Low Platelet Counts

DOXIL®, like other chemotherapy treatments, may lower platelet counts. Changes in platelet counts are generally moderate and are able to be reversed in patients treated with DOXIL®.

However, in some patients, platelet counts may be severely lowered (thrombocytopenia). This can reduce your body’s ability to form blood clots, which can cause any bleeding to last longer than usual.

Your doctor will check your platelet counts regularly and may adjust your treatment.

Tell your doctor or nurse if you take longer than usual to stop bleeding while you are being treated with DOXIL®.

Management tips

Platelets are cells in your blood that help it form clots. It is important for people with low platelet counts to avoid situations that might cause bleeding or bruising.

Keep the tips below in mind and check with your doctor or nurse to see if there is anything else you should watch for.

  • Ask your doctor
  • During this time, be extra careful

Ask your doctor

  • Before taking ANY medicine, including aspirin, aspirin-free pain relievers (acetaminophen, ibuprofen), or any other medicine that you can buy without a prescription. Some of these medicines can make bleeding problems worse
  • If you can drink alcoholic beverages. Generally, it is better to avoid alcohol at this time
  • If you should be using dental floss—and make sure to use an extra soft toothbrush

During this time, be extra careful

  • With scissors, knives, pins, tools, and any other objects that could cause a cut or break in the skin
  • When working with anything hot—like an iron—take care not to burn yourself; use oven mitts when reaching into the oven
  • With your diet so you do not become constipated
  • When shaving—use an electric shaver instead of a razor
  • When bending over—keep your head above the level of your heart
  • When wiping or blowing your nose—wipe or blow gently and use a soft tissue
  • To avoid injury—in general, you should avoid contact sports or other activities that could cause injury