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Hydroxyurea (hydroxycarbamide)

Immunomodulators, Antineoplastic and Medicines used in Palliative Care
Capsule500 mg · 200mg28 brands · 25 makers
Hydroxyurea (hydroxycarbamide) is listed in Nepal's National List of Essential Medicines (NLEM, Sixth Revision 2021) under Immunomodulators, Antineoplastic and Medicines used in Palliative Care. 28 brand names for this medicine are listed in the NepalDoc medicine catalog.
Generic namehydroxyurea (hydroxycarbamide)
Therapeutic classImmunomodulators, Antineoplastic and Medicines used in Palliative Care > 8.2.1 Cytotoxic medicines (complementary list)
Therapeutic classMedicines Affecting the Blood > 10.3 Other medicines for haemoglobinopathies (complementary list)
Form & strength (NLEM)Capsule: 500 mg
Form & strength (NLEM)Capsule: 200mg, 500 mg
Source / स्रोतNational List of Essential Medicines Nepal (2021); NepalDoc medicine catalog

What it's for

XROMI is indicated to reduce the frequency of painful crises and reduce the need for blood transfusions in pediatric patients aged 6 months of age and older with sickle cell anemia with recurrent moderate to severe painful crises.

From the U.S. FDA-approved label for Hydroxyurea (hydroxycarbamide). Full label: DailyMed.

XROMI is indicated to reduce the frequency of painful crises and reduce the need for blood transfusions in pediatric patients aged 6 months of age and older with sickle cell anemia with recurrent moderate to severe painful crises.

From the U.S. FDA-approved label for Hydroxyurea (hydroxycarbamide). Full label: DailyMed.

Initial dose: 15 mg/kg orally once daily. Monitor the patient’s blood count every two weeks. The dose may be increased by 5 mg/kg/day every 8 to 12 weeks until a maximum tolerated dose or 35 mg/kg/day is reached if blood counts are in an acceptable range.

Directions from the U.S. FDA-approved label — your doctor or pharmacist may advise differently.

XROMI is contraindicated in patients: who have demonstrated a previous hypersensitivity to hydroxyurea or any other component of its formulation.. In patients who have demonstrated a previous hypersensitivity to hydroxyurea or any other component of its formulation.

Excerpt from the U.S. FDA-approved label. Talk to a pharmacist or doctor before use.

Hemolytic anemia: Monitor blood counts throughout treatment. If hemolysis persists, discontinue XROMI. Embryo-Fetal toxicity: Can cause fetal harm. Advise of potential risk to a fetus and use of effective contraception. Vasculitic toxicities: Institute treatment and discontinue XROMI if this occurs. Live Vaccinations: Avoid live vaccine use in a patient taking XROMI. Risks with concomitant use of antiretroviral drugs: Pancreatitis, hepatotoxicity, and neuropathy have occurred. Monitor for signs and symptoms in patients with HIV infection using antiretroviral drugs; discontinue XROMI and implement treatment.

Warnings and precautions excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor before use.

The following clinically significant adverse reactions are described in detail in other labeling sections: Myelosuppression Hemolytic anemia Malignancies Vasculitic toxicities Live vaccinations Macrocytosis Pulmonary toxicity Most common adverse reactions (incidence > 5%) are neutropenia and thrombocytopenia, and popular rash. To report SUSPECTED ADVERSE REACTIONS, contact Rare Disease Therapeutics, Inc.

Excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor about side effects.

