Polycythemia vera is a chronic condition that can't be cured. Treatment focuses on reducing your amount of blood cells. In many cases, treatment can prevent complications from polycythemia vera and decrease or eliminate the disease's signs and symptoms.
Treatment may include:
April 10, 2014
- Taking blood out of your veins. Drawing a certain amount of blood out of your veins in a procedure called phlebotomy is usually the first treatment option for people with polycythemia vera. This reduces the number of blood cells and decreases your blood volume, making it easier for your blood to function properly. How often you need phlebotomy depends on the severity of your condition.
- Low-dose aspirin. Your doctor may recommend that you take a low dose of aspirin to reduce your risk of blood clots. Low-dose aspirin may also help reduce burning pain in your feet or hands.
- Medication to decrease blood cells. For people with polycythemia vera who aren't helped by phlebotomy alone, medications, such as hydroxyurea (Droxia, Hydrea), to suppress your bone marrow's ability to produce blood cells may be used. Interferon alpha may be used to stimulate your immune system to fight the overproduction of red blood cells.
- Therapy to reduce itching. If you have bothersome itching, your doctor may prescribe medication, such as antihistamines, or recommend ultraviolet light treatment to relieve your discomfort. Medications that are normally used to treat depression, called selective serotonin reuptake inhibitors (SSRIs), may be helpful in relieving itching. Examples of SSRIs include paroxetine (Paxil) or fluoxetine (Prozac).
- Tefferi A. Diagnostic approach to the patient with suspected polycythemia vera. http://www.uptodate.com/home. Accessed Nov. 18, 2013.
- Polycythemia vera. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/poly/. Accessed Nov. 18, 2013.
- Tefferi A. Polycythemia vera and essential thrombocythemia: 2013 update on diagnosis, risk-stratification, and management. American Journal of Hematology. 2013;88:508.
- Soriano G, et al. Polycythemia vera and essential thrombocythemia: New developments in biology with therapeutic implications. Current Opinion in Hematology. 2013;20:169.
- Tefferi A. Prognosis and treatment of polycythemia vera. http://www.uptodate.com/home. Accessed Nov. 18, 2013.
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