Capsules d'hydroxyurée
Droxia, Hydrea, Siklos
Revu par Sid DajaniDernière mise à jour par Michael Stewart, MRPharmSDernière mise à jour 27 fév 2023
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You will be prescribed hydroxyurea by a specialist physician.
Please keep your regular clinic appointments so that your physician can check on your progress. You will need to have regular blood tests.
If you think you are getting an infection or if you have a high temperature (fever), please contact your physician for advice straightaway.
About hydroxyurea
Type de médicament | A cytotoxic medicine (antimetabolite) |
Utilisé pour | Some cancers; polycythemia rubra vera; sickle cell disease |
Aussi appelé | Droxia®; Hydrea®; Siklos® |
Disponible sous forme de | Capsules |
Hydroxyurea (also known as hydroxycarbamide) is prescribed for a number of different conditions. There are three brands of the medicine available. The brand of hydroxyurea capsules called Hydrea® is prescribed for people with some types of cancer, and also for people with a condition known as polycythemia rubra vera. The brands of hydroxyurea capsules called Droxia® and Siklos® are prescribed for people with sickle cell disease. It is important that each time you collect a new supply of medicine, you make sure it is the same brand of hydroxyurea that you have had before.
The types of cancer which can be treated with Hydrea® capsules include chronic myeloid leukaemia (CML) and cancers of the head and neck. In cancer, certain cells in the body grow and multiply too quickly. Anti-cancer medicines like hydroxyurea work by interfering with the growth of the cancer cells.
Polycythemia rubra vera is a disorder where the bone marrow makes too many blood cells. This leads to an abnormally high number of red blood cells being in your blood, making it 'thicker' than normal. Hydrea® capsules work by slowing down the production of the red blood cells.
Droxia® and Siklos® capsules are prescribed to ease painful conditions associated with la drépanocytose. In this condition, red blood cells have a tendency to go out of shape and can then block blood vessels, causing pain. Hydroxyurea can help to reduce these episodes of pain by helping to prevent the blood cells from going out of shape.
Before taking hydroxyurea
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking hydroxyurea it is important that your physician knows:
Si vous êtes enceinte ou si vous allaitez.
If you have any problems with the way your liver or kidneys work.
If you have had irradiation therapy in the past.
If you have any leg ulcers.
Si vous prenez d'autres médicaments. Cela inclut tous les médicaments que vous prenez et qui sont disponibles à l'achat sans ordonnance, ainsi que les médicaments à base de plantes et les médecines complémentaires.
Si vous avez déjà eu une réaction allergique à un médicament.
How to take hydroxyurea capsules
Before you start the treatment, read any printed information you have been given by your physician and the printed manufacturer's leaflet from inside the pack. These will give you more information about hydroxyurea and will provide you with a full list of the side-effects which you may experience from taking it.
Hydroxyurea will be given to you by a specialist physician who is experienced in treating your condition. Your physician will calculate what dose is right for you, and will tell you how much to take and how often to take it. You may be asked to take a dose each day, or every third day. Your dose will be printed on the label of the pack to remind you about what the physician said to you, but if you have any concerns, contact your physician or hospital clinic for advice.
Swallow the capsules whole with a drink of water. You can take hydroxyurea capsules either with or without food, but taking your dose with a meal may reduce feelings of nausea.
You should not open Hydrea® or Droxia® capsules as the powder inside can irritate your skin. When handling the capsules, take care to avoid prolonged skin contact and wash your hands after handling the bottle and capsules.
If you forget to take a dose, take it as soon as you remember unless it is nearly time for your next dose, in which case miss out the forgotten dose. Do not take two doses together to make up for a forgotten dose.
Tirer le meilleur parti de votre traitement
You must try to keep your regular appointments with your physician or hospital. This is so your physician can check on your progress. You will need to have regular blood tests and check-ups during your treatment with hydroxyurea. The blood tests are important as a way of monitoring your treatment, and also to check that your kidneys and liver are working properly.
Your physician may also prescribe a vitamin tablet called folic acid. Taking this vitamin can help reduce the severity of some side-effects associated with hydroxyurea.
It is important that you do not get pregnant while you are taking hydroxyurea. Make sure you have discussed with your physician which types of contraception are suitable for you and your partner. Many anti-cancer treatments are associated with reduced fertility (particularly in men), so you may also want to ask your physician for family planning advice if you would like to have children.
While you are taking hydroxyurea and for six months after you have stopped the treatment, do not have any immunisations (vaccinations) without talking to your specialist physician first. Hydroxyurea lowers your body's resistance and there is a risk that you will get an infection from some vaccines.
Rarely, people who take hydroxyurea over a long period of time can develop skin cancer. You can reduce the risk of this by protecting your skin from the sun by wearing suitable clothing and using a sunscreen with a high sun protection factor (SPF) of at least 15.
Can hydroxyurea cause problems?
Medicines like hydroxyurea which can be used to treat cancer can have a number of side-effects, some of which you might not experience until several days or weeks after starting the medicine. They can lower the number of white cells in your blood, which increases the risk of you getting an infection. While you are taking hydroxyurea you should take precautions to reduce the risk of getting an infection - you can do this by avoiding being with people who you know have an infection. If you think you are getting a sore throat or if you have a high temperature (fever), please let your physician know as soon as possible so that you can get some treatment straightaway.
