Package Leaflet: Information for the User
Eltrombopag Tarbis 25 mg film-coated tablets EFG
Eltrombopag Tarbis 50 mg 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
This medicine 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 reduce 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 include petechiae (small, round, flat red spots under the skin), bruising, nosebleeds, bleeding gums, and inability to control bleeding if cut or injured.
Do not take Eltrombopag Tarbis
?Consult your doctorif you think this may affect you.
?Warnings and precautions
Consult your doctor before starting to take Eltrombopag Tarbis:
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 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 on a regular basis
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 blood test results that indicate liver damage - an increase in certain liver enzymes, especially bilirubin and alanine/aspartate transaminase. If you are taking interferon, basic treatment along with eltrombopag to treat 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. It may be necessary to stop treatment with eltrombopag 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 treatment with eltrombopag, 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 tell you 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:
blood clot:
Tests to examine your bone marrow
In people with bone marrow disorders, medicines like eltrombopag may worsen the disorders. 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.
Review of gastrointestinal bleeding
If you are taking interferon, 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, if necessary, monitoring your heart while you are taking eltrombopag using an electrocardiogram.
Elderly people (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 in children under 18 years of age with low platelet counts due to hepatitis C.
Other medicines and Eltrombopag Tarbis
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 Tarbis(including prescription medicines, over-the-counter medicines, and minerals). These include:
? Consult your doctor if 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 is a higher risk of bleeding. Your doctor will discuss this with you.
If you are taking corticosteroids, danazol,and/or azathioprinealong with eltrombopag, it may be necessary to reduce the dose or stop treatment with these medicines.
Taking Eltrombopag Tarbis with food and drinks
Do not take eltrombopag 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 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 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 side effects that may make you less alert.
?Do not drive or use machinesunless you are sure that eltrombopag does not affect you.
Eltrombopag Tarbis contains sodium
This medicine contains less than 1 mmol of sodium (23 mg) per tablet; this is essentially “sodium-free”.
Follow exactly the instructions for taking this medicine given by your doctor. If you are unsure, consult your doctor or pharmacist again. Do not change the dose or treatment schedule with eltrombopag unless your doctor or pharmacist advises you to do so. 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 50 mgeltrombopag tablet 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) - the usual starting dose for ITP is one 25 mgeltrombopag tablet per day.
For Hepatitis C
Adults- the usual starting dose for hepatitis C is one 25 mgeltrombopag tablet per day. If you are of East or Southeast Asian descent, start treatment with the same dose of 25 mg.
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
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.
Take Eltrombopag
For more information on what foods and drinks are suitable, consult your doctor.
If you take more Eltrombopag Tarbis 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 immediate treatment if necessary.
In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20.
If you forget to take Eltrombopag Tarbis
Take the next dose at the usual time. Do not take more than one dose of eltrombopag per day.
If you stop taking Eltrombopag Tarbis
Do not stop taking eltrombopag without first consulting 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 for both ITP and low platelet counts associated with hepatitis C may experience signs related to possible serious adverse effects.
It is essential that you inform your doctor if you develop symptoms.
Higher Risk of Blood Clots
Some people may have a higher risk of having a blood clot, and medications like eltrombopag can worsen this problem. The sudden blockage of a blood vessel by a blood clot 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 a blood clot, 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 Bruising after Stopping Treatment
Two weeks after stopping 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 having bleeding or bruising. Your doctor will check your platelet levels for at least 4 weeks after stopping treatment with eltrombopag. ?Contact your doctorif you have bleeding or bruising when you stop taking eltrombopag.
Some people have bleeding in the digestive systemafter stopping peginterferon, ribavirin, and eltrombopag. The symptoms include:
?Contact your doctor immediatelyif you have 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) 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 Tarbis 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
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 that is not listed in this leaflet. You can also report them
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiration date stated on the packaging and blister. The expiration date is the last day of the indicated month.
This medicine does not require special storage conditions.
Medicines should not be disposed of via wastewater or household waste. Deposit the packaging and unused medicines at the SIGRE Point in your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This will help protect the environment.
Composition of Eltrombopag Tarbis
The active ingredient of Eltrombopag Tarbis is eltrombopag.
Each film-coated tablet contains eltrombopag olamine equivalent to 25 mg of eltrombopag.
Each film-coated tablet contains eltrombopag olamine equivalent to 50 mg of eltrombopag.
The other components are:
Tablet core:Microcrystalline cellulose, mannitol (E421), povidone (K-30), sodium starch glycolate type A (from potato), magnesium stearate.
Coating:Hypromellose (E464), macrogol (E1521), talc (E553b), titanium dioxide (E171), yellow iron oxide (E172) (only for 25 mg).
Appearance of the Product and Package Contents
Eltrombopag Tarbis 25 mg film-coated tablets
Film-coated tablets, yellow in color, round, with beveled edges, biconvex, engraved with "5" and "5" on either side of the score line on one face and "EH" on the other.
Approximate dimensions: 7.1 mm
The tablet can be divided into equal doses.
Eltrombopag Tarbis 50 mg film-coated tablets
Film-coated tablets, white to off-white in color, round, with beveled edges, biconvex, engraved with "E56" on one face and "H" on the other.
Approximate dimensions: 9.0 mm
Blister packs containing 14, 28, and 84 film-coated tablets, and single-dose perforated blisters containing 14 x 1, 28 x 1, and 84 x 1 film-coated tablets.
Only some pack sizes may be marketed.
Marketing Authorization Holder
Tarbis Farma S.L.
Gran Vía Carlos III, 94
08028 Barcelona
Spain
Manufacturer
Amarox Pharma B.V.
Rouboslaan 32
Voorschoten, 2252TR
Netherlands
This medicine is authorized in the Member States of the European Economic Area under the following names:
Germany: Eltrombopag Amarox 25 mg/50 mg Filmtabletten
Netherlands: Eltrombopag Amarox 25 mg/50 mg filmomhulde tabletten
Spain: Eltrombopag Tarbis Farma 25 mg/50 mg film-coated tablets EFG
Date of the last revision of this leaflet:November 2024
Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/