ELTROMBOPAG CIPLA 25 mg FILM-COATED TABLETS

Introduction

Package Leaflet: Information for the Patient

Eltrombopag Cipla 25 mg film-coated tablets EFG

Eltrombopag Cipla 50 mg film-coated tablets EFG

Eltrombopag Cipla 75 mg film-coated tablets EFG

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

• Keep this leaflet, you may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

1. What Eltrombopag Cipla is and what it is used for
2. What you need to know before you take Eltrombopag Cipla
3. How to take Eltrombopag Cipla
4. Possible side effects
5. Storage of Eltrombopag Cipla
6. Contents of the pack and other information

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

Eltrombopag Cipla contains eltrombopag, which belongs to a group of medicines called thrombopoietin receptor agonists. It is used to help increase the number of platelets in the blood. Platelets are blood cells that help to prevent or stop bleeding.

• Eltrombopag is used to treat a blood disorder called primary immune thrombocytopenia (ITP) in patients aged 1 year and above who have had other treatments (such as corticosteroids or immunoglobulins) that have not worked.

ITP is caused by a low platelet count (thrombocytopenia). People with ITP have a higher risk of bleeding. Symptoms that patients with ITP may notice include petechiae (small, round, flat red spots under the skin), bruising, nosebleeds, bleeding gums, and an inability to stop bleeding if they cut or injure themselves.

• Eltrombopag may also be used to treat low platelet counts (thrombocytopenia) in adults with hepatitis C virus (HCV) infection, if they have had problems with the side effects of interferon treatment. Many people with hepatitis C have low platelet counts, not only due to the disease but also due to the antiviral treatments used to treat it. Taking eltrombopag may help you complete a full course of antiviral treatment (peginterferon and ribavirin).

• Eltrombopag may also be used in patients with low blood cell counts caused by severe aplastic anemia (SAA). SAA is a disease in which the bone marrow is damaged, leading to a deficiency of red blood cells (anemia), white blood cells (leukopenia), and platelets (thrombocytopenia).

2. What you need to know before you take Eltrombopag Cipla

Do not take Eltrombopag Cipla

if you are allergicto eltrombopag or any of the other ingredients of this medicine (listed in section 6).

Talk to your doctorif you think this may affect you.

Warnings and precautions

Talk to your doctor or pharmacist before taking this medicine:

• if you have liver problems. People with low platelet counts and advanced chronic liver disease are at a higher risk of side effects, including life-threatening liver damage and blood clots. If your doctor thinks the benefits of taking this medicine outweigh the risks, they will closely monitor you during treatment.
• if you are at risk of having a blood clotin your veins or arteries, or if you have a family history of blood clots.

The risk of having a blood clot may be higherin the following situations:

• if you are older
• if you have been bedridden for a long time
• if you have cancer
• if you are taking the contraceptive pill or hormone replacement therapy
• if you have recently had surgery or been physically injured
• if you are very overweight (obese)
• if you smoke
• if you have advanced chronic liver disease

Tell your doctorif you are in any of these situations. Do not take this medicine unless your doctor thinks the benefits outweigh the risk of having blood clots.

• if you have cataracts(clouding of the lens in the eye).
• if you have another blood disorder, such as myelodysplastic syndrome (MDS). Before starting treatment with eltrombopag, your doctor will do tests to check that you do not have this disease. If you have MDS and take this medicine, the MDS may get worse.

Tell your doctorif you are in either of these situations.

Eye examinations

Your doctor will recommend that you have an eye examination to check for cataracts. If you do not have regular eye checks, your doctor may ask you to have one. They will 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 regular blood tests

Before starting treatment with eltrombopag, your doctor will do a blood test to check your blood cells, including platelets. These tests will be repeated regularly while you are taking the medicine.

Blood tests to check your liver function

Eltrombopag may cause changes in your liver function tests, including increases in liver enzymes such as bilirubin and alanine/aspartate transaminase. If you are taking interferon-based treatments with eltrombopag to treat low platelet counts due to hepatitis C, your liver problems may get worse.

You will have blood tests before starting treatment with eltrombopag and regularly while taking it to check your liver function. You may need to stop taking eltrombopag if your liver function tests get worse or if you have any other signs of liver damage.

