Background pattern

Pomalidomid Reig Iofre

About the medicine

How to use Pomalidomid Reig Iofre

Leaflet accompanying the packaging: patient information

Pomalidomide Reig Jofre, 3 mg, hard capsules

Pomalidomide Reig Jofre, 4 mg, hard capsules

Pomalidomide

It should be expected that Pomalidomide Reig Jofre will cause severe birth defects and may lead to fetal death.

  • The medicine must not be taken if the patient is pregnant or may become pregnant.
  • Contraceptive advice presented in this leaflet must be followed.

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

  • The leaflet should be kept in case it needs to be read again.
  • In case of any doubts, the doctor, pharmacist, or nurse should be consulted.
  • The medicine has been prescribed for a specific person. It must not be passed 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, pharmacist, or nurse. See section 4.

Table of contents of the leaflet

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

1. What is Pomalidomide Reig Jofre and what is it used for

What is Pomalidomide Reig Jofre

Pomalidomide Reig Jofre contains the active substance pomalidomide. This medicine is similar to thalidomide and belongs to a group of medicines that affect the immune system (the system responsible for the body's natural defense).

What is Pomalidomide Reig Jofre used for

Pomalidomide Reig Jofre is used to treat adults with a type of cancer called multiple myeloma.

Pomalidomide Reig Jofre is used in combination with:

  • two other medicines, bortezomib (a type of chemotherapy) and dexamethasone (an anti-inflammatory medicine) in patients who have already received at least one other type of treatment, including lenalidomide

or

  • one other medicine, dexamethasone in patients with multiple myeloma that has worsened despite receiving at least two other types of treatment, including lenalidomide and bortezomib.

What is multiple myeloma

Multiple myeloma is a cancer that affects a type of white blood cell (called plasma cells). These cells grow uncontrollably and accumulate in the bone marrow, causing damage to the bones and kidneys.

Multiple myeloma usually cannot be cured. However, treatment can relieve symptoms and cause them to disappear for a while - this is called a "response" to treatment.

How does Pomalidomide Reig Jofre work

Pomalidomide Reig Jofre works in several ways:

  • by inhibiting the growth of myeloma cells
  • by stimulating the immune system to attack cancer cells
  • by inhibiting the formation of blood vessels that supply cancer cells

Benefits of using Pomalidomide Reig Jofre with bortezomib and dexamethasone

Pomalidomide Reig Jofre used in combination with bortezomib and dexamethasone in patients who have already received at least one other type of treatment may slow down the progression of multiple myeloma:

  • Pomalidomide used with bortezomib and dexamethasone usually delayed the recurrence of multiple myeloma by 11 months - compared to 7 months in patients who received only bortezomib and dexamethasone.

Benefits of using Pomalidomide Reig Jofre with dexamethasone

Pomalidomide Reig Jofre used in combination with dexamethasone in patients who have already received at least two other types of treatment may slow down the progression of multiple myeloma:

  • Pomalidomide Reig Jofre used with dexamethasone usually delayed the recurrence of multiple myeloma by 4 months - compared to 2 months in patients who received only dexamethasone.

2. Important information before taking Pomalidomide Reig Jofre

When not to take Pomalidomide Reig Jofre:

  • -if the patient is allergic to pomalidomide or any of the other ingredients of this medicine (listed in section 6). If an allergy to the medicine is suspected, the doctor should be consulted.
  • if the patient is pregnant, suspects they may be pregnant, or plans to become pregnant - because it should be expected that Pomalidomide Reig Jofre will be harmful to the unborn child(men and women taking this medicine must read the section "Pregnancy, contraception, and breastfeeding - information for men and women", below).
  • if the patient may become pregnant, unless all necessary measures to prevent pregnancy are taken (see section "Pregnancy, contraception, and breastfeeding - information for men and women"). If the patient may become pregnant, the doctor will note the necessary measures and provide the patient with confirmation.

If the patient is unsure whether any of the above situations apply to them, they should consult their doctor, pharmacist, or nurse before starting treatment with Pomalidomide Reig Jofre.

