Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about HYDREA. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you taking HYDREA against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet. You may need to read it again.
What HYDREA is used for
HYDREA is used to treat various types of cancers such as melanoma, leukemia and cancer of the ovary.
HYDREA contains hydroxyurea, an anti-cancer medicine. It interferes with the development of cells and causes cell death, particularly in cancer cells.
HYDREA may be used alone or in combination with other treatments for cancer. Your doctor will inform you if this is necessary.
Your doctor may have prescribed HYDREA for another reason. Ask your doctor if you have any questions about why HYDREA was prescribed for you.
Before you are given HYDREA
When you must not be given it
Do not have HYDREA if you have an allergy to HYDREA, or any of the ingredients listed at the end of this leaflet, unless you have discussed it with your doctor.
Symptoms of an allergic reaction may include:
fast heart beat
difficulty in breathing, shortness of breath
dizziness or lightheadedness
Do not have HYDREA if you have, or have had any of the following medical conditions, unless you have discussed it with your doctor:
blood problems or anemia
your immune system is not working properly (you get a lot of infections requiring treatment with antibiotics)
Tell your doctor if you have an infection or high temperature. Your doctor may decide to delay your treatment until the infection has gone.
Do not have HYDREA if you have had recent surgery.
Do not have HYDREA with any medicine that lowers your immune system, unless you have discussed this with your doctor.
Do not have HYDREA if you are pregnant or intend to become pregnant. Like most medicines used to treat cancer, HYDREA is not recommended for use during pregnancy, unless you and your doctor have discussed the risks and benefits involved.
You should use some kind of birth control while you are having HYDREA and for at least 12 weeks after you stop using it. HYDREA may cause birth defects if either the male or female is using it at the time of conception.
Do not breastfeed while having HYDREA, unless you have discussed it with your doctor. It is not known whether HYDREA passes into breast milk. Therefore there is a possibility that the breast-fed baby may be affected.
If you have not told your doctor about any of the above, tell them before you start HYDREA.
If you are not sure whether you should have HYDREA, talk to your doctor.
Before you are given it
Tell your doctor if you have allergies to:
any other medicines
any other substances, such as foods, preservatives or dyes
Tell your doctor if you have or have had any medical conditions, especially the following:
blood problems or anemia
lowered immunity due to treatment with other medicines used to treat cancer (including radiation therapy)
Tell your doctor if you are pregnant or intend to become pregnant.
Tell your doctor if you are breast-feeding or plan to breastfeed.
If you have not told your doctor about any of the above, tell them before you start having HYDREA.
Taking other medicines
Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop. Some medicines and HYDREA may interfere with each other. These include:
Some other medicines that are used to treat other forms of cancer
Didanosine, an antiretroviral agent
These medicines may be affected by HYDREA, or affect how well it works. You may need different amounts of your medicine, or you may need to have different medicines. Your doctor will advise you.
Your doctor may have more information on medicines to be careful with or avoid while having HYDREA.
How HYDREA is given
How much to take
Your doctor will decide what dose you will receive. Your dose of HYDREA capsules is worked out based on your body weight and height and on the type of cancer you have. The dose worked out for you may be different to the dose for another patient.
HYDREA may be given alone or together with other anti-cancer treatments or drugs.
Ask your doctor if you want to know more about the dose of HYDREA you receive.
How to take it
HYDREA capsules may be given to you at the hospital or surgery, or you may take them yourself at home.
Swallow HYDREA capsules with a glass of water.
Or if you have problems with swallowing the capsules, you can empty the capsule contents into a glass of water, stir and drink it straight away. Some of the materials present in the capsule may float to the surface of the water.
When to take it
HYDREA is taken as a single dose and can be taken each day, or once every three days. Your doctor will decide how you should take the capsules and will explain this to you.
Take HYDREA at about the same time each day that you are to take it.
HYDREA may or may not be given at the same time as other anti-cancer treatments or agents.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for the dose that you missed. This may increase the chance of you getting an unwanted side effect.
How long it is given
Several courses of HYDREA therapy may be needed depending on your response to treatment.
Additional treatment may not be repeated until your blood cell numbers return to acceptable levels and any side effects have been controlled.
Do not stop taking HYDREA unless your doctor tells you to - even if you feel better.
If you take too much (Overdose)
If you are in hospital Hydrea will be given to you by the hospital staff, so it is most unlikely that too many capsules would be given. However, if an overdose should be given, your doctor will give you the appropriate treatment. If you are taking Hydrea at home - Immediately telephone your doctor or pharmacist or the Poisons Information Centre (telephone 13 11 26) or go to Accident or Emergency at your nearest hospital, if you think that you or someone else may have taken too many HYDREA capsules. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
Symptoms of overdose may include acute skin inflammation, soreness, discolouration of the skin, fluid retention associated with the hands & feet followed by scaling of the skin in these areas, soreness & inflammation of the mouth.
While you are using HYDREA
Things you must do
Be sure to keep all your doctor's appointments so your progress can be checked. Your doctor may want to check your blood pressure and do some blood and other tests from time to time to check on your progress and detect any unwanted side effects.
