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REVOLADE 50 mg FILM-COATED TABLETS

REVOLADE 50 mg FILM-COATED TABLETS

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

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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. He offers online consultations in Portuguese, English, and Spanish — combining global expertise with a patient-centred, evidence-based approach.

  • 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. 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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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 50 mg FILM-COATED TABLETS

Introduction

Patient Information: Summary of Product Characteristics

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. It is used to help increase the number of platelets in your blood. Platelets are cells in the blood that help to stop bleeding.

  • Revolade is used to treat a bleeding disorder called immune (idiopathic) thrombocytopenic purpura (ITP) in patients over 1 year of age who have had other treatments (such as 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 small red dots on the skin (petechiae), bruises, nosebleeds, bleeding gums, and an inability to stop bleeding if they cut or injure themselves.

  • 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 because of the disease but also because of the antiviral treatments used to treat it. Taking Revolade may help you complete the treatment 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, leading to 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

  • if you are allergicto eltrombopag or any of the other ingredients of this medicine (listed in section 6 under the heading “Contents of Revolade”).

Talk to your doctorif you think this may apply to you.

Warnings and precautions

Talk to your doctor before you start taking Revolade:

  • if you have liver problems. People with low platelet counts and advanced liver disease are at higher risk of side effects, liver damage that can be fatal, and blood clots. If your doctor thinks the benefits of Revolade outweigh the risks, they will closely monitor you during treatment.
  • if you are at risk of blood clotsin your veins or arteries, or if you know that blood clots are common in your family.

The risk of blood clots may be higherin the following situations:

  • if you are older
  • if you have been bedridden for a long time
  • if you have cancer
  • if you are taking the contraceptive pill or hormone replacement therapy
  • if you have recently had surgery or been physically injured
  • if you are very overweight (obese)
  • if you smoke
  • if you have advanced liver disease

If you are in any of these situations, tell your doctorbefore you start treatment. You should not take Revolade unless your doctor thinks the benefits outweigh the risk of blood clots.

  • if you have cataracts(clouding of the lens in the eye).
  • if you have another blood disorder, such as myelodysplastic syndrome (MDS). Before you start taking Revolade, your doctor will do tests to check that you do not have this disease. If you have MDS and take Revolade, the MDS may get worse.

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 will also check the retina (the light-sensitive layer at the back of the eye) for bleeding in the retina or around it.

You will need to have regular blood tests

Before you start taking Revolade, 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

Revolade may cause changes in your blood tests that show liver damage - an increase in 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 get worse.

You will have blood tests before you start taking Revolade and frequently while you are 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 your platelet count

If you stop taking Revolade, it is likely that your platelet count will fall again within a few days. Your platelet count will be checked 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 low platelet counts. Your doctor will adjust your dose of Revolade to make sure your platelet count does not get too high.

Seek medical help immediatelyif you get any of these signs of a blood clot:

  • swelling, painor tenderness in one leg
  • sudden difficulty breathing, which may be 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 make these problems worse. Signs of changes in the bone marrow may appear as abnormal results in your blood tests. Your doctor may also do tests to directly check your bone marrow during treatment with Revolade.

Checking for bleeding in the digestive tract

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

Heart monitoring

Your doctor may consider monitoring your heart while you are taking Revolade, using an electrocardiogram (ECG), if necessary.

Older people (65 years and over)

There is limited information on the use of Revolade in patients aged 65 years and over. If you are 65 or older, 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
  • ciclosporin, 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

Talk to 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 may be 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 drink

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 effects of Revolade during pregnancy are not known.

  • Tell your doctor if you are pregnant, think you may be pregnant, or plan to become pregnant.
  • Use a reliable method of contraceptionto prevent pregnancy while you are taking Revolade.
  • If you become pregnant while taking 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 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, ask your doctor or pharmacist. Do not change the dose or treatment schedule with Revolade unless your doctor or pharmacist tells you to. While you are taking Revolade, you will be under the supervision of a specialist doctor with experience in treating your condition.

How much to take

For ITP

Adults and children(6 to 17 years) - the usual starting dose for ITP is one 50 mgtablet of Revolade per day. If you are of East or Southeast Asian origin, you may need to start with a lower dose of 25 mg.

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

For Hepatitis C

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

For SAA

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

Revolade may take 1 to 2 weeks to start working. 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 beforeyou take Revolade
  • and in the 2 hours afteryou take Revolade

you 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 after taking the medicine, 2 hoursRed text indicating “4 hours before taking Revolade” on a white backgroundClock with hand pointing to 12, indicating time before and after taking Revolade, prohibited consumption of dairy products or supplements

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

If you take more Revolade 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 the appropriate treatment.

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 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 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 experience 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 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 having bleeding or hematoma. Your doctor will check your platelet levels for at least 4 weeks after interrupting treatment with Revolade.

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

Some people have bleeding in thedigestive systemafter stopping peginterferon, ribavirin, and Revolade. The 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 Revolade 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
  • neumonia
  • 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 of dizziness (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

Rare 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” earlier 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” earlier 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
  • expansion or swelling of blood vessels that cause headaches
  • 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 of heat, feeling of anxiety
  • 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, 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

Rare 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 Revolade 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 Revolade 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 of dizziness (nausea), diarrhea
  • muscle pain, muscle weakness
  • itching
  • feeling of fatigue
  • fever
  • hair loss
  • feeling of weakness
  • 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
  • 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 of dizziness (vertigo)
  • 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” earlier 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 lining 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

Rare 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 night sweats
  • 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

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)
  • dizziness
  • 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 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 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

5. Storage of Revolade

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.

This medicine does not require special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of the packaging and any unused medicines. This will help protect the environment.

6. Package contents and additional information

Composition of Revolade

The active substance 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 carton containing 14 or 28 film-coated tablets and multiple packs containing 84 film-coated tablets (3 packs of 28).

Only certain 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 medicine by contacting the local representative of the marketing authorization holder:

België/Belgique/Belgien

Novartis Pharma N.V.

Tél/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 phone number +359 2 489 98 28 and text in Bulgarian language

Luxembourg/Luxemburg

Novartis Pharma N.V.

Tél/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 leaflet:

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

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