ELTROMBOPAG KRKA

Poland

The medicine is used to increase the number of blood platelets. It is intended for the treatment of immune thrombocytopenia in individuals over 1 year of age (after failure of other methods) and in adults with hepatitis C who have experienced a low platelet count during interferon treatment.

Brand name ELTROMBOPAG KRKA
Dosage form tablets, film-coated
Active substance / Dosage
eltrombopag · 75 mg
Prescription type Prescription only – restricted use
ATC code
Registration number 100480894
ELTROMBOPAG KRKA tablets, film-coated

Frequently asked questions

How should Eltrombopag Krka be taken?

Tablets should be swallowed whole with water. A time interval must be maintained: dairy products, antacids, and vitamin-mineral supplements (containing iron, calcium, magnesium, aluminum, selenium, or zinc) must not be consumed 4 hours before and 2 hours after taking the medicine.

When should you not use this medicine?

Do not use this medicine if you are allergic to eltrombopag or any of its ingredients. It should also not be used during pregnancy (unless otherwise advised by a doctor) and during breastfeeding.

What are the possible side effects of Eltrombopag Krka?

The most common side effects are common cold, nausea, diarrhea, cough, and increased liver enzyme activity. Muscle pain, bone pain, headaches, dizziness, or skin changes may also occur. Contact a doctor immediately if symptoms of a blood clot occur (e.g., pain and swelling of the leg, sudden shortness of breath) or liver damage (e.g., yellowing of the skin or eyes, dark urine).

Does the medicine interact with other products?

Yes, some medicines and products may affect the action of the medicine. Particular caution should be exercised when using antacids, statins, certain HIV medicines, cyclosporine, methotrexate, and products containing minerals (calcium, magnesium, iron, etc.).

What precautions should be taken during treatment?

The doctor may recommend regular blood tests (to assess platelets and liver function), ophthalmic examinations (for cataracts), and heart examinations (ECG). Inform your doctor about any liver diseases, risk of blood clots, blood disorders, or if you are using hormonal contraception.

Instructions for use

Patient Information Leaflet

Eltrombopag Krka, 25 mg, film-coated tablets
Eltrombopag Krka, 50 mg, film-coated tablets
Eltrombopag Krka, 75 mg, film-coated tablets
eltrombopagum
Please read this leaflet carefully before taking this medicine, as it contains important information for you.

  • Keep this leaflet. You may need to read it again.
  • If you have any further questions, please ask your doctor or pharmacist.
  • This medicine has been prescribed for a specific individual. Do not pass it on to others. It may harm them even if their symptoms are the same.
  • If you experience any side effects, including any not listed in this leaflet, tell your doctor or pharmacist. See section 4.

Table of Contents

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

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

Eltrombopag Krka contains eltrombopag, which belongs to a group of medicines called thrombopoietin receptor agonists. It is used to increase the number of platelets in your blood. Platelets are blood components that help reduce or prevent the risk of bleeding.

  • Eltrombopag Krka is used to treat a blood clotting disorder called immune (primary) thrombocytopenia in patients over 1 year of age who have already been treated with other medicines (corticosteroids or immunoglobulins) that have not worked.

Immune thrombocytopenia is caused by a low number of platelets (thrombocytopenia). People with immune thrombocytopenia are at increased risk of bleeding. Symptoms patients with immune thrombocytopenia may notice include petechiae (small, flat, red, round spots under the skin), bruising, nosebleeds, bleeding gums, and difficulty stopping bleeding after a cut or injury.

  • Eltrombopag Krka may also be used to treat low platelet counts (thrombocytopenia) in adults with chronic hepatitis C virus (HCV) infection who have difficulties due to side effects during interferon-based treatment. Many people with hepatitis C have low platelet counts, not only due to the disease itself but also as a result of certain antiviral medicines used in treatment. Taking Eltrombopag Krka may help patients complete a full course of antiviral therapy (pegylated interferon and ribavirin).

2. Important information before using Eltrombopag Krka

When not to use Eltrombopag Krka

  • if the patient is allergic to eltrombopag or any of the other ingredients of this medicine (listed in section 6 under "What Eltrombopag Krka contains"). ➔ Consult a doctor if the patient thinks they have the condition described above.

