Second-line or maintainence therapy for idiopathic thrombocytopenic purpura

  • Romiplostim, el/avatrombopag
  • Rituximab (anti-CD20) ± dex
    • anti–B-cell Ab
  • Splenectomy* (less common)
    • ~65% long-term remission
  • AZA,
  • CYC,
  • MMF
    • Immunosuppressants
  • Danazol: 600 mg/d
    • Androgen (hirsutism) ↓ plt clearance