Package Leaflet: Information for the User
Eltrombopag Accord 12.5 mg film-coated tablets
Eltrombopag Accord 25 mg film-coated tablets
Eltrombopag Accord 50 mg film-coated tablets
Eltrombopag Accord 75 mg film-coated tablets
eltrombopag
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
Contents of the pack
Eltrombopag Accord contains eltrombopag, which belongs to a group of medicines called thrombopoietin receptor agonists, used to help increase the number of platelets in the blood. Platelets are cells in the blood that help to stop or prevent bleeding.
Do not take Eltrombopag Accord
→ Consult your doctorif you think this may affect you.
Warnings and precautions
Talk to your doctor before starting Eltrombopag Accord:
The risk of having a blood clot may be higherin the following circumstances:
→ If you are in any of these situations, tell your doctorbefore starting treatment. You should not take Eltrombopag Accord unless your doctor considers that the expected benefit outweighs the risk of having blood clots.
→ Tell your doctorif you are in any of these situations.
Eye exams
Your doctor will recommend that you have an eye exam to check for cataracts. If you do not have regular eye exams, your doctor will ask you to have them. They should also check your retina (the light-sensitive layer at the back of the eye) for bleeding in the retina or around it.
You will need to have blood tests regularly
Before you start taking Eltrombopag Accord, your doctor will perform a blood test to check your blood cells, including platelets. These tests will be repeated frequently while you are taking the medicine.
Blood tests to check liver function
Eltrombopag Accord may cause changes in your blood test results that indicate liver damage - an increase in certain liver enzymes, especially bilirubin and alanine/aspartate transaminase. If you are taking interferon, a basic treatment along with Eltrombopag Accord to treat low platelet counts due to hepatitis C, some liver problems may worsen.
You will have blood tests before starting Eltrombopag Accord and frequently while taking it to check your liver function. It may be necessary to stop treatment with Eltrombopag Accord if the levels of these markers increase too much or if you have any other sign of liver damage.
→ Read the information on “Liver problems” in section 4 of this leaflet
Blood tests for platelet count
If you stop taking Eltrombopag Accord, it is likely that within a few days, you will have low platelet counts again (thrombocytopenia). Your platelet counts will be monitored, and your doctor will advise you on the precautions to take.
Very high platelet counts may increase the risk of blood clots. However, blood clots can also form with normal or even low platelet counts. Your doctor will adjust the dose of Eltrombopag Accord to ensure that your platelet count does not become too high.
Seek medical help immediatelyif you have any of these signs of a blood clot:
Tests to examine your bone marrow
In people with bone marrow problems, medicines like Eltrombopag Accord may worsen the problems. Signs of changes in the bone marrow may appear as abnormal results in your blood tests. Your doctor may also perform tests to directly check your bone marrow during treatment with Eltrombopag Accord.
Review of gastrointestinal bleeding
If you are taking interferon, a basic treatment along with Eltrombopag Accord, you will be monitored for signs of bleeding in your stomach or intestine after you stop taking Eltrombopag Accord.
Heart monitoring
Your doctor may consider monitoring your heart while you are taking Eltrombopag Accord with an electrocardiogram, if necessary.
Elderly (65 years and over)
There is limited data on the use of Eltrombopag Accord in patients aged 65 years or over. If you are 65 or over, you should be cautious when using Eltrombopag Accord.
Children and adolescents
Eltrombopag Accord is not recommended for use in children under 1 year of age with ITP. It is also not recommended in children under 18 years of age with low platelet counts due to hepatitis C.
Other medicines and Eltrombopag Accord
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. This includes medicines obtained without a prescription and vitamins.
Some common medicines may interact with Eltrombopag Accord(including prescription medicines, over-the-counter medicines, and minerals). These include:
→ Consult your doctorif you are taking any of these medicines. Some should not be taken with Eltrombopag Accord; it may be necessary to adjust the dose or change the times when you take them. Your doctor will review the medicines you are taking and recommend alternatives if necessary.
If you are also taking medicines to prevent blood clots, there is a higher risk of bleeding. Your doctor will discuss this with you.
If you are taking corticosteroids, danazol,and/or azathioprinewith Eltrombopag Accord, it may be necessary to reduce the dose or stop treatment with these medicines.
Taking Eltrombopag Accord with food and drinks
Do not take Eltrombopag Accord with food or dairy products, as the calcium in dairy products affects the absorption of the medicine. For more information, see section 3, “When to take it”.
Pregnancy and breastfeeding
Do not takeEltrombopag Accord if you are pregnantunless your doctor specifically recommends it. The effect of Eltrombopag Accord during pregnancy is not known.
