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REVOLADE 25 mg FILM-COATED TABLETS

REVOLADE 25 mg FILM-COATED TABLETS

Ask a doctor about a prescription for REVOLADE 25 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 REVOLADE 25 mg FILM-COATED TABLETS

Introduction

Package Leaflet: Information for the Patient

Revolade 12.5mg film-coated tablets

Revolade 25mg film-coated tablets

Revolade 50mg film-coated tablets

Revolade 75mg film-coated tablets

eltrombopag

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

1. What is Revolade and what is it used for

Revolade 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 reduce or prevent bleeding.

  • Revolade is used to treat a blood disorder called primary immune 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), bruising, nosebleeds, bleeding gums, and inability to stop bleeding if cut or injured.

  • Revolade 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 Revolade may help you complete the cycle with antivirals (peginterferon and ribavirin).

Revolade may also be used in patients with low blood cell counts caused by severe aplastic anemia (SAA). SAA is a disease in which the bone marrow is damaged, causing a deficiency of red blood cells (anemia), white blood cells (leukopenia), and platelets (thrombocytopenia).

2. What you need to know before you take Revolade

Do not take Revolade

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

Consult your doctorif you think this may affect you.

Warnings and precautions

Consult your doctor before starting to take Revolade:

  • . 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 Revolade 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 Revolade 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 Revolade, your doctor will perform tests to check that you do not have this disease. If you have MDS and take Revolade, MDS may worsen.

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 examinations, your doctor will ask you to have one. They will 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 Revolade, 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

Revolade may cause changes in your liver function tests, including increased levels of certain liver enzymes, especially bilirubin and alanine/aspartate transaminase. If you are taking interferon, the basic treatment along with Revolade to treat low platelet counts due to hepatitis C, some liver problems may worsen.

You will have blood tests before starting to take Revolade and frequently while taking it to check your liver function. You may need to stop taking Revolade 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 to check platelet count

If you stop taking Revolade, 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 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 Revolade 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:

  • 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 Revolade 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 Revolade.

Review of gastrointestinal bleeding

If you are taking interferon, the basic treatment along with Revolade, you will be monitored for any signs of bleeding in your stomach or intestine after you stop taking Revolade.

Heart monitoring

Your doctor may consider monitoring your heart while you are taking Revolade with an electrocardiogram, if necessary.

Elderly (65 years and over)

There is limited data on the use of Revolade in patients aged 65 years or over. If you are 65 or over, you should be cautious when using Revolade.

Children and adolescents

Revolade 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 or severe aplastic anemia.

Other medicines and Revolade

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 Revolade(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
  • cyclosporin, used in transplantsor 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 doctorif you are taking any of these medicines. Some should not be taken with Revolade; 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 Revolade, you may need to reduce the dose or stop treatment with these medicines.

Taking Revolade with food and drinks

Do not take Revolade 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 take Revolade if you are pregnantunless your doctor specifically recommends it. The effect of Revolade 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 Revolade.
  • If you become pregnant during treatmentwith Revolade, tell your doctor.

Do not breastfeed while taking Revolade. It is not known if Revolade passes into breast milk.

If you are breastfeedingor plan to breastfeed, tell your doctor.

Driving and using machines

Revolade may cause dizzinessand have other side effects that may make you less alert.

Do not drive or use machinesunless you are sure that Revolade does not affect you.

Revolade contains sodium

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

3. How to take Revolade

Follow the instructions for taking this medicine exactly as your doctor has told you. If you are unsure, consult your doctor or pharmacist again. Do not change the dose or treatment schedule with Revolade unless your doctor or pharmacist advises you to do so. While taking Revolade, 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 50mgRevolade tablet per day. If you are of East or Southeast Asian descent, you may need to start treatment with a lower dose of 25mg.

Children(1 to 5 years) - the usual starting dose for ITP is one 25mgRevolade tablet per day.

For Hepatitis C

Adults- the usual starting dose for hepatitis C is one 25mgRevolade tablet per day. If you are of East or Southeast Asian descent, start treatment with the same dose of 25mg.

For SAA

Adults– the usual starting dose for SAA is one 50mgRevolade tablet per day. If you are of East or Southeast Asian descent, you may need to start treatment with a lower dose of 25mg.

Revolade may take 1 to 2 weeks to work. Depending on your response to Revolade, 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 Revolade
  • and in the 2 hours aftertaking Revolade

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 may not absorb the medicine properly.

Red text indicating not to consume dairy products, antacids, or mineral supplementsRed text indicating time elapsed after taking the medicine, 2 hoursRed text indicating “4 hours before taking Revolade” on a white background with bold lettersClock with a hand pointing to 12, showing time before and after taking Revolade, prohibited consumption of dairy products or supplements

For more information on what foods and drinks are suitable, consult your doctor.

