Ahmed Kotb/daiichisankyo.us
Sep 4, 2026, 02:44
Ahmed Kotb: Emergency Management of Critical Bleeding in ITP
Ahmed Kotb, Head of Global Oncology Medical Affairs at Daiichi Sankyo, shared a post on X:
“For ITP plus critical or life-threatening bleeding plus platelets less than 20×10⁹/L:
- High-dose IVIG.
- High-dose corticosteroids.
- Platelet transfusion.
- Tranexamic acid.
- Consider early TPO-RA.
If bleeding remains uncontrolled – consider urgent splenectomy.
Avoid routine rFVIIa because of thrombosis risk.”
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