TPO receptor agonist
Thrombopoietin (TPO / MPL) receptor agonist
TPO receptor agonist — mechanism card
- Stimulates megakaryocyte platelet production → ↑ platelets in immune thrombocytopenia and aplastic anemia
- Platelet overshoot → thrombosis
- Stimulates the MPL receptor on megakaryocytes
- Raises platelet counts in ITP and liver-disease thrombocytopenia
- Thrombosis risk as counts normalize
Drugs with this mechanism (2)
- Avatrombopag — Oral TPO-receptor agonist for thrombocytopenia in chronic liver disease or chronic ITP.
- Eltrombopag — Oral thrombopoietin-receptor agonist; cation chelation complicates dosing, while liver injury and thrombosis matter.
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