Inpatient Formulary, with restrictions. 

Criteria for use:

• Ordered by a hematologist/oncologist
• Time to treatment escalation for treating ITP:
  • At least 3 days of steroids prior to escalation (unless previously documented failure)
  • At least 2 doses of IVIG prior to escalation (unless previously documented failure)

UNLESS:

• Patient is experiencing bleeding or is considered at critical/severe risk of bleeding (platelets < 20,000/mm³)

• Micromedex
• CareNotes
• UpToDate
• Facts & Comparisons
• MedLinePlus (Patient Information)