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Hydroxyurea or hydroxycarbamide

An antineoplastic agent that inhibits DNA synthesis through the inhibition of ribonucleoside diphosphate reductase. More

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Description

An antineoplastic agent that inhibits DNA synthesis through the inhibition of ribonucleoside diphosphate reductase.

Generic Name

Hydroxyurea or hydroxycarbamide

Chemical names

Hydroxyurea; Hydroxycarbamide; 127-07-1; N-Hydroxyurea; Hydrea

Brand names

Cytodrox, Durea, Hondrea, Hydab, Hydran, Hydrea, Leukocel, Myelostat, Neodrea, Oxyrea, Riborea, Unidrea, Urdox

IUPAC name

hydroxyurea

Pharmacokinetics

Well absorbed from the gastrointestinal tract. Hepatic metabolism.

Actions

Hydroxyurea has dose-dependent synergistic activity with cisplatin in vitro.  Hydroxyurea showed activity in combination with cisplatin against the CALU-6 and LX-1 human lung xenografts In vivo, but minimal activity was seen with the NCI-H520 or NCI-H460 xenografts. Hydroxyurea was synergistic with cisplatin in the Lewis lung murine xenograft. Sequential exposure to Hydroxyurea 4 hours before cisplatin produced the greatest interaction.

Dosage/Dosage form

NA

Therapeutic uses

Metastatic, or inoperable carcinoma of the ovary, resistant chronic myelocytic leukemia, melanoma and Sickle-cell anemia.

Adverse effects/Side effects

GI disturbances, renal impairment, pulmonary oedema, dermatological reactions, headache, and dizziness. Disorientation, drowsiness, hallucinations, convulsions, alopecia, bone marrow suppression.

Interaction

  • Impairs immune response to vaccines; possible infection with live vaccines, zidovudine, zalcitabine.
  • May precipitate didanosine- or stavudine-induced pancreatitis, hepatotoxicity or neuropathy.
  • Fluorouracil may increase potential for neurotoxicity.
  • May alter action of phenytoin and oral anticoagulants.
  • Modulates cytotoxicity and metabolism of cytarabine. 

Contraindications

Severe bone-marrow suppression, severe anaemia, WBC <3000/mm3 or platelet count <100,000/mm3. Pregnancy and lactation. Hypersensitivity.

Storage

Store at 25°C

Information

Molecular weight

76.0547

Molecular formula

CH4N2O2

CAS number

127-07-1

Precautions

Regular monitoring of uric acid concentrations, blood counts, renal and hepatic function is recommended. Prior irradiation therapy. Elderly. Avoid use of live vaccines.