In children, the disease usually goes away without treatment. Some children may need treatment.
Adults are usually started on an anti-inflammatory steroid medicine called prednisone. In some cases, surgery to remove the spleen (splenectomy) is recommended. This increases the platelet count in about half of patients. However, other drug treatments are usually recommended instead.
If the disease does not get better with prednisone, other treatments may include:
- Medicine called danazol (Danocrine) taken by mouth
- Infusions of high-dose gamma globulin (an immune factor)
- Drugs that suppress the immune system
- Anti-RhD therapy for people with certain blood types
- Drugs that stimulate the bone marrow to make more platelets
People with ITP should not take aspirin, ibuprofen, or warfarin, because these drugs interfere with platelet function or blood clotting, and bleeding may occur.