.<\/p>\n\n\n\n<p>Skin cancer has been reported in patients receiving long-term treatment with hydroxycarbamide.&nbsp;You must protect your skin from sunlight and examine your skin regularly during and after treatment with hydroxycarbamide.&nbsp;Your doctor will also examine your skin in connection with recurring follow-up visits.<\/p>\n\n\n\n<p>You can get leg ulcers.&nbsp;If so, your doctor will decide if you should continue to take this medicine.&nbsp;Leg ulcers usually heal slowly after a few weeks if you stop taking this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Hydroxyurea medac<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines.<\/p>\n\n\n\n<p>If you have previously received or are still receiving similar medications or radiation therapy,&nbsp;side effects&nbsp;may&nbsp;occur more often and be more severe.&nbsp;Such&nbsp;side effects&nbsp;mainly include a decrease in the number of&nbsp;blood cells&nbsp;(suppressed bone marrow function),&nbsp;inflammation&nbsp;of the&nbsp;lining of the&nbsp;stomach,&nbsp;and&nbsp;inflammation&nbsp;of the skin.<\/p>\n\n\n\n<p>Previous or concurrent radiation therapy may cause&nbsp;redness&nbsp;and irritation of the skin.<\/p>\n\n\n\n<p>Hydroxycarbamide may increase the activity of NRTI (reverse transcriptase nucleoside analogue inhibitors), which are medicines used to treat&nbsp;HIV&nbsp;(eg didanosine, stavudine).&nbsp;Hydroxycarbamide in combination with NRTIs may increase the risk of&nbsp;side effects&nbsp;of NRTIs.<\/p>\n\n\n\n<p>If you have recently been vaccinated or are planning a vaccination, tell your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p><em>Pregnancy<\/em><\/p>\n\n\n\n<p>There is a risk of harmful effects on the fetus.&nbsp;Therefore, do not take this medicine during pregnancy except on explicit&nbsp;prescription&nbsp;from a doctor.<\/p>\n\n\n\n<p>You must use effective contraception before and during treatment with this medicine.&nbsp;If you become pregnant while taking or after taking this medicine, you should contact your doctor.<\/p>\n\n\n\n<p><em>Breast-feeding<\/em><\/p>\n\n\n\n<p>Hydroxyurea medac must not be used during breastfeeding.&nbsp;Therefore, you must stop breastfeeding before taking this medicine for the first time.<\/p>\n\n\n\n<p><em>Fertility<\/em><\/p>\n\n\n\n<p>Men should use effective contraception during treatment and for at least 3 months after stopping treatment.&nbsp;Ask your doctor about the possibility of preserving sperm before starting treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<p>The reactivity may be impaired during treatment with Hydroxyurea medac.&nbsp;This should be remembered when sharper attention is needed, e.g.&nbsp;when driving and using machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Hydroxyurea medac contains lactose<\/h2>\n\n\n\n<p>If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n<p><strong>Hydroxyurea medac contains&nbsp;sodium<\/strong><\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;sodium&nbsp;per capsule, ie essentially &#8216;sodium-free.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Hydroxyurea medac<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><em>Adults<\/em><\/p>\n\n\n\n<p>In&nbsp;chronic myeloid leukemia, the usual starting&nbsp;dose is&nbsp;40 mg per kg body weight daily.&nbsp;Dose&nbsp;one is then adjusted individually depending on the number of&nbsp;white blood cells&nbsp;in the blood.<\/p>\n\n\n\n<p>In&nbsp;polycythemia vera, the usual initial&nbsp;dose is&nbsp;15 &#8211; 20 mg per kg body weight daily.&nbsp;Dose&nbsp;one is then adjusted individually to 1 &#8211; 2 capsules (500 &#8211; 1,000 mg) depending on the blood value.<\/p>\n\n\n\n<p>In the case of&nbsp;essential&nbsp;thrombocytemia, the usual initial&nbsp;dose is&nbsp;15 mg per kg body weight daily with individual&nbsp;dose&nbsp;adjustment&nbsp;depending on the blood level.<\/p>\n\n\n\n<p><em>Elderly patients<\/em><\/p>\n\n\n\n<p>Elderly patients may be more sensitive to hydroxycarbamide and may need a lower&nbsp;dose.<\/p>\n\n\n\n<p>The capsules should be swallowed whole and must not be dissolved in the mouth.&nbsp;The capsules should be handled with care.