Dear Sir, My Brother-in-law Has Been Suffering From A Low

Dear Sir,

My brother-in-law has been suffering from a low platelet count since March 19, 2024. We first learned about this through the annual health check report, which showed a platelet count of 35K.

As a precaution, we admitted him to Fortis Hospital Noida for three days, where the doctor provided platelets. He was later discharged with the prescribed medication Pan 40 and NeuroKind Forte, but there was no improvement in his platelet count. He then started Revoled (Eltrombopag), but still, there was no improvement. Later, on May 16, he started Wysolone, which increased his platelet count to 53K. In addition to this, he switched from the prescribed medication to Romiplostim injections, starting with 250mg and later increasing to 500mg, along with Vitamin B12 tablets.

In June, we decided to consult AIIMS Delhi, where the doctor recommended reducing the steroid dosage, and eventually, we stopped the steroid treatment. The doctor then prescribed Cyclosporine and Danazol, which we used for 3 to 4 months, but his platelet count never improved. It remained around 20 to 25K. Currently, only Danazol is being administered, and Cyclosporine has been stopped due to its impact on levels and the kidneys. As of now, his hemoglobin is also decreasing, along with his RBC and WBC counts (CBC report attached). At AIIMS, he has received two blood transfusions due to low hemoglobin.