What are the ASH recommendations for second and third-line therapy for immune thrombocytopenic purpura (ITP) during pregnancy?

Updated: Jun 28, 2019
  • Author: Craig M Kessler, MD, MACP; Chief Editor: Srikanth Nagalla, MBBS, MS, FACP  more...
  • Print
Answer

Second-line therapy for refractory ITP is with combined corticosteroids and IVIg or, in the second trimester, splenectomy.  For third-line therapy, anti-D immunoglobulin and azathioprine are relatively contraindicated. Agents that are not recommended, but whose use in pregnancy has been described, include the following:

  • Cyclosporine
  • Dapsone
  • Thrombopoietin receptor agonists
  • Campath-1H
  • Rituximab

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!