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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 accompanying 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.
  • In case of any doubts, consult a doctor or pharmacist.
  • This medicine has been prescribed specifically for you. Do not pass it on to others. The medicine may harm another person, even if their symptoms are the same.
  • If the patient experiences any side effects, including any not listed in this leaflet, they should tell their 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 number of platelets (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 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 the patient is allergicto eltrombopag or any of the other ingredients of this medicine (listed in section 6 under "What Eltrombopag Sandoz contains"). The patient should consult their doctor if they think this applies to them.

Warnings and precautions

Before starting treatment with Eltrombopag Sandoz, the patient should discuss the following with their doctor:

  • if the patient has liver disease. Patients with low platelet count and advanced (long-standing) liver disease are at increased risk of side effects, including life-threatening liver damage and blood clots. If the doctor considers that the benefits of taking this medicine outweigh the risks, the patient will be closely monitored during treatment;
  • if the patient is at risk of developing blood clots in the veins or arteries, or if there is a family history of blood clots. The risk of blood clots may be increased:
    • if the patient is elderly
    • if the patient has been immobile for a long time
    • if the patient has cancer
    • if the patient is taking oral contraceptives or hormone replacement therapy
    • if the patient has recently undergone surgery or trauma
    • if the patient is overweight
    • if the patient smokes
    • if the patient has advanced chronic liver disease The patient should inform their doctor before starting treatment if any of these conditions apply to them. The patient should not take Eltrombopag Sandoz unless their doctor considers that the expected benefits outweigh the risk of blood clots.
  • if the patient has cataracts (clouding of the lens in the eye)
  • if the patient has other blood disorders, such as myelodysplastic syndrome (MDS). Before starting treatment with Eltrombopag Sandoz, the doctor will perform tests to rule out this condition. If the patient has MDS and takes this medicine, MDS may worsen. The patient should inform their doctor if any of these situations apply to them.

Eye examination

The doctor will recommend an eye examination to detect cataracts. If the patient does not undergo routine eye examinations, the doctor should recommend regular examinations. The occurrence of any bleeding in the retina (the light-sensitive layer at the back of the eye) or near it will also be examined.

Regular tests will be necessary

Before starting treatment with Eltrombopag Sandoz, the doctor will perform blood tests to assess the patient's 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, particularly alanine aminotransferase and aspartate aminotransferase, and bilirubin levels. If the patient is taking interferon-based treatment and 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, the patient 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 symptoms of liver damage occur.
The patient should read the information in section 4 of this leaflet "Liver disease".

Platelet count tests

If the patient stops taking Eltrombopag Sandoz, there is a risk that the platelet count will decrease again within a few days. The platelet count will be monitored, and the doctor will discuss appropriate precautions with the patient.
A very high platelet count may increase the risk of blood clots. However, blood clots can occur even if the platelet count is normal or too low. The doctor will adjust the dose of Eltrombopag Sandoz for the patient to avoid excessive increase in platelet count.
The patient should seek immediate medical attention if they 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 enlargement, 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.
The doctor may order direct bone marrow tests during treatment with Eltrombopag Sandoz.

Tests to detect gastrointestinal bleeding

If the patient is taking interferon-based treatment and Eltrombopag Sandoz for low platelet count associated with hepatitis C, they will be monitored for symptoms of gastrointestinal bleeding after stopping treatment with Eltrombopag Sandoz.

Heart tests

The doctor may consider it necessary to examine the patient's heart 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

The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take. This includes medicines 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
  • cyclosporine used in transplants or immune system disorders
  • 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.

The patient should consult their doctorif they are taking any of the above medicines. Some of them should not be taken during treatment with Eltrombopag Sandoz, while others may require dose adjustment or appropriate timing of administration. The doctor will review the patient's medicines and recommend changes if necessary.
If the patient is taking medicines to prevent blood clots, there is an increased risk of bleeding. The doctor will discuss this with the patient.
If the patient is 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

Eltrombopag Sandoz should not be taken during pregnancyunless the doctor has explicitly recommended it. The effect of Eltrombopag Sandoz when taken during pregnancy is unknown.

