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Monitor for the following and reduce the dose or discontinue HYDREA accordingly:

To decrease the risk of contactadvise caregivers to wear disposable gloves when handling HYDREA or bottles containing HYDREAWash hands with soap and water before and after contact with the bottle or capsules when handling HYDREADo not open HYDREA capsulesAvoid exposure to crushed or opened capsulesIf contact with crushed or opened capsules occurs on the skinwash affected area immediately and thoroughly with soap and waterIf contact with crushed or opened capsules occurs on the eye(sthe affected area should be flushed thoroughly with water or isotonic eyewash designated for that purpose for at least 15 minutesIf the powder from the capsule is spilledimmediately wipe it up with a damp disposable towel and discard in a closed containersuch as a plastic bagas should the empty capsulesThe spill areas should then be cleaned three times using a detergent solution followed by clean waterKeep the medication away from children and petsContact your doctor for instructions on how to dispose of outdated capsules.

Wash hands before and after handling the medication or its containerYou and/or your caregiver should wear disposable gloves when handling this medication or its containerIf powder from the tablet or capsule spillswipe it up right away with a wet paper towel and throw away in a closed container such as a plastic bagClean the spill area right away with soap and waterMake sure not to breathe the powder from the tablets/capsules.

Examples of drugs that can cause interactions with hydroxyurea are listed below.

Three mechanisms of action have been postulated for the increased effectiveness of concomitant use of hydroxyurea therapy with irradiation on squamous cellepidermoidcarcinomas of the head and neckIn vitro studies utilizing Chinese hamster cells suggest that hydroxyurea1is lethal to normally radioresistant S-stage cellsand2holds other cells of the cell cycle in the G1 or pre-DNA synthesis stage where they are most susceptible to the effects of irradiationThe third mechanism of action has been theorized on the basis of in vitro studies of HeLa cellsIt appears that hydroxyureaby inhibition of DNA synthesishinders the normal repair process of cells damaged but not killed by irradiationthereby decreasing their survival rateRNA and protein syntheses have shown no alteration.

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What to do if you miss a doseTake your dose as soon as you rememberBut if you remember just a few hours before your next scheduled dosetake only one doseNever try to catch up by taking two doses at onceThis could result in dangerous side effects.

Resistant chronic myeloid leukemiaLocally advanced squamous cell carcinomas of the head and neckexcluding the lipin combination with chemoradiation.

A very serious allergic reaction to this drug is rareHoweverget medical help right away if you notice any symptoms of a serious allergic reactionincludingrashitching/swellingespecially of the face/tongue/throatsevere dizzinesstrouble breathing.

There are no data that support specific guidance for dosage adjustment in patients with hepatic impairmentClose monitoring of hematologic parameters is advised in these patients.

Following oral administration of HYDREAhydroxyurea reaches peak plasma concentrations in 1 to 4 hoursMean peak plasma concentrations and AUCs increase more than proportionally with increase of dose.

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There is a risk of myelosuppressionMonitoring blood counts weekly throughout the duration of therapy should be emphasized to patients taking HYDREAsee WARNINGS AND PRECAUTIONSAdvise patients to report signs and symptoms of infection or bleeding immediatelyAdvise patients that there is a risk of cutaneous vasculitic toxicities and secondary malignancies including leukemia and skin cancerssee WARNINGS AND PRECAUTIONSAdvise females of reproductive potential of the potential risk to a fetus and to inform their healthcare provider of a known or suspected pregnancyAdvise females and males of reproductive potential to use contraception during and after treatment with HYDREAsee WARNINGS AND PRECAUTIONS and Use in Specific PopulationsAdvise patients to inform their healthcare provider if they have received or are planning to receive vaccinations while taking HYDREA as this may result in a severe infectionsee WARNINGS AND PRECAUTIONSAdvise females to discontinue breastfeeding during treatment with HYDREAsee Use in Specific PopulationsPatients with HIV infection should contact their physician for signs and symptoms of pancreatitishepatic eventsand peripheral neuropathysee WARNINGS AND PRECAUTIONSPostirradiation erythema can occur in patients who have received previous irradiation therapysee WARNINGS AND PRECAUTIONS

HYDREA can cause fetal harm when administered to a pregnant womansee Use in Specific PopulationsAdvise females of reproductive potential to use effective contraception during and after treatment with HYDREA for at least 6 months after therapyAdvise females to immediately report pregnancy.

Hydroxyurea is a prescription drugIt comes in two formsa capsule and a tabletYou take both forms by mouth.

Hydroxyurea may cause a drop in platelet countsan important type of blood cells required for forming blood clotsUse of hydroxyurea with anticoagulantsnonsteroidal anti-inflammatory drugsNSAIDsantiplateletsand thrombolytic agents increases the risk of bleeding.

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