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Hydroxyurea

Hydroxyurea Side Effects

Jenny Zhang, PharmD, BCOPCydnee Ng, PharmD
Reviewed by Jenny Zhang, PharmD, BCOP, Cydnee Ng, PharmD
Last reviewed on October 18, 2022

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Low blood counts
  • Infections
  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
  • Lack of appetite
  • Headache

Less Common Side Effects

  • Ulcers in the mouth (also called mouth sores)
  • Rash
  • Skin and nail changes
  • Fever
  • Chills
  • Fatigue

Hydroxyurea serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Serious infections (due to low blood cell counts): repeated fevers, chills, cough, trouble breathing, severe diarrhea, vomiting, painful or frequent urination
  • Serious bleeds: bleeding or bruising that doesn’t stop or go away, large amount of bleeding, throwing up blood, bloody or black and tarry stool
  • Lung problems: fever, cough, shortness of breath, other breathing problems

Source: DailyMed

The following Hydroxyurea side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Black, tarry stools

blood in the urine or stools

chills

cough

fever

hoarseness

lower back or side pain

painful or difficult urination

pale skin

pinpoint red spots on the skin

sore throat

ulcers, sores, or white spots in the mouth

unusual bleeding or bruising

unusual tiredness or weakness

Less common

Blackening of the fingernails and toenails

troubled breathing with exertion

Rare

Confusion

dizziness

headache

joint pain

seeing, hearing, or feeling things that are not there

seizures

swelling of the feet or lower legs

Incidence not known

Bleeding under the skin

blisters on the skin

bluish or pale color on the skin of the fingers or toes

coldness of the fingers or toes

crater-like lesions on the skin

drowsiness

fast heartbeat

hives, itching, skin rash

irritation

itching, pain, redness, or swelling on the leg

joint stiffness or swelling

loss of appetite

muscle spasms (tetany) or twitching seizures

nausea

numbness or tingling of the fingers or toes

pain in the fingers or toes

sore on the leg

swelling of the eyelids, face, lips, hands, or feet

tightness in the chest

trembling

troubled breathing or swallowing

vomiting

weight loss

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Diarrhea

Less common

Constipation

redness of skin at the place of radiation

weight gain

Incidence not known

Absent, missed, or irregular menstrual periods

bluish-brownish bands on the nails

hair loss or thinning of hair

indigestion

passing of gas

stomach pain, fullness, or discomfort

stopping of menstrual bleeding

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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