Warnings and precautions
Before starting treatment with Eltrombopag Krka, discuss the following with your doctor:

  • if the patient has liver function disorders. Patients with low platelet counts and also advanced (chronic) liver disease are at higher risk of adverse reactions, including life-threatening liver damage and blood clots. If the doctor considers that the benefits of taking Eltrombopag Krka outweigh the risks, the patient will be closely monitored during treatment.
  • if the patient is at risk of venous or arterial blood clots, or if there is a family history of blood clots. The risk of blood clots may be increased:
  • if the patient is elderly
  • if the patient has been immobilized for a prolonged period
  • if the patient has malignant cancer
  • if the patient is taking oral contraceptives or hormone replacement therapy
  • if the patient has recently undergone surgery or experienced trauma
  • if the patient is overweight
  • if the patient smokes
  • if the patient has advanced chronic liver disease ➔ Inform the doctor before starting treatment if any of the above conditions apply to the patient. Do not take Eltrombopag Krka unless the doctor considers that the expected benefits outweigh the risk of blood clots.
  • if the patient has cataracts (clouding of the eye lens)
  • if the patient has other blood disorders, such as myelodysplastic syndrome (MDS). Before starting treatment with Eltrombopag Krka, the doctor will perform tests to rule out this condition. If the patient has MDS and is taking Eltrombopag Krka, MDS may worsen. ➔ Inform the doctor if any of the above situations apply to the patient.

Ophthalmological examination
The treating doctor will recommend monitoring for cataracts. If the patient does not undergo routine
ophthalmological examinations, the doctor should order regular check-ups. Monitoring may also include
detection of any retinal (the layer of light-sensitive cells at the back of the eye) or nearby bleeding.
Regular blood tests will be required
Before starting treatment with Eltrombopag Krka, the doctor will perform blood tests to
assess blood cells, including platelets. These tests will be repeated periodically during treatment.
Liver function blood tests
ElTrombopag Krka may cause blood test results indicating liver damage – increased activity of certain liver enzymes, particularly bilirubin, alanine aminotransferase, and aspartate aminotransferase. If the patient is receiving interferon-based therapy concurrently with Eltrombopag Krka for low platelet count associated with hepatitis C, certain liver conditions may worsen.
Before starting treatment with Eltrombopag Krka and periodically during treatment, blood tests assessing liver function will be performed. It may be necessary to discontinue Eltrombopag Krka if levels of these substances rise too high or if other signs of liver damage occur.
Refer to the information in section 4 of this leaflet “ Liver disorders .
Monitoring platelet count
If the patient stops taking Eltrombopag Krka, low platelet count may recur within several days. Platelet count will be monitored, and the treating doctor will discuss appropriate precautions with the patient.
Very high platelet counts may increase the risk of blood clots. However, blood clots may also
occur when platelet counts are normal or low. The treating doctor will adjust the dose of Eltrombopag Krka to prevent excessive increases in platelet count.

A black exclamation mark placed inside a white triangle with a thick black border, warning symbol on a white background

Seek immediate medical help if the patient experiences any of the following symptoms of blood clots:

  • swelling, pain, or tenderness in one leg
  • sudden shortness of breath, especially with sharp chest pain or rapid breathing
  • abdominal pain, abdominal swelling, blood in stool

Bone marrow examinations
In patients with bone marrow disorders, medicines such as Eltrombopag Krka may worsen these conditions. Changes in the bone marrow may manifest as abnormal blood test results. The treating doctor may recommend direct bone marrow examinations during treatment with Eltrombopag Krka.
Tests to detect gastrointestinal bleeding
If the patient is receiving interferon-based therapy concurrently with Eltrombopag Krka, they will be monitored for signs of bleeding from the stomach or intestines after stopping Eltrombopag Krka.
Heart examinations
The treating doctor may determine the need for heart monitoring during treatment with Eltrombopag Krka and may perform electrocardiographic (ECG) tests.
Elderly patients (aged 65 years and older)
There is limited data on the use of Eltrombopag Krka in patients aged 65 years and older. Caution should be exercised when using Eltrombopag Krka in patients aged 65 years and older.
Children and adolescents
ElTrombopag Krka is not recommended for children under 1 year of age with immune thrombocytopenia. It is also not recommended for individuals under 18 years of age with low platelet count due to hepatitis C virus.
ElTrombopag Krka and other medicines
Tell your doctor or pharmacist about all medicines the patient is currently taking or has recently taken, including over-the-counter medicines and vitamins.
Some commonly used medicines interact with Eltrombopag Krka – including both prescription and over-the-counter medicines and mineral supplements. These include:

  • acid-reducing medicines used to treat indigestion, heartburn, stomach ulcers (see also “ When to take the medicine in section 3)
  • statins, which lower cholesterol levels
  • certain medicines used to treat HIV infection, such as lopinavir and (or) ritonavir
  • cyclosporine used in organ transplantation or autoimmune diseases
  • mineral products such as iron, calcium, magnesium, aluminium, selenium, and zinc, which may be components of vitamin and mineral supplements (see also “ When to take the medicine in section 3)
  • medicines such as methotrexate and topotecan, used in the treatment of cancerConsult a doctor if the patient is taking any of the medicines listed above. Some of these medicines must not be used during treatment with Eltrombopag Krka; for others, dose adjustments or appropriate timing of administration may be required. The treating doctor will review all medicines the patient is taking and recommend changes if necessary.

If the patient is taking anticoagulant medicines, the risk of bleeding is increased. The treating doctor will discuss this with the patient.
If the patient is taking corticosteroids, danazol, and (or) azathioprine, doses of these medicines may be reduced or their use discontinued during concomitant treatment with Eltrombopag Krka.
Taking Eltrombopag Krka with food and drink
ElTrombopag Krka must not be taken with dairy products or dairy-based drinks, as calcium present in dairy products affects the absorption of the medicine. For further information, see “ When to take the medicine in section 3.
Pregnancy and breastfeeding
Do not use Eltrombopag Krka during pregnancy, unless the doctor specifically recommends it.
The effect of Eltrombopag Krka when used during pregnancy is unknown.

  • Inform the doctor if the patient is pregnant, suspects she may be pregnant, or is planning to become pregnant.
  • An appropriate method of contraception must be used during treatment with Eltrombopag Krka to prevent pregnancy.
  • Inform the doctor if the patient becomes pregnant while taking Eltrombopag Krka.

Do not breastfeed while taking Eltrombopag Krka. It is not known whether Eltrombopag Krka passes into breast milk.
➔ Inform the doctor if the patient is breastfeeding or planning to breastfeed.
Driving and operating machinery
ElTrombopag Krka may cause dizziness and other adverse effects that may impair attention.
Do not drive or operate machinery unless the patient is certain that these symptoms do not occur.
ElTrombopag Krka contains sodium
The medicine contains less than 1 mmol (23 mg) of sodium per coated tablet, meaning the medicine is considered “sodium-free”.

3. How to use Eltrombopag Krka

This medicine should always be used exactly as directed by the doctor. If in doubt, consult
the doctor or pharmacist. Do not change the dose or dosing schedule of
Eltrombopag Krka unless instructed by the doctor or pharmacist. While taking
Eltrombopag Krka, the patient will remain under the care of a doctor experienced
in treating the disease the patient has.
How much medicine to take
In primary immune thrombocytopenia
Adults and children (aged 6 to 17 years) – the usual starting dose in primary
immune thrombocytopenia is one 50 mg tablet of Eltrombopag Krka per day.
Patients of East Asian or Southeast Asian origin may require initiation of treatment with a lower dose of 25 mg.
Children (aged 1 to 5 years) – the usual starting dose in primary
immune thrombocytopenia is one 25 mg tablet of Eltrombopag Krka per day.
In chronic hepatitis C
Adults – the usual starting dose in chronic hepatitis C is one tablet of
25 mg of Eltrombopag Krka per day. In patients of East Asian or Southeast Asian
origin, treatment should be initiated with this same 25 mg dose.
The effect of Eltrombopag Krka may begin within 1 to 2 weeks. Depending on
the patient's response to treatment with Eltrombopag Krka, the doctor may adjust the
daily dose.
How to take the tablets
The tablets should be swallowed whole with water.
When to take the medicine
Make sure that:

  • within 4 hours before taking Eltrombopag Krka
  • and within 2 hours after taking Eltrombopag Krka

the patient does not consume the following foods:

  • dairy products, such as cheese, butter, yoghurt, ice cream
  • milk or beverages containing milk, yoghurt, or cream
  • antacids used to treat indigestion and heartburn
  • vitamin and mineral supplements containing iron, calcium, magnesium, aluminium, selenium, or zinc

Failure to follow these instructions may result in improper absorption of Eltrombopag Krka
by the body.

