Hi, I am 68 years old, I have had this MPN, CALR, since 2021. Truthfully, I had it prior to that but was not diagnosed till 2021. I was started on hydroxyurea when my platelets were in the 600,000s. I was on it for one week and developed a fib. I switched doctors because they wanted to keep me on it even though I had a problem. Long story short now I see a doctor at University of Michigan who is a top-notch specialist in this problem. That makes a huge difference. I am on low-dose aspirin and I have been for a number of years now. I don’t take anything else. My von Willebrand’s is greater than 30% actually almost 60% and with that being said my doctor said I’m good to stay on the low-dose aspirin. My platelets are a little over 1 million at this point. I have no symptoms and I feel great.
Great question! With ET, the decision to start cytoreductive therapy like Hydroxyurea (Hydrea) isn't based solely on platelet count. Doctors look at the bigger picture when deciding on treatment.
Key risk factors they consider include:
- Age (60 or older = higher risk)
- History of blood clots or bleeding
- History of Show Full Answer
When I turned age 60 and My Platlettes hit 1 million, my Dr started to treat.
Hi 👋 my platelets were 1026 and started on interferon, after 3 treatments doc put me on hydrea as they only came down by 100. Been on hydrea 6 weeks now
Hi Carol9! My platelets were at 769 when Drs advised me to take Hydroxyurea . I was only taking baby aspirin.I decided not to take Hydroxyurea and instead take Anagrelide. The Hematologist I saw were all pushing me to take Hydroxyurea basing it only on my platelet counts. They are now at 391. What is Von Willebrand and how does it work? I agree with you about seeking a specialist since it’s considered a rare disease. I’m still looking for one and it hasn’t been easy. I can’t find an MPN specialist in network and insurance won’t approve an out of network specialist. 😩 I’m so happy that you’re feeling good! 🙏🏼