I am 42 years old, last 6 months I was diagnosed by itp, I was under treatment with wysolone 60 mg, and the platelets were normal it reduced upto 5 mg, but platelets down to 20000, and again the wysolone dose was increased to 20 mg and to 10 mg. Now my platelets were 52000, again the doctor reduce the dose to 5 mg, but my other blood results were normal

Dr. Dibyendu DeHematologist12yrs exp

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ITP is an. Autoimmune disease which some times have a waxing and waning course. So it may improve with standard therapy and later can again recur. The treatment is steroid whenever platelet goes very low and target is to keep. The patient bleeding free (not to have normal platelet counts it may be difficult to achieve). If platelet count goes dangerously low or patient have bleeding even on steroid then other therapies like IVIG Rituximab Eltrombopag or splenectomy can be tried. The third line options are dapsone, danazole and others. It is for treating doctor to decide which options will be suitable for you. Thanks. 

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