Clock diagram with a pill indicating 4 hours before and 2 hours after medication, and crossed-out dairy products, antacids, and supplements

Consult the doctor for further advice regarding suitable foods and drinks.
Taking more Eltrombopag Krka than prescribed
Contact the doctor or pharmacist immediately. If possible, show them the medicine packaging or this leaflet. The patient's condition will be monitored to detect any adverse reactions and to initiate appropriate treatment without delay.
Missing a dose of Eltrombopag Krka
Take the next dose at the usual time. Do not take more than one dose of Eltrombopag Krka per day.
Stopping Eltrombopag Krka
Do not stop taking Eltrombopag Krka without consulting the doctor. If the doctor
advises stopping treatment, the patient's platelet count will be monitored weekly for four
weeks. See also "Bleeding or bruising after stopping treatment" in section 4.
If there are any further doubts about the use of this medicine, consult the
doctor or pharmacist.

4. Possible adverse reactions

Like all medicines, this medicine can cause adverse reactions, although not everybody will experience them.
Symptoms to be aware of: seek medical advice
In patients taking Eltrombopag Krka for the treatment of immune thrombocytopenia or low platelet count associated with hepatitis C, symptoms of severe adverse reactions may occur. It is important to inform your doctor if any of these symptoms occur.
Increased risk of blood clots
Some patients may have an increased risk of blood clots, and medicines such as Eltrombopag Krka may increase this risk. Sudden blockage of a blood vessel by a blood clot is an uncommon adverse reaction and may occur in up to 1 in 100 patients.

A black exclamation mark placed inside a white triangle with a thick black border, warning symbol on a white background

Seek immediate medical help if the patient experiences any of the following symptoms of a blood clot:

  • swelling, pain, warmth, redness, or tenderness to pressure in one leg
  • sudden shortness of breath, especially with sharp chest pain or rapid breathing
  • abdominal pain (stomach pain), abdominal swelling, blood in stool.

Liver problems
Eltrombopag Krka may cause changes detectable in blood tests, which may indicate liver damage. Liver problems (increased liver enzyme activity in blood tests) are common and may affect up to 1 in 10 patients. Other liver-related problems are uncommon and may affect up to 1 in 100 patients.
If any of the following symptoms of liver problems occur:

  • yellowing of the skin or whites of the eyes (jaundice)
  • abnormally dark-coloured urinetell your doctor immediately.

Bleeding or bruising after stopping treatment
Usually within two weeks of stopping Eltrombopag Krka, the patient's platelet count decreases to the level observed before starting treatment with Eltrombopag Krka. A low platelet count may increase the risk of bleeding or bruising. Your doctor will monitor the patient's platelet count for at least 4 weeks after stopping Eltrombopag Krka.
Inform your doctor if the patient develops bruises or bleeding after stopping Eltrombopag Krka.
Some patients may experience gastrointestinal bleeding after discontinuing peginterferon, ribavirin, and Eltrombopag Krka. Symptoms include:

  • black, tarry stools (change in stool colour is an uncommon adverse reaction, which may affect up to 1 in 100 patients)
  • blood in stool
  • vomiting blood or coffee-ground-like material ➔ Tell your doctor immediately if any of these symptoms occur.

The following adverse reactions have been reported in association with treatment with Eltrombopag Krka in adult patients with immune thrombocytopenia:
Very common adverse reactions
May occur in more than 1 in 10 patients:

  • cold
  • nausea
  • diarrhoea
  • cough
  • infection of nose, sinuses, throat and upper respiratory tract (upper respiratory tract infection)
  • back pain

Very common adverse reactions that may be detected in blood tests:

  • increased liver enzyme activity (alanine aminotransferase (AlAT))

Common adverse reactions
May occur in up to 1 in 10 patients:

  • muscle pain, muscle cramps
  • bone pain
  • heavy menstrual bleeding
  • sore throat and discomfort when swallowing
  • eye disorders, including abnormal eye test results, dry eyes, eye pain, blurred vision
  • vomiting
  • influenza
  • cold sores
  • pneumonia
  • sinus irritation and inflammation (swelling)
  • inflammation (swelling) and infection of the tonsils
  • lung, sinus, nose and throat infections
  • gingivitis
  • loss of appetite
  • tingling, pricking or numbness sensations
  • reduced skin sensitivity
  • drowsiness
  • ear pain
  • pain, swelling and tenderness in one leg (usually calf), with warm skin at the affected site (symptoms of deep vein thrombosis)
  • localized swelling filled with blood from a damaged blood vessel (haematoma)
  • hot flushes
  • oral disorders, including dry mouth, mouth pain, tongue sensitivity, bleeding gums, mouth ulcers
  • watery nasal discharge
  • toothache
  • abdominal pain
  • abnormal liver function
  • skin changes including: excessive sweating, raised itchy rash, red spots, skin appearance changes
  • hair loss
  • foamy urine with presence of air bubbles (symptoms of protein in urine)
  • high body temperature, feeling of warmth
  • chest pain
  • feeling of weakness
  • difficulty sleeping, depression
  • migraine
  • impaired vision
  • sensation of spinning (dizziness)
  • flatulence

Common adverse reactions that may be detected in blood tests:

  • decreased number of red blood cells (anaemia)
  • decreased platelet count (thrombocytopenia)
  • decreased white blood cell count
  • decreased haemoglobin concentration
  • increased eosinophil count
  • increased white blood cell count (leukocytosis)
  • increased uric acid concentration
  • decreased potassium concentration
  • increased creatinine concentration
  • increased alkaline phosphatase activity
  • increased liver enzyme activity (aspartate aminotransferase (AspAT))
  • increased bilirubin concentration in blood (a substance produced by the liver)
  • increased concentration of certain proteins

Uncommon adverse reactions
May occur in up to 1 in 100 patients:

  • allergic reaction
  • interruption of blood supply to part of the heart
  • sudden shortness of breath, especially combined with acute chest pain and (or) rapid breathing, which may indicate a pulmonary embolism (see "Increased risk of blood clots" above in section 4)
  • loss of function in part of the lung due to blockage of the pulmonary artery
  • possible pain, swelling and (or) redness around a vein, which may indicate a blood clot
  • yellowing of the skin and (or) abdominal pain, which may indicate bile duct obstruction, liver disease or drug-induced liver injury (see "Liver problems" above in section 4)
  • drug-induced liver injury
  • rapid heartbeat, irregular heartbeat, bluish skin colouration, cardiac arrhythmias (prolonged QT interval), which may indicate heart and blood vessel disorders
  • blood clot
  • redness
  • painful joint swelling due to uric acid (gout)
  • lack of interest, mood changes, uncontrollable or unexpected crying
  • balance, speech and nerve function disorders, tremors
  • painful or abnormal skin sensations
  • paralysis on one side of the body
  • migraine with aura
  • nerve damage
  • dilation or swelling of blood vessels causing headache
  • eye disorders, including excessive tearing, lens opacity (cataract), retinal haemorrhage, dry eyes
  • nose, throat and sinus disorders, sleep breathing disorders
  • blisters or ulcers in the mouth and throat
  • loss of appetite
  • gastrointestinal disorders including frequent bowel movements, food poisoning, blood in stool, bloody vomiting
  • bleeding from the anus, change in stool colour, abdominal distension, constipation
  • oral disorders, including dryness or pain in the mouth, tongue pain, bleeding gums, oral discomfort
  • sunburn
  • feeling of warmth, feeling of unease
  • redness or swelling at wound site
  • bleeding around a catheter (if present) through the skin
  • sensation of foreign body
  • kidney disorders including: kidney inflammation, excessive urination at night, kidney failure, presence of white blood cells in urine
  • cold sweats
  • general malaise
  • skin infection
  • skin changes, including skin discolouration, peeling, redness, itching and sweating
  • muscle weakness
  • rectal and colon cancer

Uncommon adverse reactions that may be detected in laboratory tests:

