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Droxia
hydroxyurea
Black Box Warnings .
Myelosuppression
may cause severe myelosuppression; do not give if bone marrow function markedly depressed; monitor blood counts, hold tx or decr. dose as necessary
Carcinogenic Risk
hydroxyurea is carcinogenic; advise sun protection and monitor patients for malignancies
Adult Dosing .
Dosage forms: CAP: 200 mg, 300 mg, 400 mg
Special Note
- [uses, dosing may vary]
- Info: refer to institution protocols and pkg insert prior to prescribing for uses, prophylactic meds, and dosing including toxicity-related dose adjustments; use lower of ideal body wt or actual body wt for dose calculations
sickle cell disease
- [15-35 mg/kg/dose PO qd]
- Start: 15 mg/kg/dose PO qd; Max: 35 mg/kg/day; Info: for patients with sickle cell anemia with recurrent moderate to severe painful crises; titrate dose by 5 mg/kg/day q12wk to max tolerated dose while maintaining neutrophils >2500, Plt >95,000, and Hgb >5.3 or if Hgb <9, reticulocytes >95,000; do not open/crush/chew cap
CML, refractory (off-label)
- [individualize dose PO qd]
- Start: 15 mg/kg/dose PO qd; Info: do not open/crush/chew cap
squamous cell head/neck CA, locally advanced (off-label)
- [1000 mg PO q12h x11 doses on days 0-5 of 14-day cycle]
- Start: 8-14h prior to initiation of XRT each cycle; Max: 7 cycles; Info: use with chemoradiation; do not open/crush/chew cap
polycythemia vera (off-label)
- [individualize dose PO qd]
- Start: 500 mg PO bid; Info: titrate dose based on target Hct and hematologic toxicity; do not open/crush/chew cap
thrombocythemia, essential (off-label)
- [individualize dose PO qd]
- Start: 1500 mg PO qd; Info: titrate dose to maintain Plt <450,000; do not open/crush/chew cap
renal dosing
- [adjust dose amount]
- CrCl <60: decr. usual dose by 50%
- HD: decr. usual dose by 50%, on dialysis days administer after dialysis; no supplement; PD: decr. usual dose by 50%; no supplement
hepatic dosing
- [not defined]
Peds Dosing .
Peds dosing is currently unavailable or not applicable for this drug.