Immune Thrombocytopenia Purpura (ITP): What helps?

Posted by naiviv @naiviv, Sep 2, 2022

Has anyone been diagnosed with ITP? Does anyone take supplements for ITP? Food to eat to increase platelets?

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Profile picture for holly5 @holly5

My daughter was diagnosed with ITP after a year of frequent Strep infections, platelets down to 2000, all other labs normal. Steroids had no effect, IVIG with only temporary improvement. Eltrombopag is working well but she is experiencing a lot of nausea and fatigue. Does anyone have experience with Avatrombopag? No one will touch her tonsils, but we are wondering if they are continuing to stimulate her autoimmune antibodies, regardless of negative swabs.

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@holly5, I believe other members like @agfromtheuk @johnbowrey @et09 @lfn2124 have experience with avatrombopag (brand name Doptelet)that they may be able to share.

Holly, has your daughter changed medications?

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Profile picture for jimmyb63 @jimmyb63

They have not yet used IVGG yet just the IVIG (Immune Globulin). I will ask about the IVGG. They are still stating ITP and have ruled out many things. The bone marrow tested was negative for everything. They have run so many blood tests too many to list. The only thing they said was I may develop RA but no symptoms. There have been no new medications. I did ask about amlodipine which they took me off of and put me on lisiniprol. The doctor said even if it was medication related they would drop but not down to 2000. They are going to try NPLate today if they can find some, from another hospital here in town. She also put me on Dapsone. They said they have only ever had one case like mine that didn’t respond to one of the first 3 treatments. This is the reason I’m seeking a doctor/hospital that has dealt with my situation before.

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@jimmyb63
A negative bone marrow test for immune thrombocytopenia (ITP) is expected, as the purpose of the test is to rule out other conditions like leukemia or myelodysplastic syndrome, not to diagnose ITP itself.
https://emedicine.medscape.com/article/202158-workup#:~:text=serious%20internal%20bleeding.-,Bone%20Marrow%20Examination,absence%20of%20other%20significant%20abnormalities.

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My daughter was diagnosed with ITP after a year of frequent Strep infections, platelets down to 2000, all other labs normal. Steroids had no effect, IVIG with only temporary improvement. Eltrombopag is working well but she is experiencing a lot of nausea and fatigue. Does anyone have experience with Avatrombopag? No one will touch her tonsils, but we are wondering if they are continuing to stimulate her autoimmune antibodies, regardless of negative swabs.

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Profile picture for docheat72 @docheat72

I am now going to transition from NPlate to Promacta. I will comment after a few days about side affects

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@docheat72
Thanks for replying I look forward to following your journey…may I ask why did you have to transition?
I hope everything is going well for you. 💜🙏🏼

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Thanks for responding… I look forward to following your journey..
I really hope I Never have To go off of N Plate it has been a wonderful solution in my case.
It can be so scary I hope everything goes well with you💜🙏🏼

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I am now going to transition from NPlate to Promacta. I will comment after a few days about side affects

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Profile picture for docheat72 @docheat72

Good Afternoon,
I am living with MDS and ITP. So far the treatment has been NPLATE whick brought my platelet count from 14K to as high as 68K. Hope this is of some help. I am new to this as I was diagnosed in June of 2025.

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@docheat72
I have been on N Plate since February and this shot has brought my platelets up to near normal- they were at 5…..they do fluctuate but they mostly stay in the low normal range.

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Profile picture for britt0220 @britt0220

When did you start experiencing MS symptoms?
Right now I am having a lot of MS symptoms but not test positive for it.

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My MS appeared even before my ITP, about 30 years ago. I haven’t had any symptoms worth mentioning since my 2nd bout of optic neuritis 10+ years ago. I am just going to get an MRI with a new neurologist after basically ignoring the diagnosis since pre-covid lockdowns.

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Profile picture for stf @stf

What helps: the only research-based answer to this, if you are looking for over the counter, is Vitamin D, which has a positive effect on many autoimmune conditions. It is not a magic bullet, but I take it because I have both MS and ITP.

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When did you start experiencing MS symptoms?
Right now I am having a lot of MS symptoms but not test positive for it.

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What helps: the only research-based answer to this, if you are looking for over the counter, is Vitamin D, which has a positive effect on many autoimmune conditions. It is not a magic bullet, but I take it because I have both MS and ITP.

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