&nbsp;You should use gloves or wash your hands thoroughly after handling them.&nbsp;Although the risk to the fetus is minimal, pregnant women should avoid handling the capsules.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Hydroxyurea medac than you should<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if e.g.&nbsp;a child ingested the medicine by mistake, contact a doctor, hospital, or the Poison Information Center for risk assessment and advice.&nbsp;You may have symptoms related to the mucous membranes and skin.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Hydroxyurea medac<\/h2>\n\n\n\n<p>It is important to complete the medication exactly as your doctor has prescribed it.<\/p>\n\n\n\n<p>Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose&nbsp;.&nbsp;If you miss a single&nbsp;dose&nbsp;, continue treatment as&nbsp;prescribed&nbsp;.&nbsp;If you miss several&nbsp;doses&nbsp;, continue treatment as prescribed, but contact your doctor for further advice.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects&nbsp;, although not everybody gets them.<\/p>\n\n\n\n<p>Contact a doctor immediately if you get symptoms such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Fever, cough or difficulty breathing.&nbsp;This may be a sign of severe lung disease (has been reported).<\/li><\/ul>\n\n\n\n<p><strong>Very common (may affect more than 1 user in 10)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>No or a low number of sperm in the semen (&nbsp;azoospermia&nbsp;or oligospermia)<\/li><\/ul>\n\n\n\n<p><strong>Common (&nbsp;<\/strong><strong>may&nbsp;<\/strong><strong>affect&nbsp;<\/strong><strong>up to&nbsp;<\/strong><strong>1&nbsp;<\/strong><strong>in&nbsp;<\/strong><strong>10 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Decreased number of&nbsp;blood cells&nbsp;(suppressed bone marrow function), especially&nbsp;white blood cells&nbsp;(&nbsp;leukopenia&nbsp;), large immature&nbsp;red blood cells&nbsp;(megaloblasts)<\/li><li>Diarrhea, constipation<\/li><li>Skin ulcers (especially leg ulcers)<\/li><\/ul>\n\n\n\n<p><strong>Uncommon (&nbsp;<\/strong><strong>may&nbsp;<\/strong><strong>affect&nbsp;<\/strong><strong>up to&nbsp;<\/strong><strong>1 in 100 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Decreased number of&nbsp;red blood cells&nbsp;(&nbsp;anemia&nbsp;) and&nbsp;platelets&nbsp;(&nbsp;thrombocytopenia&nbsp;)<\/li><li>Nausea, vomiting, loss of appetite, mouth ulcers (&nbsp;stomatitis&nbsp;)<\/li><li>Fever caused by the drug, chills, malaise (feeling sick)<\/li><li>Skin rash in the form of spots and blisters (maculopapular rash),&nbsp;redness&nbsp;of the face,&nbsp;redness&nbsp;of the hands and feet (hand-foot syndrome)<\/li><li>Thick and scaly skin spots (&nbsp;actinic keratosis&nbsp;), skin cancer<\/li><li>Elevated levels of liver enzymes and&nbsp;bilirubin&nbsp;(degradation product of the red blood dye)<\/li><li>Temporary kidney problems with elevation of certain blood parameters such as&nbsp;uric acid&nbsp;,&nbsp;urea&nbsp;and&nbsp;creatinine<\/li><li>In combination with certain&nbsp;HIV&nbsp;treatments:&nbsp;inflammation&nbsp;of the pancreas (&nbsp;pancreatitis&nbsp;) with pain in the abdomen or abdomen;&nbsp;abdominal pain, nausea or vomiting or yellow skin (hepatotoxicity);&nbsp;numbness and tingling in the arms and legs (&nbsp;peripheral&nbsp;neuropathy&nbsp;)<\/li><\/ul>\n\n\n\n<p><strong>Rare (&nbsp;<\/strong><strong>may&nbsp;<\/strong><strong>affect&nbsp;<\/strong><strong>up to&nbsp;<\/strong><strong>1 in&nbsp;<\/strong>&nbsp;<strong>1,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Allergic reactions<\/li><li>Hair loss (&nbsp;alopecia&nbsp;)<\/li><li>Acute lung reactions with changes in lung tissue which can be seen on X-ray, fever and shortness of breath, and allergic&nbsp;inflammation&nbsp;in the air sacs<\/li><li>Difficulty urinating<\/li><li>Neurological disorders such as headache, dizziness, confusion, hallucinations and seizures<\/li><li>Metabolic complications due to degradation products of cancer cells (tumor lysis syndrome)<\/li><\/ul>\n\n\n\n<p><strong>Very rare (&nbsp;<\/strong><strong>may&nbsp;<\/strong><strong>affect&nbsp;<\/strong><strong>up