Read the information on “Liver problems” in section 4 of this leaflet

Blood tests to check your platelet count

If you stop taking eltrombopag, it is likely that your platelet count will fall again within a few days. Your platelet count will be checked, and your doctor will advise you on what precautions to take.

Very high platelet counts can increase the risk of blood clots. However, blood clots can also occur with normal or low platelet counts. Your doctor will adjust your dose of eltrombopag to make sure your platelet count does not get too high.

Seek medical help immediatelyif you get any of the following signs of a blood clot:

• swelling, painor tenderness in one leg
• sudden difficulty breathing, which may be accompanied by sharp chest pain or rapid breathing
• abdominal pain(stomach), enlarged abdomen, blood in your stools.

Tests to examine your bone marrow

In people with bone marrow problems, medicines like eltrombopag may make these problems worse. Signs of changes in the bone marrow may appear as abnormal blood test results. Your doctor may also do tests to directly check your bone marrow during treatment with eltrombopag.

Checking for bleeding in the gut

If you are taking interferon-based treatments with eltrombopag, you will be monitored for signs of bleeding in your stomach or intestines after stopping treatment with this medicine.

Heart monitoring

Your doctor may consider it necessary to monitor your heart while you are taking eltrombopag and may do an electrocardiogram (ECG) test.

Elderly patients (65 years and over)

There is limited information on the use of eltrombopag in patients aged 65 years and over. Caution should be exercised when using eltrombopag in patients aged 65 years and over.

Children and adolescents

Eltrombopag is not recommended for use in children under 1 year of age with ITP. It is also not recommended for use in children under 18 years of age with low platelet counts due to hepatitis C or severe aplastic anemia.

Other medicines and Eltrombopag Cipla

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(including prescription medicines, over-the-counter medicines, and minerals). These include:

• antacids for indigestion, heartburn, or stomach ulcers(see also section 3 “How to take Eltrombopag Cipla”).
• statins, for lowering cholesterol
• certain medicines for treating HIV infection, such as lopinavir and/or ritonavir
• ciclosporin, used in transplantsor immune system diseases
• minerals such as iron, calcium, magnesium, aluminum, selenium, and zinc, which may be present in vitamin and mineral supplements(see also section 3 “How to take Eltrombopag Cipla”).
• medicines such as methotrexate and topotecan, used to treat cancer.

Talk to your doctorif you are taking any of these medicines. Some should not be taken with eltrombopag; the dose may need to be adjusted, or you may need to 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 may be a higher risk of bleeding. Your doctor will discuss this with you.

Taking Eltrombopag Cipla with food and drinks

Do not take eltrombopag with dairy products or drinks, as the calcium in these products affects the absorption of the medicine. For more information, see section 3, “How to take Eltrombopag Cipla”.

Pregnancy and breastfeeding

Do not take eltrombopag if you are pregnantunless your doctor specifically recommends it. The effects of eltrombopag during pregnancy are not known.

• Tell your doctor if you are pregnant, think you may be pregnant, or plan to become pregnant.
• Use a reliable method of contraceptionto prevent pregnancy while taking eltrombopag.
• If you become pregnant during treatmentwith eltrombopag, tell your doctor.

Do not breastfeed while taking eltrombopag. It is not known whether eltrombopag passes into breast milk.

If you are breastfeedingor plan to breastfeed, tell your doctor.

Driving and using machines

Eltrombopag may cause dizzinessand have other effects that may make you less alert.

Do not drive or use machinesunless you are sure that eltrombopag does not affect you.

Eltrombopag Cipla contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per tablet; this is essentially “sodium-free”.

Eltrombopag Cipla contains orange yellow S (E-110)

May cause allergic reactions.

3. How to take Eltrombopag Cipla

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 stop treatment with eltrombopagunless your doctor or pharmacist tells you to. While taking eltrombopag, 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(aged 6 to 17 years) - the usual starting dose for ITP is one 50 mg tabletof eltrombopag per day. If you are of East or Southeast Asian origin, you may need to start treatment with a lower dose of 25 mg.

Children(aged 1 to 5 years) - the usual starting dose for ITP is one 25 mg tabletof eltrombopag per day.

