Treatment FAQ

what medication is available for treatment of itp

by Amelia Rolfson Published 2 years ago Updated 1 year ago
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Medications to treat ITP may include:
  • Steroids. Your doctor will likely start you on an oral corticosteroid, such as prednisone. ...
  • Immune globulin. If corticosteroids don't help, your doctor may give you an injection of immune globulin. ...
  • Drugs that boost platelet production. ...
  • Other drugs.
Feb 25, 2021

Medication

  • Drug administration preceded thrombocytopenia; recovery from thrombocytopenia complete and sustained after drug discontinued
  • Other drugs administered prior to thrombocytopenia were continued or reintroduced after discontinuation of the suspected drug
  • Other etiologies of thrombocytopenia excluded

More items...

Procedures

Which treatments are available for ITP?

  • Corticosteroids. Corticosteroids have been used as a first-line treatment for ITP for more than 30 years, according to available research from 2016.
  • Thrombopoietin receptor antagonists. ...
  • Antibody therapy. ...
  • Immunoglobulin infusions. ...
  • Avoiding certain medications and supplements. ...
  • Splenectomy. ...
  • Antibiotics. ...
  • Lifestyle changes. ...

Nutrition

There are some other homeopathic medicines available which you can use according to the symptoms. If you are looking for homeopathic treatment for ITP you can also consider Acetic Acid, Arsenic Album, Trinitrotoluene and Cinchona officinalis. So there is a lot of information available on the internet about ITP.

What are the drugs to avoid in ITP?

  • narrow-angle glaucoma;
  • severe high blood pressure (hypertension);
  • severe coronary artery disease;
  • if you are unable to urinate; or
  • if you are allergic to hydroxyzine (Atarax, Vistaril).

What is the optimal treatment of ITP?

Can alternative medicines cure ITP?

What is the drug Zyrtec used to treat?

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What are the treatment options for ITP?

Treatment options include corticosteroids, thrombopoietin receptor antagonists, antibody therapy, and immunoglobulin infusions. In some cases, a person may need surgery to remove the spleen. A doctor can advise on the best treatment option to manage ITP and prevent complications.

What is the latest treatment for ITP?

Newer treatments, such as the thrombopoietin receptor agonists, have transformed ITP care. They have high efficacy, are well tolerated and improve patients' quality of life. A greater understanding of the underlying pathophysiology of this disorder has helped develop a number of new targeted therapies.

What is the first line treatment for ITP?

The standard initial treatment for ITP is oral corticosteroids to increase platelet counts. Intravenous immunoglobulin or anti-D immunoglobulin can also increase platelet counts and are particularly useful for stimulating rapid platelet increases before planned procedures.

What injection is given for ITP?

Romiplostim injection is used to treat low blood platelet counts (thrombocytopenia) and help prevent bleeding in patients with a blood disorder called immune thrombocytopenia (ITP).

How is ITP 2021 treated?

In adults with newly diagnosed ITP, the ASH guideline panel recommends against a prolonged course (>6 weeks) of prednisone in favor of a short course (≤6 weeks) and suggests either prednisone (0.5 - 2.0 mg/kg/day) or dexamethasone (40 mg/day for 4 days) as the type of corticosteroid for initial therapy1 .

How long should I take steroids for ITP?

In light of the heavy treatment burden of prolonged corticosteroid exposure, clinical practice guidelines recommend limiting corticosteroid treatment to no more than 6 weeks in adults with ITP receiving initial therapy.

Can prednisone help ITP?

Prednisone is taken to decrease the risk of bleeding and bruising in patients with ITP who have a very low platelet count. Prednisone is also commonly taken with the goal of achieving a long-term remission from ITP.

How do you treat ITP in adults?

ITP treatment attempts to reduce platelet and megakaryocyte destruction through immune modulation and splenectomy or to increase platelet production by megakaryocytes with thrombopoietin receptor agonists (TPO-RAs). Corticosteroids are the first-line treatment.

Why do we give steroids for ITP?

Corticosteroids ("steroids") — Steroids prevent bleeding by decreasing the production of antibodies against platelets. If effective, the platelet count will rise within two to four weeks of starting steroids. Side effects include irritability, stomach irritation, weight gain, difficulty sleeping, mood changes and acne.

What medications increase platelet count immediately?

Drugs that boost platelet production. Medications such as romiplostim (Nplate) and eltrombopag (Promacta) help your bone marrow produce more platelets.

What is the fastest way to increase platelet count?

These tips can help you understand how to raise your blood platelet count with foods and supplements.Eating more leafy greens. ... Eating more fatty fish. ... Increasing folate consumption. ... Avoiding alcohol. ... Eating more citrus. ... Consuming more iron-rich foods. ... Trying a chlorophyll supplement.More items...•

What vitamins increase platelet count?

