Package Leaflet: Information for the Patient
Eltrombopag Viatris 12.5 mg Film-Coated Tablets
Eltrombopag Viatris 25 mg Film-Coated Tablets
Eltrombopag Viatris 50 mg Film-Coated Tablets
Eltrombopag Viatris 75 mg Film-Coated Tablets
eltrombopag
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
Contents of the pack
Eltrombopag Viatris 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), bruises, nosebleeds, bleeding gums, and an inability to stop bleeding if they cut or injure themselves.
Do nottake Eltrombopag Viatris
→ Consult your doctorif you think this may affect you.
Warnings and precautions
Consult your doctor before starting to take Eltrombopag Viatris:
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 Viatris unless your doctor considers that the expected benefit outweighs the risk of having blood clots.
→ Tell your doctor if 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 examinations, your doctor will ask you to have them. They should also examine your retina (the light-sensitive layer at the back of the eye) to see if there is any bleeding in the retina or around it.
You will need to have regular blood tests
Before you start taking Eltrombopag Viatris, 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 Viatris may cause changes in your liver function tests
You will have blood tests before starting to take Eltrombopag Viatris and frequently while taking it to check your liver function. You may need to stop taking Eltrombopag Viatris 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
If you stop taking Eltrombopag Viatris, it is likely that your platelet count will decrease again within a few days. Your platelet count will be monitored, and your doctor will advise you on the 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 Viatris 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 Viatris 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 Viatris.
Review of gastrointestinal bleeding
If you are taking interferon, the basic treatment along with Eltrombopag Viatris, you will be monitored for any signs of bleeding in your stomach or intestine after you stop taking Eltrombopag Viatris.
Heart monitoring
Your doctor may consider monitoring your heart while you are taking Eltrombopag Viatris with an electrocardiogram if necessary.
Elderly patients (65 years and over)
There is limited data on the use of Eltrombopag Viatris in patients aged 65 years or over. If you are 65 or over, you should be cautious when using Eltrombopag Viatris.
Children and adolescents
Eltrombopag Viatris 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 or severe aplastic anemia.
Other medicines and Eltrombopag Viatris
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 commonly used medicines may interact with Eltrombopag Viatris(including prescription medicines, over-the-counter medicines, and minerals). These include:
→ Consult your doctorif you are taking any of these medicines. Some should not be taken with Eltrombopag Viatris; 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 Viatris, you may need to reduce the dose or stop treatment with these medicines.
Taking Eltrombopag Viatris with food and drinks
Do not take Eltrombopag Viatris with dairy products 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 takeEltrombopag Viatris if you are pregnantunless your doctor specifically recommends it. The effect of Eltrombopag Viatris during pregnancy is not known.
Do not breastfeed while takingEltrombopag Viatris. It is not known whether Eltrombopag Viatris passes into breast milk.
→ If you are breastfeedingor plan to breastfeed, tell your doctor.
Driving and using machines
Eltrombopag Viatris may cause dizzinessand have other effects that may make you less alert.
→ Do not drive or use machinesunless you are sure that Eltrombopag Viatris does not affect you.
Eltrombopag Viatris 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 Viatris unless your doctor or pharmacist advises you to. While taking Eltrombopag Viatris, 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 starting dose for ITP is one 50 mg tabletof Eltrombopag Viatris 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 mg tabletof Eltrombopag Viatris per day.
For Hepatitis C
Adults:the usual starting dose for hepatitis C is one 25 mg tabletof Eltrombopag Viatris per day. If you are of East or Southeast Asian descent, start treatment with the same dose of 25 mg.
Eltrombopag Viatris may take 1 to 2 weeks to work. Depending on your response to Eltrombopag Viatris, 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:
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 Viatris 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 necessary treatment immediately.
If you forget to take Eltrombopag Viatris
Take the next dose at the usual time. Do not take more than one dose of Eltrombopag Viatris per day.
If you stop taking Eltrombopag Viatris
Do not stop taking Eltrombopag Viatris without first consulting your doctor. If your doctor advises you to stop treatment, your platelet count 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 Viatris for both ITP and low platelet counts associated with hepatitis C may exhibit signs related to possible 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 Viatris 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 Viatris 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 Viatris, your platelet levels will normally drop to levels similar to those before starting Eltrombopag Viatris. A decrease in platelet levels can increase the risk of having bleeding or hematoma. Your doctor will check your platelet levels for at least 4 weeks after interrupting treatment with Eltrombopag Viatris.
→ Contact your doctorif you experience bleeding or hematoma when stopping Eltrombopag Viatris.
Some people have bleeding in the digestive systemafter stopping peginterferon, ribavirin, and Eltrombopag Viatris. 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 Viatris 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:
Rare Adverse Effects
May affect up to 1 in 100people:
Rare Adverse Effects that may appear in Blood Tests:
The following adverse effects have been reported in relation to treatment with Eltrombopag Viatris 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 Viatris in combination with peginterferon and ribavirin in patients with HCV
Very Common Adverse Effects
May affect more than 1 in 10 people:
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:
Rare Adverse Effects
May affect up to 1 in 100people:
The following adverse effects have been observed in relation to treatment with Eltrombopag Viatris 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 available data
Reporting 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.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the packaging and on the blister.
