I was diagnosed with polycythemia jak2 + in November 2016 and up until now have been treated with warfarin , clopidergrol and weekly venesections .
Today my haematologist has commenced me on anagrelide 500mcgs twice per day as my platelets are between 850,000 and 1.03 million most of the time.
For me , because of a history of melanoma my haematologist has said hydroxyurea is contraindicated as is interferon as I had an unprovoked PE last year ( she thinks the PE was probs due to undiagnosed PV which was diagnosed as many are, following a routine blood test) .
I sound a walking disaster area but honestly I'm not - I'm very positive, very active but a bit of a complicated history as a lot of us are on the forum - I'm just a control freak and like to know all the bits and pieces about any new treatment I start .
Any advice regarding taking anagrelide would be really greatly appreciated.
Thank you for taking the time to read this and best wishes to all on the forum
Love Dianne xxxx
Written by
Dianne-Guisborough
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I was changed onto Anagrelide from Hydroxy a few months ago. At first I got a lot of palpitations but they faded. I just get them now and again now. Usually about 2 hours after I have taken the Anagrelide. I am on 4 capsules per day. 2 in a morning and 2 at night. Otherwise I've been ok on it - so far!! My platelets went up at first, but the dose was increased and now they are in "normal" levels. I have ET by the way.
I've been on anagrelide 3 weeks now and my platelets have gone up . I noticed that yours went up initially too - i was just wondering how long was it before your platelets started to lower ? I was on 1 capsule on a morning and one on an evening . Today my Haematologist has increased them to 2 on a morning and 1 on an evening .
So far I've been lucky and no really problematic side effects
I went back after 3 weeks the first time, and was increased to 1 in a morning and 2 at night, from 1 twice a day. They still hadn't come down much so they were Then increased to 2 twice a day which I am still on. I go back Wednesday after 6 weeks. I also take aspirin. I'm hoping my platelets have come down a bit more and will be in normal levels.
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