People with a low platelet count may be able to improve their condition by eating specific foods and taking certain supplements. Foods that may be of benefit include those containing folate and those rich in vitamins B12, C, D, or K. Supplements that may help include chlorophyll and papaya leaf extract.

Drugs used to treat Idiopathic Thrombocytopenic Purpura

The following list of medications are in some way related to, or used in the treatment of this condition.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

What is the best medication for CITP?

They’re similar to a hormone made by your adrenal glands. You’ll probably get one of two types to help treat your cITP. Prednisone (Deltasone, Rayos) is the most common. It helps slow the breakdown of your platelets.

What is the name of the drug that is used to treat thrombocytopenia?

Intravenous Immune Globulin (IVIG) Anti- RhoD (Anti-D ) Thrombopoietin-Receptor Agonists (TPO-RAs) Fostamatinib (Tavalisse) Rituximab (Rituxan) When you have chronic immune thrombocytopenia (cITP), you don’t have enough platelets in your blood. This means you might bleed if your platelet count is low or bleed too much when you’re injured.

What is the best medicine to stop bleeding?

Intravenous Immune Globulin (IVIG) This is also often used first. Your doctor may prescribe it to stop bleeding fast. Immune globulins are proteins in your blood called antibodies. Your immune system makes them to fight germs. You can also get them from a blood donor to boost your platelet count.

Can you take tavalisse twice a day?

Fostamatinib (Tavalisse) This is a tablet you take twice a day. It helps create more blood platelets for some people who weren’t helped by other treatments. For most people, side effects are mild. But in rare cases it can make you less able to fight infections, raise your blood pressure, or cause liver problems.

Can you take anti-rhod before IVIG?

Anti-RhoD (Anti-D) This is another type of immune globulin treatment. It costs less than IVIG and takes a few minutes instead of hours.

Does anti-D help with platelet count?

When you have this protein, anti-D can boost your platelet count. Before you start treatment, you’ll have tests to make sure you have the right blood type. You’ll also get medicine to help ease side effects like chills, fever, headaches, and body aches.

What is the treatment for ITP?

Other Treatments for ITP. Other treatment options may include: Rh immune globulin: Temporarily stops the spleen from destroying plate lets. Your child must be Rh positive and have a spleen for this medication to be effective.

What is ITP in children?

Type of ITP (acute versus chronic) Severity and extent of the disorder. Your child's tolerance for specific medications, procedures or therapies. You and your child's expectations, opinions and preferences.

How long does it take for an ITP to heal?

Many children with ITP are able to spontaneously recover within six months.

What is IVGG for ITP?

Intravenous Gamma Globulin (IVGG) for ITP. Intravenous gamma globulin (IVGG) is a protein that contains many antibodies and also slows the destruction of platelets. IVGG works more quickly than steroids (within 24 to 48 hours).

What happens if you have an infection with ITP?

Infection treatment: If an infection is causing the ITP, then treating the infection may result in higher platelet counts. Splenectomy: In some cases, the child's spleen may need to be removed, since this is the most active site of platelet destruction.

How to treat a spleen infection?

Other treatment options may include: 1 Rh immune globulin: Temporarily stops the spleen from destroying platelets. Your child must be Rh positive and have a spleen for this medication to be effective. 2 Medication changes: If we suspect that your child's medication is causing the ITP, we will recommend discontinuing or changing the medication. 3 Infection treatment: If an infection is causing the ITP, then treating the infection may result in higher platelet counts. 4 Splenectomy: In some cases, the child's spleen may need to be removed, since this is the most active site of platelet destruction. We consider this option more often in older children and adults with chronic ITP to decrease the rate of platelet destruction. 5 Hormone therapy: Teenage girls may need to take hormones to stop their menstrual cycle when their platelets are low if excessive bleeding occurs. 6 Medicines: The FDA approved two new medications for ITP: N-plate and Promacta. They stimulate the bone marrow to produce more platelets.

What is the best treatment for ITP?

Corticosteroids. Corticosteroids have been used as a first-line treatment for ITP for more than 30 years, according to available research from 2016. They can be given orally or intravenously. Two corticosteroids that may be prescribed for ITP are high-dose dexamethasone and oral prednisone (Rayos).

How long does it take to treat ITP?

According to 2019 guidelines from the American Society of Hematology (ASH), adults newly diagnosed with ITP should be treated with prednisone for no more than 6 weeks. Most children with ITP don’t require treatment. However, corticosteroids are used as first-line treatments for children who do require treatment.

How many platelets are in ITP?

ITP affects 1 in 1,000 to 1 in 10,000 of all pregnancies. If you’re pregnant, treatment may not be necessary unless your platelet count drops below 20,000 to 30,000 platelets per mcl. The preferred treatment for pregnant women is daily oral prednisone, according to a 2017 research review. However, in the long term, ...