to&nbsp;<\/strong><strong>1 in 10,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Skin changes such as purple rash and thinning,&nbsp;inflammation&nbsp;of the skin that causes red, scaly patches and which can occur simultaneously with pain in the joints, darkening and fading of nails and skin,&nbsp;itching&nbsp;, small, violet bumps, scaly skin, blackening skin and dead skin<\/li><li>Impaired renal function<\/li><li>Chronic&nbsp;lung reactions with changes in the lung tissue seen on X-rays, shortness of breath and dry cough<\/li><\/ul>\n\n\n\n<p><strong>Has been reported (occurs in an unknown number of users)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>High blood levels of&nbsp;potassium&nbsp;which can cause abnormal heart rhythms<\/li><\/ul>\n\n\n\n<p>Cases of low levels of&nbsp;sodium&nbsp;which can cause fatigue and confusion, muscle twitching, seizures or&nbsp;coma&nbsp;have been observed after the market introduction.<\/p>\n\n\n\n<p>High&nbsp;doses&nbsp;can cause moderate drowsiness.<\/p>\n\n\n\n<p>If you receive long-term treatment with hydroxycarbamide, secondary&nbsp;leukemia&nbsp;(blood cancer)&nbsp;may&nbsp;develop.&nbsp;To what extent this is due to the underlying disease or due to the treatment with hydroxycarbamide is currently unknown.<\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This also applies to any side effects not mentioned in this information.&nbsp;You can also report side effects directly to the Medical Products Agency.&nbsp;By reporting side effects, you can help increase drug safety information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Hydroxyurea medac<\/h2>\n\n\n\n<p>Do not store above 25 \u00b0 C.<\/p>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is hydroxycarbamide.&nbsp;Each capsule contains 500 mg of hydroxycarbamide.<\/li><li>The other ingredients are&nbsp;lactose monohydrate&nbsp;, calcium citrate, disodium citrate, magnesium stearate, gelatin and titanium dioxide (dye E171).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>White capsules, hard (capsules).<\/p>\n\n\n\n<p>Available pack sizes: 50 or 100 capsules.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>medac<\/p>\n\n\n\n<p>Society for Clinical Specialties mbH<\/p>\n\n\n\n<p>Theaterstr.&nbsp;6<\/p>\n\n\n\n<p>22880 Wedel<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Tel:<\/td><td>+49 4103 8006 0 (Germany)+46 340 64 54 70 (Sweden)<\/td><\/tr><tr><td>Fax:<\/td><td>+49 4103 8006-100<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the names:<\/strong><\/p>\n\n\n\n<p>Denmark, Finland, Greece, Iceland, Netherlands, Norway, Austria, Portugal, Sweden:<\/p>\n\n\n\n<p>Hydroxyurea medac<\/p>\n\n\n\n<p>United Kingdom: Hydroxycarbamide<\/p>\n\n\n\n<p>Germany: Syria<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hydroxyurea medac contains the active substance hydroxycarbamide, which belongs to a group of medicines used in certain blood diseases and prevents the growth of cancer cells.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,2208],"tags":[13516,13522,13512,13515,13517,13518,13521,13523,13514,13520,13513,13519],"class_list":["post-13974","post","type-post","status-publish","format-standard","hentry","category-medicines","category-h","tag-benefits-of-hydroxycarbamide","tag-benefits-of-hydroxyurea-medac","tag-hydroxycarbamide","tag-hydroxycarbamide-capsule","tag-hydroxycarbamide-side-effects","tag-hydroxyurea-medac","tag-hydroxyurea-medac-capsule","tag-hydroxyurea-medac-side-effects","tag-what-hydroxycarbamide-is-used-for","tag-what-hydroxyurea-medac-is-used-for","tag-what-is-hydroxycarbamide","tag-what-is-hydroxyurea-medac"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/13974","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=13974"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/13974\/revisions"}],"predecessor-version":[{"id":15214,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/13974\/revisions\/15214"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=13974"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=13974"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=13974"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}