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Friday, March 6, 2020

Dexamethasone: Idiopathic Thrombocytopenic Purpura in Children and Adolescents

Dexamethasone: Idiopathic Thrombocytopenic Purpura in Children and Adolescents


Indication: 
Children and adolescents (age range, 3 to 17 years) with persistent or chronic refractory ITP.

Dosage and duration: 
Guidelines have provided varied oral dosage regimens for dexamethasone in the management of ITP, including 28 to 40 mg/m/day, without specifying duration or cyclic high-dose regimens (0.6 mg/kg/day for 4 days every 4 weeks for 6 cycles).
Small prospective trials have documented oral dosage regimens as 20 mg/m daily (in 2 divided doses) for 4 days every 4 weeks for a total of 6 cycles/courses or 0.6 mg/kg daily for 4 consecutive days once a month for 6 courses.

Intravenous

Administered as 20 mg/m daily for 4 days. A cycle was administered every 15 days for a total of 4 courses.

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