How to treat idiopathic thrombocytopenic purpura?

Hi doctor,

I am a 41 years old female, and I am suffering from chronic ITP (idiopathic thrombocytopenic purpura) for 13 years. I removed the spleen 10 years ago.

I have a history of bleeding, high pulse rate, loss of consciousness, spots on the skin, and inflammation of muscles and joints that caused an increase in temperature (104 F). So they gave me Cortisone and it raised my blood glucose and blood pressure.

I am currently under Cortisone, Neural, Azathioprine, CellCept 500 mg, Solupred 20 mg, Versapenia 50 mg, Eposino (epoetin alpha), and Epiao 4000 iu. But my blood platelets are not exceeding 10,000 and my hemoglobin now is 7, which is my current problem.

First, chronic ITP doctors were not able to detect my blood type so they used to do blood transfusion of type O in order to increase the hemoglobin. But now they are not able to do so, because of the high antibody count in my blood even after intake of cortisone and antibiotics. So they cannot correct my hemoglobin at all.

Please help me.

Thank you.

Hi doctor, thank you so much for the fast reply.

Unfortunately, I am already taking these medications for four months, but there is no improvement in my case or in the test results (as I already do the needed tests every month). So I would like to know if there is any new treatment or any other thing to do.

Thank you.