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Autoimmune Hemolytic Anemia - how long after taking predisone should the pain stop?

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coloresue 6 Jul 2015

I found no answer to your question. This is the best, simplest explanation of treatments of autoimmune hemolytic anemia I could find:
If symptoms are mild or if destruction of red blood cells seems to be slowing on its own, no treatment is needed. If red blood cell destruction is increasing, a corticosteroid such as prednisone is usually the first choice for treatment. High doses are used at first, followed by a gradual reduction of the dose over many weeks or months. If hemolytic anemia was caused by a drug, giving immune globulin by vein also may help. When people do not respond to corticosteroids or when the corticosteroid causes intolerable side effects, surgery to remove the spleen (splenectomy) is often the next treatment. The spleen is removed because it is one of the places where antibody-coated red blood cells are destroyed. When destruction of red blood cells persists after removal of the spleen or when surgery cannot be done, immunosuppressants, such as cyclosporine, are used.
When red blood cell destruction is severe, blood transfusions are sometimes needed, but they do not treat the cause of the anemia and provide only temporary relief.

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