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L-glutamine (Endari) is used to reduce complications of sickle cell disease, such as painful sickle cell crises. It's an amino acid that comes as a powder in individual packets. The powder needs to be mixed with food or liquid before it's taken by mouth. The typical dosage for people 5 years and older is 5 to 15 grams of l-glutamine (Endari) twice a day. Potential side effects include constipation, nausea, and headache.
Hydroxyurea (also known by its brand names Droxia and Siklos) is an antimetabolite. It's used to lower the number of painful crises and need for blood transfusions in adults and children with sickle cell anemia. Droxia (hydroxyurea) is taken by mouth, typically once daily. Some of the more common side effects of this medication includes lower blood cell counts and higher risk for infections.
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