


Ask a doctor about a prescription for Eltrombopag Sandoz
Eltrombopag
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.
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.
Before starting treatment with Eltrombopag Sandoz, you should discuss it with your doctor:
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.
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.
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".
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:
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.
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.
Your doctor may decide to perform a heart test during treatment with Eltrombopag Sandoz and perform an electrocardiogram (ECG).
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.
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.
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:
vitamin and mineral supplements (see also "When to take the medicine" in section 3)
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.
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.
Do not take Eltrombopag Sandoz during pregnancyunless your doctor has explicitly recommended it. The effect of Eltrombopag Sandoz when taken during pregnancy is unknown.
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.
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.
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".
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.
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.
Swallow the tablets whole with water.
Make sure that -
If you do not follow these recommendations, Eltrombopag Sandoz will not be properly absorbed by your body.

You should consult your doctor for more information about suitable foods and drinks.
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.
You should take the next dose at the usual time. You should not take more than one dose of Eltrombopag Sandoz per day.
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.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
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:
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:
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:
Very commonside effects (may affect more than 1 in 10 patients):
Very commonside effects that may be seen in blood tests:
Commonside effects (may affect up to 1 in 10 patients):
Commonside effects that may be seen in blood tests:
Uncommonside effects (may affect up to 1 in 100 patients):
Uncommonside effects that may be seen in laboratory tests:
If these side effects worsen, you should tell your doctor, pharmacist, or nurse.
Very commonside effects (may affect more than 1 in 10 children):
Commonside effects (may affect up to 1 in 10 children):
Very commonside effects (may affect more than 1 in 10 patients):
Very commonside effects that may be seen in blood tests:
Commonside effects (may affect up to 1 in 10 patients):
Commonside effects that may be seen in blood tests:
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.
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.
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).
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.
Sandoz Polska Sp. z o.o.
ul. Domaniewska 50 C
02-672 Warsaw
Phone: 22 209 70 00
Synthon B.V.
Microweg 22
6545 CM Nijmegen
Netherlands
Synthon Hispania S.L.
c/ Castelló, 1
Sant Boi de Llobregat
08830 Barcelona
Spain
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
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