For hepatitis C

Adults- the usual starting dose for hepatitis C is one 25 mg tabletof eltrombopag per day. If you are of East or Southeast Asian origin, start treatment with the same dose of 25 mg.

For SAA

Adults- the usual starting dose for SAA is one 50 mg tabletof eltrombopag per day. If you are of East or Southeast Asian origin, you may need to start treatment with a lower dose of 25 mg.

Eltrombopag may take 1 to 2 weeks to start working. Depending on your response to eltrombopag, 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 –

• in the 4 hours beforetaking eltrombopag
• and in the 2 hours aftertaking eltrombopag

you do notconsume any of the following:

• dairy productssuch as cheese, butter, yogurt, or ice cream
• milk or milk-based drinks, beverages containing milk, yogurt, or cream
• antacids, a type of medicine for indigestion and heartburn
• certain vitamin and mineral supplements, including iron, calcium, magnesium, aluminum, selenium, and zinc.

If you do, your body may not absorb the medicine properly.

For more information on what foods and drinks are suitable, talk to your doctor.

If you take more Eltrombopag Cipla than you should

Talk to 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 appropriate treatment.

In case of overdose or accidental ingestion, talk to your doctor or pharmacist immediately or call the Toxicology Information Service, telephone: 91 562 04 20, stating the medicine and the amount taken.

If you forget to take Eltrombopag Cipla

Take the next dose at the usual time. Do not take more than one dose of eltrombopag per day.

If you stop taking Eltrombopag Cipla

Do not stop taking eltrombopag without talking to your doctor first. If your doctor advises you to stop treatment, your platelet count will be checked 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.

4. Possible Adverse Effects

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 for both ITP and low platelet count associated with hepatitis C may exhibit signs related to potential serious adverse effects. It is essential that you inform your doctor if you develop these symptoms.

Increased Risk of Thrombosis

Some people may have an increased risk of suffering a thrombus, and medications like eltrombopag 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 experience signs or symptoms of thrombosis, such as:

• swelling, pain, heat, redness, orsensitivity in one leg.
• sudden difficulty breathing, exceptionally accompanied by acute chest pain or agitated breathing.
• abdominal pain (stomach),enlarged abdomen, blood in stools.

Liver Problems

Eltrombopag 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:

• yellowish coloron the skin or in the white area of the eyes (jaundice)
• dark-colored urinethat is unusual.

contact your doctor immediately

Bleeding or Hematoma after Treatment Discontinuation

Within two weeks after discontinuing treatment with eltrombopag, your platelet levels will normally drop to levels similar to those before starting treatment with this medication. A decrease in platelet levels can increase the risk of bleeding or hematoma. Your doctor will check your platelet levels for at least 4 weeks after discontinuing treatment with eltrombopag.

contact your doctor if you experience bleeding or hematoma when stopping eltrombopag.

Some people have bleeding in the digestive systemafter stopping peginterferon, ribavirin, and eltrombopag. Symptoms include:

• black, tar-like stools (stool discoloration is a rare adverse effect that can affect up to 1 in 100 people).
• blood in stools
• vomiting blood or something that looks like coffee grounds

contact your doctor immediately if you experience any of these symptoms.

The following adverse effects have been reported in relation to treatment with eltrombopag in adult patients with ITP

Very Common Adverse Effects

May affect more than 1 in 10people

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

Very Common Adverse Effects that may appear in Blood Tests:

• increase in liver enzymes (alanine aminotransferase (ALT))

Common Adverse Effects

May affect up to 1 in 10people

• muscle pain, muscle spasm, muscle weakness
• bone pain
• heavy menstruation
• irritation of the throat and discomfort when swallowing
• eye problems including abnormal eye tests, dry eye, eye pain, and blurred vision
• vomiting
• flu
• cold sore
• pneumonia
• irritation and inflammation (swelling) of the breasts
• inflammation (swelling) and infection of the tonsils
• infection of the lungs, sinuses, nose, and throat
• inflammation of the gums
• loss of appetite
• tingling, itching, or numbness sensation
• decreased skin sensitivity
• drowsiness
• ear pain
• pain, swelling, and sensitivity in one leg (usually the calf) with hot skin in the affected area (signs of a blood clot in a deep vein)
• localized swelling filled with blood from a broken blood vessel (hematoma)
• hot flashes
• alterations in the mouth, including dryness or irritation in the mouth, tongue sensitivity, gum bleeding, mouth ulcers
• runny nose
• toothache
• abdominal pain
• abnormal liver function
• skin changes, including excessive sweating, itchy rash, red spots, skin appearance changes
• hair loss
• foamy or bubbly urine (signs of protein in the urine)
• high temperature, feeling of heat
• chest pain
• feeling of weakness
• sleep problems, depression
• migraine
• decreased vision
• feeling that everything is spinning (vertigo)
• gas

