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ELTROMBOPAG TARBIS 50 mg FILM-COATED TABLETS

ELTROMBOPAG TARBIS 50 mg FILM-COATED TABLETS

Ask a doctor about a prescription for ELTROMBOPAG TARBIS 50 mg FILM-COATED TABLETS

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use ELTROMBOPAG TARBIS 50 mg FILM-COATED TABLETS

Introduction

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.

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

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

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.

  • Eltrombopag is used to treat a blood disorder called immune (primary) thrombocytopenia (ITP) in patients over 1 year of age who have already taken other medicines (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 are petechiae (small, round, flat red spots under the skin), bruises, nosebleeds, bleeding gums, and inability to control bleeding if cut or injured.

  • Eltrombopag may also be used to treat low platelet counts (thrombocytopenia) in adults with hepatitis C virus (HCV) infection, in case 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 the treatment cycle with antivirals (peginterferon and ribavirin).

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

Do not take Eltrombopag Tarbis

  • to eltrombopag or any of the other ingredients of this medicine (listed in section 6 under the heading “Composition of Eltrombopag Tarbis”).

?Consult your doctorif you think this may affect you.

Warnings and precautions

Consult your doctor before starting to take Eltrombopag Tarbis:

  • . People who have a low platelet count and advanced chronic liver disease are at higher risk of side effects, liver damage that can be fatal, and blood clots. If your doctor considers that the benefit of eltrombopag outweighs the risks, you will be closely monitored during treatment.
  • in your veins or arteries, or if you know that blood clots are common in your family.

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.

  • (the lens of the eye becomes cloudy).
  • , such as myelodysplastic syndrome (MDS). Before starting to take eltrombopag, your doctor will perform tests to check that you do not have this disease. If you have MDS and take eltrombopag, MDS may worsen.

?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, the 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 interrupt 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 taking 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:

  • swelling, painor tenderness in one leg
  • sudden difficulty breathing, exceptionally accompanied by sharp chest pain or rapid breathing
  • abdominal pain(stomach), enlarged abdomen, blood in the stool.

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 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, the basic treatment along with eltrombopag, you will be monitored for 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:

  • antacids for indigestion, heartburn, or stomach ulcers (see also section 3 “When to take it”).
  • statins to lower cholesterol
  • certain medicines to treat HIV infection, such as lopinavir and/or ritonavir
  • cyclosporine, used in transplants or 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 “When to take it”).
  • medicines such as methotrexate and topotecan, used to treat cancer

? 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 azathioprinewith 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.

  • Tell your doctor if you are pregnant, think you may be pregnant, or plan to become pregnant.
  • Use a reliable contraceptive methodto 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 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 Tarbis contains sodium

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

3. How to take Eltrombopag Tarbis

Follow the instructions for administration of this medicine exactly as told 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 disease.

How much to take

For ITP

Adults and children(6 to 17 years) - the usual initial 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 initial dose for ITP is one 25 mgeltrombopag tablet per day.

For Hepatitis C

Adults- the usual initial 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 –

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

do notconsume any of the following:

  • dairy productssuch as cheese, butter, yogurt, or ice cream
  • milk or milkshakes, milk-based drinks, 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 will not absorb the medicine properly.

Take Eltrombopag

Circular clock showing 4 hours before and 2 hours after with a pill above and a package of tablets crossed out below

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.

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 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 present 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 your stool.

Liver Problems

Eltrombopag may cause changes that appear in blood tests, which can be signs of liver damage. Liver problems (increase in 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 urineunusual.

?contact your doctor immediately

Bleeding or Hematoma after Treatment Discontinuation

Two weeks after discontinuing 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 discontinuing treatment with eltrombopag. ?Contact your doctorif you have 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 the stool
  • vomiting blood or something that looks like coffee grounds

?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

  • 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
  • feeling of tingling, itching, or numbness
  • decreased sensitivity in the skin
  • 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, sensitivity in the tongue, bleeding gums, mouth sores
  • runny nose
  • toothache
  • abdominal pain
  • abnormal liver function
  • skin changes including excessive sweating, rash, red spots, changes in skin appearance
  • 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, discoloration of the skin, alterations in heart rhythm (prolongation of the 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 or that occurs unexpectedly
  • balance problems, speech and nervous system alterations, tremors
  • pain or abnormal sensations in the skin
  • paralysis of one side of the body
  • migraine with aura
  • nerve pain
  • dilation or swelling of blood vessels that cause headache
  • eye problems, including increased tearing, clouding of the eye lens (cataracts), hemorrhage in the retina, dry eye
  • nose, throat, and sinus problems, breathing problems when sleeping
  • blisters/pain in the mouth and throat
  • loss of appetite
  • digestive system problems, including frequent bowel movements, food poisoning, blood in stool, 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 sores
  • sunburn
  • feeling hot, feeling anxious
  • redness or inflammation around wounds
  • bleeding around a catheter (if you have one) in the skin
  • feeling of a foreign body
  • kidney problems, including inflammation of the kidneys, excessive urination (increased need to urinate) 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
  • rectal and colon 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 can be indicative of certain diseases
  • increase in the number of platelets
  • 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
  • irritation of the throat, runny nose, nasal congestion, and sneezing
  • alterations in the mouth, including dryness, irritation in the mouth, sensitivity in the tongue, gum bleeding, mouth sores

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:

  • 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 produced 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
  • 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 clouding of the eye lens (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 (palpitations), 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 (piles), abdominal pain/discomfort, swelling of blood vessels, and bleeding in the throat (esophagus)
  • toothache
  • liver problems, including liver tumor, yellowing of 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
  • infection of the nose, nasal sinuses, throat, and respiratory tract, cold (upper respiratory tract infection), inflammation of the mucous membrane that lines the bronchi
  • depression, anxiety, sleep problems, nervousness

