A member asked:

What do you recommend for polycythemia vera?

12 doctors weighed in across 3 answers
Dr. Reid Blackwelder answered

Specializes in Family Medicine

Maybe blood draw: Depends on how high the blood count and whether or not symptoms are present. Also, if pcv is caused by something (secondary polycythemia), that cause needs to be addressed. Smoking, sleep apnea, hemochromatosis are common causes of secondary pcv. If primary and symptoms exist the main treatment is phlebotomy - drawing blood off regularly to decrease the hemoglobin.

Answered 9/9/2015

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Lower blood, aspirin: The goal in polycythemia vera is to lower the red blood blood levels so as to prevent complications such as strokes and clots. The diagnosis has to be confirmed first and a schedule of blood removals to the target range is set up; Aspirin is also started and some patients may need a medicine call Hydrea (hydroxyurea) to lower blood counts.

Answered 6/25/2014

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Dr. Liawaty Ho answered

Specializes in Hematology and Oncology

PV: Agree with dr. Rathore. Phlebotomy ( blood removal) will be needed to maintain your blood at certain level to prevent stroke or blood clot. In addition, Aspirin is recommended if there is no risk of bleeding or other contraindication. Patients with high risk to develop stroke/clot (age>60 or prior history of clot)- medication called-hydroxy-urea- is also recommended. Discuss with your hematologist.

Answered 5/23/2018

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