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Mr. Ibrahem/Hydroxycarbamide
Structural formula
Clinical data
Trade namesDroxia, Hydrea, Siklos, others
Other namesHydroxyurea ( USAN US)
AHFS/ Drugs.com Monograph
MedlinePlus a682004
License data
Pregnancy
category
  • AU: D
Routes of
administration
By mouth
Legal status
Legal status
  • AU: S4 (Prescription only)
  • CA: ℞-only
  • UK: POM (Prescription only)
  • US: ℞-only
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Metabolism Liver (to CO2 and urea)
Elimination half-life2–4 hours
ExcretionKidney and lungs
Identifiers
  • Hydroxyurea
Chemical and physical data
FormulaCH4N2O2
Molar mass76.055 g·mol−1
3D model ( JSmol)
Melting point133 to 136 °C (271 to 277 °F)
  • O=C(N)NO
  • InChI=1S/CH4N2O2/c2-1(4)3-5/h5H,(H3,2,3,4) checkY
  • Key:VSNHCAURESNICA-UHFFFAOYSA-N checkY
   (verify)

Hydroxycarbamide, also known as hydroxyurea, is a medication used in sickle-cell disease, chronic myelogenous leukemia, cervical cancer, and polycythemia vera. [1] [2] In sickle-cell disease it increases fetal hemoglobin and decreases the number of attacks. [1] It is taken by mouth. [1]

Common side effects include bone marrow suppression, fevers, loss of appetite, psychiatric problems, shortness of breath, and headaches. [1] [2] There is also concern that it increases the risk of later cancers. [1] Use during pregnancy is typically harmful to the baby. [1] Hydroxycarbamide is in the antineoplastic family of medications. [1] It is believed to work by blocking the making of DNA. [1]

Hydroxycarbamide was approved for medical use in the United States in 1967. [1] It is on the World Health Organization's List of Essential Medicines. [4] Hydroxycarbamide is available as a generic medication. [1] The wholesale cost in the developing world is about US$0.35–0.47 per day. [5] In the United States it costs less than $25 a month. [6]

References

  1. ^ a b c d e f g h i j k l "Hydroxyurea". The American Society of Health-System Pharmacists. Archived from the original on 21 December 2016. Retrieved 8 December 2016.
  2. ^ a b c d "Hydrea 500 mg Hard Capsules – Summary of Product Characteristics (SPC) – (eMC)". www.medicines.org.uk. Archived from the original on 20 December 2016. Retrieved 14 December 2016.
  3. ^ Cite error: The named reference who was invoked but never defined (see the help page).
  4. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl: 10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  5. ^ "Hydroxycarbamide". International Drug Price Indicator Guide. Archived from the original on 22 January 2018. Retrieved 8 December 2016.
  6. ^ Hamilton, Richart (2015). Tarascon Pocket Pharmacopoeia 2015 Deluxe Lab-Coat Edition. Jones & Bartlett Learning. p. 295. ISBN  9781284057560.