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2,5 mg of Prednisone every other day to go down on the dose of Promacta? 2 months 3 days ago #71814

  • GrouchoMarx
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  • I would never recommend an illness that choses people like me.
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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

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2,5 mg of Prednisone every other day to go down on the dose of Promacta? 2 months 1 day ago #71815

  • mrsb04
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  • Diagnosis of ITP in 2014. Retired (Nov 2019) renal specialist nurse, 46 years on the NHS front line. 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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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 ?
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2,5 mg of Prednisone every other day to go down on the dose of Promacta? 2 months 1 day ago #71816

  • sleev-les
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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.  
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2,5 mg of Prednisone every other day to go down on the dose of Promacta? 1 month 1 week ago #71849

  • GrouchoMarx
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Well noted! Txs :)

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