Warnings and precautions

Before starting treatment with Pomalidomide Reig Jofre, the patient should discuss the following with their doctor, pharmacist, or nurse:

  • if the patient has ever had blood clots in the past. During treatment with Pomalidomide Reig Jofre, there is an increased risk of blood clots in the veins and arteries. The doctor may prescribe additional treatment (e.g., warfarin) or reduce the dose of Pomalidomide Reig Jofre to reduce the risk of blood clots.
  • if the patient has ever had an allergic reaction, such as a rash, itching, swelling, dizziness, or breathing problems when taking similar medicines with the names thalidomide and lenalidomide.
  • if the patient has had a heart attack, has heart failure, has breathing difficulties, or smokes, has high blood pressure, or high cholesterol levels.
  • if the patient has extensive cancerous changes in the body, including in the bone marrow. These may lead to a condition in which tumors break down, releasing toxic substances into the blood, which can lead to kidney failure. The patient may also experience irregular heartbeat.
  • if the patient has or has had neuropathy (nerve damage causing numbness or pain in the hands or feet).
  • if the patient has or has had a hepatitis B virus infection. Taking Pomalidomide Reig Jofre may cause the virus to reactivate in previously infected patients, leading to a recurrence of the infection. The doctor should check if the patient has been infected with the hepatitis B virus in the past.
  • if the patient has or has had any of the following symptoms: rash on the face or widespread rash, redness of the skin, high fever, flu-like symptoms, swollen lymph nodes (observed by the patient as symptoms of a severe skin reaction called "drug reaction with eosinophilia and systemic symptoms" (DRESS) or drug hypersensitivity syndrome, toxic epidermal necrolysis (TEN), or Stevens-Johnson syndrome (SJS), see also section 4 "Possible side effects").

It is essential to note that in patients with multiple myeloma treated with pomalidomide, additional types of cancer may develop. Therefore, the treating doctor should carefully evaluate the benefits and risks associated with prescribing this medicine to the patient.

At any time during treatment or after its completion, the doctor or nurse should be informed immediately if the following occur: vision disturbances, loss of vision, or double vision, speech difficulties, weakness in the arms or legs, changes in gait, or balance problems, persistent numbness, decreased sensation, or loss of sensation, memory loss, or disorientation.

All of the above symptoms may indicate a severe and potentially life-threatening brain disease called progressive multifocal leukoencephalopathy (PML). If these symptoms occurred before taking Pomalidomide Reig Jofre, the doctor should be informed of any changes in these symptoms.

After completing treatment, all unused capsules should be returned to the pharmacist at the pharmacy.

Children and adolescents

Pomalidomide Reig Jofre is not recommended for use in children and adolescents under 18 years of age.

Pomalidomide Reig Jofre and other medicines

The doctor, pharmacist, or nurse should be told about all medicines the patient is currently taking or has recently taken, as well as any medicines the patient plans to take, as Pomalidomide Reig Jofre may affect the action of other medicines. Other medicines may also affect the action of Pomalidomide Reig Jofre.

Before taking Pomalidomide Reig Jofre, the doctor, pharmacist, or nurse should be informed, in particular, if the patient is taking any of the following medicines:

  • certain antifungal medicines, such as ketoconazole
  • certain antibiotics (e.g., ciprofloxacin, enoxacin)
  • certain antidepressant medicines, such as fluvoxamine

Pregnancy, contraception, and breastfeeding - information for men and women

As indicated below, during treatment with Pomalidomide Reig Jofre, the conditions of the Pregnancy Prevention Program must be observed. Women taking Pomalidomide Reig Jofre must not become pregnant, and men taking pomalidomide must not impregnate their partner, as it should be expected that this medicine will harm the unborn child. Both the patient and their partner should use effective contraception during treatment with this medicine.

Women

Pomalidomide Reig Jofre must not be taken if the patient is pregnant, suspects they may be pregnant, or plans to become pregnant, as it should be expected that this medicine will harm the unborn child. Before starting treatment, the patient should tell their doctor if they may become pregnant, even if they think it is unlikely.

