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Eltrombopag Sandoz

Eltrombopag Sandoz

Ask a doctor about a prescription for Eltrombopag Sandoz

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Eltrombopag Sandoz

Leaflet attached to the packaging: information for the user

Eltrombopag Sandoz, 12.5 mg, film-coated tablets

Eltrombopag Sandoz, 25 mg, film-coated tablets

Eltrombopag Sandoz, 50 mg, film-coated tablets

Eltrombopag Sandoz, 75 mg, film-coated tablets

Eltrombopag

Read the leaflet carefully before taking the medicine, as it contains important information for the patient.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed specifically for you, do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, including those not listed in this leaflet, tell your doctor or pharmacist. See section 4.

Table of contents of the leaflet:

  • 1. What is Eltrombopag Sandoz and what is it used for
  • 2. Important information before taking Eltrombopag Sandoz
  • 3. How to take Eltrombopag Sandoz
  • 4. Possible side effects
  • 5. How to store Eltrombopag Sandoz
  • 6. Contents of the pack and other information

1. What is Eltrombopag Sandoz and what is it used for

Eltrombopag Sandoz contains eltrombopag, which belongs to a group of medicines called thrombopoietin receptor agonists. The medicine is used to increase the number of platelets in the patient's blood.
Platelets are blood cells that help reduce the risk of bleeding or prevent it.

  • Eltrombopag Sandoz is used to treat a bleeding disorder called primary immune thrombocytopenia (ITP) in patients over 1 year of age who have been treated with other medicines (corticosteroids or immunoglobulins) and have not responded to them.

Primary immune thrombocytopenia is caused by a low platelet count (thrombocytopenia).
People with primary immune thrombocytopenia are more prone to bleeding. Symptoms that patients with primary immune thrombocytopenia may notice include petechiae (small, flat, red spots under the skin), purpura, nosebleeds, gum bleeding, and difficulty stopping bleeding in case of injury or trauma.

  • Eltrombopag Sandoz may also be used to treat a low platelet count (thrombocytopenia) in adults with hepatitis C virus (HCV) infection who have had difficulty due to side effects during treatment with interferon. Many people with hepatitis C have a low platelet count, not only due to the disease but also as a result of the action of certain antiviral drugs used to treat it. Taking Eltrombopag Sandoz may help patients complete full antiviral treatment (peginterferon and ribavirin).

2. Important information before taking Eltrombopag Sandoz

When not to take Eltrombopag Sandoz

  • If you are allergicto eltrombopag or any of the other ingredients of this medicine (listed in section 6 under "What Eltrombopag Sandoz contains"). You should consult your doctor if you think this applies to you.

Warnings and precautions

Before starting treatment with Eltrombopag Sandoz, you should discuss it with your doctor:

  • if you have liver disease. People with a low platelet count and advanced (long-term) liver disease are at increased risk of side effects, including life-threatening liver damage and blood clots. If your doctor decides that the benefits of taking this medicine outweigh the risks, you will be closely monitored during treatment;
  • if you are at risk of developing blood clots in your veins or arteries, or if there is a history of blood clots in your family. The risk of blood clots may be increased:
    • if you are elderly
    • if you have been immobile for a long time
    • if you have cancer
    • if you are taking oral contraceptives or hormone replacement therapy
    • if you have recently undergone surgery or had an injury
    • if you are overweight
    • if you smoke
    • if you have advanced chronic liver disease You should inform your doctor before starting treatment if any of the above conditions apply to you. You should not take Eltrombopag Sandoz unless your doctor decides that the expected benefits outweigh the risk of blood clots.
  • if you have cataracts (clouding of the lens in the eye)
  • if you have other blood disorders, such as myelodysplastic syndrome (English: Myelodysplastic Syndrome, MDS). Before starting treatment with Eltrombopag Sandoz, your doctor will perform tests to rule out this disease. If you have MDS and are taking this medicine, MDS may worsen. You should inform your doctor if any of the above situations apply to you.

Ophthalmological examination

Your doctor will recommend an examination to detect cataracts. If you do not have regular eye exams, your doctor should recommend regular exams. The occurrence of any bleeding in the retina (the layer of light-sensitive cells at the back of the eye) or near it may also be examined.