If you take more Revolade 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 Revolade

Take the next dose at the usual time. Do not take more than one dose of Revolade per day.

If you stop taking Revolade

Do not stop taking Revolade without consulting your doctor first. 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.

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 Revolade 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 a higher risk of having a thrombus, and medications like Revolade 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:

  • 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

Revolade can 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:

  • yellowish coloron the skin or in the white area of the eyes (jaundice)
  • dark-colored urinethat is unusual.

contact your doctor immediately

Bleeding or Hematoma after Treatment Interruption

Two weeks after interrupting treatment with Revolade, your platelet levels will normally drop to levels similar to those before starting Revolade. A decrease in platelet levels can increase the risk of bleeding or hematoma. Your doctor will check your platelet levels for at least 4 weeks after interrupting treatment with Revolade.

Contact your doctorif you experience bleeding or hematoma when stopping Revolade.

Some people have bleeding in thedigestive systemafter stopping peginterferon, ribavirin, and Revolade. 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 experience any of these symptoms.

The following adverse effects have been reported in relation to treatment with Revolade in adult patients with ITP

Very Common Adverse Effects

Can 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 can appear in Blood Tests:

  • increase in liver enzymes (alanine aminotransferase (ALT))

Common Adverse Effects

Can 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 in 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, itchy 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 can 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

Can 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), retinal hemorrhage, dry eye
  • nose, throat, and sinus problems, breathing problems when sleeping
  • blisters/pain in 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 kidney inflammation, frequent 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 can 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 platelet count
  • 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 Revolade in children (from 1 to 17 years) with ITP

If these adverse effects worsen, please inform your doctor, pharmacist, or nurse.

Very Common Adverse Effects

Can 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

Can affect up to 1 in 10children

  • difficulty sleeping (insomnia)
  • toothache
  • sore throat and nose
  • 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 Revolade in combination with peginterferon and ribavirin in patients with HCV

Very Common Adverse Effects

Can 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 can appear in Blood Tests:

  • decrease in the number of red blood cells (anemia)

Common Adverse Effects

Can 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
  • decrease in 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, bloating, gas, changes in taste, hemorrhoids (piles), abdominal pain/discomfort, stomach swelling, alterations in intestinal motility that can cause constipation, bloating, diarrhea, and/or the aforementioned symptoms, changes in stool color
  • 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, fluid retention in the body or limbs that causes swelling
  • 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 can 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 clotting

Uncommon Adverse Effects

Can affect up to 1 in 100people:

  • pain when urinating
  • alterations in heart rhythm (prolongation of the QT interval)
  • stomach flu (gastroenteritis), sore throat
  • blisters/pain in the mouth, stomach inflammation
  • skin changes, including changes in color, peeling, skin redness, itching, and sweating at night
  • 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 Revolade in patients with severe aplastic anemia (SAA)

If these adverse effects worsen, please inform your doctor, pharmacist, or nurse.

Very Common Adverse Effects

Can 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)
  • dizziness
  • feeling very tired
  • fever
  • chills
  • eye itching
  • blisters in the mouth
  • gum bleeding
  • abdominal pain
  • muscle spasms

Very Common Adverse Effects that can appear in a Blood Test

  • abnormal changes in bone marrow cells
  • increase in liver enzymes (aspartate aminotransferase (AST))

Common Adverse Effects

Can 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, changes in bowel movements, constipation, changes in intestinal motility that can cause constipation, bloating, diarrhea, and/or the aforementioned symptoms, changes in stool color
  • passing out
  • skin problems, including red or purple spots 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 flow to the spleen (splenic infarction)
  • runny nose

Common Adverse Effects that can 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

5. Storage of Revolade

Keep this medication out of sight and reach of children.

Do not use this medication after the expiration date that appears on the packaging and on the blister pack.

This medication does not require special storage conditions.

Medicines should not be thrown away in drains or in the trash. Ask your pharmacist how to dispose of packaging and medicines that are no longer needed. This will help protect the environment.

6. Package contents and additional information

Composition of Revolade

The active ingredient of Revolade 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 components are: hypromellose, macrogol 400, magnesium stearate, mannitol (E421), microcrystalline cellulose, povidone, sodium carboxymethyl starch, titanium dioxide (E171).

Revolade 12.5 mg and 25 mg film-coated tablets also contain polysorbate 80 (E433).

Revolade 50 mg film-coated tablets also contain: red iron oxide (E172), yellow iron oxide (E172).