If the patient may become pregnant:

  • they must use effective methods of contraception for at least 4 weeks before starting treatment, during treatment, and for at least 4 weeks after completing treatment. The patient should discuss with their doctor which method of contraception is best for them.
  • each time the medicine is prescribed, the doctor will ensure that the patient understands all the necessary methods of contraception to be used to prevent pregnancy
  • the doctor will order pregnancy tests before treatment, no less frequently than every 4 weeks during treatment, and after at least 4 weeks after completing treatment.

If the patient becomes pregnant despite taking preventive measures:

  • they must stop treatment immediately and inform their doctor immediately.

Breastfeeding

It is not known whether Pomalidomide Reig Jofre passes into human milk. If the patient is breastfeeding or plans to breastfeed, they should tell their doctor. The doctor will inform the patient whether they should stop breastfeeding or continue treatment with Pomalidomide Reig Jofre.

Men

Pomalidomide Reig Jofre is present in human semen.

  • If the partner is pregnant or may become pregnant, the man must use condoms during the entire treatment period and for 7 days after completing treatment.
  • If the partner of a man being treated with Pomalidomide Reig Jofre becomes pregnant, the doctor should be informed immediately. The partner should also consult a doctor immediately.

The patient should not donate sperm or semen during treatment and for 7 days after completing treatment.

Blood donation and blood tests

During treatment and for 7 days after completing treatment, the patient should not donate blood.

Before and during treatment with Pomalidomide Reig Jofre, the patient will undergo regular blood tests. This is because the medicine may cause a decrease in the number of blood cells that help fight infections (white blood cells) and a decrease in the number of cells that help prevent bleeding (platelets).

The doctor will order the patient to undergo blood tests:

  • before treatment
  • every week during the first 8 weeks of treatment
  • then at least once a month for as long as the patient takes Pomalidomide Reig Jofre

The doctor may change the dose of Pomalidomide Reig Jofre or stop treatment based on the patient's blood test results. The doctor may also change the dose or stop treatment due to the patient's overall health.

Driving and using machines

While taking Pomalidomide Reig Jofre, some people may feel tired, dizzy, faint, confused, or have reduced alertness. If these symptoms occur, the patient should not drive, use tools, or operate machines.

Pomalidomide Reig Jofre contains sodium

The medicine contains less than 1 mmol (23 mg) of sodium per capsule, which means that the medicine is considered "sodium-free".

Pomalidomide Reig Jofre contains isomalt

If the patient has previously been diagnosed with intolerance to some sugars, they should contact their doctor before taking the medicine.

3. How to take Pomalidomide Reig Jofre

Pomalidomide Reig Jofre must be prescribed by a doctor with experience in treating multiple myeloma.

This medicine should always be taken as directed by the doctor. If the patient has any doubts, they should consult their doctor, pharmacist, or nurse.

If it is necessary to use strengths that cannot be achieved with Pomalidomide Reig Jofre 3 mg and Pomalidomide Reig Jofre 4 mg capsules, another available medicine containing pomalidomide as the active substance with the appropriate strength and form should be used.

When to take Pomalidomide Reig Jofre with other medicines

Pomalidomide Reig Jofre with bortezomib and dexamethasone

  • The patient should read the leaflets accompanying the medicines containing bortezomib and dexamethasone for further information on their use and action.
  • Pomalidomide Reig Jofre, bortezomib, and dexamethasone are used in treatment cycles. Each cycle lasts 21 days (3 weeks).
  • The following table shows which medicines to take on which days of the 3-week cycle: each day, find the corresponding day in the table and check which medicines to take. On some days, all 3 medicines should be taken, on some days only 2 medicines or 1 medicine, and on some days no medicines should be taken.

POM: Pomalidomide Reig Jofre; BOR: bortezomib; DEX: dexamethasone

Cycles 1 to 8. Cycle 9 and subsequent cycles

  • After completing each 3-week cycle, a new cycle should be started.

