Discussion Forums > Working Towards a Cure
new year new way
love and prayers:
best of luck!!!!
baal:
hi
theres now a week on HU...
on monday i made first check up
and the results from the electrofhoresis test...
feeling well for the mom.,with the exeption of some
terrible headache.... panos
baal:
hi friends
here now the results from the electroph.-test,and i have some
questions for u too.
the results are from 29.12.2010:
hb 9,8 (pre-transfusion)
hämoglobin S 0
HbF 14,1
hba1 71,1
HbA2 3,9
today my hb was 10,4 (after 12 days) and i didnt get blood.
my doc raisses the HU to 1000mg per day and we check
the electroph. next week again.
so here are my questions for the moment:
what is the goal for the HbF ?
at witch hb-level i have to transfuse ?
what is the maximum dose for HU (my weigth is 84 kilos)
please help me so i can discuse it with my doc..... panos
Andy Battaglia:
Panos,
The dose of hydroxyurea per day is in the range 0f 10-20mg/kg. A dose of 1000 mg is in that range for you. The dose is sometimes fine tuned over time for optimum results. It depends on the physical condition of the patient, but once Hb drops to 8 in a major, a transfusion should be given. The fetal hemoglobin level should show a continuous rise, as HbF replaces the HbA you receive from transfusions. There is no particular level of HbF to reach, but you do want to see a rise. The goal is to increase the interval between transfusions by raising the HbF enough to compensate for the lower amount of HbA you receive with fewer transfusions. L-carnitine and magnesium have shown to have a positive effect on Hb level when taken with hydroxyurea.
Dori:
Congratulations Panos, I hope it will help you. So please keep us up to date about the road you travel.
Off-topic: Do you plan to attend TIF's conference in Antayla Turkey in May? If not, I will try to my best to attend those about HU. The medication had a name change last year... No idea what, but I know it has changed.
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