Discharge Instructions for Immune Thrombocytopenia (ITP)

Medicine and medical care

Here are tips to follow:

• Talk with your health care provider about which medicines you should not take. Don't take the following medicines, unless directed to by your provider. They make it harder for your blood to clot:

  • Aspirin

  • Ibuprofen or other NSAIDs (nonsteroidal anti-inflammatory drugs)

  • Warfarin

• Don’t take any other medicine without checking with your provider first. This includes prescription and over-the-counter medicines, herbs, vitamins, and other supplements.

• Take all medicines exactly as directed.

• Limit your alcohol intake. Alcohol can make it harder for your blood to clot and put you at risk for accidents.

• Keep all follow-up appointments. Your provider will need to check your blood platelet count closely. 

• Tell your dentist or other health care providers that you have ITP before any procedures.

Lower your risk of bleeding

Recommendations to lower your risk include: 

• Talk with your health care provider before playing any sports, especially contact sports, or activities that carry a risk for injury.

• Do what you can to prevent bruising, bumping, or cutting yourself.

• Use an electric razor when shaving. Be careful when using sharp items such as nail trimmers or knives.

• Blow your nose very gently to prevent nosebleeds.

• Use a cool steam vaporizer to keep the air inside your home moist enough to prevent nosebleeds.

• Wear hard-soled shoes when outside.

• Use gloves and wear long pants when gardening or doing other activities where your skin could get scratched.

• If you have problems with gum bleeding, use a sponge toothbrush (instead of one with bristles). Ask your healthcare provider or dentist where you can get one.

Follow-up

Make a follow-up appointment as directed by our staff.

When to call your health care provider

Call your health care provider right away if you:

• Bruise easily.

• Bleed for no clear reason, or you have heavy bleeding or bleeding that lasts longer than normal.

• Have tiny areas of pinpoint bleeding on (or just under) the skin of the arms or legs.

• Have blood in your urine or stool.

• Bleed from your nose or gums.

• Have heavier than normal menstrual bleeding.

• Have a head injury or any major injury.

• Have headaches, confusion, or changes in your vision.