Romiplostim is the first megakaryopoiesis-stimulating agent marketed for the treatment of idiopathic thrombocytopenic purpura (ITP). Its action mechanism is the result of a new focus on the treatment for ITP directed at correcting deficient platelet production, versus the traditional immunological treatments. Romiplostim's safety and efficacy have been evaluated in two stage-Ill clinical trials and a later extension study. Its adverse reaction profile ranges from the most frequent reactions, mild-level ones like headaches or fatigue, to severe adverse events in a lower percentage like the increase of medullary reticulin or thromboembolic events. In this work, we analyzed the state of the current knowledge about this drug and described our experience. A long-term follow-up of romiplostim shall be required for those ITP patients where its efficacy has been proven, as well as its possible application for other pathologies related to thrombocytopenia
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