Regular tests will be necessary

Before starting treatment with Eltrombopag Sandoz, your doctor will perform blood tests to assess your blood cells, including platelets. During treatment, these tests will be repeated at regular intervals.

Blood tests to assess liver function

Taking eltrombopag may cause changes in blood test results that may indicate liver damage - increased activity of certain liver enzymes, in particular alanine aminotransferase and aspartate aminotransferase, and bilirubin levels. If you are taking interferon-based treatment at the same time as Eltrombopag Sandoz for low platelet count associated with hepatitis C, some liver diseases may worsen.
Before starting treatment with Eltrombopag Sandoz and at regular intervals during treatment, you will undergo blood tests to assess liver function. It may be necessary to stop taking Eltrombopag Sandoz if the levels of these substances increase too much or if other signs of liver damage occur.
You should read the information in section 4 of this leaflet "Liver disease".

Platelet count tests

If you stop taking Eltrombopag Sandoz, there is a likelihood of a decrease in platelet count within a few days. Your platelet count will be monitored, and your doctor will discuss appropriate precautions with you.
A very high platelet count may increase the risk of blood clots. However, blood clots can occur even when the platelet count is normal or too low. Your doctor will adjust the dose of Eltrombopag Sandoz for you to prevent excessive increase in platelet count.
You should seek immediate medical attention if you experience any of the following symptoms of a blood clot:

  • swelling, pain, or tenderness in one leg
  • sudden shortness of breath, especially with severe chest pain or rapid heartbeat
  • abdominal pain, abdominal distension, blood in the stool.

Bone marrow tests

In patients with bone marrow disorders, medicines like Eltrombopag Sandoz may worsen these conditions. Changes in the bone marrow may be indicated by abnormal blood test results.
Your doctor may order direct bone marrow tests during treatment with Eltrombopag Sandoz.

Tests to detect gastrointestinal bleeding

If you are taking interferon-based treatment at the same time as Eltrombopag Sandoz, you will be monitored for signs of gastrointestinal bleeding after stopping treatment with Eltrombopag Sandoz.

Heart tests

Your doctor may decide to perform a heart test during treatment with Eltrombopag Sandoz and perform an electrocardiogram (ECG).

Elderly patients (65 years and older)

There is limited data on the use of eltrombopag in patients aged 65 and older. Caution should be exercised when taking Eltrombopag Sandoz in patients aged 65 and older.

Children and adolescents

Eltrombopag is not recommended in children under 1 year of age with primary immune thrombocytopenia.
The medicine is also not recommended in patients under 18 years of age with low platelet count associated with hepatitis C virus infection.

Eltrombopag Sandoz and other medicines

Tell your doctor or pharmacist about all medicines you are taking, have recently taken, or might take, including those obtained without a prescription and vitamins.
Certain commonly used medicines interact with eltrombopag Sandoz - including prescription and non-prescription medicines and mineral supplements. These include:

  • antacids used to treat heartburn, acid reflux, and stomach ulcers (see also "When to take the medicine" in section 3)
  • statins, which lower cholesterol levels
  • certain medicines used to treat HIV infection, such as lopinavir and (or) ritonavir
  • cyclosporin used in transplants or immune system diseases
  • minerals such as iron, calcium, magnesium, aluminum, selenium, and zinc, which may be components of

vitamin and mineral supplements (see also "When to take the medicine" in section 3)

  • medicines such as methotrexate and topotecan, used to treat cancer.

You should consult your doctorif you are taking any of the above medicines. Some of them should not be taken while taking Eltrombopag Sandoz, while others may require a dose adjustment or a change in the timing of taking the individual medicines. Your doctor will review the medicines you are taking and recommend a change in treatment if necessary.
If you are taking medicines to prevent blood clots, there is an increased risk of bleeding. Your doctor will discuss this with you.
If you are taking corticosteroids, danazol, and (or) azathioprine, the doses of these medicines may be reduced or their use may be stopped during treatment with Eltrombopag Sandoz.

Taking Eltrombopag Sandoz with food and drink

Eltrombopag Sandoz should not be taken with dairy products or drinks, as the calcium in dairy products affects the absorption of the medicine. For more information, see "When to take the medicine" in section 3.