Pomalidomide Reig Jofre only with dexamethasone

  • The patient should read the leaflet accompanying the dexamethasone medicine for further information on its use and action.
  • Pomalidomide Reig Jofre and dexamethasone are used in treatment cycles. Each cycle lasts 28 days (4 weeks).
  • The following table shows which medicines to take on which days of the 4-week cycle: each day, find the corresponding day in the table and check which medicines to take. On some days, both medicines should be taken, on some days only 1 medicine, and on some days no medicine should be taken.

POM: Pomalidomide Reig Jofre; DEX: dexamethasone

Medicine name
DayPOMBORDEX
  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
Medicine name
DayPOMBORDEX
  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
Medicine name
DayPOMDEX
  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • After completing each 4-week cycle, a new cycle should be started.

What dose of Pomalidomide Reig Jofre to take with other medicines

Pomalidomide Reig Jofre with bortezomib and dexamethasone

  • The recommended starting dose of Pomalidomide Reig Jofre is 4 mg per day.
  • The recommended starting dose of bortezomib will be determined by the doctor based on the patient's height and weight (1.3 mg/m2 body surface area).
  • The recommended starting dose of dexamethasone is 20 mg per day. However, in patients over 75 years of age, the recommended starting dose is 10 mg per day.

Pomalidomide Reig Jofre only with dexamethasone

  • The recommended dose of Pomalidomide Reig Jofre is 4 mg per day.
  • The recommended starting dose of dexamethasone is 40 mg per day. However, in patients over 75 years of age, the recommended starting dose is 20 mg per day.

The doctor may reduce the dose of Pomalidomide Reig Jofre, bortezomib, or dexamethasone, or recommend stopping one or more of these medicines, depending on the patient's blood test results, their overall health, the use of other medicines (e.g., ciprofloxacin, enoxacin, and fluvoxamine), and if the patient experiences side effects resulting from treatment (especially rash and swelling).

If the patient has kidney or liver disease, the treating doctor will closely monitor the patient's health during treatment with this medicine.

How to take Pomalidomide Reig Jofre

  • The capsules should not be broken, opened, or chewed. If the powder from a damaged Pomalidomide Reig Jofre capsule comes into contact with the skin, the skin should be washed immediately with soap and water.
  • Healthcare professionals, caregivers, and family members should wear disposable gloves when handling the blister or capsule. The gloves should then be carefully removed to avoid skin exposure, placed in a sealed plastic bag, and disposed of in accordance with local regulations. Then, the hands should be washed with soap and water. Pregnant women or those who suspect they may be pregnant should not touch the blister or capsule.
  • The capsules should be swallowed whole, preferably with water.
  • The capsules can be taken with or without food.
  • Pomalidomide Reig Jofre should be taken at approximately the same time every day.

To remove a capsule from the blister, press the blister only at one end of the capsule and push it through the foil. Do not press the blister in the middle of the capsule, as this may damage the capsule.

Diagram showing hands removing capsules from the blister, pressing on the ends of the capsules, with three consecutive stages illustrating the process

If the patient has kidney problems and is on dialysis, the treating doctor will advise on how and when to take Pomalidomide Reig Jofre.

Duration of treatment with Pomalidomide Reig Jofre

Treatment cycles should be continued until the doctor recommends stopping treatment.

Taking a higher dose of Pomalidomide Reig Jofre than recommended

If a higher dose of Pomalidomide Reig Jofre than recommended is taken, the doctor or hospital should be informed immediately. The patient should take the packaging of the medicine with them.

Missing a dose of Pomalidomide Reig Jofre

If the patient misses a dose of Pomalidomide Reig Jofre on the day it is supposed to be taken, they should take the next capsule at the scheduled time the next day. A double dose should not be taken to make up for the missed capsule of Pomalidomide Reig Jofre.

In case of any further doubts about taking this medicine, the doctor or pharmacist should be consulted.

4. Possible side effects

Like all medicines, Pomalidomide Reig Jofre can cause side effects, although not everybody gets them.

