Hi there! What is the protocol for a low platelets situation in between cycles. My partner had her bloodworks done today and her platelets are very low ( 61). She was seeing tiny red spots all over her body yesterday with splitting headaches and extreme body pain so we came to the emergency to get her it checked and her bloodworks done. Throughout her actual chemo in the past 7-8 months , her platelets have never dropped so dangerously low and we don’t know how to proceed from here. The doctors on call don’t seen to know how to proceed and initially even tried to diss it as a mild reaction to Kladcyla that can be managed with creams etc. we don’t know if it the right thing to do.
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Hi sms
Thanks for posting.
A low platelet count is common in some people who are receiving chemotherapy treatment for breast cancer. However, protocols for giving the drug and parameters of blood results differ depending on the drug.
You mention that your wife is on Kadcyla. You can read the information for this drug including effect on the platelet count here.
If the number of blood cells is too low, the next cycle of treatment may be delayed or the dose reduced. Doctors often tailor the dose of a drug by reducing it to suit an individual and to help manage its side effects.
If you haven’t done so already, it’s important to let your partners oncologist know, about the side effects she has been experiencing, including the rash, along with the blood results from her consultation at the emergency department. The oncologist will be best placed to advise on the cause of the low platelets and will also be able to discuss the plan for continuing treatment.
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Best wishes
Catherine
Breast Care Nurse
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