Keep follow up appointments with your doctor in order to get the best effect from your treatments.
If you forget an appointment, contact your doctor immediately.
Tell any other doctors, dentists and pharmacists who are treating you that you are having HYDREA.
If you are about to be started on any new medicine, tell your doctor, dentist or pharmacist that you are having HYDREA.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or dentist that you are having HYDREA.
If you become pregnant while having HYDREA, tell your doctor.
You must maintain an adequate fluid intake.
HYDREA can lower the number of white blood cells and platelets in your blood. This means that you have an increased chance of getting an infection or bleeding. The following precautions should be taken to reduce your risk if infection or bleeding:
Avoid people who have infections. Check with you doctor immediately if you think you may be getting an infection, or if you get a fever, chills, cough, hoarse throat, lower back or side pain or find it painful or difficult to urinate.
Be careful when using a toothbrush, toothpick or dental floss. Your doctor, dentist, nurse or pharmacist may recommend other ways to clean your teeth and gums. Check with your doctor before having any dental work.
Be careful not to cut yourself when you are using sharp objects such as a razor or nail cutters.
Avoid contact sports or other situations where you may bruise or get injured.
Things you must not do
Do not give HYDREA to anyone else, even if they have the same condition as you.
Do not take HYDREA to treat any other complaints unless your doctor tells you to.
Do not stop taking HYDREA, or lower the dose, without checking with your doctor.
If you empty the contents into water for swallowing, do not allow the powder to come into contact with your skin. Also avoid inhaling the contents when opening the capsule. If the powder is accidentally spilled, you should wipe up the powder using a damp towel & the towel should be disposed of immediately. You should also dispose of the empty capsules immediately after taking your required dosage.
Things to be careful of
Be careful driving or operating machinery until you know how HYDREA affects you. As with other medicines used to treat cancer, HYDREA may cause dizziness, light-headedness or tiredness in some people. Make sure you know how you react to HYDREA before you drive a car, operate machinery, or do anything else that could be dangerous if you are dizzy or light-headed. If this occurs do not drive.
Tell your doctor (or a nurse if you are in hospital) as soon as possible if you do not feel well while you are having HYDREA. Like other medicines that treat cancer, HYDREA may have unwanted side effects, some of which may be serious. You may need medical treatment if you get some of the side effects.
Ask your doctor to answer any questions you may have.
Tell your doctor (or a nurse if you are in hospital) if you notice any of the following and they worry you:
These are the more common side effects of HYDREA.
diarrhoea or constipation
loss of appetite
unusual hair loss or thinning
feeling tired or sleepy
fever; high temperature, chills
stomach pain or discomfort
Tell your doctor (or a nurse if you are in hospital) as soon as possible if you notice any of the following:
These are very rare side effects, which might possible occur. You may need medical attention.
frequent infections such as fever, severe chills
tiredness, headaches, being short of breath, dizziness
pain in lungs or difficulty breathing
If any of the following happen, tell your doctor (or a nurse if you are in hospital) immediately, or go to Accident and Emergency at your nearest hospital:
These are very serious side effects. You may need urgent medical attention or hospitalisation.
sudden life-threatening allergic reactions; sudden signs of allergy such as rash, itching or hives on the skin, swelling of the face, tongue or other parts of the body, shortness of breath, wheezing or trouble breathing
If you are receiving radiation treatment with HYDREA, the side effects listed above may occur more frequently or be more severe.
Other side effects not listed above may occur in some patients. Tell your doctor (or a nurse if you are in hospital) if you notice anything that is making you feel unwell.
After using HYDREA
The benefits and side effects of HYDREA may take some time to occur. Therefore even after you have finished your HYDREA treatment you should tell your doctor immediately if you notice any of the side effects listed in the previous section.
HYDREA capsules should be stored below 30 °C in a cool dry place. The container must be tightly closed.
HYDREA capsules should be kept out of the reach of children and pets. Pay particular attention to this when you are opening the capsules to dissolve the contents in water.
If your doctor tells you to stop taking HYDREA, return any that you have not taken to your treating clinic/hospital, doctor or pharmacist, so they can be disposed of safely.
What it looks like
HYDREA CAPSULES are opaque with green & pink colouring, with Squibb 303 printed on each capsule. They are supplied in bottles of 100 capsules.
Active: The active ingredient in HYDREA capsules is hydroxyurea.
Each capsule contains 500mg of hydroxyurea.
Inactive: Each capsule also contains citric acid, lactose, magnesium stearate, sodium phosphate & capsule colourants.
In Australia HYDREA is distributed by:
Bristol-Myers Squibb Australia Pty Ltd
556 Princes Highway
Noble Park North VIC 3174
Australian Registration Numbers:
HYDREA Capsules 500mg AUST R 19304
This leaflet was produced in February 2002.
Your doctor is the best person to answer any further questions you may have about HYDREA. You should follow any instructions given by your doctor.
Please note that knowledge about the safety of all medicines may change over time. You should discuss any problems you experience with HYDREA at any time with your doctor.
*HYDREA is a trademark of a Bristol-Myers Squibb Company