Hepatitis C Community
what is approximately low for platelet count?
About This Community:

This forum is for questions about medical issues and research aspects of Hepatitis C such as, questions about being newly diagnosed, questions about current treatments, information and participation in discussions about research studies and clinical trials related to Hepatitis. If you would like to communicate with other people who have been touched by Hepatitis, please visit our new Hepatitis Social/Living with Hepatitis forum

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

what is approximately low for platelet count?

I'm on week 11  - Peg interferon and riba for geno type 2 (24 week course of tx)

As some of you may know I have had some bad luck with my heart. Two weeks ago I was aware of alarming shortness of breath and weakness. When I saw hepetologist Tuesday 20th he told me I was suffering from acute anemia and I was sent immediately for a blood transfusion - 3 pints to fix low hemoglobin,

Although I don't feel as weak as before the transfusion I notice I am still short of breath and although RBC and hemoglobin have risen I see from blood tests my  WBC has fallen to 2.5 and platelet count fallen to 53 from 63 in a week. Anyone know when they strike you off peg and riba because of low WBC or platelet count. I'm 180 peg and 4 riba pills per day at the moment.

best wishes to you all

Doofus
2 Comments Post a Comment
Blank
446474_tn?1404424777
As far as platelet counts...

This is from the PEGASYS (peginterferon alfa-2a) Package Insert -

"Dose reduction to 90 µg PEGASYS is recommended if the platelet count is less than 50,000 cells/mm3.

Cessation of therapy is recommended when platelet count is below 25,000 cells/mm3."

Ultimately it is really up to your treating doctor and what they are comfortable with.

For us cirrhotics for example, instead of stopping we will be given by our hepatologist either a platelet transfusion or Promacta when our platelet count drops below 25,000 or 20,000 because if we don't clear the virus, it may be our last shot at treatment before we are too ill to treat our HCV.

By the way, you have plenty of platelets so there is no danger as far as clotting and bleeding. Unless you have other coagulation issues which would be seen by your INR test results.

If your platelet counts gets very low you will notice intermittent nose bleeds that take a long time to stop and bleeding gums after brushing teeth. You may also bruise more easily and notice little dots of blood under your skin. I've experienced all this and while not usually a serious issue you should mention it to your doctor. Many of cirrhotics normally have platelets in the 50s-60s for years with no issues. I've had platelet counts in the 50,000s for over 5 years.

I'll let others comment on WBCs.

Cheers!
Hector
Blank
Avatar_m_tn
Hector

Thanks for your reply. I hope you are doing OK

Pete
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Hepatitis C Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Hepatitis Answerers
179856_tn?1333550962
Blank
nygirl7
Planet Earth, CT
Avatar_f_tn
Blank
susan400
FL
683231_tn?1415953923
Blank
flyinlynn
Auburn, WA
96938_tn?1189803458
Blank
FlGuy
South, FL
446474_tn?1404424777
Blank
HectorSF
CA
163305_tn?1333672171
Blank
orphanedhawk
Rural Mural, CA