Product image of Hydroxycarbamid Devatis (Hydroxycarbamide) supplied by GNH India

Hydroxycarbamid Devatis

Active Ingredient:
Hydroxycarbamide
Origin:
EU

Hydroxycarbamid Devatis (Hydroxycarbamide)

Hydroxycarbamide, the active ingredient in Hydroxycarbamid Devatis, is an antimetabolite (ribonucleotide reductase inhibitor) presented as an oral formulation for systemic use. It is employed in the management of certain hematologic malignancies and blood disorders, including chronic myelogenous leukemia, polycythemia vera, essential thrombocythemia, sickle cell disease, and melanoma.

GNH India supplies Hydroxycarbamid Devatis as a licensed, GDP‑compliant international pharmaceutical supplier serving oncology centres, hospitals and pharmacies worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution.

Manufacturer / TM Owner

Devatis Gmbh

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Indications & Clinical Uses

Hydroxycarbamide is used to treat several hematologic and oncologic conditions by targeting abnormal cell proliferation.

  • Chronic myelogenous leukemia: reduces leukemic cell burden and improves hematologic control.
  • Polycythemia vera: lowers elevated red blood cell mass and decreases risk of thrombosis.
  • Essential thrombocythemia: controls platelet overproduction and reduces thrombotic complications.
  • Sickle cell disease: decreases frequency of vaso‑occlusive crises by raising fetal hemoglobin levels.
  • Melanoma: used as part of combination therapy to inhibit tumor growth in advanced disease.

How It Works

  • Hydroxycarbamide inhibits ribonucleotide reductase, the key enzyme that converts ribonucleotides to deoxyribonucleotides. This blockade reduces the intracellular pool of deoxyribonucleotides, impairing DNA synthesis and repair in rapidly dividing cells. The resulting cytoreductive effect diminishes abnormal hematopoietic proliferation and can induce fetal hemoglobin production, providing therapeutic benefit in sickle cell disease.

Side Effects

Hydroxycarbamide may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea or vomiting
  • Fatigue or weakness
  • Mild skin discoloration (hyperpigmentation)
  • Transient elevation of liver enzymes
  • Low white blood cell count (leukopenia)

Serious or Rare Side Effects

  • Severe bone marrow suppression leading to pancytopenia
  • Acute pulmonary toxicity (interstitial pneumonitis)
  • Renal impairment or failure
  • Severe cutaneous reactions such as Stevens‑Johnson syndrome

Precautions & Warnings

When prescribing hydroxycarbamide, clinicians should consider several safety measures to minimize risks.

  • Baseline blood counts: obtain complete blood count before initiation and monitor regularly.
  • Liver function: assess hepatic enzymes prior to therapy and during treatment.
  • Renal function: evaluate kidney function and adjust use in impairment.
  • Pregnancy and lactation: avoid use unless benefits outweigh potential risks; discuss with patient.
  • Drug interactions: review concomitant medications for potential additive myelosuppression.
  • Store at ambient temperature: keep below 25 °C in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Hydroxycarbamide can interact with other agents, affecting its efficacy or safety profile.

Major Interactions (Avoid)

  • Concurrent use with other myelosuppressive drugs (e.g., azathioprine, cyclophosphamide): may cause profound bone marrow depression.
  • Strong CYP2C9 inhibitors (e.g., fluconazole): can increase hydroxycarbamide plasma levels and toxicity.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin): hydroxycarbamide may enhance anticoagulant effect, requiring INR monitoring.
  • Allopurinol: may increase risk of hematologic toxicity; monitor blood counts.
  • Live vaccines: immunosuppression may reduce vaccine efficacy; assess timing.

Frequently Asked Questions

Hydroxycarbamid Devatis, containing hydroxycarbamide, is indicated for several blood‑related disorders. It is used in chronic myelogenous leukemia, polycythemia vera, essential thrombocythemia, sickle cell disease, and as part of combination regimens for advanced melanoma. The drug works by reducing abnormal cell proliferation in these conditions.

Hydroxycarbamide blocks ribonucleotide reductase, the enzyme responsible for converting ribonucleotides into deoxyribonucleotides. By limiting the supply of DNA building blocks, it suppresses DNA synthesis and cell division, especially in rapidly dividing malignant or dysregulated blood cells, and can increase fetal hemoglobin production in sickle cell disease.

The exact dose of Hydroxycarbamid Devatis is individualized by the prescribing clinician. Dosage depends on the specific indication, patient weight, renal and hepatic function, baseline blood counts, and response to therapy. Physicians adjust the regimen based on laboratory monitoring and clinical judgment rather than a fixed standard.

Safety data for hydroxycarbamide in pregnancy and lactation are limited, and the drug is classified as having an unknown pregnancy category. It should only be used when the potential benefit justifies the potential risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To request Hydroxycarbamid Devatis, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After the enquiry, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details and any required import documentation.

Hydroxycarbamide belongs to the antimetabolite class and is often compared with other cytoreductive agents such as interferon‑alpha or busulfan. Compared with interferon, hydroxycarbamide is oral, generally easier to administer, and has a different side‑effect profile, while interferon may be preferred for patients who cannot tolerate myelosuppression. Choice depends on disease specifics and patient tolerance.

Hydroxycarbamid Devatis should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture, heat and direct sunlight, and ensure the container is tightly closed to maintain stability throughout its shelf life.

Hydroxycarbamid Devatis is taken orally. The tablet (or oral formulation) should be swallowed whole with a glass of water, preferably at the same time each day to maintain consistent blood levels. Patients should follow the prescribing clinician’s instructions regarding food intake, as absorption may be affected by meals.

The most serious adverse events include severe bone‑marrow suppression leading to pancytopenia, which can cause life‑threatening infections or bleeding, and acute pulmonary toxicity such as interstitial pneumonitis. Renal failure and rare severe skin reactions (e.g., Stevens‑Johnson syndrome) also require immediate medical attention.

Hydroxycarbamid Devatis is contraindicated in patients with known hypersensitivity to hydroxycarbamide or any component of the formulation. It should be avoided in individuals with severe active infections, uncontrolled liver disease, or pre‑existing severe bone‑marrow failure. Pregnant or breastfeeding women should only use it when clearly indicated and after specialist consultation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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