Doctor insights on:
Alternative Treatments For Itp
Many options....: Traditionally, acute itp was treated with ivig, which leverages anti-idiotype effect and fc receptor engagement to block PLT degradation. Winrho has been used. It recognizes a protein on the surface of red cells and essentially ties up the reticuloendothelial system. But it causes a mild anemia, so has fallen out of favor. Steroids, rituximab, splenectomy, and thrombopoietin agonists r options. ...Read moreSee 1 more doctor answer
I would ask your Dr.: Sometimes patients with itp will end up on a chronic medical regimen because efforts to wean off their rx leads to recurrent bleeding. For example, after a course of steroids you may be able to wean to a vey low, even every other day dose, but complete discontinuation leads to bleeding reminiscent of the original diagnosis. With new options for medical mgmt, may be time to revisit this issue. ...Read moreSee 1 more doctor answer
If controlled: Ask your doctor for individual recommendations Theoretically if platelet count is good ( bleeding risk is controlled) then the steroid would not be contraindicated but if you are already receiving steroids ITP treatment then I'm not sure how much more an injection has to offer. ...Read more
Is it ok to take Prozac (fluoxetine) if I have ITP? Had my levels checked a month and a half ago, I've never needed treatment for it. Dr wants me to start Prozac (fluoxetine).
?: Prozac and other SSRIs have been associated with vasculitis and impaired platelet function. I see you are taking amitriptyline which can also affect platelet function. As far as I know Wellbutrin (bupropion) is the only antidepressant that has not been reported to affect platelets and other blood cells ...Read more
Disease called itp dr keeps me on these IV treatments. Of dexamethasone, zofram, benadryl.2 tylenol (acetaminophen) and 5000 units of winrho. Is this tolong to be on?
Does itp go into remission, because i would never know. He tells me just keep talking your treatments?
Is itp a form of cancer? Since they found out that I have low platelets in 07. I heaven on IV treatments.My platelets can be 168 an still taktreatment
No: Ttp is a disorder causing clot formation in microscopic blood vessels and resulting in low platelet counts altered mental status and renal failure . It responds to plasmapheresis. Cause is unknown. Some forms of cancer may be complicated by ttp and there is a genetic form too. ...Read moreSee 1 more doctor answer
I have ITP - never needed treatment. I'm on Prozac for anxiety. What can I take that is safe if I have a headache? Tylenol (acetaminophen)? Aleve?
Acetaminophen: Acetaminophen (Tylenol (acetaminophen) and many other over the counter meds) is safe because unlike Aleve (ibuprofen) it has no effect on platelet function. Aspirin and other non-steroidal anti-inflammatory drugs (NSAIDS) do affect platelet function, which increases risk of bleeding, which is already increased in ITP due a lower platelet count. ...Read more
ITP. How realistic is bleeding/problems w. 83PLT w/o treatment? Only easy bruising & mild gum/nosebleeds now. 95PLT 4wk ago 108PLT 8wk ago. Active 30f
Talk to hematologist: Looks like your platelet count is dropping progressively and thus the chance to get a severe hemorrhage is high at this rate. I presume that you have been worked up thoroughly to rule out potential causes. Since you are not without problem, you need to work closely with your hematologist re. monitoring and treatment before something serious happens. ...Read more
Possibly: For help with this, please consult a well-trained, experienced professional homeopath who can thoroughly take your case. I have seen single-remedy homeopathy yield results, where conventional medicine sometimes falls short. Please collaborate with your conventional physician on this also, though. Most skillful homeopathic physicians will see the wisdom in a joint approach. ...Read more
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