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Hydroxyurea 100 mg/ml Oral Liquid

Our Hydroxyurea 100 mg/ml Oral Liquid is a specially crafted medication designed for oral use, ensuring a precise and consistent dose of hydroxyurea in each administration. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing pills, including those in pediatric and geriatric groups. Hydroxyurea is commonly used in the treatment of certain cancers, such as chronic myeloid leukemia and melanoma, as well as in the management of sickle cell anemia. By providing hydroxyurea in a liquid form, we aim to improve adherence to treatment regimens and enhance the overall patient experience.

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Oral Liquid
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Formula Information

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Hydroxyurea 100 mg/ml Oral Liquid is a specially compounded medication designed for oral use, providing a precise 100 milligrams of hydroxyurea per milliliter of liquid. This formulation is particularly beneficial for patients who have difficulty swallowing pills, such as those in pediatric or geriatric populations, or for individuals with conditions that impair their ability to ingest solid dosage forms. The liquid formulation ensures that patients receive an accurate dose of medication in a form that is easy to ingest and can be dosed flexibly according to individual needs.

Hydroxyurea is an antineoplastic agent that works by inhibiting DNA synthesis, thereby reducing the production of cancer cells. It is commonly used in the treatment of certain types of cancers, including chronic myeloid leukemia, melanoma, and ovarian cancer, as well as in the management of sickle cell anemia. In sickle cell disease, hydroxyurea helps to increase the production of fetal hemoglobin, which can reduce the frequency of painful crises and the need for blood transfusions.

For patients with these disease states, Hydroxyurea 100 mg/ml Oral Liquid offers a tailored therapeutic approach. The liquid form allows for dose adjustments to be made easily, which is particularly important given the variability in patient response to hydroxyurea and the need for close monitoring of blood counts and other parameters. It is essential for prescribers to regularly assess the patient's response to therapy and adjust the dose accordingly to minimize potential side effects, which may include bone marrow suppression, gastrointestinal discomfort, and an increased risk of infection.

Patients should be counseled on the importance of adhering to their dosing schedule and on the potential side effects of hydroxyurea. They should also be advised to report any signs of toxicity, such as fever, sore throat, or unusual bleeding or bruising, to their healthcare provider immediately. As with any medication, it is crucial to keep this liquid formulation out of the reach of children and to store it as directed to maintain its efficacy and safety.

Bayview Pharmacy is committed to providing high-quality, patient-specific medications. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance to both patients and prescribers considering the use of Hydroxyurea 100 mg/ml Oral Liquid. For further information or assistance with this formulation, please do not hesitate to reach out to us.

Drug Interactions

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Hydroxyurea is an antineoplastic agent that works by inhibiting DNA synthesis, and it is primarily used in the treatment of certain cancers such as chronic myeloid leukemia, ovarian cancer, and melanoma, as well as in sickle cell anemia to reduce the frequency of painful crises and the need for blood transfusions. When considering the use of hydroxyurea in a 100 mg/ml oral liquid formulation, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of the treatment.

Hydroxyurea can interact with other myelosuppressive agents or radiation therapy, leading to an increased risk of bone marrow suppression. Patients receiving such treatments should be monitored closely for signs of hematologic toxicity. Concurrent use with live vaccines may result in a diminished response to the vaccine or increased risk of infection from the vaccine strain due to the immunosuppressive effects of hydroxyurea. Caution is advised, and vaccination schedules may need to be adjusted.

Interactions with antiretroviral drugs, particularly those used in the treatment of HIV, such as didanosine or stavudine, can be of concern. These combinations may increase the risk of pancreatitis and peripheral neuropathy, and should be avoided or used with extreme caution under close supervision. Hydroxyurea may also potentiate the antiviral effect of some antiretroviral drugs, but this can also increase the potential for toxicities.

Enzyme-inducing agents, such as certain anticonvulsants (e.g., phenytoin) and antibiotics (e.g., rifampin), may alter the metabolism of hydroxyurea, potentially leading to decreased effectiveness or increased toxicity. Conversely, inhibitors of drug-metabolizing enzymes could increase hydroxyurea levels and the risk of adverse effects. It is important to monitor the patient's response and adjust the hydroxyurea dose as necessary when starting or stopping such agents.