Pregnancy and breastfeeding

Do not take Eltrombopag Sandoz during pregnancyunless your doctor has explicitly recommended it. The effect of Eltrombopag Sandoz when taken during pregnancy is unknown.

  • Tell your doctor if you are pregnant, think you may be pregnant, or plan to have a baby.
  • While taking Eltrombopag Sandoz, you should use appropriate contraception to prevent pregnancy.
  • Tell your doctor if you become pregnant while taking Eltrombopag Sandoz.

You should not breastfeed while taking Eltrombopag Sandoz. It is not known whether Eltrombopag Sandoz passes into breast milk.
Tell your doctor if you are breastfeeding or plan to breastfeed.

Driving and using machines

Eltrombopag Sandoz may cause dizziness and other side effects that reduce concentration.
You should not drive or operate machinery unless you are sure that these symptoms do not occur in you.

Eltrombopag Sandoz contains isomalt and sodium

If you have previously been diagnosed with intolerance to some sugars, you should contact your doctor before taking the medicine.
The medicine contains less than 1 mmol (23 mg) of sodium per film-coated tablet, which means that the medicine is considered "sodium-free".

3. How to take Eltrombopag Sandoz

This medicine should always be taken exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist. You should not change the dose or dosing schedule of Eltrombopag Sandoz unless your doctor or pharmacist tells you to. While taking Eltrombopag Sandoz, you will remain under the care of a doctor experienced in treating your condition.

How much to take

In the case of primary immune thrombocytopenia
Adults and children (aged 6 to 17 years) - the usual starting dose for primary immune thrombocytopenia is one 50 mg tablet of Eltrombopag Sandoz per day.
Patients of East Asian/Southeast Asian origin may require a lower starting dose of 25 mg.
Children (aged 1 to 5 years) - the usual starting dose for primary immune thrombocytopenia is one 25 mg tablet of Eltrombopag Sandoz per day.
In the case of hepatitis C
Adults - the usual starting dose for hepatitis C is one 25 mg tablet of Eltrombopag Sandoz per day. In patients of East Asian/Southeast Asian origin, treatment should be started with the same dose of 25 mg.
The onset of action of Eltrombopag Sandoz may occur within 1 to 2 weeks.
Depending on the patient's response to treatment with Eltrombopag Sandoz, the doctor may recommend a change in the daily dose.

How to take the tablets

Swallow the tablets whole with water.

When to take the medicine

Make sure that -

  • for 4 hours before taking Eltrombopag Sandoz
  • and for 2 hours after taking Eltrombopag Sandoz
  • you do not eat:
  • dairy products, such as cheese, butter, yogurt, ice cream
  • milk or drinks containing milk, yogurt, or cream
  • antacids used to treat heartburn and acid reflux
  • vitamin and mineral supplements containing iron, calcium, magnesium, aluminum, selenium, and zinc.

If you do not follow these recommendations, Eltrombopag Sandoz will not be properly absorbed by your body.

A clock with red hands indicating the time, tablets with a red line through them, a pill and a warning not to consume dairy products and antacids

You should consult your doctor for more information about suitable foods and drinks.

Taking a higher dose of Eltrombopag Sandoz than recommended

You should contact your doctor or pharmacist immediately. If possible, show them the medicine packaging or this leaflet. Your condition will be monitored for any side effects and appropriate treatment will be applied as soon as possible.

Missing a dose of Eltrombopag Sandoz

You should take the next dose at the usual time. You should not take more than one dose of Eltrombopag Sandoz per day.

Stopping treatment with Eltrombopag Sandoz

You should not stop taking Eltrombopag Sandoz without consulting your doctor. If your doctor recommends stopping treatment, your platelet count will be monitored weekly for four weeks. See also "Bleeding or bruising after stopping treatment" in section 4.
If you have any further questions about taking this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Symptoms to watch out for: you should see a doctor

In patients taking Eltrombopag Sandoz for primary immune thrombocytopenia or low platelet count associated with hepatitis C, symptoms of severe side effects may occur. It is essential to inform your doctor about these symptoms .
Increased risk of blood clots
In some patients, there may be an increased risk of blood clots, and medicines like Eltrombopag Sandoz may worsen this condition. Sudden blockage of a blood vessel by a blood clot is an uncommon side effect and may affect up to 1 in 100 patients.
You should seek immediate medical attention if you experience any symptoms of a blood clot, such as:

  • swelling, pain, warmth, redness, or tenderness in one leg
  • sudden shortness of breath, especially with severe chest pain or rapid heartbeat
  • abdominal pain, abdominal distension, blood in the stool.

