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Count doubling every 5 days? Wow.th8899 wrote: We were back to hemo office today for another CBC. Prednisone is down to 10 mg and Promacta is still at 75 mg. Platelets are up to 415K comparing to 206K just 5 days ago. Hemo told us to do 10 mg Prednisone every other day for a week, then just stop it. For Promacta, he lowered it to 50 mg. But I asked him if we should just stop Promacta since platelet count is over 400K now. He said it is ok and just lower to 50 mg and check back in 3 weeks. ...
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mrsb04 wrote: th8899
I can't help regarding the 20 lbs gain as Pred never affected my weight.
Although good news about the counts rising I am concerned haemo is ignoring protocols regarding dosing & count checking..see this recent publication 'Eltrombopag doses in children with ITP' @ www.ncbi.nlm.nih.gov/pmc/articles/PMC5858473/
from which I've copied "On the basis of results from PETIT and PETIT2, the starting dose is 50 mg per day for patients age 6 years or older and 25 mg per day for patients age 1 to younger than 6 years. Once initiated, eltrombopag dosing should be adjusted to achieve a platelet count goal of 50 × 109/L, not to exceed 200 × 109/L. The dose should not be titrated to achieve normal platelet counts."
There is a table with the protocol within the article but I cannot find a way to copy and paste it into this message.
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