With my count at 233 this morning and my NPlate dose at a mere 10 mcgs (total dose, not mcg per kg), my MD recommended I stop taking it altogether. So that's what I did! The hope of being in a true remission has made me giddy. Even if it's not "remission" per se, just maintaining a stable enough count to not need treating is a big blessing.
Ever since Feb of this year, the count has been mostly stable despite the gradual lessening of the dose. If anyone was to make me speculate about what happened, my guess would be the two back-to-back steroid dose-paks I had for an unrelated problem at that time perhaps "shocked" my system somehow. Before the first pak, I was still careening from 114 to 37 in a week's time with no change in NP dose of 50. After the second dose-pak, I haven't budged out of the mostly mid-100s, with a couple of 200s in the mix.
I bet the office nurses will be glad they won't need to mix such an impossibly tiny dose anymore. I will still need weekly CBCs for a while, but I'm still pretty pumped at this turn of events.
There aren't too many people in my life who would even understand what all my fuss is about. I know you do, so thanks for listening.