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CsA (cyclosporine) to the rescue
I also relapsed after my first ATG treatment. We tried increasing my Csa to 200mg twice a day. At the time, I was getting red blood every 2-3 months and platelets only occasionally. My hgb stayed in the low 8s and my platelets hovered in the low 20s.
A month after I started the new dosage, I needed another red blood transfusion, but after that transfusion, my hgb counts declined slower, and about 5 months after the new dosage, the hgb started climbing on its own.
It took a little time, but it worked.
Best wishes.
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Male, 56, dx Nov2006 VSAA (BMA:0%). Responded to ATG/CsA/Prednisone/Neupogen Dec 2006, but relapsed in June 2007. Counts are responding to using CsA 200mg bid alone since Jun 2008. Last PRBC tx: Jul 2008.
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