This is Dr. David
yes, there are other treatments such as Anagrelide (Agrylin) which isn't associated with an increased risk of leukemia, but is not considered as effective as hydrea. Side effects may include fluid retention, heart problems, headaches, dizziness, nausea and diarrhea.
also Interferon alfa (Intron A) or pegylated interferon alpha 2a (Pegasys) is given by injection and is used to treat ET. it may be more expensive but can be the best choice for some people
let me know if you have other questions.
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