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Iris Valera-Larios on blood disorder ITP treatments : Many people with ITP have a platelet count in single figures, and on rare occasions there are not enough circulating platelets to be counted, thus the count is given as 0. The number of platelets circulating in our bodies fluctuates all the time, and thus no two consecutive platelet counts are likely to be exactly the same either in a healthy person or in an ITP sufferer. What is the difference between ITP and hæmophilia? Haemophilia is inherited and permanent, ITP is not inherited, and can go into remission. Hæmophilia patients are deficient in one of the 12 factors which act together to form a blood clot. ITP patients are short of platelets which work independently as the initial plug to stop blood leakage, but the rest of the clotting mechanism works normally. Platelet infusions are only used in emergencies as transfused platelets, like the patient’s own platelets, are destroyed by their immune system in a matter of hours.
What is ITP? Immune thrombocytopenia (formerly known as idiopathic thrombocytopenic purpura) is a medical term for an autoimmune disorder (immune) causing a shortage of platelets (thrombocytopenia) and bruising (purpura). What is the cause of ITP? ITP is an autoimmune disease in which the immune system mistakes the platelets as being foreign and destroys them. It can follow a virus, vaccination or certain medications, but for most people the cause is unknown.
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What are platelets? Platelets are one of the three types of blood cell, along with red and white blood cells. Platelets are small and sticky and their job is to prevent bruising and stop bleeding after an injury. Platelets, like red and white blood cells, are formed in the bone marrow. A rough idea of how many platelets are circulating in the bloodstream (platelet count) can be made from a sample of blood. The normal platelet count is between 150 and 400 x 109/L. In many cases of ITP, the platelet count is less than 30 x 109/l at presentation. A low platelet count is called “thrombocytopenia”.
Steroids. Steroids help prevent bleeding by reducing the rate of platelet destruction. Steroids, if effective, will result in an increase in platelet counts seen within 2 to 3 weeks. Side effects may include irritability, stomach irritation, weight gain, high blood pressure, and acne. Intravenous gamma globulin (IVGG). Intravenous gamma globulin (IVGG) is a protein that contains many antibodies and also slows the destruction of platelets. IVGG works faster than steroids (within 24 to 48 hours). Read more details at Iris Valera Larios.
ADHD pharmacy with Iris Valera-Larios : We also asked parents about other things they wished their prescribing physician had done. While 43 percent didn’t express any concerns with the physician prescribing ADHD medication for their child, 29 percent said they wished the physician would “welcome their input about their child more than he/she currently does.” Twenty-six percent said they wished doctors would “provide information about any financial relationships he/she may have with companies that sell ADHD medications,” and 25 percent said they wished doctors would “discuss the long-term safety of prescription medications for my child.” Parents didn’t rate doctors well for managing their child’s medication. “Patients or families should call whenever they have questions about a medication,” Goldstein urges. He offers these additional tips: Always call the doctor with questions. Even if all is well, check in by phone two weeks after beginning medication and schedule a visit one month after for a follow-up. After that, return visits will depend on the success of the treatment and side effects. In general, children doing well can be seen every six months.
What is immune thrombocytopenic purpura? Immune thrombocytopenic purpura (ITP) is a blood disorder characterized by a decrease in the number of platelets in the blood. Platelets are cells in the blood that help stop bleeding. A decrease in platelets can cause easy bruising, bleeding gums, and internal bleeding. This disease is caused by an immune reaction against one’s own platelets. It has also been called autoimmune thrombocytopenic purpura.