12 doctors weighed in:

What do you recommend for polycythemia vera?

12 doctors weighed in
Dr. Reid Blackwelder
Family Medicine
6 doctors agree

In brief: 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.

In brief: 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.
Dr. Reid Blackwelder
Dr. Reid Blackwelder
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1 comment
Dr. Liawaty Ho
polycythemia vera means primary polycythemia..
Dr. Ritesh Rathore
Internal Medicine - Hematology & Oncology
5 doctors agree

In brief: 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.

In brief: 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.
Dr. Ritesh Rathore
Dr. Ritesh Rathore
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Dr. Liawaty Ho
Internal Medicine - Hematology & Oncology
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Liawaty Ho
Dr. Liawaty Ho
Thank
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