Liver disorders
Eltrombopag Sandoz may cause changes in blood test results that may indicate liver damage. Liver function disorders (increased enzyme activity in blood test results) are common and may affect up to 1 in 10 patients. Other liver problems are uncommon and may affect up to 1 in 100 patients.
If you experience any of the following symptoms of liver disorders:

  • yellowing of the skin or whites of the eyes (jaundice)
  • darkening of the urine, you should see a doctor immediately.

Bleeding or bruising after stopping treatment
Usually, within two weeks of stopping treatment with Eltrombopag Sandoz, the patient's platelet count decreases to the level before starting treatment with Eltrombopag Sandoz. A low platelet count may increase the risk of bleeding or bruising.
Your doctor will monitor your platelet count for at least 4 weeks after stopping treatment with Eltrombopag Sandoz.
You should inform your doctor if you experience bruising or bleeding after stopping treatment with Eltrombopag Sandoz.
In some patients, gastrointestinal bleedingoccurs after stopping treatment with peginterferon, ribavirin, and eltrombopag. Symptoms include:

  • black, tarry stools (a change in stool color, which is an uncommon side effect that may affect up to 1 in 100 patients)
  • blood in the stool
  • vomiting blood or coffee-ground-like material Nausea and vomiting, which may be a sign of gastrointestinal bleeding.

The following side effects have been reported in adults with primary immune thrombocytopenia taking eltrombopag:

Very commonside effects (may affect more than 1 in 10 patients):

  • infection of the nose, sinuses, throat, and upper respiratory tract (upper respiratory tract infection)
  • cough, common cold
  • nausea, diarrhea
  • back pain

Very commonside effects that may be seen in blood tests:

  • increased activity of liver enzymes (alanine aminotransferase (ALT))

Commonside effects (may affect up to 1 in 10 patients):

  • flu, herpes simplex, pneumonia, sinusitis, tonsillitis, pharyngitis, bronchitis, sinus infection, nasal congestion and sneezing
  • loss of appetite
  • sleep disorders, depression
  • numbness, tingling, or prickling sensation, drowsiness, migraine
  • eye disorders, including abnormal test results, dry eyes, blurred vision, eye pain
  • ear pain, dizziness
  • swelling, pain, or tenderness in one leg (usually the calf) with warmth of the skin in the affected area (symptoms of deep vein thrombosis), localized swelling filled with blood from a damaged blood vessel (hematoma), hot flashes
  • runny nose
  • mouth disorders, including dry mouth, mouth pain, tongue sensitivity, gum bleeding, mouth ulcers, toothache, vomiting, abdominal pain, gas
  • abnormal liver function
  • skin changes, including excessive sweating, itchy rash, red spots, skin changes, hair loss
  • muscle pain, muscle cramps, muscle weakness, bone pain
  • urinary disorders, including frequent urination at night, kidney infection, excessive urination, kidney failure, blood in the urine
  • heavy menstrual bleeding
  • high fever, feeling hot, pain in the chest, and feeling unwell

Commonside effects that may be seen in blood tests:

  • decreased red blood cell count (anemia), decreased platelet count (thrombocytopenia), decreased white blood cell count, decreased hemoglobin level, increased eosinophil count, increased white blood cell count (leukocytosis)
  • increased uric acid level, decreased potassium level
  • increased liver enzyme activity (aspartate aminotransferase (AST)), increased bilirubin level in the blood
  • increased levels of certain proteins, increased creatinine level
  • increased alkaline phosphatase activity

Uncommonside effects (may affect up to 1 in 100 patients):

