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Ahmed Kotb: Emergency Management of Critical Bleeding in ITP
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.”

Ahmed Kotb

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