Common Adverse Effects that may appear in Blood Tests:

• decrease in the number of red blood cells (anemia)
• decrease in the number of platelets (thrombocytopenia)
• decrease in the number of white blood cells
• decrease in hemoglobin levels
• increase in the number of eosinophils
• increase in the number of white blood cells (leukocytosis)
• increase in uric acid levels
• decrease in potassium levels
• increase in creatinine levels
• increase in alkaline phosphatase levels
• increase in liver enzymes (aspartate aminotransferase (AST))
• increase in blood bilirubin (a substance produced by the liver)
• increase in some protein levels

Uncommon Adverse Effects

May affect up to 1 in 100people:

• allergic reaction
• interruption of blood supply to parts of the heart
• sudden difficulty breathing, especially when accompanied by acute chest pain and/or agitated breathing, which could be signs of a pulmonary thrombus (see “Increased Risk of Thrombosis” above in section 4)
• partial loss of lung function caused by a blockage in the pulmonary artery
• possible pain, swelling, and/or redness around a vein that could be signs of thrombosis in a vein
• yellowish skin and/or abdominal pain that could be signs of a bile duct obstruction, liver injury, liver damage due to inflammation (see “Liver Problems” above in section 4)
• liver damage due to medication
• rapid or irregular heartbeat, blue discoloration of the skin, cardiac rhythm disorders (prolonged QT interval) that could be a sign of a heart and blood vessel disorder.
• blood clots
• hot flashes
• joint pain and swelling due to uric acid (gout)
• lack of interest, mood changes, uncontrolled crying
• balance problems, speech and nervous system disorders, tremors
• pain or abnormal sensations in the skin
• paralysis of one side of the body
• migraine with aura
• nerve pain
• expansion or swelling of blood vessels that cause headaches
• eye problems, including increased tearing, blurred vision, retinal hemorrhage, dry eye
• nose, throat, and sinus problems, breathing problems when sleeping
• blisters/pain in mouth and throat
• loss of appetite
• digestive system problems, including frequent bowel movements, food poisoning, blood in stools, vomiting blood
• rectal bleeding, changes in stool color, abdominal swelling, constipation
• alterations in the mouth, including dryness or irritation in the mouth, tongue pain, gum bleeding, mouth discomfort
• sunburn
• feeling hot, feeling anxious
• redness or swelling around wounds
• bleeding around a catheter (if you have one) in the skin
• feeling of a foreign body
• kidney problems, including kidney inflammation, frequent urination at night, kidney failure, white blood cells in urine
• cold sweat
• feeling of general discomfort
• skin infection
• skin changes, including skin discoloration, peeling, redness, itching, and sweating
• muscle weakness
• colon and rectal cancer

Uncommon Adverse Effects that may appear in Blood Tests:

• changes in the shape of white blood cells
• presence of immature white blood cells that may indicate certain diseases
• increase in platelet count
• decrease in calcium levels
• decrease in the number of red blood cells (anemia) caused by excessive destruction of red blood cells (hemolytic anemia)
• increase in the number of myelocytes
• increase in neutrophils
• increase in blood urea
• increase in protein in urine
• increase in albumin levels in blood
• increase in total protein levels
• decrease in albumin levels in blood
• increase in urine pH
• increase in hemoglobin levels

The following adverse effects have been reported in relation to treatment with eltrombopag in children (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

• infection of the nose, nasal sinuses, throat, and upper respiratory tract, cold (upper respiratory tract infection)
• diarrhea
• abdominal pain
• cough
• high temperature
• feeling of dizziness (nausea)