Severe side effects

If any of the following severe side effects occur, the patient should stop taking Pomalidomide Reig Jofre and consult their doctor immediately - immediate treatment may be necessary:

  • fever, chills, sore throat, cough, mouth ulcers, or any other signs of infection (due to a low number of white blood cells that fight infection);
  • bleeding or bruising without cause, including nosebleeds, gastrointestinal, or stomach bleeding (due to the effect of the medicine on blood cells called platelets);
  • rapid breathing, rapid heartbeat, fever, and chills, passing very little or no urine, nausea, and vomiting, confusion, loss of consciousness (due to a blood infection called sepsis or septic shock);
  • severe, persistent, or bloody diarrhea (also with abdominal pain or fever) caused by bacteria called Clostridium difficile;
  • chest pain or leg pain and swelling, especially in the legs and ankles (caused by blood clots);
  • shortness of breath (due to severe infections in the chest, pneumonia, heart failure, or blood clots);
  • swelling of the face, lips, tongue, and throat, which can cause breathing difficulties (due to severe allergic reactions called angioedema and anaphylaxis);
  • certain types of skin cancer (squamous cell carcinoma and basal cell carcinoma), which can cause changes in the appearance of the skin or the formation of growths on the skin. If the patient notices any changes on the skin while taking Pomalidomide Reig Jofre, they should inform their doctor as soon as possible;
  • recurrence of hepatitis B virus infection, which can cause yellowing of the skin and whites of the eyes (jaundice), dark urine, abdominal pain on the right side, fever, nausea, and vomiting. The patient should consult their doctor immediately if they notice these symptoms;
  • widespread rash, high body temperature, swollen lymph nodes, and involvement of other organs (drug reaction with eosinophilia and systemic symptoms, also known as DRESS or drug hypersensitivity syndrome, toxic epidermal necrolysis, or Stevens-Johnson syndrome). If these symptoms occur, the patient should stop taking pomalidomide and consult their doctor or seek immediate medical attention. See also section 2.

If any of the above severe side effects occur, the patient should stop taking Pomalidomide Reig Jofre and consult their doctor immediately- immediate treatment may be necessary.

Other side effects

Very common(may affect more than 1 in 10 people):

  • shortness of breath (dyspnea);
  • lung infections (pneumonia and bronchitis);
  • infections of the nose, sinuses, and throat caused by bacteria or viruses;
  • flu-like symptoms (influenza);
  • decrease in red blood cells, which can cause fatigue and weakness;
  • low potassium levels in the blood (hypokalemia), which can cause weakness, muscle cramps, muscle pain, irregular heartbeat, tingling, or numbness, shortness of breath, changes in mood;
  • high blood sugar levels;
  • rapid and irregular heartbeat (atrial fibrillation);
  • loss of appetite;
  • constipation, diarrhea, or nausea;
  • vomiting;
  • abdominal pain;
  • fatigue;
  • difficulty sleeping or maintaining sleep continuity;
  • dizziness, tremors;
  • muscle cramps, muscle weakness;
  • bone pain, back pain;
  • numbness, tingling, or burning sensation of the skin, pain in the hands or feet (peripheral sensory neuropathy);
  • swelling of the body, including swelling of the hands and feet;
  • rash;
  • urinary tract infection, which can cause burning during urination or frequent urination.

Common(may affect up to 1 in 10 people):

