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Suggest Treatment For ITP

Posted on Wed, 9 Mar 2016

Question: My Son is diagnosed with ITP on 23/12/2015. he was admitted in hospital & discharged on 28/12/2015, with a platelet count of 90000. He was administered with Prednisolon 500mg for 2 days. Now again his platelet count is on 13000. He is prescribed Omnacortil 15mg / day, Azoran 50mg/day & Dapsone 100mg/day. is his treatment on right track?

Answered by Dr. Shailja Puri (1 hour later)

Brief Answer:
The treatment is on right tract.This is 2nd line drug regime for ITP.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.

ITP is idiopathic thrombocytopenic purpura.
The exact cause of ITP is not known.
Viral infections are known to precipitate ITP.
Steroids are the mainstay of treatment for IPT accompanied by symptomatic treatment.
Your doctor prescribed a steroid prednisolone after diagnosis of ITP.
Following this steroid the platelets did not improve, thus, more potent steroids in the forms of omnacortil and azoran.
Dapsone is a drug which is used in patients of ITP who do not respond to first line steroids as in your sons case.
The response to the new drug regime needs to be monitored.
The treatment is on right tract.
Please stay in touch with your treating doctor so as to monitor the response to new drug regime.
Increase in platelet count implies response to treatment.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Shailja Puri (20 minutes later)

In case of other ailments like stomach upsets, fever, cold etc what medicines to avoid (like antibiotics etc), while on ITP medication.

Answered by Dr. Shailja Puri (4 minutes later)

Brief Answer:
Drugs with anti-platelet effect should not be taken.

Detailed Answer:
Hello and welcome again,
Treatment can be taken for minor ailments when taking steroids for ITP.
However, drugs which are affect the platelets or drugs which are anti-platelet should be avoided.
Anti-platelet drugs used for common ailments are NSAIDS like aspirin, paracetamol, brufen etc.
Any drug that you take should be first consulted by a doctor by giving the history of ITP.
Wish your son a speedy recovery!

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Shailja Puri (1 hour later)

Thanks a lot Doctor, one last question for now... My Son is compalining of mild headaches sometimes and is sweating a lot, at times also is iiritable. is this normal side effect of the drugs he is taking ?

Answered by Dr. Shailja Puri (1 hour later)

Brief Answer:
Possibly side effect of drugs, notify your doctor about them.

Detailed Answer:
Hello and welcome again,
The symptoms mentioned by you can be due to drug side.
Please notify your doctor about thes side effects.
These side effects are not serious but your doctor should be informed about them.

Thanks and take care
Dr Shailja Puri

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Above answer was peer-reviewed by : Dr. Arnab Banerjee