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Hydroxycarbamide information


Hydroxycarbamide
Structural formula
Clinical data
Trade namesDroxia, Hydrea, Siklos, others
Other namesHydroxyurea (USAN US)
AHFS/Drugs.comMonograph
MedlinePlusa682004
License data
  • EU EMA: by INN
  • US DailyMed: Hydroxyurea
  • US FDA: Hydroxyurea
Pregnancy
category
  • AU: D
Routes of
administration
By mouth
ATC code
  • L01XX05 (WHO)
Legal status
Legal status
  • AU: S4 (Prescription only)
  • CA: ℞-only
  • UK: POM (Prescription only)
  • US: WARNING[1]Rx-only
  • EU: Rx-only
  • In general: ℞ (Prescription only)
Pharmacokinetic data
MetabolismLiver (to CO2 and urea)
Elimination half-life2–4 hours
ExcretionKidney and lungs
Identifiers
IUPAC name
  • Hydroxyurea
CAS Number
  • 127-07-1 checkY
PubChem CID
  • 3657
IUPHAR/BPS
  • 6822
DrugBank
  • DB01005 checkY
ChemSpider
  • 3530 checkY
UNII
  • X6Q56QN5QC
KEGG
  • D00341 checkY
ChEBI
  • CHEBI:44423 checkY
ChEMBL
  • ChEMBL467 checkY
NIAID ChemDB
  • 006310
CompTox Dashboard (EPA)
  • DTXSID6025438 Edit this at Wikidata
ECHA InfoCard100.004.384 Edit this at Wikidata
Chemical and physical data
FormulaCH4N2O2
Molar mass76.055 g·mol−1
3D model (JSmol)
  • Interactive image
Melting point133 to 136 °C (271 to 277 °F)
SMILES
  • O=C(N)NO
InChI
  • InChI=1S/CH4N2O2/c2-1(4)3-5/h5H,(H3,2,3,4) checkY
  • Key:VSNHCAURESNICA-UHFFFAOYSA-N checkY
  (verify)

Hydroxycarbamide, also known as hydroxyurea, is a medication used in sickle-cell disease, essential thrombocythemia, chronic myelogenous leukemia, polycythemia vera, and cervical cancer.[2][3] In sickle-cell disease it increases fetal hemoglobin and decreases the number of attacks.[2] It is taken by mouth.[2]

Common side effects include bone marrow suppression, fevers, loss of appetite, psychiatric problems, shortness of breath, and headaches.[2][3] There is also concern that it increases the risk of later cancers.[2] Use during pregnancy is typically harmful to the fetus.[2] Hydroxycarbamide is in the antineoplastic family of medications. It is believed to work by blocking the making of DNA.[2]

Hydroxycarbamide was approved for medical use in the United States in 1967.[2] It is on the World Health Organization's List of Essential Medicines.[4] Hydroxycarbamide is available as a generic medication.[2]

  1. ^ "FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)". nctr-crs.fda.gov. FDA. Retrieved 22 Oct 2023.
  2. ^ a b c d e f g h i "Hydroxyurea". The American Society of Health-System Pharmacists. Retrieved 8 December 2016.
  3. ^ a b "Hydrea 500 mg Hard Capsules – Summary of Product Characteristics (SPC) – (eMC)". www.medicines.org.uk. Archived from the original on 20 December 2016. Retrieved 14 December 2016.
  4. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.

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