Treatments for Immune Thrombocytopenic Purpura
Treatment List for Immune Thrombocytopenic Purpura
The list of treatments mentioned in various sources
for Immune Thrombocytopenic Purpura
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Immune Thrombocytopenic Purpura: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Immune Thrombocytopenic Purpura may include:
Hidden causes of Immune Thrombocytopenic Purpura may be incorrectly diagnosed:
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Discussion of treatments for Immune Thrombocytopenic Purpura:
If the doctor thinks a drug is the cause of the
thrombocytopenia, standard treatment involves discontinuing the drug's
use. Infection, if present, is treated vigorously since control of the
infection may result in a return of the platelet count to normal.
The treatment of idiopathic thrombocytopenic purpura is determined by
the severity of the symptoms. In some cases, no therapy is needed. In most
cases, drugs that alter the immune system's attack on the platelet are
prescribed. These include corticosteroids (i.e., prednisone) and/or
intravenous infusions of immune globulin. Another treatment that usually
results in an increased number of platelet is removal of the spleen, the
organ that destroys antibody-coated platelet. Other drugs such as
vincristine, azathioprine (Imuran), Danazol, cyclophosphamide, and
cyclosporine are prescribed for patients only in the severe case where
other treatments have not shown benefit since these drugs have potentially
harmful side effects.
Except in certain situations, (e.g., internal bleeding and preparation
for surgery), platelet transfusions usually are not beneficial and,
therefore, are seldom performed. Because all therapies can have risks, it
is important that overtreatment (treatment based solely on platelet counts
and not on symptoms) be avoided. In some instances lifestyle adjustments
may be helpful for prevention of bleeding due to injury. These would
include use of protective gear such as helmets and avoidance of contact
sports in symptomatic patients or when platelet counts are less than
50,000. Otherwise, patients usually can carry on normal activities, but
final decisions about activity should be made in consultation with the
(Source: excerpt from Immune Thrombocytopenic Purpura (ITP): NIDDK)
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