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Hemoglobin and hematocrit should be checked periodic for polycythemia in patients who are receiving high dose anabolic steroidsand have other abnormalities of white blood cell counts. Treating Polycythemia For all patients who present with polycythemia, initial management will be the same as the initial management of the patient with a hemoglobinemia: Cannabis abuse treatment must be continued (as long as there are no clinical signs of polycythemia, and if there are clinical signs of possible drug intoxication or drug toxicity, the patient must be admitted to a detoxification unit for drug recovery). Cannabis abuse treatment can be discontinued when there are clinical signs of acute liver failure and/or hemolytic or hemodynamic instability. (See the section on Treatment of Intoxicated or Drug Overdose or Liver Injury). Treatment may be interrupted briefly in patients with polycythemia who are being treated for acute hepatitis: Acute Hepatitis A: An intravenous, monoamine oxidase inhibitor may be used. A 10 mg/kg dose of monoamine oxidase inhibitors administered for 8-36 hours should be repeated if the patient's polycythemia worsens. The administration of 0.5-2 gram doses of monamine oxidase inhibitors to patients with severe polycythemia associated with renal failure is not known. Acute Hepatitis B: The dose of oral acyclovir (200 mg/day) can be discontinued at the onset of polycythemia (on the basis of clinical signs) but can be continued if the clinical signs are stable and the patient has no clinical signs of hepatitis (see Treatment of Hepatitis A). Acute Hepatitis C: Antibiotic therapy given at the initiation of polycythemia (for patients with acute Hepatitis C or chronic hepatitis) must be continued for an additional 12 hours (or for up to 9 additional hours after onset of polycythemia). Acute Myocardial Infarction or Coronary Artery Disease (AMI; also referred to as acute myocardial infarction or CABG): Antibiotic therapy at the initiation of polycythemia should continue for an additional 12 hours (or for up to 9 additional hours after onset of polycythemia) until the patient has a full functional recovery. Treatment of Polycythemia Related To Acute Myocardial Infarction, Angina or Other Cardiac Conditions: Because of the possibility that poly Similar articles: