Study aid only. Verify against current guidelines, primary literature, staging manuals, and prescribing information before clinical use.

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Immune Thrombocytopenia (ITP) — Treatment

First-line Second-line Later-line SECOND-LINE THIRD-LINE / LATER Immune thrombocytopenia (newly diagnosed) First-line Second-line Refractory Standard Corticosteroids dexamethasone or prednisone Rapid rise IVIG (if bleeding) + steroids TPO-RA Eltrombopag / romiplostim / avatrombopag thrombopoietin receptor agonist ↗ Anti-CD20 Rituximab durable response in subset ↗ SYK Fostamatinib FIT trials ↗ Surgical Splenectomy durable remission ~60% Combination Immunosuppression / combination individualized