IDIOPATHIC THROMBOCYTOPENIC PURPURA (ITP) Steroid Treatment Protocol

September 19, 2012 | By | Reply More

IDIOPATHIC THROMBOCYTOPENIC PURPURA (ITP) Steroid Treatment Protocol

Initial Steroid Treatment Protocol for ITP
Initial steroid treatment protocol for ITP is 1 mg/kg/day prednisone, P.O for 2–6 weeks
Subsequent Steroid Treatment Protocol for ITP
Prednisone dose is individualized for every patient. Usually the dose of prednisone is tapered to less than 10 mg per day for 3 months and then withdrawn. Splenectomy is done if discontinuation of prednisone causes a relapse.
Suggested Dental Guidelines for ITP
Always consult with the patient’s physician when corticosteroids have been used to treat ITP. If the platelet counts are lower than the required cutoff for dental surgery, the patient could receive additional steroids, per physician’s advice. You need to follow the “rule of twos” for major dental treatment and provide extra steroids prior to surgery if the patient is currently on steroids or has used steroids for 2 weeks or longer within the past 2 years.

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Category: Medicine, Oral Medicine

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