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

Hydroxycarbamid Hikma

Active Ingredient:
Hydroxycarbamide
Origin:
EU

Hydroxycarbamid Hikma (Hydroxycarbamide)

Hydroxycarbamide, the active ingredient in Hydroxycarbamid Hikma, is an antimetabolite presented as an oral formulation for oral use. It is employed in the management of several hematologic malignancies and blood disorders, acting on rapidly dividing cells to limit disease progression.

GNH India supplies Hydroxycarbamid Hikma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Hikma Farmacêutica (Portugal), S.A.

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Indications & Clinical Uses

Hydroxycarbamide is used across a spectrum of hematologic cancers and blood disorders where abnormal cell proliferation is a key feature.

  • Chronic myelogenous leukemia: reduces leukemic cell growth and improves survival.
  • Sickle cell disease: decreases frequency of painful crises by raising fetal hemoglobin levels.
  • Essential thrombocythemia: lowers platelet counts and mitigates thrombotic risk.
  • Polycythemia vera: controls red‑cell mass and reduces thrombosis.
  • Melanoma: used as an adjunct in selected advanced cases to inhibit tumor replication.

How It Works

  • Hydroxycarbamide inhibits ribonucleotide reductase, the enzyme responsible for converting ribonucleotides to deoxyribonucleotides. This blockade lowers intracellular deoxyribonucleotide pools, impairing DNA synthesis and repair. The resulting DNA synthesis inhibition arrests cells in the S‑phase of the cell cycle, preferentially affecting rapidly dividing malignant or abnormal hematopoietic cells and leading to reduced proliferation.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Abdominal pain or dyspepsia
  • Fatigue or weakness
  • Alopecia (hair loss)
  • Myelosuppression (low blood counts)
  • Diarrhea

Serious or Rare Side Effects

  • Severe neutropenia or infection risk
  • Thrombocytopenia leading to bleeding
  • Aplastic anemia
  • Skin ulceration or necrosis
  • Hypersensitivity reactions (rash, fever, anaphylaxis)
  • Secondary malignancies (e.g., acute leukemia).

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Monitor blood counts: perform regular complete blood counts to detect myelosuppression.
  • Assess renal function: adjust dosing in patients with impaired kidney function.
  • Avoid use in pregnancy: drug is classified as Category D due to fetal risk.
  • Use caution in elderly: increased susceptibility to toxicity.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Hydroxycarbamide can interact with other medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Allopurinol: may increase bone‑marrow suppression.
  • Azathioprine: additive myelosuppressive effect.
  • Methotrexate: enhanced toxicity, especially hematologic.

Moderate Interactions (Monitor Closely)

  • NSAIDs: potential increase in renal toxicity.
  • Penicillins: may reduce hydroxycarbamide plasma levels.
  • Live vaccines: reduced immunogenic response, consider timing.

Frequently Asked Questions

Hydroxycarbamid Hikma, containing hydroxycarbamide, is indicated for chronic myelogenous leukemia, sickle cell disease, essential thrombocythemia, polycythemia vera and certain cases of melanoma. It targets abnormal cell proliferation in these hematologic and oncologic disorders.

Hydroxycarbamide blocks ribonucleotide reductase, an enzyme needed to produce deoxyribonucleotides for DNA synthesis. By depleting these building blocks, the drug halts DNA replication, causing cell‑cycle arrest in rapidly dividing cells such as malignant leukocytes or abnormal erythroid precursors.

The specific dose of Hydroxycarbamid Hikma is determined by the prescribing clinician based on the patient’s diagnosis, disease severity, renal function and blood‑count response. Dosing regimens are individualized and should follow the prescriber’s instructions.

Hydroxycarbamide is classified as Pregnancy Category D, indicating evidence of fetal risk. It should be avoided in pregnancy unless the potential benefit justifies the risk. Breastfeeding is not recommended because the drug is excreted in milk and may affect the infant.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Hydroxycarbamide is an oral antimetabolite that offers a convenient route of administration compared with injectable agents such as interferon‑alpha or targeted kinase inhibitors. While it is effective for many hematologic disorders, newer targeted therapies may provide higher specificity but often at greater cost and with different safety profiles.

Hydroxycarbamid Hikma should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from moisture, excessive heat and direct sunlight to maintain stability.

The medication is taken orally, usually with water. The exact timing (e.g., with food or on an empty stomach) and frequency are determined by the prescribing physician based on the therapeutic goal and patient tolerance.

Serious risks include severe bone‑marrow suppression leading to neutropenia, thrombocytopenia or aplastic anemia, as well as rare skin ulceration and hypersensitivity reactions. Patients should be monitored closely for signs of infection, bleeding or severe skin changes.

Hydroxycarbamide is contraindicated in patients with known hypersensitivity to the drug, in pregnant women unless absolutely necessary, and in individuals with severe renal impairment without dose adjustment. Caution is also advised for patients with existing severe bone‑marrow suppression.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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