  • falls;
  • bleeding in the brain;
  • decreased ability to move or feel in the arms, legs, hands, and feet due to nerve damage (peripheral sensory-motor neuropathy);
  • tingling, itching, and burning sensation of the skin (paresthesia);
  • feeling of spinning, making it difficult to maintain a steady position;
  • swelling caused by fluid accumulation;
  • hives;
  • itching;
  • shingles;
  • heart attack (chest pain radiating to the arms, neck, jaw, feeling of sweating, and shortness of breath, nausea, or vomiting);
  • chest pain, infection in the chest;
  • high blood pressure;
  • simultaneous decrease in red and white blood cells and platelets (pancytopenia), which can cause fatigue, weakness, shortness of breath, and increased susceptibility to infections and bleeding. The patient may feel tired, weak, and have shortness of breath;
  • decrease in lymphocytes (a type of white blood cell), often caused by infection (lymphopenia);
  • low magnesium levels in the blood (hypomagnesemia), which can cause fatigue, general weakness, muscle cramps, irritability, and lead to low calcium levels in the blood (hypocalcemia), which can cause tingling, numbness, or burning sensation of the hands, feet, or lips, muscle cramps, muscle weakness, dizziness, confusion;
  • low phosphate levels in the blood (hypophosphatemia), which can cause muscle weakness and irritability or confusion;
  • high calcium levels in the blood (hypercalcemia), which can cause slowed reflexes and muscle weakness;
  • high potassium levels in the blood, which can cause irregular heartbeat;
  • low sodium levels in the blood, which can cause fatigue and confusion, tremors, seizures (convulsions), or coma;
  • high uric acid levels in the blood, which can lead to gout;
  • low blood pressure, which can cause dizziness or fainting;
  • mouth pain or dryness;
  • changes in taste;
  • abdominal swelling;
  • feeling of confusion;
  • feeling of depression;
  • loss of consciousness, fainting;
  • clouding of the eye (cataract);
  • kidney damage;
  • inability to urinate;
  • abnormal liver test results;
  • pelvic pain;
  • weight loss.

Uncommon(may affect up to 1 in 100 people):

  • stroke;
  • hepatitis, which can cause itching of the skin, yellowing of the skin and whites of the eyes (jaundice), light-colored stools, dark urine, abdominal pain, and fever;
  • tumor lysis syndrome, which can lead to kidney problems;
  • hypothyroidism, which can cause symptoms such as fatigue, lethargy, muscle weakness, slow heartbeat, weight gain.

Frequency not known(frequency cannot be estimated from the available data):

  • rejection of a transplanted solid organ (such as a heart or liver).

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 Drug Safety Monitoring of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw, phone: +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 can help gather more information on the safety of the medicine.

5. How to store Pomalidomide Reig Jofre

The medicine should be stored out of sight and reach of children.

The medicine should not be used 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.

Pomalidomide Reig Jofre should not be used if the packaging is damaged or shows signs of opening.

Medicines should not be disposed of via wastewater or household waste. After completing treatment, any unused medicine should be returned to the pharmacist at the pharmacy. This will help protect the environment.

6. Contents of the pack and other information

What Pomalidomide Reig Jofre contains

  • The active substance of the medicine is pomalidomide.
  • The other ingredients are: isomalt 801 (E 953), isomalt 721 (E 953), corn starch, and sodium stearyl fumarate.

Pomalidomide Reig Jofre, 3 mg, hard capsules:

  • Each hard capsule contains 3 mg of pomalidomide.
  • The capsule shell contains: gelatin, titanium dioxide (E 171), brilliant blue FCF (E 133), and black ink.

Pomalidomide Reig Jofre, 4 mg, hard capsules:

  • Each hard capsule contains 4 mg of pomalidomide.
  • The capsule shell contains: gelatin, brilliant blue FCF (E 133), titanium dioxide (E 171), erythrosine (E 172), and black ink.

The printing ink contains: shellac (E 904), concentrated ammonia solution, potassium hydroxide, and iron oxide black (E 172).

What Pomalidomide Reig Jofre looks like and contents of the pack

Pomalidomide Reig Jofre, 3 mg, hard capsules: The capsule is size 2 (approximately 18 mm x 6 mm), with a light blue, opaque cap and a light blue, opaque body, with "LP" printed in black ink on the cap and "690" on the body, containing a yellow, granular powder.

Pomalidomide Reig Jofre, 4 mg, hard capsules: The capsule is size 2 (approximately 18 mm x 6 mm), with a blue, opaque cap and a blue, opaque body, with "LP" printed in black ink on the cap and "667" on the body, containing a yellow, granular powder.