Common Adverse Effects that may appear in Blood Tests:

  • increase in blood sugar (glucose)
  • decrease in the number of white blood cells
  • decrease in the number of neutrophils
  • decrease in blood albumin
  • decrease in hemoglobin levels
  • increase in blood bilirubin (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
  • alterations in heart rhythm (prolongation of the QT interval)
  • stomach flu (gastroenteritis), throat pain
  • blisters/pain in the mouth, stomach inflammation
  • skin changes, including changes in color, peeling, skin redness, itching, and nocturnal sweating
  • 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 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:

  • 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, clouding of the eye lens (cataracts), spots or deposits in the eye (vitreous floaters), dry eye, eye itching, 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/discomfort, stomach swelling, gas/bloating, 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 spots or purpura 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 (a substance produced by the liver)
  • decrease in the number of white blood cells

Adverse Effects of Unknown Frequency

Cannot be estimated from the available data

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

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 does not appear in this prospectus. You can also report them

5. Storage of Eltrombopag Tarbis

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. In case of doubt, 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 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/

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Prescription required
Dosage form: Таблетки, 50 мг
Active substance: Элтромбопаг
Importer: Synthon B.V. Synthon Hispania S.L.
Prescription required

Alternative to ELTROMBOPAG TARBIS 50 mg FILM-COATED TABLETS in Украина

Dosage form: таблетки, по 50 мг
Active substance: Элтромбопаг
Prescription required
Dosage form: таблетки, по 25 мг
Active substance: Элтромбопаг
Prescription required
Dosage form: таблетки, по 50 мг
Active substance: Элтромбопаг
Manufacturer: Sinton Hispania, S. L.
Prescription required
Dosage form: таблетки, 25 мг
Active substance: Элтромбопаг
Manufacturer: Sinton Hispania, S. L.
Prescription required
Dosage form: таблетки, по 75 мг
Active substance: Элтромбопаг
Manufacturer: Getero Labz Limited
Prescription required
Dosage form: таблетки, по 50 мг
Active substance: Элтромбопаг
Manufacturer: Getero Labz Limited
Prescription required

Online doctors for ELTROMBOPAG TARBIS 50 mg FILM-COATED TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for ELTROMBOPAG TARBIS 50 mg FILM-COATED TABLETS – subject to medical assessment and local rules.

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Doctor

Abdullah Alhasan

General medicine10 years of experience

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

  • Chest pain, shortness of breath, heart palpitations, high blood pressure
  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
  • Management of heart failure and coronary artery disease
  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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€69
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5.0(2)
Doctor

Ngozi Precious Okwuosa

General medicine5 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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€50
December 2306:00
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5.0(7)
Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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€69
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5.0(4)
Doctor

Roman Raevskii

General medicine6 years of experience

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

Dr. Raevskii provides medical care in the following areas:

  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
  • Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
  • Supportive care for oncology patients – pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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€50
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Doctor

Hocine Lokchiri

General medicine20 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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€58
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5.0(46)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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€59
December 2309:00
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5.0(11)
Doctor

Duarte Meneses

Family medicine4 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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€65
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5.0(7)
Doctor

Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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€55
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Doctor

Muhammad Tayyab Altaf

General medicine2 years of experience

Dr. Muhammad Tayyab Altaf is a primary care physician with extensive international experience, offering online consultations for adults and children. His background includes clinical practice in Italy, the United States and other healthcare settings, allowing him to manage a wide range of acute and chronic medical conditions with confidence and clarity.

His clinical expertise spans multi-system conditions, preventive care and long-term management of chronic diseases. Dr. Altaf combines hands-on experience with a strong research background in both medical and surgical fields, enabling him to provide accurate assessments and structured, evidence-based treatment plans. Patients value his ability to explain diagnoses clearly, outline next steps and support them in making informed healthcare decisions.

Online consultations with Dr. Altaf are suitable for many everyday and acute situations where a timely medical opinion can help determine the safest next steps. He evaluates and treats conditions affecting the cardiovascular, respiratory, gastrointestinal, neurological, haematological and endocrine systems. Common examples include:

  • hypertension and other blood pressure issues
  • ischaemic heart disease and angina
  • asthma, COPD and emphysema
  • pneumonia and lung fibrosis
  • gastroenteritis and digestive infections
  • liver conditions, including alcohol-related disease
  • epilepsy, seizures and post-stroke symptoms
  • dementia and cognitive decline
  • anaemia and other haematological changes
  • diabetes, thyroid disorders and pituitary disease
Many patients reach out when they experience new or worsening symptoms, fluctuations in blood pressure, non-severe chest discomfort, breathing symptoms, digestive issues, suspected infections, chronic fatigue or concerns that affect daily life. He also helps patients understand test results, adjust existing treatment plans and navigate long-term health strategies safely and effectively.

When clinically appropriate, Dr. Altaf can also provide health and fitness certificates, including documentation required for physical activity, sports participation or gym use, based on the patient’s health status and medical indications.

Some conditions are not suitable for online care. Severe chest pain, loss of consciousness, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack require immediate attention from local emergency services. Dr. Altaf prioritises patient safety and will guide you accordingly if your situation needs urgent in-person care.

In all consultations, Dr. Muhammad Tayyab Altaf focuses on clear communication, accurate diagnosis and patient-centred decision-making. His approach ensures that individuals and families feel informed, supported and confident in their next steps, no matter where they are.

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€49
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5.0(31)
Doctor

Sergio Correa

General medicine7 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.

His areas of focus include:

  • General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

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€40
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