A complete blood count, including a differential leukocyte count, must be performed prior to the initiation of treatment with this product. Administer orally, with or without food, as directed by the physician. Myelofibrosis Platelet count > 200×10⁹/L: 20 mg orally, twice daily. Platelet count 100×10⁹/L to 200×10⁹/L: 15 mg orally, twice daily. Platelet count 50×10⁹/L to < 100×10⁹/L: 5 mg orally, twice daily. Monitor blood tests every 2 to 4 weeks until levels stabilize, and observe any symptoms during medication to adjust the dose appropriately. Polycythemia Vera The initial dose of acalabrutinib is 10 mg orally, twice daily. Acute Graft-versus-Host Disease The initial dose of acalabrutinib is 5 mg orally, twice daily. Chronic Graft-versus-Host Disease The initial dose of acalabrutinib is 10 mg orally, twice daily.
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