Hello doctor, I have ITP problem when I was 3 years old due to any viral infection, now I am 31 years old female. I was always at 100000 above platelets counts from last many years without any medicines except Prednisone in some adverse situation but suddenly nine months back, my platelets count went down to 15000 and this month it is at 10,000 only. Now I am on medicines Dexamethasone 40 mg after a meal for four days and Pan 40 before a meal. What should I do now? After four days of medication, what step should be taken? My weight is 50 kg and height 5'3".
Hello. You have been prescribed high dose steroid as your platelet count are very low so the risk of bleeding can be present. You should take this medication for a prescribed duration of at least 1 to 2 weeks. Then if platelet count raised then no active treatment needed and monitoring of platelet count done at regular intervals. But if after one or two-week course of high steroid, platelet count not raised than low dose steroid can be continued for two to six week to improve platelet count. Other options of treatment are immunosuppressive drugs like Azathioprine and Thrombopoietin receptor agonist like Romiplostim like drugs. Take care. For more information consult a hematologist online -->