• from: Treatment of Primary ITP in Adults 󰒖

Chronic or refractory for idiopathic thrombocytopenic purpura

Romiplostim or eltrombopag

• Allows splenectomy to be deferred

Fostamatinib: 75–150 mg BID

• Spleen tyrosine kinase (SYK) inhibitor

Vinca alkaloids

• Good initial response, less durable