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mrsb04 wrote: When I started my topic 'Started Promacta February 2017' a lady on here called Margaret K
( pdsa.org/user-profile/7605-margaret-k.html ) gave me lots of useful advice.
10 months ago she posted to me I just worked out that it has taken 13 separate reductions of 25 mg per week each time for me to have come down gradually from 75 mg daily to almost 25 mg daily, over 3.5 years. In that time after having built up to a count of 150 in the first 6 months, I have never been below 90 and only above 150 briefly, always coming down with the small dose reduction.It was just as well I stayed at about 100 , given that I had to have two major operations last year. fortunately nothing seems to lower my count, not illness or stress , ( and I had a lot of stress last year) alcohol or foods. Fingers crossed things continue this way.
A couple of months later later she posted on Groucho's topic 'Promacta treatment 14th October' 3years 10 months after being at 1 I am now stable at about 120 on 25 mg daily of eltrombopag. I started out at 75 mg daily and it has taken this long, almost 4 years of gradual dose reductions , to get to this happy situation.
So it's a long slow job. I started on 25mg/day and am now on 75mg/day. I have just spent the last 3.5 years tapering off Prednisolone. My haemo told me she has one patient who only takes 25mg twice a week after a long slow taper.
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