
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Immune Thrombocytopenia medical therapy
Introduction
Overview
Overview
There is no treatment for [disease name]; the mainstay of therapy is supportive care.
OR
Supportive therapy for [disease name] includes [therapy 1], [therapy 2], and [therapy 3].
OR
The majority of cases of [disease name] are self-limited and require only supportive care.
OR
[Disease name] is a medical emergency and requires prompt treatment.
OR
The mainstay of treatment for [disease name] is [therapy].
OR Β The optimal therapy for [malignancy name] depends on the stage at diagnosis.
OR
[Therapy] is recommended among all patients who develop [disease name].
OR
Pharmacologic medical therapy is not recommended among patients with platelet count above 30<math>\times</math> <math>10^{9}</math>/L unless they are undergoing procedure or activities induce bleeding.
OR
First line pharmacologic medical therapies for immune thrombocytopenia include corticosteroid, anti- D antibody, and IVIG.
Corticosteroid treatment used in ITP include:
Second line medical therapy includes:
- Azathioprine
- Cyclosporin A
- Cyclophosphomide
- Danazol
- Dapsone
- Mycofenolate mofetil
- Rituximab
- Splenectomy
- TPO receptor agonists
- Vinca alkaloids [1]
Emergency therapy for ITP recommended for patients with platelet counts less than 10<math>\times10^{9}</math>/L with severe life threatening bleeding in gastrointestinal , genitourinary tract and central nervous system.
OR
Patients with [disease subclass 1] are treated with [therapy 1], whereas patients with [disease subclass 2] are treated with [therapy 2].
Medical Therapy
Medical Therapy
- Pharmacologic medical therapy is recommended among patients with [disease subclass 1], [disease subclass 2], and [disease subclass 3].
- Pharmacologic medical therapies for [disease name] include (either) [therapy 1], [therapy 2], and/or [therapy 3].
- Empiric therapy for [disease name] depends on [disease factor 1] and [disease factor 2].
- Patients with [disease subclass 1] are treated with [therapy 1], whereas patients with [disease subclass 2] are treated with [therapy 2].
Disease Name
- First line – Name of stage
- 1.1 Specific Organ system involved 1
- 1.1.1 Adult
- corticosteroids (1) Dexamethazone 40 mg QD for 4 days (use with caution patients with high copies of Hepatitis B virus DNA)
- or
- corticosteroids(2): prednisone 1 mg/kg/day PO for 2-4 weeks.Then taper to minimum maintenance dose of < 15mg/day.
- IVIGΒ : IVIG 400 mg/kg/day IV for 5 days. (use with caution in patients with IgA deficiency or renal insufficiency)
- IVIG (1): IVIG 1000 mg/kg IV q6h single dose.[2]
- Alternative regimen (2): drug name 500 mg PO q12h for 14β21 days
- Alternative regimen (3): drug name 500 mg PO q6h for 14β21 days
- 1.1.2 Pediatric
- 1.1.2.1 (Specific population e.g. children < 8 years of age)
- Preferred regimen (1): drug name 50 mg/kg PO per day q8h (maximum, 500 mg per dose)
- Preferred regimen (2): drug name 30 mg/kg PO per day in 2 divided doses (maximum, 500 mg per dose)
- Alternative regimen (1): drug name10 mg/kg PO q6h (maximum, 500 mg per day)
- Alternative regimen (2): drug name 7.5 mg/kg PO q12h (maximum, 500 mg per dose)
- Alternative regimen (3): drug name 12.5 mg/kg PO q6h (maximum, 500 mg per dose)
- 1.1.2.2 (Specific population e.g. ‘children < 8 years of age’)
- Preferred regimen (1): drug name 4 mg/kg/day PO q12hοΌmaximum, 100 mg per doseοΌ
- Alternative regimen (1): drug name 10 mg/kg PO q6h (maximum, 500 mg per day)
- Alternative regimen (2): drug name 7.5 mg/kg PO q12h (maximum, 500 mg per dose)
- Alternative regimen (3): drug name 12.5 mg/kg PO q6h (maximum, 500 mg per dose)
- 1.1.2.1 (Specific population e.g. children < 8 years of age)
- 1.1.1 Adult
- 1.2 Specific Organ system involved 2
- 1.1 Specific Organ system involved 1
- 2 Stage 2 – Name of stage
- 2.1 Specific Organ system involved 1
- Note (1):
- Note (2):
- Note (3):
- 2.1.1 Adult
- Parenteral regimen
- Oral regimen
- Preferred regimen (1): drug name 500 mg PO q8h for 14 (14β21) days