Package sizes:

Blisters with PVC/PCTFE/ACLAR/Aluminum or blisters with OPA/Aluminum/PVC/Aluminum foil, in a cardboard box:

14 hard capsules (blisters)

14 x 1 hard capsule (perforated single-dose blisters)

21 hard capsules (blisters)

21 x 1 hard capsule (perforated single-dose blisters)

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Reig Jofre Sp. z o.o.

ul. Ostródzka 74N

03-289 Warsaw

e-mail: biuro@reigjofre.com

Phone: +48 22 487 88 49

Importer

Qualimetrix S.A.
579 Mesogeion Avenue
Agia Paraskevi
15343 Athens
Greece
Adalvo Limited
Malta Life Sciences Park
Building 1, Level 4, Sir Temi Zammit Buildings
San Gwann SGN 3000
Malta
Pharmadox Healthcare Ltd.
KW20A Kordin Industrial Park
Paola PLA 3000
Malta

This medicinal product is authorized for sale in the Member States of the European Economic Area under the following names:

Names of the medicinal product in the Member States of the European Economic Area:

Denmark:
Pomalidomide Bioglan
Finland:
Pomalidomide Bioglan
France:
Pomalidomide Reig Jofre 1 mg, 2 mg, 3 mg and 4 mg capsules
Spain:
Pomalidomida Sala 3 mg hard capsules EFG
Pomalidomida Sala 4 mg hard capsules EFG
Netherlands:
Pomalidomide Reig Jofre 1 mg hard capsules
Pomalidomide Reig Jofre 2 mg hard capsules
Pomalidomide Reig Jofre 3 mg hard capsules
Pomalidomide Reig Jofre 4 mg hard capsules
Poland:
Pomalidomid Reig Jofre
Sweden:
Pomalidomide Bioglan
Italy:
Pomalidomide Reig Jofre

Date of the last update of the leaflet:

  • Country of registration
  • Active substance
  • Prescription required
    Yes
  • Importer
    Adalvo Limited Pharmadox Healthcare Limited Qualimetrix S.A.

Talk to a doctor online

Need help understanding this medicine or your symptoms? Online doctors can answer your questions and offer guidance.

5.0(21)
Doctor

Ekaterina Agapova

Neurology8 years of experience

Dr. Ekaterina Agapova is a neurologist specialising in the diagnosis and treatment of neurological conditions and chronic pain. She provides online consultations for adults, combining evidence-based medicine with a personalised approach.

She offers expert care for:

  • Headaches and migraines, including tension-type and cluster headaches.
  • Neck and back pain, both acute and chronic.
  • Chronic pain syndromes – fibromyalgia, neuropathic pain, post-traumatic pain.
  • Mononeuropathies – carpal tunnel syndrome, trigeminal neuralgia, facial nerve palsy.
  • Polyneuropathies – diabetic, toxic, and other types.
  • Multiple sclerosis – diagnosis, monitoring, long-term support.
  • Dizziness and coordination disorders.
  • Sleep disturbances – insomnia, daytime sleepiness, fragmented sleep.
  • Anxiety, depression, and stress-related conditions.

Dr. Agapova helps patients manage complex neurological symptoms like pain, numbness, weakness, poor sleep, and emotional distress. Her consultations focus on accurate diagnosis, clear explanation of findings, and tailored treatment plans.

If you’re struggling with chronic pain, migraines, nerve disorders, or sleep problems, Dr. Agapova offers professional guidance to restore your well-being.

CameraBook a video appointment
More times
5.0(37)
Doctor

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.

CameraBook a video appointment
More times
5.0(12)
Doctor

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.

CameraBook a video appointment
More times
5.0(4)
Doctor

Salome Akhvlediani

Pediatrics11 years of experience

Dr Salome Akhvlediani is a paediatrician providing online consultations for children of all ages. She supports families with preventive care, diagnosis, and long-term management of both acute and chronic conditions.

Her areas of focus include:

  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

CameraBook a video appointment
More times
View all doctors

Get updates and exclusive offers

Be the first to know about new services, marketplace updates, and subscriber-only promos.

Subscribe
Follow us on social media
FacebookInstagram
Logo
Oladoctor
Find a doctor
Doctors by specialty
Services
Choose language
© 2025 Oladoctor. All rights reserved.
VisaMastercardStripe