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Platelets dropped while taking Promacta 6 years 10 months ago #56870

mmcnatt
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My child started Promacta in August or September. Was doing great. Got platelets up to 57k a couple weeks ago. Over the holidays, she ran a fever for 3 days. I took her to the doctor (pedi) and she ran a country just to see. Her platelets dropped to 10k. WBCs 17k. Negative for flu, strep, and pneumonia. Maybe just had a bad cold virus.

Is it normal for platelets to drop while on promacta in times of sickness?

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Platelets dropped while taking Promacta 6 years 10 months ago #56871

Sandi Offline Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18 Posts: 12436 Karma: 11 Thank you received: 2375	Yes, that can happen. She should rebound. What dose is she on?
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Platelets dropped while taking Promacta 6 years 10 months ago #56874

mmcnatt Offline Posts: 40 Thank you received: 4	50mg. She has an appt with the pediatrician this afternoon to do another CBC.
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Platelets dropped while taking Promacta 6 years 10 months ago #56881

mrsb04 Offline ITP since 2014. Retired nurse. My belief is empower patients to be involved as much as possible in their care. Read, read, read & ALWAYS question medics about the evidence base they use. Posts: 2150 Karma: 7 Thank you received: 620	I've never had Promacta but have tried several treatments . Count always drops if I get a cold.
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Platelets dropped while taking Promacta 6 years 10 months ago #56894

momto3boys
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I'm glad to hear that her counts have been generally good on the medication! I almost always get a drop in counts after any kind of a bug. It's more common that I get a drop than not (the immune system gets all fired up, which means eating up those platelets as well).

I am also on Promacta and don't change my dosages if I get a low count after being sick. I would just wait out the virus and see where she stands when she is healthy again. Hopefully she'll be back up in the target zone after that. Hang in there and good luck.

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Platelets dropped while taking Promacta 6 years 9 months ago #56910

mmcnatt Offline Posts: 40 Thank you received: 4	Update. Her platelets came up to 64k yesterday afternoon. Very thankful for that.
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