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NPLATE INJECTIONS

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12 years 6 months ago #37725 by billmccartney2013
NPLATE INJECTIONS was created by billmccartney2013
Curious as to whether anyone has had NPLATE injections for a year or more and had a bone marrow biopsy as is recommended to check the marrow for any damage from the NPLATE. If so, was there any damage ?
sweet william

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12 years 6 months ago - 12 years 6 months ago #37728 by Ann
Replied by Ann on topic NPLATE INJECTIONS
That's interesting. Who recommends a bone marrow biopsy? In the guidelines I read it said to look at the blood smear and if there were any morphological changes then do a bone marrow biopsy. I wonder if they've updated the guidelines.

I've used Nplate for several years and nobody has suggested a biopsy to me.

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12 years 5 months ago #37759 by billmccartney2013
Replied by billmccartney2013 on topic NPLATE INJECTIONS
interesting indeed. I either read this or viewed it somewhere. I think the reason is to see if the NPLATE is causing riticulin (sp) in the marrow which in turn could lead to other problems.

They did one last year to see if indeed I had ITP and of course I did. I asked my hemoc about it last I saw him and he did not say it was not necessary. So, either he thinks it is a good idea, or he is doing it to appease me, or it's a money making thing and he needs some Christmas money.
sweet william

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  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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12 years 5 months ago #37762 by Sandi
Replied by Sandi on topic NPLATE INJECTIONS
Bill:

Bone marrow biopsies are not necessary to diagnose ITP and really do not confirm ITP in any way. That is old school thinking. Things have changed.

I was also under the impression that BMB's are not necessary during N-Plate injections unless there are changes in blood work that seem suspicious.

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12 years 5 months ago #37775 by Christine
Replied by Christine on topic NPLATE INJECTIONS
I have been on NPLATE for almost two years and had a BMB after the first year and had another one last Tuesday (my second year). My hema says this is procedure now. I don't know I just accepted it. Interesting to see peoples thoughts on this one as I had never thought to question it.

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12 years 5 months ago #37778 by Ann
Replied by Ann on topic NPLATE INJECTIONS
It's not suggested in the manufacturer's guidelines for the UK so I'm happy not to have one and I'm certainly not going to suggest it! LOL.

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12 years 5 months ago #37795 by Winnifred
Replied by Winnifred on topic NPLATE INJECTIONS
I wish I was just being diagnosed with ITP because I really hated the BMB/A. To think now a days they don't do it or need to do it!

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12 years 5 months ago #37845 by mngrrrl
Replied by mngrrrl on topic NPLATE INJECTIONS
I had mine done at the Mayo Clinic and it was a breeze - conscious sedation, in and out in 20 minutes.

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