dyan, can't comment on the red blood cells. As you may know one issue with Revolade/Promacta is scarring of the bone tissue (aka
reticulin
). When this occurs it is reflected as a need for a progressively higher dose to maintain the same count. There is another issue with reticulin too. I think it is 'giant plates' noted on the smear. Other's probably know. Bone biopsy confirms.
I was reading through old posts. You
commented
'The doctor thinks it may have been the combination of taking steroids in early October when they threw various treatments at me to get the bleeding to stop.'
The combination of Revolade/Nplate and steroids seems to work well with some folks - see row 2 in
my ITP table.
I would wonder if taking a small omount of Pred for a short time might help to lower your 75mg dose if reticulin is not the issue.