Do not breastfeed while taking Eltrombopag Accord.It is not known whether Eltrombopag Accord passes into breast milk.
→ If you are breastfeedingor plan to breastfeed, tell your doctor.
Driving and using machines
Eltrombopag Accord may cause dizzinessand have other side effects that may make you less alert.
→ Do not drive or use machinesunless you are sure that Eltrombopag Accord does not affect you.
Eltrombopag Accord contains sodium
This medicine contains less than 1 mmol of sodium (23 mg) per tablet; this is essentially “sodium-free”.
Follow the instructions for taking this medicine exactly as your doctor has told you. If you are unsure, ask your doctor or pharmacist.
Do not change the dose or treatment schedule of Eltrombopag Accord unless your doctor or pharmacist tells you to.
While taking Eltrombopag Accord, you will be under the supervision of a specialist doctor with experience in treating your condition.
How much to take
For ITP
Adults and children(6 to 17 years old) - the usual starting dose for ITP is one 50 mg tabletof Eltrombopag Accord per day. If you are of East or Southeast Asian descent, you may need to start treatment with a lower dose of 25 mg.
Children(1 to 5 years old) - the usual starting dose for ITP is one 25 mg tabletof Eltrombopag Accord per day.
For hepatitis C
Adults- the usual starting dose for hepatitis C is one 25 mg tabletof Eltrombopag Accord per day. If you are of East or Southeast Asian descent, start treatment with the same dose of 25 mg.
Eltrombopag Accord may take 1 to 2 weeks to work. Depending on your response to Eltrombopag Accord, your doctor may recommend changing your daily dose.
How to take the tablets
Swallow the tablet whole, with water.
When to take it
Make sure that -
you do notconsume any of the following:
If you do, your body will not absorb the medicine properly.
For more information on what foods and drinks are suitable, consult your doctor.
If you take more Eltrombopag Accord than you should
Consult your doctor or pharmacist immediately. If possible, show them the pack or this leaflet. You will be monitored for signs or symptoms of side effects and given the appropriate treatment immediately.
If you forget to take Eltrombopag Accord
Take the next dose at the usual time. Do not take more than one dose of Eltrombopag Accord per day.
If you stop taking Eltrombopag Accord
Do not stop taking Eltrombopag Accord without first talking to your doctor. If your doctor advises you to stop treatment, your platelet counts will be monitored every week for four weeks. See also “Bleeding or bruising after stopping treatment”in section 4.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause adverse effects, although not all people suffer from them.
Symptoms to which you need to pay attention: consult your doctor
People taking Eltrombopag Viatris for both ITP and low platelet counts associated with hepatitis C may exhibit signs related to possible serious adverse effects. It is essential that you inform your doctor if you develop symptoms.
Increased Risk of Thrombosis
Some people may have a higher risk of having a thrombus, and medications like Eltrombopag Viatris can worsen this problem. The sudden blockage of a blood vessel by a thrombus is a rare adverse effect that can affect up to 1 in 100 people.
Seek medical help immediately if you present signs or symptoms of thrombosis, such as:
Liver Problems
Eltrombopag Accord may cause changes that appear in blood tests, which can be signs of liver damage. Liver problems (increased liver enzymes in blood tests) are frequent and can affect up to 1 in 10 people. Other liver problems are rare and can affect up to 1 in 100 people.
If you have any signs of liver problems:
→ contact your doctor immediately
Bleeding or Hematomas after Treatment Interruption
Two weeks after interrupting treatment with Eltrombopag Accord, your platelet levels will normally drop to levels similar to those before starting Eltrombopag Accord. A decrease in platelet levels can increase the risk of having bleeding or hematomas. Your doctor will check your platelet levels for at least 4 weeks after interrupting treatment with Eltrombopag Accord.
→ Contact your doctorif you have bleeding or hematomas when stopping Eltrombopag Accord.
Some people have bleeding in the digestive systemafter stopping peginterferon, ribavirin, and Eltrombopag Accord. The symptoms include:
→ Contact your doctorimmediately if you have any of these symptoms.
The following adverse effects have been reported in relation to treatment with Eltrombopag Accord in adult patients with ITP
Very Common Adverse Effects
May affect more than 1 in 10people
Very Common Adverse Effects that may appear in Blood Tests:
Common Adverse Effects
May affect up to 1 in 10people
Common Adverse Effects that may appear in Blood Tests:
Rare Adverse Effects
May affect up to 1 in 100people:
Rare Adverse Effects that may appear in Blood Tests:
The following adverse effects have been reported in relation to treatment with Eltrombopag Viatris in children (from 1 to 17 years) with ITP
If these adverse effects worsen, please inform your doctor, pharmacist, or nurse.
