
Ask a doctor about a prescription for ELTROMBOPAG STADA 25 mg FILM-COATED TABLETS
Package Leaflet: Information for the Patient
Eltrombopag Stada 25mg film-coated tablets EFG
Eltrombopag Stada 50mg film-coated tablets EFG
Eltrombopag Stada 75mg film-coated tablets EFG
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
Contents of the pack
Eltrombopag Stada 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.
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 are petechiae (small, round, flat red spots under the skin), bruising, nosebleeds, bleeding gums, and an inability to stop bleeding if they cut or hurt themselves.
Do not takeEltrombopag Stada
Consult your doctorif you think this may apply to you.
Warnings and precautions
Consult your doctor before starting to take Eltrombopag Stada:
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 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 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 will ask you to have them. 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 you start taking eltrombopag, 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 may cause changes in your liver function tests, showing liver damage - an increase in certain liver enzymes, especially bilirubin and alanine/aspartate transaminase. If you are taking interferon, the basic treatment along with eltrombopag for low platelet counts due to hepatitis C, some liver problems may worsen.
You will have blood tests before starting to take eltrombopag and frequently while taking it to check your liver function. You may need to stop taking eltrombopag if the levels of these markers increase too much or if you have any other signs of liver damage.
Read the information on “Liver problems” in section 4 of this leaflet.
Blood tests for platelet count (levels)
If you stop taking eltrombopag, it is likely that within a few days, you will have low platelet counts again (thrombocytopenia). Your platelet counts will be checked and your doctor will advise you on what 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 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 may worsen the problems. Signs of changes in the bone marrow may appear as abnormal blood test results. Your doctor may also perform tests to directly check your bone marrow during treatment with eltrombopag.
Review of gastrointestinal bleeding
If you are taking interferon, the basic treatment along with eltrombopag, you will be monitored for any signs of bleeding in your stomach or intestine after you stop taking eltrombopag.
Heart monitoring
Your doctor may consider monitoring your heart while you are taking eltrombopag using an electrocardiogram, if necessary.
Elderly (65 years and over)
There is limited data on the use of eltrombopag in patients aged 65 years or over. If you are 65 or over, you should be cautious when using eltrombopag.
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.
Other medicines and Eltrombopag Stada
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, non-prescription, and mineral medicines). These include:
Consult your doctorif you are taking any of these medicines. Some should not be taken with eltrombopag; the dose may need to be adjusted, or it may be necessary 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 is a higher risk of bleeding. Your doctor will discuss this with you.
If you are taking corticosteroids, danazol,and/or azathioprinewith eltrombopag, you may need to reduce the dose or stop treatment with these medicines.
Taking Eltrombopag Stada with food and drinks
Do not take eltrombopag with dairy foods or drinks, as the calcium in these products affects the absorption of the medicine. For more information, see section 3, “When to take it”.
Pregnancy and breastfeeding
Do not take eltrombopag if you are pregnantunless your doctor specifically recommends it. The effect of eltrombopag during pregnancy is not known.
Do not breastfeed while taking eltrombopag. It is not known if 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 side effects that may make you less alert.
Do not drive or use machinesunless you are sure that eltrombopag does not affect you.
Eltrombopag Stada 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 with eltrombopag unless 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(6 to 17 years) - the usual starting dose for ITP is one 50mgeltrombopag tablet per day. If you are of East or Southeast Asian descent, you may need to start treatment with a lower dose of 25mg.
Children(1 to 5 years) - the usual starting dose for ITP is one 25mgeltrombopag tablet per day.
For Hepatitis C
Adults- the usual starting dose for hepatitis C is one 25mgeltrombopag tablet per day. If you are of East or Southeast Asian descent, start treatment with the same dose of 25mg.
Eltrombopag may take 1 to 2 weeks to work. 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.
Eltrombopag Stada 25 mg and Eltrombopag Stada 50 mg:
The tablet can be broken into two equal doses.
When to take it
Make sure that –
you do notconsume any of the following:
If you do, your body may not absorb the medicine properly.

For more information on what foods and drinks are suitable, consult your doctor.
If you take more Eltrombopag Stada 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.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medicine and the amount taken.
If you forget to take Eltrombopag Stada
Take the next dose at the usual time. Do not take more than one dose of eltrombopag per day.
If you stop taking Eltrombopag Stada
Do not stop taking eltrombopag without first consulting your doctor. If your doctor advises you to stop treatment, your platelet counts 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.
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 counts associated with hepatitis C may exhibit signs related to potential serious adverse effects. It is essential that you inform your doctor if you develop symptoms.
Increased Risk of Thrombosis
Some people may have an increased risk of having 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:
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:
contact your doctor immediately.
Bleeding or Hematoma after Treatment Interruption
Two weeks after interrupting treatment with eltrombopag, your platelet levels will normally drop to levels similar to those before starting eltrombopag. 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 interrupting treatment with eltrombopag.
Contact your doctorif you experience bleeding or hematoma when stopping eltrombopag.
Some people have bleeding in thedigestive systemafter stopping peginterferon, ribavirin, and eltrombopag. Symptoms include:
Contact your doctor immediatelyif 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:
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:
Uncommon Adverse Effects
May affect up to 1 in 100people:
Uncommon Adverse Effects that may appear in Blood Tests:
The following adverse effects have been reported in relation to treatment with eltrombopag in children (1 to 17 years old) 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 in combination with peginterferon and ribavirin in patients with HCV:
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:
Uncommon Adverse Effects
May affect up to 1 in 100people:
The following adverse effects have been observed in relation to 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:
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
Keep this medicine out of sight and reach of children.
Do not use this medicine after the expiration date that appears on the box and on the blister after "CAD".
This medicine does not require special storage conditions.
Medicines should not be thrown away through drains or into the trash. Deposit the containers and medicines you no longer need at the SIGRE Point of the pharmacy. In case of doubt, ask your pharmacist how to dispose of the containers and medicines you no longer need. This way, you will help protect the environment.
Composition of Eltrombopag Stada
The active ingredient is eltrombopag (in the form of eltrombopag olamine)
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.
Eltrombopag Stada 25 mg film-coated tablets EFG
Tablet core
Microcrystalline cellulose, mannitol, povidone K90, sodium carboxymethyl starch type A (potato), magnesium stearate
Tablet coating
Poly(vinyl alcohol), titanium dioxide (E171), macrogol, talc
Eltrombopag Stada 50 mg film-coated tablets EFG
Tablet core
Microcrystalline cellulose, mannitol, povidone K90, sodium carboxymethyl starch type A (potato), magnesium stearate
Tablet coating
Poly(vinyl alcohol), titanium dioxide (E171), macrogol, talc, yellow iron oxide (E172), red iron oxide (E172)
Eltrombopag Stada 75 mg film-coated tablets EFG
Tablet core
Microcrystalline cellulose, mannitol, povidone K90, sodium carboxymethyl starch type A (potato), magnesium stearate
Tablet coating
Poly(vinyl alcohol), titanium dioxide (E171), macrogol, talc, red iron oxide (E172)
Appearance of the product and package contents
Eltrombopag Stada 25 mg film-coated tablets EFG
Film-coated tablets, round, biconvex, white to pale yellow in color, with a dark red to brown score line on one side.
Eltrombopag Stada 50 mg film-coated tablets EFG
Film-coated tablets, round, biconvex, brown in color, with a dark red to brown score line on one side.
Eltrombopag Stada 75 mg film-coated tablets EFG
Film-coated tablets, round, biconvex, pink in color.
Eltrombopag Stada is available in blisters containing 14, 28, or 84 film-coated tablets or unit-dose blisters containing 14x1, 28x1, or 84x1 film-coated tablets.
Only some package sizes may be marketed.
Marketing authorization holder and manufacturer
Marketing authorization holder
Laboratory STADA, S.L.
Frederic Mompou, 5
08960 Sant Just Desvern (Barcelona)
Spain
Manufacturer
STADA Arzneimittel AG
Stadastrase 2-18
61118 Bad Vilbel
Germany
or
STADA Arzneimittel GmbH
Muthgasse 36/2
1190 Vienna
Austria
or
Clonmel Healthcare Limited
Waterford Road,
Clonmel, Co. Tipperary, E91 D768,
Ireland
or
Centrafarm Services B.V.
Van De Reijtstraat 31 E,
Breda, 4814 NE,
Netherlands
Date of last revision of this prospectus:December 2024
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/).
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Discuss dosage, side effects, interactions, contraindications, and prescription renewal for ELTROMBOPAG STADA 25 mg FILM-COATED TABLETS – subject to medical assessment and local rules.