Typical dosage for Promacta
Low platelet count in people with long-term ITP:
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Adults and children ages 6 and older: The typical starting dose is 50 mg by mouth once daily.
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Children ages 1 to 5 years old: The typical starting dose is 25 mg by mouth once daily.
Your healthcare provider will adjust your dose based on your platelet levels. The maximum dose is 75 mg a day. Your dose might be lowered if you’re of East Asian or Southeast Asian descent, or if you have liver problems.
Low platelet count in people with long-term hepatitis C:
- The typical starting dose is 25 mg by mouth once daily. Your healthcare provider will adjust your dose based on your platelet levels. The maximum dose is 100 mg a day.
Severe aplastic anemia as a first-choice treatment:
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Adults and children ages 12 and older: The typical starting dose is 150 mg by mouth once daily for 6 months.
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Children ages 6 to 11 years old: The typical starting dose is 75 mg by mouth once daily for 6 months.
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Children ages 2 to 5 years old: The starting dose will depend on your child’s weight. The typical starting dose is 2.5 mg/kg by mouth once daily for 6 months.
Your dose might be lowered if you’re of East Asian or Southeast Asian descent, or if you have liver problems.
Severe aplastic anemia that hasn’t responded to treatment (refractory):
- Adults and children ages 2 and older: The typical starting dose is 50 mg by mouth once daily.
Your healthcare provider will adjust your dose based on your platelet levels. The maximum dose is 150 mg a day. Your dose might be lowered if you’re of East Asian or Southeast Asian descent, or if you have liver problems.