28 products from 25 makers in the NepalDoc medicine catalog use this generic:

BrandCompositionMakerPack
Cytodrox 500mg CapsuleHydroxyurea (Hydroxycarbamide)Cipla Ltd.
Hydab 500mg CapsuleHydroxyurea (Hydroxycarbamide)DABUR INDIA LTD.
Candrox 500mg CapsuleHydroxyurea (500mg)Enrico Pharmaceuticalsstrip of 10 capsules
Droxiget 500mg CapsuleHydroxyurea (500mg)GLS Pharma Ltd.strip of 10 capsules
Durea 500mg CapsuleHydroxyurea (500mg)Samarth Life Sciences Pvt Ltdstrip of 10 capsules
Glourea 500mg CapsuleHydroxyurea (500mg)Globela Pharma Pvt Ltdstrip of 10 capsules
Hdyshil 500mg TabletHydroxyurea (500mg)Shilpa Medicare Ltdstrip of 10 tablets
Hodrex CapsuleHydroxyurea (500mg)Axiommax Oncology Pvt Ltdstrip of 10 capsules
Hondrea 500mg CapsuleHydroxyurea (500mg)Alkem Laboratories Ltdstrip of 10 capsules
Hydran 500mg CapsuleHydroxyurea (500mg)Chandra Bhagat Pharma Pvt Ltdstrip of 10 capsules
Hydrea 500mg CapsuleHydroxyurea (500mg)Sarabhai Chemicals Ltdstrip of 10 capsules
Hydroford 500 CapsuleHydroxyurea (500mg)Johnlee Pharmaceuticals Pvt Ltdstrip of 10 capsules
Hydrogem 500mg CapsuleHydroxyurea (500mg)Neon Laboratories Ltdstrip of 10 capsules
Hydrosar CapsuleHydroxyurea (500mg)Sarabhai Chemicals Ltdstrip of 10 capsules
Hydrox 500mg CapsuleHydroxyurea (500mg)Winsome Laboratories Pvt Ltdstrip of 10 capsules
Hydrox L 500mg CapsuleHydroxyurea (500mg)Artel Laboratoriesstrip of 6 capsules
Hytas 1000mg CapsuleHydroxyurea (1000mg)Intas Pharmaceuticals Ltdstrip of 10 capsules
Leukocel 500mg TabletHydroxyurea (500mg)Celon Laboratories Ltdstrip of 10 tablets
Myelostat 500mg CapsuleHydroxyurea (500mg)Zydus Cadilastrip of 10 capsules
Mylostat 500mg CapsuleHydroxyurea (500mg)Zydus Cadilastrip of 10 capsules
Neodrea 500mg CapsuleHydroxyurea (500mg)Vhb Life Sciences Incstrip of 6 capsules
Ondrea 500mg CapsuleHydroxyurea (500mg)Vhb Life Sciences Incbottle of 90 capsules
Oxyres 500mg CapsuleHydroxyurea (500mg)Resonance Laboratories Pvt Ltdstrip of 10 capsules
Readrox 500mg CapsuleHydroxyurea (500mg)Miracalus Pharma Pvt Ltdstrip of 10 capsules
Riborea CapsuleHydroxyurea (500mg)Khandelwal Laboratories Pvt Ltdstrip of 10 capsules
Tharolax 500mg CapsuleHydroxyurea (500mg)Taj Pharma India Ltdstrip of 10 capsules
Unidrea 500mg CapsuleHydroxyurea (500mg)United Biotech Pvt Ltdstrip of 10 capsules
Ureacos 500 CapsuleHydroxyurea (500mcg)Chemo Healthcare Pvt Ltdstrip of 10 capsules

Brand list from the NepalDoc medicine catalog. Availability varies by pharmacy — call ahead to confirm stock.

16.2 Storage Store XROMI between 2°C to 8°C (35°F to 46°F) excursions permitted to 25°C (77°F) for up to 72 hours. Keep the bottle tightly closed to protect the integrity of the product and minimize the risk of accidental spillage. Do not freeze. Use within 12 weeks after initially opening the bottle. Discard unused XROMI remaining after 12 weeks of first opening the bottle.

Storage information from the U.S. FDA-approved label.

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+ Safety information

This page is information only and is not medical advice. Medicine details come from the sources listed above and may change — always confirm the medicine, strength and dose with a pharmacist or doctor before use. NLEM listing does not guarantee that a medicine is in stock at any pharmacy.

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Medicine information only — not medical advice. Confirm with a pharmacist or doctor.