
Ask a doctor about a prescription for ELTROMBOPAG TEVA 75 mg FILM-COATED TABLETS
Package Leaflet: Information for the Patient
EltrombopagTeva 25 mg Film-Coated Tablets EFG
Eltrombopag Teva 50 mg Film-Coated Tablets EFG
Eltrombopag Teva 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.
Contents of the pack
Eltrombopag 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.
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), bruises, nosebleeds, bleeding gums, and an inability to stop bleeding if they cut or injure themselves.
Do not take Eltrombopag Teva
Warnings and precautions
Talk to your doctor or pharmacist before starting eltrombopag:
The risk of getting a blood clot may be higherin the following situations:
If you are in any of these situations, tell your doctorbefore starting treatment. You should not take eltrombopag unless your doctor thinks that the benefits outweigh the risk of 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 may ask you to have one. They should also check the retina (the light-sensitive layer at the back of the eye) for any bleeding in the retina or around it.
You will need to have regular blood tests
Before starting eltrombopag, your doctor will do 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 your liver
Eltrombopag may cause changes in your liver blood tests that show liver damage - an increase in some liver enzymes, especially bilirubin and alanine/aspartate transaminase. If you are taking interferon-based treatments with eltrombopag to treat low platelet counts due to hepatitis C, some liver problems may get worse.
You will have blood tests before starting eltrombopag and frequently while taking it to check your liver. 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.
Blood tests to check your platelet count
If you stop taking eltrombopag, it is likely that your platelet count will fall within a few days. Your platelet count will be checked and your doctor will tell you 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 that your platelet count does not get too high.
Seek medical help immediatelyif you get any of these signs of a blood clot:
Tests to check 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 any signs of bleeding in your stomach or intestines after stopping 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 (65 years and over)
There is limited information on the use of eltrombopag in patients aged 65 years and over. Caution should be used when taking eltrombopag if you are 65 years or older.
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 Teva
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes medicines that you buy without a prescription and vitamins.
Some common medicines may interact with eltrombopag(including prescription medicines, over-the-counter medicines, and minerals). These include:
Your doctor will review the medicines that 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.
If you are taking corticosteroids, danazol,and/or azathioprine, you may need to reduce the dose or stop taking these medicines.
Taking Eltrombopag Teva 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, “How to take Eltrombopag Teva”.
Pregnancy and breast-feeding
Do not take eltrombopag if you are pregnantunless your doctor recommends it. The effects of eltrombopag during pregnancy are not known.
Do not breast-feed while taking eltrombopag. It is not known if eltrombopag passes into breast milk.
Driving and using machines
Eltrombopag may cause dizzinessand have other effects that may make you less alert.
Eltrombopag Teva contains sodium
This medicine contains less than 1 mmol sodium (23 mg) per tablet, which 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 stop taking eltrombopag unless your doctor or pharmacist tells you to. While taking eltrombopag, you will be under the care 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 recommended starting dose for ITP is one 50 mg tabletof eltrombopag per day. If you are of East or South-East Asian origin, you may need to start with a lower dose of 25 mg.
Children(aged 1 to 5 years) - the recommended starting dose for ITP is one 25 mg tabletof eltrombopag per day.
For hepatitis C
Adults- the recommended starting dose for hepatitis C is one 25 mg tabletof eltrombopag per day. If you are of East or South-East Asian origin, start with the same 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.
Eltrombopag Teva 25 mg film-coated tablets can be divided into equal doses.
Eltrombopag Teva 50 mg film-coated tablets can be divided into equal doses.
When to take it
Make sure that -
you do noteat or drink:
If you do, your body may not absorb the medicine properly.




For more information on what foods and drinks are suitable, ask your doctor.
If you take more Eltrombopag Teva 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 any necessary 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 Teva
Take the next dose at the usual time. Do not take more than one dose of eltrombopag per day.
If you stop taking Eltrombopag Teva
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 4 weeks. See also “Bleeding or bruising after stopping treatment” in section 4.
If you have any other questions about taking 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 count associated with hepatitis C may exhibit signs related to 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:
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:
Bleeding or Hematomas 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 hematomas. Your doctor will check your platelet levels for at least 4 weeks after discontinuing treatment with eltrombopag.
Some people have bleeding in the digestive systemafter stopping peginterferon, ribavirin, and eltrombopag. The symptoms include:
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 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 FrequencyCannot be estimated from the available data
Reporting of Adverse Effects
If you experience any type of adverse effect, consult your doctor or pharmacist, even if it is a possible adverse effect that does not appear in this list.
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.
This medicine does not require special storage conditions.
Medicines should not be thrown away in drains or in the trash. Deposit the packaging and medicines you no longer need at the SIGRE Point of the pharmacy. Ask your pharmacist how to dispose of the packaging and medicines you no longer need. This way, you will help protect the environment.
Composition of Eltrombopag Teva 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 are: microcrystalline cellulose (PH 101)(E-460(i)), mannitol (E-421), povidone, microcrystalline cellulose (PH 102)(E-460(i)), sodium carboxymethyl starch type B (derived from potato starch), colloidal anhydrous silica, talc (E-553b), magnesium stearate.
The 25 mg film-coated tablets also contain hypromellose (E-464), titanium dioxide (E-171), Macrogol (E-1521).
The 50 mg film-coated tablets also contain hypromellose (E-464), titanium dioxide (E-171), Macrogol (E-1521), yellow iron oxide (E-172) and red iron oxide (E-172).
The 75 mg film-coated tablets also contain hypromellose (E-464), titanium dioxide (E-171), Macrogol (E-1521), red iron oxide (E-172) and black iron oxide (E-172).
Appearance of the product and package contents
Eltrombopag Teva 25 mg film-coated tablets EFG are round, white tablets, with "25" engraved on one face and scored on the other.
Eltrombopag Teva 50 mg film-coated tablets EFG are round, light brown tablets, with "50" engraved on one face and scored on the other.
Eltrombopag Teva 75 mg film-coated tablets EFG are round, pink tablets, with "75" engraved on one face.
Theyare supplied in aluminum blisters in a cardboard box containing 14, 28, 30, 84 film-coated tablets and unit-dose aluminum blisters in a cardboard box containing 14x1, 28x1, 30x1, 84x1 film-coated tablets.
Only some pack sizes may be marketed.
Marketing authorization holderand manufacturer
Marketing authorization holder
Teva Pharma, S.L.U.
C/ Anabel Segura 11, Edificio Albatros B, 1ª planta.
28108 Alcobendas. Madrid. Spain
Manufacturer
Actavis Ltd.,
BLB015, BLB016,
Bulebel Industrial Estate,
Zejtun, ZTN3000, Malta
Date of the last revision of this prospectus:December 2024
Detailed information about 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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