  • The patient should inform their doctor if they are pregnant, think they may be pregnant, or plan to have a baby.
  • During treatment with Eltrombopag Sandoz, the patient should use appropriate contraception to prevent pregnancy.
  • The patient should inform their doctor if they become pregnant while taking Eltrombopag Sandoz.

The patient should not breastfeed while taking Eltrombopag Sandoz. It is not known whether Eltrombopag Sandoz passes into breast milk.
The patient should inform their doctor if they are breastfeeding or plan to breastfeed.

Driving and using machines

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

Eltrombopag Sandoz contains isomalt and sodium

If the patient has previously been diagnosed with intolerance to certain sugars, they should contact their doctor before taking the medicine.
The medicine contains less than 1 mmol (23 mg) of sodium per film-coated tablet, which means it is considered "sodium-free".

3. How to take Eltrombopag Sandoz

This medicine should always be taken exactly as prescribed by the doctor. In case of doubts, the patient should consult their doctor or pharmacist. The patient should not change the dose or dosing schedule of Eltrombopag Sandoz unless their doctor or pharmacist recommends it. During treatment with Eltrombopag Sandoz, the patient will remain under the care of a doctor experienced in treating the patient's 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 changing the daily dose.

How to take the tablets

The tablets should be swallowed whole with water.

When to take the medicine

The patient should make sure that -

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

If these recommendations are not followed, Eltrombopag Sandoz may not be properly absorbed by the body.

A clock with red hands indicating the time, tablets crossed out in red, a pill and a warning about avoiding dairy products and antacids

The patient should consult their doctor for more information about suitable foods and drinks.

Taking more than the recommended dose of Eltrombopag Sandoz

The patient should contact their doctor or pharmacist immediately. If possible, they should show them the medicine packaging or this leaflet. The patient's condition will be monitored for any side effects and appropriate treatment will be administered as soon as possible.

Missing a dose of Eltrombopag Sandoz

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

Stopping treatment with Eltrombopag Sandoz

The patient should not stop taking Eltrombopag Sandoz without consulting their doctor. If the doctor recommends stopping treatment, the patient's platelet count will be monitored weekly for four weeks. See also "Bleeding or bruising after stopping treatment" in section 4.
If the patient has any further doubts about taking this medicine, they should consult their doctor or pharmacist.

4. Possible side effects

Like all medicines, Eltrombopag Sandoz can cause side effects, although not everybody gets them.

Symptoms to watch out for: the patient should see a doctor

In patients taking Eltrombopag Sandoz for primary immune thrombocytopenia or low platelet count associated with hepatitis C, severe side effects may occur. It is essential to inform the doctor about these symptoms .
Increased risk of blood clots
Some patients may be at 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.
The patient should seek immediate medical attention if they 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 enlargement, 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 the patient experiences any of the following symptoms of liver disorders:

  • yellowing of the skin or whites of the eyes (jaundice)
  • dark urine

they should see their doctor immediately.

Bleeding or bruising after stopping treatment
Usually, within two weeks of stopping Eltrombopag Sandoz, the patient's platelet count will decrease to pre-treatment levels. A low platelet count may increase the risk of bleeding or bruising.
The doctor will monitor the patient's platelet count for at least 4 weeks after stopping Eltrombopag Sandoz.
The patient should inform their doctor if they experience bruising or bleeding after stopping treatment with Eltrombopag Sandoz.
In some patients, gastrointestinal bleedingmay occur after stopping 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

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

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 detected 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, upper respiratory tract infection, gingivitis, toothache
  • loss of appetite
  • sleep disturbances, depression
  • numbness, tingling, or burning sensation, drowsiness, migraine
  • eye disorders, including abnormal vision test results, dry eyes, eye pain, and blurred vision
  • ear pain, feeling of spinning (vertigo)
  • pain, swelling, 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
  • liver function disorders
  • 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 problems, presence of white blood cells in the urine
  • heavy menstrual bleeding
  • high fever, feeling of heat, chest pain, feeling of weakness

Commonside effects that may be detected in blood tests:

