Starting Hydroxie today: How long did you wait... - MPN Voice

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Starting Hydroxie today

harleydavidson profile image
32 Replies

How long did you wait before your first blood test after beginning hydroxie?

I have been given 500mg x 1 per day and told to have a blood test after 3 weeks. This seems like a long time.

Thanks all. Love Mel x

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harleydavidson
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32 Replies
piggie50 profile image
piggie50

I was 4 weeks from when I started.

harleydavidson profile image
harleydavidson in reply topiggie50

Thank you xx

Dazakella2010 profile image
Dazakella2010

This medication can take a while to get into your system.... I think if I remember correctly 4-6 weeks

harleydavidson profile image
harleydavidson in reply toDazakella2010

Thank you x

Cookiebaker profile image
Cookiebaker

I had my blood draw after two weeks on HU. Platelets decreases by 140 thousand in that short period.

harleydavidson profile image
harleydavidson in reply toCookiebaker

Wow! Thank you x

stillkicking profile image
stillkicking

When I started HU I had tests every two weeks for the first 6 weeks, then once a month after that.

harleydavidson profile image
harleydavidson in reply tostillkicking

Thank you x

Tico profile image
Tico

Hi mel. I had a blood test the following week and that continued for quite a while as my blood counts were quite high and they had discovered I'd had a small stroke a short while ago. Also I was very symtomatic because of my counts and they struggled to control my blood counts. Atb,tina.🤗

harleydavidson profile image
harleydavidson in reply toTico

Thanks Tina. Hope you’re well xx

Lifam profile image
Lifam

I would say around 6 weeks normally

Kari1961 profile image
Kari1961

My first was 6 weeks. In some people it can take a while for the meds to start working - after 6 weeks, my levels hadn't moved much, so they've upped the dose from 500mg, 7 days a week, to 500mg, 5 days and 1000mg on the other two.

harleydavidson profile image
harleydavidson in reply toKari1961

Thank you x

jointpain profile image
jointpain

My wife started hydroxy while in hospital, and had blood tests every day, after five days of five hydroxy tabs a day, Anagrelide was added into the mix, as her platelets were topping out at 1,900.000 and not coming down. She is fine now, on three Anagrelide a day and one hydroxy every other day. Platelets easily within normal range.

harleydavidson profile image
harleydavidson in reply tojointpain

Thank you x

jointpain profile image
jointpain in reply toharleydavidson

No problem, from what I understand, sometimes hydroxy doesn't work too well on some people, which is why she is on Anagrelide.

Charliemills profile image
Charliemills

Started taking the same dose in November, blood test after 4 wks, seen hemo yesterday, platelets are now within normal range, so dropped by half. I have jak2 positive, so hopefully yours will drop quickly x

harleydavidson profile image
harleydavidson in reply toCharliemills

Thank you x

Marimar05 profile image
Marimar05

When I started HU had a blood test every 2 weeks for quite a couple of months then became 3 weeks and at the moment they had to check my blood count every 3 months.take care x

harleydavidson profile image
harleydavidson in reply toMarimar05

Thank you x

hunter5582 profile image
hunter5582

Standard protocol is every two weeks, but not everyone follows that protocol.

harleydavidson profile image
harleydavidson in reply tohunter5582

Thank you x

grgracey profile image
grgracey in reply tohunter5582

Let me us why do we have this kind of disease is there something wrong with our lifestyle, vitamin deficiency or genetics something like that?....

hunter5582 profile image
hunter5582 in reply togrgracey

If you are JAK2+, then there is something known about that. The JAK2 mutation is an acquired mutation. You are not born with it. There is some evidence that there is a JAK2 haplotype that predisposes you to acquire this mutation. It is thought that this is why MPNs may cluster in some families even though it is not an "inherited" mutation. I do have another inherited gene condition, Neurofibromatosis Type 1, which is autosomal dominant. Both of my kids have NF1 too. My daughter is also JAK2+, but my son is not. Fortunately my daughter is thus far MPN asymptomatic other than borderline platelet levels.

So the short answer is that acquiring a MPN is not about lifestyle per se, it is about the biology of genetic mutations. However, lifestyle is very important for us to pay attention to as is good nutrition as we manage the impact of the MPN.

Hope that helps.

grgracey profile image
grgracey in reply tohunter5582

Thanks for that information I just do myself research of what is going on with my bosy since many doctors here don't really explain why I have this amd what is this condition all about.

hunter5582 profile image
hunter5582 in reply togrgracey

Pretty common everywhere when docs are pushed to 15 min per patient and have to make their quota of patients per day. Can be very frustrating. I have also learned a lot on my own and by sharing info on sites like this. I am hoping to attend both patient forums and some pf the professional Conferences at some point. Hope you have to chance to learn more as well.

Cja1956 profile image
Cja1956

I honestly don't remember but I think about 6 weeks, as well. I used to go an average of every 2 months after that unless I had an episode and I called him. When I started with my new doctor last year and got diagnosed with MF, I started going weekly.

harleydavidson profile image
harleydavidson in reply toCja1956

Thank you. I hope you are well x

Spirit123 profile image
Spirit123

Sounds about normal for checking to see how it’s going. Been on it for five years now. Good luck ,you should be fine as it’s a low dose.

harleydavidson profile image
harleydavidson in reply toSpirit123

Thank you x

Jlah profile image
Jlah

Seems about right. Mine was 4 weeks and then 3 monthly as platelets reduced to within range quite quickly. Take care and try not to worry. Jacquie x

harleydavidson profile image
harleydavidson in reply toJlah

Thanks Jacquie x

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