hydroxyurea) in sickle cell disease. Together with advice from The maximum dose depends on your weight, blood counts and how you
Background. Despite a large body of evidence that hydroxyurea is effective for sickle cell anemia (SCA), utilization with the maximum tolerated dose regimen has been low. 1 Hydroxyurea therapy for SCA increases hemoglobin F, reduces pain crises, acute chest syndrome and blood transfusions, and possibly increases survival. 2 The increase in hemoglobin F with hydroxyurea is related to the
The dose-related cytoreductive effects of hydroxyurea, particularly on 0.6-1.2 times the maximum recommended human oral daily dose on a mg/m2 basis) thrice
The dosage of hydroxyurea starts at 20 mg/kg daily and is then slowly increased to the maximum dose tolerated based on changes in the CBC. When hydroxyurea therapy fails to prevent recurrent priapism in sickle cell patients, another approach uses regularly scheduled transfusions.
When to stop increasing dose of Hydroxyurea? Till patient is reached at Maximum Tolerated Dose (MTD). MTD can be reached with following criteria. Clinical
Figure 1 illustrates a time line for hydroxyurea treatment in this patient population, beginning with early proof-of-principle studies in adults. In the early 2024s, an important prospective phase 1/2 study in adults 15 using hydroxyurea at maximum tolerated dose (MTD) was followed by the pivotal NHLBI-sponsored double-blinded
patients who are changing from regular blood transfusions to maximum tolerated dose hydroxyurea for primary stroke prevention (see section below). Use in
by D Teigen 2024 Cited by 4Despite more investments in monitoring and drug procurements, hydroxyurea may be most cost-effective if provided at the maximum tolerated dose
Patients on stable hydroxyurea doses continued the drug throughout the trial. Randomization was stratified by whether the patient was already receiving hydroxyurea, by geographic region, and by age.
That said, keep up the story-telling. I'll be watching for part 2.