Hydroxyurea may also interact with other medications that affect blood cell counts or coagulation, such as anticoagulants, antiplatelet agents, and nonsteroidal anti-inflammatory drugs (NSAIDs), increasing the risk of bleeding or bruising. Patients should be monitored for signs of bleeding and hematologic parameters should be assessed regularly.

Alcohol consumption should be limited or avoided during treatment with hydroxyurea, as it may exacerbate the medication's side effects, particularly those related to the liver and bone marrow suppression. Additionally, folic acid supplementation may be necessary, as hydroxyurea can interfere with folic acid metabolism, potentially leading to megaloblastic anemia.

It is essential for patients and prescribers to be aware of all medications, supplements, and over-the-counter drugs that the patient is taking to identify potential interactions with hydroxyurea. Adjustments to therapy and additional monitoring may be required to manage these interactions effectively. If you have any questions or concerns regarding the use of hydroxyurea 100 mg/ml oral liquid formulation and potential drug interactions, please reach out to us at Bayview Pharmacy for personalized advice and support.

How Does it Work

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Hydroxyurea is an antineoplastic (cancer-fighting) agent that works by inhibiting the synthesis of DNA within the cell. As a result, it interferes with the growth of certain cells, particularly those which multiply rapidly, such as cancerous cells. Hydroxyurea achieves this by inhibiting an enzyme called ribonucleotide reductase, which is crucial for the conversion of ribonucleotides to deoxyribonucleotides, the building blocks of DNA. This disruption in DNA synthesis prevents the cancer cells from continuing to grow and divide, leading to cell death or apoptosis.

The Hydroxyurea 100 mg/ml Oral Liquid formulation is designed to provide a precise dosage of hydroxyurea in a liquid form, which is particularly beneficial for patients who have difficulty swallowing pills or capsules, such as young children, the elderly, or those with dysphagia. The liquid form allows for flexible dosing, which can be easily adjusted according to the specific needs of the patient. This is especially important in the treatment of diseases like chronic myeloid leukemia, sickle cell anemia, and certain types of head and neck cancers, where dosing may need to be individualized based on the patient's response to therapy and side effect profile.

In the treatment of sickle cell anemia, hydroxyurea works by increasing the production of fetal hemoglobin (HbF), which reduces the formation of sickle-shaped red blood cells and decreases the frequency of painful crises. In cancer therapy, the drug's ability to halt the proliferation of rapidly dividing cells makes it effective in reducing tumor size and limiting the progression of the disease.

It is important for patients and prescribers to understand that while hydroxyurea can be an effective treatment for certain conditions, it also comes with potential side effects, such as bone marrow suppression, which can lead to anemia, neutropenia, and thrombocytopenia. Therefore, regular monitoring of blood counts is essential during treatment. Additionally, due to its mechanism of action, hydroxyurea is considered a teratogen, and it is important to avoid pregnancy while taking this medication.

Our team at Bayview Pharmacy is committed to providing high-quality, compounded medications tailored to the needs of our patients. If you have any questions about the Hydroxyurea 100 mg/ml Oral Liquid formulation or its use in treating specific disease states, please do not hesitate to reach out to us. We are here to ensure that you and your patients receive the best possible care and information regarding our compounded medications.

Other Uses

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Hydroxyurea is primarily used in the management of chronic myeloid leukemia, essential thrombocythemia, and polycythemia vera by inhibiting the production of DNA in cancerous cells, thereby reducing the abnormal proliferation of these cells. It also has an important role in the management of sickle cell anemia, where it increases the production of fetal hemoglobin (HbF) which inhibits the formation of sickle-shaped cells, thus reducing the frequency of painful crises and the need for blood transfusions. However, aside from these well-established indications, hydroxyurea has other clinical applications that may be explored with careful consideration by healthcare providers.