Why does ITP cause low platelets?

With ITP, your immune system attacks and destroys platelets because it sees them as foreign tissue. In turn, low levels of blood platelets lead to your symptoms and related conditions. Taking a thrombopoietin receptor antagonist — a type of medication — can increase your platelet count.

What is the goal of ITP?

The goal of ITP treatment is to improve platelet counts and reduce the risk of bleeding. Corticosteroids are often prescribed as first-line treatments for adults, but a variety of options are available. ITP in children typically resolves in 6 months ...

What is the role of rituximab in ITP?

Abnormally triggered B cells play a role in the destruction of platelets in ITP. When rituximab attaches to these abnormal B cells, it destroys them.

How to manage ITP?

A combination of medications and lifestyle changes can help you feel better and manage your ITP. It’s also important to understand the related risks and side effects of each treatment. You may find that the side effects outweigh any potential benefits of your medication.

What is ROMIPLOSTIM used for?

ROMIPLOSTIM helps your body make more platelets. This medicine is used to treat low platelets caused by chronic idiopathic thrombocytopenic purpura ( ITP) or a bone marrow syndrome caused by radiation sickness.

What is methylpentinolone used for?

METHYLPREDNISOLONE is a corticosteroid. It is commonly used to treat inflammation of the skin, joints, lungs, and other organs. Common conditions treated include asthma, allergies, and arthritis. It is also used for other conditions, such as blood disorders and diseases of the adrenal glands.

What is prednisone used for?

PREDNISOLONE is a corticosteroid. It is commonly used to treat inflammation of the skin, joints, lungs, and other organs. Common conditions treated include asthma, allergies, and arthritis. It is also used for other conditions, such as blood disorders and diseases of the adrenal glands.

What is immunoglobulin used for?

This medicine is collected from the pooled blood of many donors. It is used to treat immune system problems, thrombocytopenia, and Kawasaki syndrome.

Is methylprednisolone covered by Medicare?

It is available in generic and brand versions. Generic methylprednisolone is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower.

What is the first line of treatment for ITP?

First-line therapies for treatment of ITP include corticosteroids, intravenous immune globulin (IVIG), and anti -D. Second-line therapies include rituximab and thrombopoietin receptor agonists (e.g. eltrombopag and romiplostim). Onset of action of the various agents play an important role in treatment selection.

What is ITP in pharmacy?

Immune thrombocytopenia (ITP) is an antibody-mediated process involving the destruction of platelets. This article was primarily authored by Sonam Patel, PharmD and reviewed by Ayesha Khan, PharmD, BCPS. Dr. Patel obtained her PharmD from University of Illinois College of Pharmacy, and is currently a PGY1 Pharmacy Practice resident ...

What is ITP in biology?

ITP is characterized by low platelets due to immunologic destruction and decreased platelet production in the absence of an identifiable cause. 1 It is often times a diagnosis of exclusion as there are no reliable lab tests to confirm the diagnosis. This immunologic process can be further classified into 2 sub-types: primary ITP and secondary ITP.

What is the goal of ITP?

The goal of ITP treatment is to prevent severe bleeding, but initial decisions regarding which therapy to select can be difficult. 1 Choice of therapy depends on many different factors including: · Agent toxicity/side effects. · Bleeding severity. · Desired rate of platelet increase. · Patient’s activity level.

Is Romiplostim a steroid?

IVIG is commonly used in patients who either cannot tolerate or who do not respond adequately to steroid treatment. Romiplostim, a thrombopoietic growth factor administered subcutaneously, is an effective option for those refractory to steroids and IVIG . However, cost and reimbursement of this agent may limit its use.

Drugs used to treat Thrombocytopenia

The following list of medications are in some way related to, or used in the treatment of this condition.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Mild cases may not require treatment, but are monitored. Medications, transfusion or surgery is recommended for chronic cases based on the severity and cause.
Medication

Corticosteroids: To suppress the immune system.

Dexamethasone . Prednisone


Immunoglobulin therapy: To increase the blood count.

Immune Globulin (Human)


Thrombopoietin receptor agonists: To stimulate platelet production.

Romiplostim . Eltrombopag

Procedures

Splenectomy: To reduce platelet destruction.

Platelet transfusion: A short-term treatment used in emergencies.

Nutrition

Foods to eat:

  • Leafy green foods gives lots of vitamin K such as spinach, kale, collard greens, sea vegetables like seaweed
  • Whole grains such as brown rice, wheat berries, farro and quinoa

Foods to avoid:

  • Limit milk, cheese and other dairy products
  • Blood thinning foods such as onions, garlic, tomatoes and ginger
  • Cut back on sugars
  • Avoid quinine—found in tonic water

Specialist to consult

Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.
Hematologist
Specializes in the study of the blood and blood disorders.

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