Types of prophylaxis
Unlike episodic or “on demand” treatment, which is given at the time of a bleed to make it stop, prophylaxis is given to prevent bleeding before it starts.
There are several types of prophylaxis. Continuous prophylaxis (primary, secondary, and tertiary) is given regularly over a period of several months and often years. Intermittent or periodic prophylaxis is given for shorter periods of time, usually a few weeks or months.
|Type of Treatment||Definition|
|Episodic (“on demand”) treatment||Treatment given at the time of bleeding.|
|Regular continuous treatment, started before the second large joint bleed and age of 3 years.|
|Secondary prophylaxis||Regular continuous treatment started after 2 or more large joint bleeds but before the onset of joint disease.|
|Tertiary prophylaxis||Regular continuous treatment started after the onset of joint disease to prevent further damage.|
|Intermittent (“periodic”) prophylaxis||Treatment given to prevent bleeding for short periods of time, such as during and after surgery.|