Your physician will discuss with you the possibility of unwanted side-effects from your treatment. The table below contains some of the most common side-effects associated with hydroxyurea, although not everyone experiences these. You will find a full list in the manufacturer's information leaflet supplied with your treatment. Please let your physician know if you experience any of the following:
Very common hydroxyurea side-effects (these affect more than 1 in 10 people) | Que puis-je faire si je ressens cela ? |
Decreased number of white or red blood cells, or platelets | Let your physician know if you are getting a sore throat or if you have a high temperature. If you notice any unusual bleeding or bruising, contact your physician straightaway |
Nausea, loss of appetite, diarrhea or constipation, tummy (abdominal) pain, indigestion | Stick to simple meals. If troublesome, let your physician know |
Sore mouth | Ask your physician for advice on a suitable remedy |
Skin reactions and nail disorders | Ask your physician for advice |
Headache, chills, high temperature | Drink plenty of water and ask your pharmacist to recommend a suitable painkiller. If the headaches continue, speak with your physician |
Si vous ressentez d'autres symptômes que vous pensez être dus à ce médicament, parlez-en à votre médecin ou à votre pharmacien.
How to store hydroxyurea
Gardez tous les médicaments hors de la portée et de la vue des enfants.
Conserver dans un endroit frais et sec, à l'abri de la chaleur directe et de la lumière.
Informations importantes sur tous les médicaments
Informations importantes sur tous les médicaments
Ne prenez jamais plus que la dose prescrite. Si vous soupçonnez que vous ou quelqu'un d'autre avez pris une surdose de ce médicament, rendez-vous aux urgences de votre hôpital local. Apportez le contenant avec vous, même s'il est vide.
Si vous achetez des médicaments, vérifiez avec un pharmacien qu'ils sont sûrs à prendre avec vos médicaments prescrits.
Si vous subissez une opération ou un traitement dentaire, informez la personne effectuant le traitement des médicaments que vous prenez.
Ce médicament est pour vous. Ne le donnez jamais à d'autres personnes, même si leur état semble être le même que le vôtre.
Ne conservez pas de médicaments périmés ou indésirables. Demandez à votre pharmacien comment éliminer les médicaments en toute sécurité dans votre région.
Si vous avez des questions concernant ce médicament, demandez à votre pharmacien.
Signaler les effets secondaires d'un médicament ou d'un vaccin
Si vous ressentez des effets secondaires, vous pouvez les signaler en ligne via le Site web de Yellow Card.
Questions fréquemment posées
Can I take other medicines, including over-the-counter remedies, with hydroxyurea?
You should tell your physician about all medicines you are taking, including those bought without a prescription, as well as herbal and complementary medicines. This is important because some medicines may not be suitable to take with hydroxyurea, or may require extra care.
What should I do if I accidentally open a Hydrea® or Droxia® capsule?
You should not open Hydrea® or Droxia® capsules because the powder inside can irritate your skin. If this happens, be sure to wash your hands thoroughly after handling the capsules and bottle to avoid prolonged skin contact.
Why are regular blood tests necessary when taking hydroxyurea?
Regular blood tests are important for monitoring your treatment with hydroxyurea. They help your physician check your progress and also ensure your kidneys and liver are working properly throughout the treatment.
What is folic acid and why might my physician prescribe it with hydroxyurea?
Folic acid is a vitamin that your physician may prescribe alongside hydroxyurea. Taking this vitamin can help to reduce the severity of some of the side-effects associated with hydroxyurea treatment.
How can I reduce my risk of skin cancer while on long-term hydroxyurea?
Rarely, long-term use of hydroxyurea can increase the risk of skin cancer. You can help reduce this risk by protecting your skin from the sun. This includes wearing appropriate clothing and using a sunscreen with a high sun protection factor (SPF) of at least 15.
What should I do if I experience an unusual skin reaction or nail problem while taking hydroxyurea?
Skin reactions and nail disorders are listed as common side-effects of hydroxyurea. If you experience these, you should ask your physician for advice on how to manage them.
Are there any specific dietary considerations when taking hydroxyurea?
You can take hydroxyurea capsules with or without food. However, taking your dose with a meal may help to reduce feelings of nausea, which is a common side-effect. If you experience nausea, loss of appetite, or other tummy issues, sticking to simple meals may help.
Lectures complémentaires et références
- Manufacturer's FDA Label, Hydrea® (hydroxyurea) Capsules; E.R. Squibb and Sons LLC, DailyMed, National Institutes of Health, US National Library of Medicines. Dated November 2022.
- Manufacturer's FDA Label, Droxia® (hydroxyurea) Capsules; E.R. Squibb and Sons LLC, DailyMed, National Institutes of Health, US National Library of Medicines. Dated November 2022.
À propos du critique

Sid Dajani
Sultan Dajani a obtenu son diplôme à la London School of Pharmacy en 1994 et est devenu le plus jeune membre élu du conseil de la Royal Pharmaceutical Society depuis sa fondation en 1842.
Historique de l'article
Article également disponible en Anglais, Allemand, Espagnol, Français, Italien, Portugais, Hindi, Hébreu, Arabe, and Suédois.
Prochaine révision prévue : 26 août 2027
27 fév 2023 | Dernière version
1 mars 2017 | Publié à l'origine
Écrit par :
Michael Stewart, MRPharmS
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