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A myMPNteam Member asked a question 💭
Toronto, ON canada

I Started hydroxyurea in May. A few days in the last few months, I felt my mouth burn… rinsing with baking soda helped and it went away… now 3 months later, my mouth and tongue are quite sore and I need to vaseline my lips frequently…am worried about getting cankers!…the baking soda rinse is barely containing the soreness. Eating Yogourt and soothing food helps, but only temporarily….any treatment ideas?

July 29, 2023
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Answer Summary

Members shared practical solutions for managing mouth sores, dry mouth, and chapped lips caused by hydroxyurea, with many emphasizing the... Read more

Members shared practical solutions for managing mouth sores, dry mouth, and chapped lips caused by hydroxyurea, with many emphasizing the importance of communicating symptoms to doctors who can prescribe specialized mouthwashes containing ingredients like dexamethasone or nystatin. Several members recommended over-the-counter remedies that have worked for them, including salt water or sea salt rinses multiple times daily, Biotene dry mouth gel, Dr. Dan's Cortibalm for lips, and toothpaste designed for sensitive mouths. A recurring theme was that while these side effects are common and can be managed with the right tools, some members noted that persistent or worsening symptoms may warrant a conversation about alternative treatments like Pegasys interferon.

A myMPNteam Member

Hi Pat4,

Have you had your B-12 tested recently? Sometimes deficiency can cause the mouth sores and cracking. Not sure if Hydroxyurea causes a deficiency or not.

July 30, 2023
A myMPNteam Member

Pat4, for dry or chapped lips from HU, Dr.Dan’s Cortibalm for lips works really well. Chapped lips felt better in a day.

August 23, 2023
A myMPNteam Member

I did have ET from 2002 - 2014 and was treated with 2 different medications and one was hydroxyurea. I started treatment for myleofibrosis in 2014.. didn’t notice dry mouth any of those years with hydro, but in last 2 to 3 yrs I have had very dry mouth. I had histoplasmosis of the tonsil about 5 years ago and then I had something they thought was thrush in my mouth about a yr and a half ago. It seems better at times but doesn’t go away. I’ve used nyastatin mouthwash and creams. My daughter in law suggested biotene dry mouth moisturizing gel. It helps relieve my dry mouth but doesn’t get rid of the rough feeling in my mouth. It also comes in a mouthwash. There are off brands of the name brand I believe at Walmart. Unfortunately as I have learned over the many years of having blood disorders, that there are numerous side effects that cause numerous skin and internal issues. Hope something in my comments helps.

August 22, 2023
A myMPNteam Member

When that started with me my doctor stopped the Hydrea. That Hydrea is notorious for causing those symptoms. There are other treatments you can take for your ET.

August 4, 2023
A myMPNteam Member

Yes.platelets dropping nicely , but can’t take aspirin or I bleed.
Have next lab work Aug 2…

July 29, 2023

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