This medicine does not require any special storage conditions.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.
Composition of Eltrombopag Viatris
The active substance of Eltrombopag Viatris is eltrombopag.
12.5 mg film-coated tablets
Each film-coated tablet contains eltrombopag olamine equivalent to 12.5 mg of 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 ingredients are: hypromellose (E464), macrogol 3350 (E1521), magnesium stearate, mannitol (E421), microcrystalline cellulose (E463), povidone, sodium carboxymethyl cellulose, titanium dioxide (E171), hydroxypropyl cellulose, talc (E553b).
Eltrombopag Viatris 50 mg film-coated tablets also contain: red iron oxide (E172ii), yellow iron oxide (E172iii) and indigotine (E132).
Eltrombopag Viatris 75 mg film-coated tablets also contain: red iron oxide (E172ii) and indigotine (E132).
Appearance and package contents
The film-coated tablets (tablets) of Eltrombopag Viatris 12.5 mg are round, biconvex, white and engraved with ‘L’ on one side.
The film-coated tablets (tablets) of Eltrombopag Viatris 25 mg are round, biconvex, white and engraved with ‘25’ on one side.
The film-coated tablets (tablets) of Eltrombopag Viatris 50 mg are round, biconvex, brown and engraved with ‘50’ on one side.
The film-coated tablets (tablets) of Eltrombopag Viatris 75 mg are round, biconvex, pink and engraved with ‘75’ on one side.
They are supplied in aluminum blisters in a carton containing 14, 28 or 84 film-coated tablets and multiple packs containing 84 film-coated tablets (3 packs of 28) or aluminum blisters in a cardboard box containing 14 x 1 or 28 x 1 film-coated tablets.
Only some pack sizes may be marketed.
Marketing authorisation holder
Viatris Limited
Damastown Industrial Park, Mulhuddart, Dublin 15, DUBLIN, Ireland
Manufacturer(s)
ELPEN Pharmaceutical Co. Inc.
Marathonos Ave. 95, Pikermi, Attiki, 19009, Greece
Mylan Germany GmbH
Zweigniederlassung Bad Homburg v.d. Hohe, Benzstrasse 1, 61352 Bad Homburg v. d. Hohe,
Germany
You can request more information about this medicine by contacting the local representative of the marketing authorisation holder:
Belgium Viatris Tel: + 32 (0)2 658 61 00 | Lithuania Viatris UAB Tel: +370 5 205 1288 |
Luxembourg Viatris Tel: + 32 (0)2 658 61 00 (Belgium) | |
Czech Republic Viatris CZ s.r.o. Tel: +420 222 004 400 | Hungary Viatris Healthcare Kft. Tel.: +36 1 465 2100 |
Denmark Viatris ApS Tlf: + 45 28 11 69 32 | Malta V.J. Salomone Pharma Ltd Tel: + 356 21 22 01 74 |
Germany Viatris Healthcare GmbH Tel: + 49 800 0700 800 | Netherlands Mylan BV Tel: + 31 (0)20 426 3300 |
Estonia Viatris OÜ Tel: +372 6363 052 | Norway Viatris AS Tlf: + 47 66 75 33 00 |
Greece Viatris Hellas Ltd Tel: + 30 2100 100 002 | Austria Viatris Austria GmbH Tel: + 43 1 86390 |
Spain Viatris Pharmaceuticals, S.L. Tel: + 34 900 102 712 | Poland Viatris Healthcare Sp.zo.o. Tel.: + 48 22 546 64 00 |
France Viatris Santé Tél: + 33 4 37 25 75 00 | Portugal Mylan, Lda. Tel: + 351 214 127 200 |
Croatia Viatris Hrvatska d.o.o. Tel: + 385 1 23 50 599 | Romania BGP Products SRL Tel: + 40 372 579 000 |
Ireland Viatris Limited Tel: + 353 1 8711600 | Slovenia Viatris d.o.o. Tel: + 386 1 23 63 180 |
Iceland Icepharma hf. Phone: + 354 540 8000 | Slovakia Viatris Slovakia s.r.o. Tel: + 421 2 32 199 100 |
Italy Viatris Italia S.r.l. Tel: + 39 (0) 2 612 46921 | Finland Viatris Oy Phone/Tel: + 358 20 720 9555 |
Cyprus GPA Pharmaceuticals Ltd Tel: +357 22863100 | Sweden Viatris AB Tel: + 46 (0)8 630 19 00 |
Latvia Viatris SIA Tel: + 371 676 055 80 |
Date of last revision of this prospectus:[MM/YYYY]
Other sources of information
Detailed information on this medicine is available on the European Medicines Agency website http://www.ema.europa.eu.