  • skin infection
  • rectal or colon cancer
  • allergic reaction
  • loss of appetite, painful joint swelling caused by uric acid (gout)
  • lack of interest, mood changes, crying that is hard to control or occurs unexpectedly
  • balance disorders, speech and nerve disorders, tremors, paralysis of one side of the body, migraine with aura, nerve damage, vasodilation causing headache
  • eye disorders, including increased tearing, cataracts, retinal hemorrhage, dry eyes
  • rapid or irregular heartbeat, cyanosis, cardiovascular disorders, which may be symptoms of heart and blood vessel disorders, interruption of blood flow to a part of the heart
  • possible pain, swelling, and (or) redness in or around a vein, which may be symptoms of a blood clot, blood clot, redness
  • shortness of breath, cough with sputum production, runny nose, sore throat, and discomfort when swallowing
  • liver disorders, including liver tumor, yellowing of the skin or whites of the eyes (jaundice), liver damage caused by inflammation (see "Liver disorders" above in section 4)
  • skin changes, including discoloration, peeling, redness, itching, and sweating
  • muscle weakness
  • kidney disorders, including kidney infection, excessive urination at night, kidney failure, blood in the urine
  • feeling hot, feeling anxious, bleeding at the injection site (if present) to the skin, redness or swelling at the injection site
  • sunburn

Uncommonside effects that may be seen in laboratory tests:

  • changes in the shape of red blood cells, decreased red blood cell count (anemia) caused by excessive destruction of red blood cells (hemolytic anemia), increased neutrophil count, presence of developing white blood cells, which may indicate certain diseases, increased platelet count, increased hemoglobin level
  • decreased calcium level
  • increased urea level in the blood, increased protein level in the urine
  • increased albumin level in the blood, increased total protein level, decreased albumin level in the blood, increased urine pH

The following additional side effects have been reported in children (aged 1 to 17 years) with ITP taking eltrombopag:

If these side effects worsen, you should tell your doctor, pharmacist, or nurse.
Very commonside effects (may affect more than 1 in 10 children):

  • infection of the nose, sinuses, throat, and upper respiratory tract, common cold (upper respiratory tract infection)
  • cough
  • nausea, diarrhea, abdominal pain
  • high fever

Commonside effects (may affect up to 1 in 10 children):

  • sleep disorders (insomnia)
  • nasal congestion, runny nose, or stuffy nose, sore throat, cold, nasal congestion and sneezing, throat pain
  • mouth disorders, including dry mouth, mouth pain, tongue sensitivity, gum bleeding, mouth ulcers

The following side effects have been reported in patients taking eltrombopag in combination with peginterferon and ribavirin for HCV:

Very commonside effects (may affect more than 1 in 10 patients):

  • loss of appetite
  • headache
  • cough
  • nausea, diarrhea
  • itching, swelling of the hands or feet, unusual hair loss
  • muscle pain, muscle weakness
  • fever, feeling tired, flu-like illness, weakness, chills

Very commonside effects that may be seen in blood tests:

  • decreased red blood cell count (anemia)

Commonside effects (may affect up to 1 in 10 patients):

  • urinary tract infections, infection of the nose, sinuses, throat, and upper respiratory tract, common cold (upper respiratory tract infection), bronchitis, sinusitis, pharyngitis, mouth and throat disorders, flu-like symptoms, dry mouth, mouth pain
  • weight loss
  • sleep disorders, abnormal drowsiness, depression, anxiety
  • dizziness, balance disorders, speech and nerve disorders, mood changes, nervous system disorders caused by liver damage
  • eye disorders, including cataracts, dry eyes, retinal hemorrhage
  • dizziness
  • rapid or irregular heartbeat
  • shortness of breath, cough with sputum production, runny nose, sore throat, and discomfort when swallowing
  • gastrointestinal disorders, including vomiting, abdominal pain, indigestion, constipation, bloating, taste disorders, hemorrhoids, abdominal pain or discomfort, bleeding in the esophagus
  • liver disorders, including liver tumor, yellowing of the skin or whites of the eyes (jaundice), liver damage caused by inflammation (see "Liver disorders" above in section 4)
  • skin changes, including rash, dry skin, eczema, redness, itching, excessive sweating, unusual skin growths, hair loss
  • joint pain, back pain, bone pain, limb pain (arms, legs, hands, or feet), muscle cramps
  • irritability, general feeling of being unwell, skin reaction, such as redness or swelling and pain at the injection site, chest pain and discomfort, fluid accumulation in the body or limbs causing swelling
  • depression, anxiety, sleep disorders, nervousness
  • fever, headache

