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2,5 mg of Prednisone every other day to go down on the dose of Promacta?

  • GrouchoMarx
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  • I would never recommend an illness that choses people like me.
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4 years 1 week ago - 4 years 1 week ago #71814 by GrouchoMarx
Promacta started to work steady for over year now after some mysterious set back.

Here is my question. 

With a rate of 75/50, dose of Promacta my platelets are 153K.

When I reduced to 50 a day it dropped in one week to 83 K.

My doctor knows that just 2,5 mg of prednisone do wonders to me, even if taken every other day.

He is proposing to stick to 50mg of Promacta and use 2,5 mg of prednisone every other day. 

The question is:

Is it more damaging 2,5 mg of prednisone every other day or 25mg of Promacta every other day?

Your advice would be much appreciated. 

Best
  • mrsb04
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  • 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.
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4 years 1 week ago - 4 years 1 week ago #71815 by mrsb04
My advice is stick with 50mg Promacta for a bit longer and see what happens. 83K is a great count. Why take steroids unless absolutely essential ?
The following user(s) said Thank You: GrouchoMarx
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4 years 1 week ago #71816 by sleev-les
Agree with mrsb04.  Long term steroid use isn't worth the effects IMO.  83k is great and know if I could hold 50 or higher I wouldn't be on anything.  I'd avoid the steroids.  
The following user(s) said Thank You: mrsb04, GrouchoMarx
  • GrouchoMarx
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  • I would never recommend an illness that choses people like me.
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3 years 11 months ago #71849 by GrouchoMarx
Well noted! Txs :)