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Splenectomy Question

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12 years 5 months ago #38189 by Luvmycat
Splenectomy Question was created by Luvmycat
My husband and I are talking about a splenectomy for him--just talking. I thought I had read somewhere that if a person has a splenectomy, then none of the other treatments for ITP can be administered such as steroids, IV treatments, etc. Is this so? It is really like buying a lottery ticket. It's a big gamble imo.

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  • dru
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  • I developed hemolytic anemia in 1999 and ITP in 2005. Treatments have been splenectomy, prednisone, IVIG, and Rituxan.
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12 years 5 months ago - 12 years 5 months ago #38190 by dru
Replied by dru on topic Splenectomy Question
No, that isn't true. Steroids, Ivig, rituxan, promacta, nplate are all used successfully for people who have had a splenectomy. The only treatment that I know of that can't be used is winro .
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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 #38195 by Sandi
Replied by Sandi on topic Splenectomy Question
Oh goodness, no! As Dru said, all treatments can be used after splenectomy except Win-Rho.

Things to be aware of:

After splenectomy, treatments such as Prednisone, Decadron, Rituxan, Imuran, CellCept, etc. can raise the risk of immunosuppression.

After splenectomy, treatments such as Promacta and N-Plate can raise the risk of blood clots.
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12 years 5 months ago #38217 by Winnifred
Replied by Winnifred on topic Splenectomy Question
In Ontario Canada you can't have Winrho/ Rhogam if you have had your spleen removed.


The only concern after having a spleen out would be treatments that suppress the immune system. You would need to be extra careful and watchful!
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12 years 5 months ago #38228 by Ann
Replied by Ann on topic Splenectomy Question
Also the TPOs, Promacta and Nplate, work less well in the spleenless so you need higher doses. And higher doses of the TPOs means more risk of clotting. Lots to consider I think.

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Platelet Disorder Support Association

Platelet Disorder Support Association
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IMPORTANT!

The Platelet Disorder Support Association does not provide medical advice or endorse any medication, vitamins or herbs. The information contained herein is not intended nor implied to be a substitute for professional medical advice and is provided for educational purposes only. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment, discontinuing an existing treatment and to discuss any questions you may have regarding your unique medical condition.