Very Common Adverse Effects
May affect more than 1 in 10children
Common Adverse Effects
May affect up to 1 in 10children
The following adverse effects have been reported in relation to treatment with Eltrombopag Viatris in combination with peginterferon and ribavirin in patients with HCV
Very Common Adverse Effects
May affect more than 1 in 10 people:
Very Common Adverse Effects that may appear in Blood Tests:
Common Adverse Effects
May affect up to 1 in 10people:
Common Adverse Effects that may appear in Blood Tests:
Rare Adverse Effects
May affect up to 1 in 100people:
The following adverse effects have been observed in relation to treatment with Eltrombopag Viatris in patients with severe aplastic anemia (SAA)
If these adverse effects worsen, please inform your doctor, pharmacist, or nurse.
Very Common Adverse Effects
May affect more than 1 in 10people:
Very Common Adverse Effects that may appear in a Blood Test
Common Adverse Effects
May affect up to 1 in 10people:
Common Adverse Effects that may appear in a Blood Test
Adverse Effects of Unknown Frequency
Cannot be estimated from the available data
Reporting of Adverse Effects
If you experience any type of adverse effect, consult your doctor, pharmacist, or nurse, even if it is a possible adverse effect.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton and on the blister.
This medicine does not require any special storage conditions.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.
Composition of Eltrombopag Accord
The active substance is eltrombopag.
12.5 mg film-coated tablets
Each film-coated tablet contains eltrombopag olamine, equivalent to 12.5 mg of eltrombopag.
25 mg film-coated tablets
Each film-coated tablet contains eltrombopag olamine, equivalent to 25 mg of eltrombopag.
50 mg film-coated tablets
Each film-coated tablet contains eltrombopag olamine, equivalent to 50 mg of eltrombopag.
75 mg film-coated tablets
Each film-coated tablet contains eltrombopag olamine, equivalent to 75 mg of eltrombopag.
The other ingredients are: mannitol, povidone, microcrystalline cellulose, sodium starch glycolate, magnesium stearate, isomalt (E 953), calcium silicate, hypromellose, titanium dioxide (E171), triacetin, red iron oxide (E172), yellow iron oxide (E172) [except 75 mg].
Appearance and packaging
Eltrombopag Accord 12.5 mg film-coated tablets
Round, biconvex, film-coated tablet of orange to brown color, engraved with “I” on one side and approximately 5.5 mm in diameter.
Eltrombopag Accord 25 mg film-coated tablets
Round, biconvex, film-coated tablet of dark pink color, engraved with “II” on one side and approximately 8 mm in diameter.
Eltrombopag Accord 50 mg film-coated tablets
Round, biconvex, film-coated tablet of pink color, engraved with “III” on one side and approximately 10 mm in diameter.
Eltrombopag Accord 75 mg film-coated tablets
Round, biconvex, film-coated tablet of red to brown color, engraved with “IV” on one side and approximately 12 mm in diameter.
They are supplied in aluminum blisters (OPA/Alu/PVC-Alu) in a carton containing 14, 28 or 84 tablets and multiple packs containing 84 tablets (3 packs of 28) or in aluminum perforated blisters (OPA/Alu/PVC-Alu) in a carton containing 14x1, 28x1 or 84x1 tablets and multiple packs containing 84x1 tablets (3 packs of 28x1).
Not all pack sizes may be marketed.
Marketing authorization holder
Accord Healthcare S.L.U.
World Trade Center, Moll de Barcelona, s/n
Edifici Est, 6a Planta
08039 Barcelona
Spain
Manufacturer
Accord Healthcare Polska Sp. z.o.o.
ul.Lutomierska 50,
95-200, Pabianice, Poland
Synthon Hispania S.L.
Castello, 1
Poligono Las Salinas
08830 Sant Boi de Llobregat, Spain
Synthon B.V.
Microweg 22
6545 CM Nijmegen, Netherlands
Further information about this medicine can be obtained from the local representative of the marketing authorization holder:
AT / BE / BG / CY / CZ / DE / DK / EE / ES / FI / FR / HR / HU / IE / IS / IT / LT / LV / LU / MT / NL / NO / PL / PT / RO / SE / SI / SK
Accord Healthcare S.L.U.
Tel: +34 93 301 00 64
EL
Win Medica Α.Ε.
Tel: +30 210 74 88 821
Date of last revision of this leaflet:
Other sources of information
Detailed information on this medicine is available on the European Medicines Agency website https://www.ema.europa.eu. There are also links to other websites on rare diseases and treatments.