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Hydroxyurea

Brand names: Droxia, Siklos, Hydrea

Hydroxyurea lowers pain crises and complications in sickle cell disease. It also treats some blood disorders and cancers.

Brand namesDroxia, Siklos, Hydrea
Type of medicineDisease-modifying medicine (sickle cell and blood disorders)
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

Blood counts are checked regularly.

What it's used for

  • Sickle cell disease
  • Polycythemia vera and some other blood disorders
  • Some cancers

How to take it

  • Take it once a day.
  • Wash hands after handling capsules; caregivers should wear gloves.
  • Keep all blood test appointments.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Low blood counts
  • Darkening of skin and nails
  • Nausea
Call your provider todayFever, chills, sore throat, or other signs of infection
Call your provider todayUnusual bruising or bleeding
Call your provider todayLeg ulcers

Warnings

  • It can harm an unborn baby; use birth control during and after treatment.

Other medicines, foods, and alcohol

  • Live vaccines should be avoided.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Not used in pregnancy.

Missed doses, overdose, and storage

If you miss a dose

Take it as soon as you remember, unless it's almost time for your next dose. Then skip the missed dose. Don't take two doses at once.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.