Revolade 75 mg film-coated tablets also contain: red iron oxide (E172), black iron oxide (E172).

Appearance and packaging of the product

Revolade 12.5 mg film-coated tablets are white, round, biconvex, engraved with 'GS MZ1' and '12.5' on one side.

Revolade 25 mg film-coated tablets are white, round, biconvex, engraved with 'GS NX3' and '25' on one side.

Revolade 50 mg film-coated tablets are brown, round, biconvex, engraved with 'GS UFU' and '50' on one side.

Revolade 75 mg film-coated tablets are pink, round, biconvex, engraved with 'GS FFS' and '75' on one side.

They are supplied in aluminum blisters in a box containing 14 or 28 film-coated tablets and multiple packages containing 84 film-coated tablets (3 packages of 28).

Only some pack sizes may be marketed.

Marketing authorization holder

Novartis Europharm Limited

Vista Building

Elm Park, Merrion Road

Dublin 4

Ireland

Manufacturer

Lek d.d

Verovskova Ulica 57

Ljubljana 1526

Slovenia

Novartis Pharmaceutical Manufacturing LLC

Verovskova Ulica 57

Ljubljana 1000

Slovenia

Novartis Farmacéutica SA

Gran Via de les Corts Catalanes, 764

08013 Barcelona

Spain

Novartis Pharma GmbH

Roonstraße 25

D-90429 Nuremberg

Germany

Glaxo Wellcome S.A.

Avenida de Extremadura 3

09400 Aranda de Duero

Burgos

Spain

Novartis Pharma GmbH

Sophie-Germain-Strasse 10

90443 Nürnberg

Germany

You can request more information about this medication by contacting the local representative of the marketing authorization holder:

België/Belgique/Belgien

Novartis Pharma N.V.

Tel: +32 2 246 16 11

Lietuva

SIA Novartis Baltics Lietuvos filialas

Tel: +370 5 269 16 50

Text with contact information of Novartis Bulgaria Eood, including address, phone number, and the country Bulgaria

Luxembourg/Luxemburg

Novartis Pharma N.V.

Tel: +32 2 246 16 11

Ceská republika

Novartis s.r.o.

Tel: +420 225 775 111

Magyarország

Novartis Hungária Kft.

Tel: +36 1 457 65 00

Danmark

Novartis Healthcare A/S

Tlf: +45 39 16 84 00

Malta

Novartis Pharma Services Inc.

Tel: +356 2122 2872

Deutschland

Novartis Pharma GmbH

Tel: +49 911 273 0

Nederland

Novartis Pharma B.V.

Tel: +31 88 04 52 555

Eesti

SIA Novartis Baltics Eesti filiaal

Tel: +372 66 30 810

Norge

Novartis Norge AS

Tlf: +47 23 05 20 00

Ελλάδα

Novartis (Hellas) A.E.B.E.

Τηλ: +30 210 281 17 12

Österreich

Novartis Pharma GmbH

Tel: +43 1 86 6570

España

Novartis Farmacéutica, S.A.

Tel: +34 93 306 42 00

Polska

Novartis Poland Sp. z o.o.

Tel: +48 22 375 4888

France

Novartis Pharma S.A.S.

Tél: +33 1 55 47 66 00

Portugal

Novartis Farma - Produtos Farmacêuticos, S.A.

Tel: +351 21 000 8600

Hrvatska

Novartis Hrvatska d.o.o.

Tel: +385 1 6274 220

România

Novartis Pharma Services Romania SRL

Tel: +40 21 31299 01

Ireland

Novartis Ireland Limited

Tel: +353 1 260 12 55

Slovenija

Novartis Pharma Services Inc.

Tel: +386 1 300 75 50

Ísland

Vistor hf.

Sími: +354 535 7000

Slovenská republika

Novartis Slovakia s.r.o.

Tel: +421 2 5542 5439

Italia

Novartis Farma S.p.A.

Tel: +39 02 96 54 1

Suomi/Finland

Novartis Finland Oy

Puh/Tel: +358 (0)10 6133 200

Κύπρος

Novartis Pharma Services Inc.

Τηλ: +357 22 690 690

Sverige

Novartis Sverige AB

Tel: +46 8 732 32 00

Latvija

SIA Novartis Baltics

Tel: +371 67 887 070

Date of last revision of this prospectus:

Detailed information on this medication is available on the European Medicines Agency website http://www.ema.europa.eu.

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Online doctors for REVOLADE 25 mg FILM-COATED TABLETS

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for REVOLADE 25 mg FILM-COATED TABLETS – subject to medical assessment and local rules.

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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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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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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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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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
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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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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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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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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

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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€80
December 811:00
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