Commonside effects that may be seen in blood tests:

  • increased blood sugar (glucose) level, decreased white blood cell count, decreased neutrophil count, decreased albumin level in the blood, decreased hemoglobin level, increased bilirubin level in the blood (a substance produced by the liver), changes in the activity of enzymes responsible for blood clotting Uncommonside effects (may affect up to 1 in 100 patients):
  • stomach flu (gastroenteritis), sore throat
  • decreased red blood cell count (anemia) caused by excessive destruction of red blood cells (hemolytic anemia)
  • confusion, agitation
  • mouth ulcers or mouth sores, gastritis
  • blood clots in the vein that carries blood to the liver (possible liver damage and (or) digestive system damage), liver failure
  • skin changes, including discoloration, peeling, redness, itching, and sweating, and night sweats
  • abnormal blood clotting in small blood vessels with kidney failure, pain when urinating
  • rash, bruising at the injection site, chest discomfort
  • heart rhythm disorders (prolonged QT interval)

Reporting side effects

If you experience any side effects, including those not listed in this leaflet, you should tell your doctor, pharmacist, or nurse.
Side effects can be reported directly to the Department of Adverse Reaction Monitoring of Medicinal Products, Medical Devices, and Biocidal Products: Al. Jerozolimskie 181C, 02-222 Warsaw, tel.: +48 22 49 21 301, fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Eltrombopag Sandoz

Keep the medicine out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the blister and carton after "EXP". The expiry date refers to the last day of the month stated.
There are no special storage instructions for this medicine.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the pack and other information

What Eltrombopag Sandoz contains

  • The active substance of Eltrombopag Sandoz is eltrombopag olamine.

Eltrombopag Sandoz, 12.5 mg: each film-coated tablet contains eltrombopag olamine equivalent to 12.5 mg of eltrombopag.
Eltrombopag Sandoz, 25 mg: each film-coated tablet contains eltrombopag olamine equivalent to 25 mg of eltrombopag.
Eltrombopag Sandoz, 50 mg: each film-coated tablet contains eltrombopag olamine equivalent to 50 mg of eltrombopag.
Eltrombopag Sandoz, 75 mg: each film-coated tablet contains eltrombopag olamine equivalent to 75 mg of eltrombopag.The other ingredients are: microcrystalline cellulose, mannitol, povidone (K29/32), isomalt, calcium silicate, sodium carboxymethylcellulose (type A), magnesium stearate (tablet core); hypromellose 2910 (5 mPas), titanium dioxide (E 171), iron oxide red (E 172), triacetin (tablet coating).
Eltrombopag Sandoz, 12.5 mg, 25 mg, and 50 mg film-coated tablets also contain iron oxide yellow (E 172).

What Eltrombopag Sandoz looks like and contents of the pack

Eltrombopag Sandoz, 12.5 mg, is a round, biconvex, film-coated tablet (tablet), orange to brown in color, with "I" embossed on one side, approximately 5.5 mm in diameter.
Eltrombopag Sandoz, 25 mg, is a round, biconvex, film-coated tablet (tablet), dark pink in color, with "II" embossed on one side, approximately 8 mm in diameter.
Eltrombopag Sandoz, 50 mg, is a round, biconvex, film-coated tablet (tablet), pink in color, with "III" embossed on one side, approximately 10 mm in diameter.
Eltrombopag Sandoz, 75 mg, is a round, biconvex, film-coated tablet (tablet), red to brown in color, with "IV" embossed on one side, approximately 12 mm in diameter.
Eltrombopag Sandoz, 12.5 mg, 25 mg, 50 mg, 75 mg, is packaged in cardboard boxes containing 10, 14, 28, 30, or 84 film-coated tablets in blisters or cardboard boxes containing 10 x 1, 14 x 1, 28 x 1, 30 x 1, or 84 x 1 film-coated tablets in single-dose blisters or bulk packaging containing 84 film-coated tablets (3 packages of 28 film-coated tablets).
Not all pack sizes may be marketed.

