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What is the best treatment for ITP after a failed steroid drug therapy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My son was diagnosed with ITP a few months ago. He has been on steroids since then. But now, he has developed blood blisters on his lips and in his mouth, bruises, and spots of petechiae. I am scared. Should he be taken off the steroids?

Please help.

Answered by Dr. Prathap

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

Treatment of ITP (immune thrombocytopenic purpura) is really challenging. The effect of steroids starts very early. But with immunosuppressants like 6-MP (6-Mercaptopurine), it takes weeks to get the effect of the drug. So, I suggest you continue the steroids for at least four weeks after starting 6-MP and then gradually taper it off.

Kindly consult a specialist, talk with them, and take medicines with their consent.

I hope this has helped you.

Thanks and regards.

Answered byDr. Prathap

Medically reviewed byiCliniq medical review team

Published At July 2, 2023
Reviewed AtNovember 6, 2025

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