- Preferred regimen (2): drug name 100 mg PO q12h for 14 (14β21) days
- Preferred regimen (3): drug name 500 mg PO q12h for 14 (14β21) days
- Alternative regimen (1): drug name 500 mg PO q6h for 7β10 days
- Alternative regimen (2): drug name 500 mg PO q12h for 14β21 days
- Alternative regimen (3):drug name 500 mg PO q6h for 14β21 days
- 2.1.2 Pediatric
- Parenteral regimen
- Preferred regimen (1): drug name 50β75 mg/kg IV q24h for 14 (14β21) days (maximum, 2 g)
- Alternative regimen (1): drug name 150β200 mg/kg/day IV q6β8h for 14 (14β21) days (maximum, 6 g per day)
- Alternative regimen (2): Β drug name 200,000β400,000 U/kg/day IV q4h for 14 (14β21) days (maximum, 18β24 million U per day) ‘(Contraindications/specific instructions)’
- Oral regimen
- Preferred regimen (1): drug name 50 mg/kg/day PO q8h for 14 (14β21) days (maximum, 500 mg per dose)
- Preferred regimen (2): drug name (for children aged β₯ 8 years) 4 mg/kg/day PO q12h for 14 (14β21) days (maximum, 100 mg per dose)
- Preferred regimen (3): drug name 30 mg/kg/day PO q12h for 14 (14β21) days (maximum, 500 mg per dose)
- Alternative regimen (1): drug name 10 mg/kg PO q6h 7β10 days (maximum, 500 mg per day)
- Alternative regimen (2): drug name 7.5 mg/kg PO q12h for 14β21 days (maximum, 500 mg per dose)
- Alternative regimen (3): drug name 12.5 mg/kg PO q6h for 14β21 days (maximum,500 mg per dose)
- Parenteral regimen
- 2.2 ‘Other Organ system involved 2′
- Note (1):
- Note (2):
- Note (3):
- 2.2.1 Adult
- Parenteral regimen
- Oral regimen
- Preferred regimen (1): drug name 500 mg PO q8h for 14 (14β21) days
- Preferred regimen (2): drug name 100 mg PO q12h for 14 (14β21) days
- Preferred regimen (3): drug name 500 mg PO q12h for 14 (14β21) days
- Alternative regimen (1): drug name 500 mg PO q6h for 7β10 days
- Alternative regimen (2): drug name 500 mg PO q12h for 14β21 days
- Alternative regimen (3):drug name 500 mg PO q6h for 14β21 days
- 2.2.2 Pediatric
- Parenteral regimen
- Preferred regimen (1): drug name 50β75 mg/kg IV q24h for 14 (14β21) days (maximum, 2 g)
- Alternative regimen (1): drug name 150β200 mg/kg/day IV q6β8h for 14 (14β21) days (maximum, 6 g per day)
- Alternative regimen (2): Β drug name 200,000β400,000 U/kg/day IV q4h for 14 (14β21) days (maximum, 18β24 million U per day)
- Oral regimen
- Preferred regimen (1): drug name 50 mg/kg/day PO q8h for 14 (14β21) days (maximum, 500 mg per dose)
- Preferred regimen (2): drug name 4 mg/kg/day PO q12h for 14 (14β21) days (maximum, 100 mg per dose)
- Preferred regimen (3): drug name 30 mg/kg/day PO q12h for 14 (14β21) days (maximum, 500 mg per dose)
- Alternative regimen (1): drug name 10 mg/kg PO q6h 7β10 days (maximum, 500 mg per day)
- Alternative regimen (2): drug name 7.5 mg/kg PO q12h for 14β21 days (maximum, 500 mg per dose)
- Alternative regimen (3): drug name 12.5 mg/kg PO q6h for 14β21 days (maximum,500 mg per dose)
- Parenteral regimen
- 2.1 Specific Organ system involved 1
References
References
- β Kohli, Rahil; Chaturvedi, Shruti (2019). “Epidemiology and Clinical Manifestations of Immune Thrombocytopenia”. HΓ€mostaseologie. 39 (03): 238β249. doi:10.1055/s-0039-1683416. ISSNΒ 0720-9355.
- β Liu, Xin-guang; Bai, Xiao-chuan; Chen, Fang-ping; Cheng, Yun-feng; Dai, Ke-sheng; Fang, Mei-yun; Feng, Jian-Ming; Gong, Yu-ping; Guo, Tao; Guo, Xin-hong; Han, Yue; Hong, Luo-jia; Hu, Yu; Hua, Bao-lai; Huang, Rui-bing; Li, Yan; Peng, Jun; Shu, Mi-mi; Sun, Jing; Sun, Pei-yan; Sun, Yu-qian; Wang, Chun-sen; Wang, Shu-jie; Wang, Xiao-min; Wu, Cong-ming; Wu, Wen-man; Yan, Zhen-yu; Yang, Feng-e; Yang, Lin-hua; Yang, Ren-Chi; Yang, Tong-hua; Ye, Xu; Zhang, Guang-sen; Zhang, Lei; Zheng, Chang-cheng; Zhou, Hu; Zhou, Min; Zhou, Rong-fu; Zhou, Ze-ping; Zhu, Hong-li; Zhu, Tie-nan; Hou, Ming (2018). “Chinese guidelines for treatment of adult primary immune thrombocytopenia”. International Journal of Hematology. 107 (6): 615β623. doi:10.1007/s12185-018-2445-z. ISSNΒ 0925-5710.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maryam Barkhordarian, M.D.[2]
