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Fighting Back: Treatments for Hemolytic Anemia You Need to Know
Published: Jul 03, 2024
Hemolytic anemia can be challenging, but there are effective treatments available. The right approach depends on the specific type and cause of your condition.
Tackling the Root Cause
For autoimmune hemolytic anemia, where the immune system attacks red blood cells, corticosteroids are often the first line of treatment. These medications suppress the immune response. In some cases, other immunosuppressants like rituximab might be used. If a medication is causing hemolytic anemia, stopping or changing that drug is usually the solution.
Boosting Red Blood Cell Production
Some treatments focus on helping your body make more red blood cells. Folic acid supplements are often prescribed, as this vitamin is crucial for red blood cell production. In severe cases, erythropoiesis-stimulating agents (ESAs) might be used. These medications stimulate the bone marrow to produce more red blood cells.
Emergency Measures
In severe cases of hemolytic anemia, blood transfusions may be necessary to quickly increase red blood cell levels. This is typically a temporary measure while other treatments take effect. Plasmapheresis, a procedure that removes harmful antibodies from the blood, might be used in some autoimmune cases.
Surgical Options
For some types of hemolytic anemia, especially certain inherited forms, removing the spleen (splenectomy) might be recommended. The spleen can sometimes remove too many red blood cells from circulation. However, this is usually considered only after other treatments have been tried.
Frequently Asked Questions
It varies widely, from weeks to lifelong management.
Yes, your doctor will discuss potential side effects with you.
Some types can be cured, while others require ongoing management.
Some complementary therapies may help, but discuss with your doctor first.
A balanced diet is important, but specific changes vary by individual.
The Road to Recovery
While treating hemolytic anemia can be complex, many people successfully manage their condition with proper care.
References
- Barcellini W, Fattizzo B. Clinical Applications of Hemolytic Markers in the Differential Diagnosis and Management of Hemolytic Anemia. Dis Markers 2015; 2015:635670.
- Brodsky RA. Warm Autoimmune Hemolytic Anemia. N Engl J Med 2019; 381:647.
- Berentsen S, Barcellini W. Autoimmune Hemolytic Anemias. N Engl J Med 2021; 385:1407.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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