Marketing authorization holder

Sandoz Polska Sp. z o.o.
ul. Domaniewska 50 C
02-672 Warsaw
Phone: 22 209 70 00

Manufacturer

Synthon B.V.
Microweg 22
6545 CM Nijmegen
Netherlands
Synthon Hispania S.L.
c/ Castelló, 1
Sant Boi de Llobregat
08830 Barcelona
Spain

This medicine is authorized in the Member States of the European Economic Area

Trade names:

Eltrombopag Sandoz, 12.5 mg
Austria
Eltrombopag Sandoz 12.5 mg – Film-coated tablets
Croatia
Eltrombopag Sandoz 12.5 mg film-coated tablets
Cyprus
Eltrombopag Sandoz
Estonia
Eltrombopag Sandoz
Germany
Eltrombopag - 1 A Pharma 12.5 mg Film-coated tablets
Greece
Eltrombopag/Sandoz
Hungary
Eltrombopag Sandoz 12.5 mg film-coated tablet
Ireland
Eltrombopag Rowex 12.5 mg film-coated tablets
Latvia
Eltrombopag Sandoz 12.5 mg film-coated tablets
Lithuania
Eltrombopag Sandoz 12.5 mg film-coated tablets
Poland
Eltrombopag Sandoz
Romania
Eltrombopag Sandoz 12.5 mg film-coated tablets
Slovenia
Eltrombopag Sandoz 12.5 mg film-coated tablets
Eltrombopag Sandoz, 25 mg
Austria
Eltrombopag Sandoz 25 mg – Film-coated tablets
Bulgaria
Eltrombopag Sandoz/Елтромбопаг Сандоз
Croatia
Eltrombopag Sandoz 25 mg film-coated tablets
Cyprus
Eltrombopag Sandoz
Czech Republic
Eltrombopag Sandoz
Estonia
Eltrombopag Sandoz
Finland
Eltrombopag Sandoz 25 mg film-coated tablets
France
ELTROMBOPAG SANDOZ 25 mg, film-coated tablet
Germany
Eltrombopag - 1 A Pharma 25 mg Film-coated tablets
Greece
Eltrombopag/Sandoz
Hungary
Eltrombopag Sandoz 25 mg film-coated tablet
Ireland
Eltrombopag Rowex 25 mg film-coated tablets
Italy
Eltrombopag Sandoz
Latvia
Eltrombopag Sandoz 25 mg film-coated tablets
Lithuania
Eltrombopag Sandoz 25 mg film-coated tablets
Norway
Eltrombopag Sandoz
Poland
Eltrombopag Sandoz
Romania
Eltrombopag Sandoz 25 mg film-coated tablets
Slovakia
Eltrombopag Sandoz
Slovenia
Eltrombopag Sandoz 25 mg film-coated tablets
Spain
Eltrombopag Sandoz 25 mg film-coated tablets EFG
Sweden
Eltrombopag Sandoz
Eltrombopag Sandoz, 50 mg
Austria
Eltrombopag Sandoz 50 mg – Film-coated tablets
Bulgaria
Eltrombopag Sandoz/Елтромбопаг Сандоз
Croatia
Eltrombopag Sandoz 50 mg film-coated tablets
Cyprus
Eltrombopag Sandoz
Czech Republic
Eltrombopag Sandoz
Denmark
Eltrombopag Sandoz
Estonia
Eltrombopag Sandoz
Finland
Eltrombopag Sandoz 50 mg film-coated tablets
France
ELTROMBOPAG SANDOZ 50 mg, film-coated tablet
Germany
Eltrombopag - 1 A Pharma 50 mg Film-coated tablets
Greece
Eltrombopag/Sandoz
Hungary
Eltrombopag Sandoz 50 mg film-coated tablet
Ireland
Eltrombopag Rowex 50 mg film-coated tablets
Italy
Eltrombopag Sandoz
Latvia
Eltrombopag Sandoz 50 mg film-coated tablets
Lithuania
Eltrombopag Sandoz 50 mg film-coated tablets
Norway
Eltrombopag Sandoz
Poland
Eltrombopag Sandoz
Romania
Eltrombopag Sandoz 50 mg film-coated tablets
Slovakia
Eltrombopag Sandoz
Slovenia
Eltrombopag Sandoz 50 mg film-coated tablets
Spain
Eltrombopag Sandoz 50 mg film-coated tablets EFG
Sweden
Eltrombopag Sandoz
Eltrombopag Sandoz, 75 mg
Austria
Eltrombopag Sandoz 75 mg – Film-coated tablets
Croatia
Eltrombopag Sandoz 75 mg film-coated tablets
Cyprus
Eltrombopag Sandoz
Denmark
Eltrombopag Sandoz
Estonia
Eltrombopag Sandoz
Finland
Eltrombopag Sandoz 75 mg film-coated tablets
France
ELTROMBOPAG SANDOZ 75 mg, film-coated tablet
Germany
Eltrombopag - 1 A Pharma 75 mg Film-coated tablets
Greece
Eltrombopag/Sandoz
Hungary
Eltrombopag Sandoz 75 mg film-coated tablet
Ireland
Eltrombopag Rowex 75 mg film-coated tablets
Italy
Eltrombopag Sandoz
Latvia
Eltrombopag Sandoz 75 mg film-coated tablets
Lithuania
Eltrombopag Sandoz 75 mg film-coated tablets
Norway
Eltrombopag Sandoz
Poland
Eltrombopag Sandoz
Romania
Eltrombopag Sandoz 75 mg film-coated tablets
Slovakia
Eltrombopag Sandoz
Slovenia
Eltrombopag Sandoz 75 mg film-coated tablets
Sweden
Eltrombopag Sandoz