Common Adverse Effects

May affect up to 1 in 10children

• difficulty sleeping (insomnia)
• toothache
• throat and nose pain
• itching, runny nose, or stuffiness
• throat irritation, runny nose, nasal congestion, and sneezing
• alterations in the mouth, including dryness, irritation in the mouth, tongue sensitivity, gum bleeding, mouth ulcers

The following adverse effects have been reported in relation to treatment with eltrombopag in combination with peginterferon and ribavirin in patients with HCV

Very Common Adverse Effects

May affect more than 1 in 10people:

• headache
• loss of appetite
• cough
• feeling dizzy (nausea), diarrhea
• muscle pain, muscle weakness
• itching
• feeling tired
• fever
• hair loss
• feeling weak
• discomfort similar to that caused by the flu
• swelling of hands or feet
• chills

Very Common Adverse Effects that may appear in Blood Tests:

• decrease in the number of red blood cells (anemia)

Common Adverse Effects

May affect up to 1 in 10people:

• urinary tract infection
• inflammation of the nasal passages, throat, and mouth, flu-like symptoms, dryness, irritation, or inflammation of the mouth, toothache
• infection of the nose, nasal sinuses, throat, and respiratory tract, cold (upper respiratory tract infection), inflammation of the mucous membrane that lines the bronchi
• weight loss
• sleep disorders, abnormal drowsiness, depression, anxiety
• dizziness, attention and memory problems, mood changes
• decreased brain function due to liver damage
• tingling or numbness in hands and feet
• fever, headache
• eye problems, including blurred vision, cataracts, dry eye, small yellow deposits in the retina, yellowish color in the white area of the eyes
• retinal bleeding
• feeling that everything is spinning
• rapid or irregular heartbeat, difficulty breathing
• cough with phlegm, runny nose, flu (influenza), cold sore, throat irritation, and discomfort when swallowing
• digestive system alterations, including vomiting, stomach pain, indigestion, constipation, stomach swelling, alterations in taste, hemorrhoids, abdominal pain or discomfort, swelling of blood vessels, and bleeding in the throat (esophagus)
• toothache
• liver problems, including liver tumor, yellowish color in the white area of the eyes or skin (jaundice), liver damage due to medication (see “Liver Problems” above in section 4)
• skin changes, including rash, dry skin, eczema, skin redness, itching, excessive sweating, unusual skin growth, hair loss
• joint pain, back pain, bone pain, pain in the limbs (arms, legs, hands, and feet), muscle spasms
• irritability, feeling of general discomfort, skin reactions such as redness or swelling, and pain at the injection site, chest pain, and discomfort, fluid retention in the body or limbs that causes swelling
• depression, anxiety, sleep problems, nervousness

Common Adverse Effects that may appear in Blood Tests:

• increase in blood sugar (glucose) levels
• decrease in the number of white blood cells
• decrease in the number of neutrophils
• decrease in blood albumin levels
• decrease in hemoglobin levels
• increase in blood bilirubin levels (a substance produced by the liver)
• changes in the enzymes that control blood coagulation

Uncommon Adverse Effects

May affect up to 1 in 100people:

• pain when urinating
• cardiac rhythm disorders (prolonged QT interval)
• stomach flu (gastroenteritis), throat pain
• blisters/pain in the mouth, stomach inflammation
• skin changes, including color changes, peeling, skin redness, itching, and night sweats
• blood clots in the liver veins (possible liver damage and/or digestive system damage)
• poor blood clotting in small blood vessels with kidney failure
• itching and bruising at the injection site, chest discomfort
• decrease in the number of red blood cells (anemia) caused by massive destruction of red blood cells (hemolytic anemia)
• confusion, agitation
• liver failure

The following adverse effects have been observed in association with treatment with eltrombopag 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:

• cough
• headache
• pain in the mouth and throat
• diarrhea
• dizziness, nausea
• joint pain (arthralgia)
• pain in the limbs (arms, legs, hands, and feet)
• vertigo
• feeling very tired
• fever
• chills
• eye itching
• blisters in the mouth
• gum bleeding
• abdominal pain
• muscle spasms

Very Common Adverse Effects that may appear in a Blood Test

• abnormal changes in bone marrow cells
• increase in liver enzymes (aspartate aminotransferase (AST))

Common Adverse Effects

May affect up to 1 in 10people:

• anxiety
• depression
• feeling cold
• feeling of general discomfort
• eye problems, including vision problems, blurred vision, cataracts, eye floaters, dry eye, itching eyes, yellowish color in the white area of the eyes or skin
• nosebleeds
• digestive problems, including difficulty swallowing, mouth pain, tongue swelling, vomiting, loss of appetite, stomach pain or discomfort, stomach swelling

flatulence/gas from digestion, constipation, alterations in intestinal motility that can cause constipation, bloating, diarrhea, and/or the aforementioned symptoms, changes in stool color

• fainting
• skin problems, including red or purple spots due to bleeding under the skin (petechiae), rash, itching, hives, skin lesions
• back pain
• muscle pain
• bone pain
• weakness (asthenia)
• swelling of the lower limbs due to fluid accumulation
• abnormal urine color
• interruption of blood circulation to the spleen (splenic infarction)
• runny nose

Common Adverse Effects that may appear in a Blood Test

• increase in some enzymes due to muscle breakdown (creatine phosphokinase)
• iron accumulation in the body (iron overload)
• decrease in blood sugar levels (hypoglycemia)
• increase in blood bilirubin levels (a substance produced by the liver)
• decrease in the number of white blood cells

Adverse Effects of Unknown Frequency

Frequency cannot be estimated from available data

• skin discoloration
• skin darkening
• liver damage due to medication

Reporting Adverse Effects

If you experience any type of adverse effect

5. Storage of Eltrombopag Cipla

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiration date that appears on the packaging and on the blister pack after "CAD". The expiration date is the last day of the month indicated.

Do not store above 30°C.

Medicines should not be disposed of via wastewater or household waste. Deposit the packaging and medicines you no longer need at the SIGRE Point in the pharmacy. Ask your pharmacist how to dispose of the packaging and medicines you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Eltrombopag Cipla film-coated tablets EFG

The active ingredient is 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 components (excipients) are:

Tablet core: maltose, microcrystalline cellulose, sodium carboxymethyl starch (type A), povidone K30, and magnesium stearate.

Tablet coating:

25 mg film-coated tablets: poly(vinyl alcohol), talc, glycerol caprylocaprate and dicaprylocaprate, sodium lauryl sulfate, titanium dioxide (E-171), and indigo carmine (E-132).

50 mg film-coated tablets: poly(vinyl alcohol), talc, glycerol caprylocaprate and dicaprylocaprate, sodium lauryl sulfate, titanium dioxide (E-171), and orange yellow S (E-110).

75 mg film-coated tablets: poly(vinyl alcohol), talc, glycerol caprylocaprate and dicaprylocaprate, sodium lauryl sulfate, titanium dioxide (E-171), and red iron oxide (E-172).

Appearance and packaging of the product

Eltrombopag Cipla 25 mg film-coated tablets EFG are blue, round, biconvex tablets (approximately 7.1 mm in diameter) with "E2" engraved on one face.

Eltrombopag Cipla 50 mg film-coated tablets EFG are orange, round, biconvex tablets (approximately 8.2 mm in diameter) with "E5" engraved on one face.

Eltrombopag Cipla 75 mg film-coated tablets EFG are dark pink, round, biconvex tablets (approximately 10.1 mm in diameter) with "E7" engraved on one face.

They are supplied in OPA/Al/PVC/Al blisters in a carton containing 14, 28, or 84 film-coated tablets.

Only some pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Cipla Europe NV

De Keyserlei 58-60, Box 19,

2018, Antwerp

Belgium.

Manufacturer

Bluepharma - Indústria Farmacêutica, S.A.

São Martinho do Bispo

3045-016 Coimbra

Portugal

You can request more information about this medicine by contacting the local representative of the marketing authorization holder

Cipla Europe NV branch in Spain,

C/Guzmán el Bueno, 133 Edificio Britannia,

28003, Madrid

Spain

This medicine is authorized in the Member States of the European Economic Area under the following names:

Germany: Eltrombopag Cipla Filmtabletten

Spain: Eltrombopag Cipla film-coated tablets EFG

Italy: Eltrombopag Cipla compresse rivestite con film

Portugal: Eltrombopag Cipla comprimidos revestidos por película

Date of the last revision of this leaflet: January 2025

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS): (http://www.aemps.gob.es/)