Hydroxyurea has been used in an off-label capacity for the management of severe psoriasis, as it can help regulate the rapid division of skin cells that characterizes this condition. This use, however, should be approached with caution due to possible side effects and the availability of other treatments that may have a better safety profile. Additionally, research has investigated the use of hydroxyurea in HIV therapy, as a means to potentiate the effect of antiretroviral agents, although this is not a standard treatment modality. Some studies have also examined the potential use of hydroxyurea in other myeloproliferative disorders and certain solid tumors although these are not typical or FDA-approved uses.

Pharmacists should be aware that while compounding hydroxyurea into an oral liquid form can be beneficial for patients who have difficulty swallowing pills, the handling of this medication requires strict adherence to guidelines to minimize the risk of exposure to the compound, which is cytotoxic. Patients and caregivers should be counseled on the proper handling and administration of the medication, including measures to ensure the safety of all individuals who may come into contact with it.

Patients and prescribers considering the use of hydroxyurea oral liquid for any condition should engage in a comprehensive discussion about the potential benefits and risks associated with its use. For any indications beyond the FDA-approved labels, it would be essential to assess the context of the available clinical evidence and to consider individual patient factors. We at Bayview Pharmacy are committed to supporting both patients and healthcare providers with high-quality compounding services and are available to answer any questions regarding the preparation, pharmacology, or other uses of hydroxyurea oral liquid. Please reach out to us if you require further information or consultation.

Frequently Asked Questions

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What is Hydroxyurea 100 mg/ml Oral Liquid and what is it used for?

Hydroxyurea 100 mg/ml Oral Liquid is a specifically compounded liquid medication designed for oral use. It's prescribed to treat various conditions, such as certain types of cancer or sickle cell anemia, by helping to prevent the formation of abnormal blood cells.

How should Hydroxyurea Oral Liquid be stored?

This medication should be stored at room temperature, away from light and moisture, and out of reach of children and pets. Do not store in the bathroom. Check the product label for exact storage instructions or consult your pharmacist.

What is the advantage of taking Hydroxyurea as an oral liquid?

The oral liquid form of Hydroxyurea provides a convenient and easily ingested alternative to solid dosage forms, which is particularly beneficial for patients who have difficulty swallowing pills, such as pediatric or geriatric patients, or those with certain medical conditions.

How is Hydroxyurea Oral Liquid measured and administered?

A measuring device such as an oral syringe or a dosing cup should be used to ensure the correct dose is measured. The liquid should be taken as directed by your healthcare provider, and it can either be taken directly from the measuring device or mixed with a small amount of water or juice if preferred.

Can I mix Hydroxyurea Oral Liquid with food or beverages?

Hydroxyurea Oral Liquid can sometimes be mixed with a small amount of water or juice to make it easier to take. However, do not mix it with food or any beverages without first consulting your healthcare provider.

What should I do if I miss a dose of Hydroxyurea Oral Liquid?

If you miss a dose of Hydroxyurea Oral Liquid, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Hydroxyurea Oral Liquid?

As with any medication, Hydroxyurea Oral Liquid can cause side effects. Common side effects might include nausea, vomiting, loss of appetite, and mouth sores. Severe side effects should be reported to your healthcare provider immediately.

Can Hydroxyurea Oral Liquid be taken with other medications?

Hydroxyurea may interact with other medications. It’s important to inform your healthcare provider about all prescription, over-the-counter medicines, and supplements you are taking before starting on Hydroxyurea Oral Liquid.

What precautions should I take while using Hydroxyurea Oral Liquid?

Patients taking Hydroxyurea Oral Liquid should have their blood counts monitored regularly to check for potential changes caused by the medication. It is also important to avoid live vaccinations and practice good hygiene to prevent infections.

Is Hydroxyurea Oral Liquid safe for pregnant or breastfeeding women?

Hydroxyurea Oral Liquid may harm an unborn baby and should be avoided during pregnancy. Breastfeeding is also not recommended while taking this medication due to the potential for serious adverse effects in the nursing infant. Always discuss the risks with your healthcare provider if you are pregnant or planning to become pregnant.

What should I avoid while taking Hydroxyurea Oral Liquid?

While taking Hydroxyurea Oral Liquid, avoid activities or situations that may increase your risk of bleeding or injury, and use caution with certain substances such as alcohol, which may increase the risk of stomach issues or liver problems. Always consult your healthcare provider for more detailed information.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.