  • decreased red blood cell count (anemia), decreased platelet count (thrombocytopenia), decreased white blood cell count, decreased hemoglobin level, increased bilirubin level in the blood (a substance produced by the liver), increased activity of liver enzymes (aspartate aminotransferase (AST)), increased creatinine level
  • increased activity of alkaline phosphatase

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, blue discoloration of the skin, 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, especially with severe chest pain and (or) rapid heartbeat, which may be symptoms of a pulmonary embolism (see "Increased risk of blood clots" above in section 4), loss of lung function due to blockage of a pulmonary artery, respiratory disorders, sleep apnea
  • mouth disorders, including dry mouth, mouth pain, tongue sensitivity, gum bleeding, mouth ulcers, blisters or ulcers in the mouth and throat
  • liver disorders, including liver tumor, yellowing of the whites of the eyes or skin (jaundice), liver damage caused by taking the medicine (see "Liver disorders" above in section 4), liver damage caused by the medicine
  • skin changes, including discoloration, peeling, redness, itching, and sweating, unusual skin growths, hair loss
  • joint pain, back pain, bone pain, limb pain (legs, arms, 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

Uncommonside effects that may be detected in laboratory tests:

  • changes in red blood cell shape, 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) taking eltrombopag for ITP:

If these side effects worsen, the patient should tell their 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 disturbances (insomnia)
  • nasal congestion, runny nose, sore throat, cough, sneezing
  • toothache, 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 of tiredness, flu-like illness, weakness, chills

Very commonside effects that may be detected 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 disturbances, drowsiness, depression, anxiety
  • dizziness, concentration and memory disorders, mood changes, brain disorders caused by liver damage, tingling or numbness of the hands or feet
  • vision disorders, including cataracts, dry eyes, retinal hemorrhage
  • feeling of spinning (vertigo)
  • rapid or irregular heartbeat
  • shortness of breath, coughing up mucus, runny nose, sore throat, and discomfort when swallowing
  • gastrointestinal disorders, including vomiting, abdominal pain, nausea, constipation, bloating, taste disorders, hemorrhoids, abdominal pain or discomfort, bleeding in the esophagus
  • liver disorders, including liver tumor, yellowing of the whites of the eyes or skin (jaundice), liver damage caused by taking the medicine (see "Liver disorders" above in section 4)
  • skin changes, including rash, dry skin, peeling, redness, itching, and sweating, unusual skin growths, hair loss
  • joint pain, back pain, bone pain, limb pain (legs, arms, 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

Commonside effects that may be detected 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 blood clotting enzyme activity 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, stomach inflammation
  • 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 the patient experiences any side effects, including any not listed in this leaflet, they should tell their 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.
Reporting side effects will help gather more information on the safety of the medicine.

5. How to store Eltrombopag Sandoz

The medicine should be stored out of sight and reach of children.
The patient should not take 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 the medicine.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines they no longer use. 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 starch glycolate (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, are orange to brown, round, biconvex film-coated tablets (tablets) with "I" embossed on one side, approximately 5.5 mm in diameter.
Eltrombopag Sandoz, 25 mg, are dark pink, round, biconvex film-coated tablets (tablets) with "II" embossed on one side, approximately 8 mm in diameter.
Eltrombopag Sandoz, 50 mg, are pink, round, biconvex film-coated tablets (tablets) with "III" embossed on one side, approximately 10 mm in diameter.
Eltrombopag Sandoz, 75 mg, are red to brown, round, biconvex film-coated tablets (tablets) 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 packages 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

Marketing Authorisation Holder under the following 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 tablet, film-coated
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 tablet, film-coated
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 tablet, film-coated
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 revision 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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Antonio Cayatte

General medicine43 years of experience

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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Andrei Popov

General medicine6 years of experience

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Doctor

Mar Tabeshadze

Endocrinology10 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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Doctor

Alexandra Alexandrova

General medicine8 years of experience

Dr Alexandra Alexandrova is a licensed general medicine doctor in Spain, specialising in trichology, nutrition, and aesthetic medicine. She offers online consultations for adults, combining a therapeutic approach with personalised care for hair, scalp, and overall health.

Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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