Date of last update of the leaflet:

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  • Country of registration
  • Active substance
  • Prescription required
    Yes
  • Importer
    Synthon B.V. Synthon Hispania S.L.
  • Alternatives to Eltrombopag Sandoz
    Dosage form: Tablets, 25 mg
    Active substance: eltrombopag
    Prescription required
    Dosage form: Tablets, 50 mg
    Active substance: eltrombopag
    Prescription required
    Dosage form: Tablets, 25 mg
    Active substance: eltrombopag
    Prescription required

Alternatives to Eltrombopag Sandoz in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Eltrombopag Sandoz in Spain

Dosage form: TABLET, 50 mg
Active substance: eltrombopag
Manufacturer: Zentiva K.S.
Prescription required
Dosage form: TABLET, 25 mg
Active substance: eltrombopag
Manufacturer: Zentiva K.S.
Prescription required
Dosage form: TABLET, 75 mg
Active substance: eltrombopag
Prescription required
Dosage form: TABLET, 50 mg
Active substance: eltrombopag
Prescription required
Dosage form: TABLET, 25 mg
Active substance: eltrombopag
Prescription required
Dosage form: TABLET, 50 mg
Active substance: eltrombopag
Manufacturer: Viatris Limited
Prescription required

Alternative to Eltrombopag Sandoz in Ukraine

Dosage form: tablets, 50 mg
Active substance: eltrombopag
Prescription required
Dosage form: tablets, 25 mg
Active substance: eltrombopag
Prescription required
Dosage form: tablets, 50 mg
Active substance: eltrombopag
Manufacturer: Sinton Hispania, S. L.
Prescription required
Dosage form: tablets, 25 mg
Active substance: eltrombopag
Manufacturer: Sinton Hispania, S. L.
Prescription required
Dosage form: tablets, 75 mg
Active substance: eltrombopag
Manufacturer: Getero Labz Limited
Prescription required
Dosage form: tablets, 50 mg
Active substance: eltrombopag
Manufacturer: Getero Labz Limited
Prescription required

Online doctors for Eltrombopag Sandoz

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Eltrombopag Sandoz – subject to medical assessment and local rules.

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Abdullah Alhasan

General medicine10 years of experience

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

  • Chest pain, shortness of breath, heart palpitations, high blood pressure
  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
  • Management of heart failure and coronary artery disease
  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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Ngozi Precious Okwuosa

General medicine5 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC. He offers online consultations in Portuguese, English, and Spanish — combining global expertise with a patient-centred, evidence-based approach.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.
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Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Duarte Meneses

Family medicine4 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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€65
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Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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Roman Raevskii

General medicine6 years of experience

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

Dr. Raevskii provides medical care in the following areas:

  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
  • Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
  • Supportive care for oncology patients – pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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Sergio Correa

General medicine7 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.

His areas of focus include:

  • General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

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Jonathan Marshall Ben Ami

Family medicine8 years of experience

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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