  • changes in shape of red blood cells
  • presence of developing white blood cells, which may indicate certain diseases
  • increased platelet count
  • decreased calcium concentration
  • decreased number of red blood cells (anaemia) due to excessive destruction of red blood cells (haemolytic anaemia)
  • increased myelocyte count
  • increased neutrophil granulocyte count
  • increased blood urea concentration
  • increased protein concentration in urine
  • increased albumin concentration in blood
  • increased total protein concentration
  • decreased albumin concentration in blood
  • increased urine pH
  • increased haemoglobin concentration

The following additional adverse reactions have been reported in association with treatment with Eltrombopag Krka in children (aged 1 to 17 years) with ITP:
If these adverse reactions worsen, inform your doctor, pharmacist or nurse.
Very common adverse reactions
May occur in more than 1 in 10 children:

  • infection of nose, sinuses, throat and upper respiratory tract, cold (upper respiratory tract infection)
  • diarrhoea
  • abdominal pain
  • cough
  • high body temperature
  • nausea

Common adverse reactions
May occur in up to 1 in 10 children:

  • difficulty falling asleep (insomnia)
  • toothache
  • nasal and throat pain
  • itchy nose, runny nose or nasal congestion
  • sore throat, runny nose, nasal mucosal congestion and sneezing
  • oral disorders, including dry mouth, oral pain, tongue sensitivity, bleeding gums, mouth ulcers

The following adverse reactions have been reported in association with treatment with Eltrombopag Krka in combination with peginterferon and ribavirin in patients with hepatitis C:
Very common adverse reactions
May occur in more than 1 in 10 patients:

  • headache
  • loss of appetite
  • cough
  • nausea, diarrhoea
  • muscle pain, muscle weakness
  • itching
  • feeling of fatigue
  • fever
  • unusual hair loss
  • weakness
  • flu-like illness
  • swelling of hands or feet
  • chills

Very common adverse reactions that may be detected in blood tests:

  • decreased number of red blood cells (anaemia)

Common adverse reactions
May occur in up to 1 in 10 patients:

  • urinary tract infections
  • nasal passage, throat and oral cavity inflammation, flu-like symptoms, dry mouth, pain or inflammation in the mouth, toothache
  • weight loss
  • sleep disorders, abnormal drowsiness, depression, anxiety
  • dizziness, concentration and memory disturbances, mood changes
  • brain dysfunction due to liver damage
  • tingling or numbness in hands or feet
  • fever, headache
  • visual disturbances, including: lens opacity (cataract), dry eye syndrome, small yellow deposits on the retina, yellowing of the whites of the eyes
  • retinal haemorrhage
  • sensation of spinning (dizziness)
  • rapid or irregular heartbeat (palpitations), shortness of breath
  • productive cough, runny nose, flu, cold sores, sore throat and discomfort when swallowing
  • gastrointestinal disorders including: vomiting, abdominal pain, indigestion, constipation, abdominal distension, taste disturbances, haemorrhoids, stomach pain or discomfort, vascular swelling and bleeding in the oesophagus
  • toothache
  • liver function disorders including liver tumour, yellowing of the whites of the eyes or skin (jaundice), drug-induced liver injury (see above "Liver problems" in section 4)
  • skin changes, including: rash, dry skin, skin eruptions, skin redness, itching, excessive sweating, skin growths, hair loss
  • joint pain, back pain, bone pain, limb pain (legs, arms, hands or feet), muscle cramps
  • irritability, general malaise, skin reaction such as redness or swelling and pain at injection site, chest pain and discomfort, fluid accumulation in the body or limbs causing swelling
  • infection of nose, sinuses, throat and upper respiratory tract, cold (upper respiratory tract infection), inflammation of the mucous membrane lining the bronchi
  • depression, anxiety, sleep disorders, restlessness

Common adverse reactions that may be detected in blood tests:

  • increased blood sugar (glucose) concentration
  • decreased white blood cell count
  • decreased neutrophil count
  • decreased albumin concentration in blood
  • decreased haemoglobin concentration
  • increased bilirubin concentration in blood (a substance produced by the liver)
  • changes in enzymes controlling blood coagulation

Uncommon adverse reactions
May occur in up to 1 in 100 patients:

  • pain during urination
  • cardiac arrhythmias (prolonged QT interval)
  • gastroenteritis (inflammation of stomach and intestines), sore throat
  • blisters or ulcers in the mouth, gastritis
  • skin changes, including discolouration, peeling, redness, itching, skin disorders and night sweats
  • blood clots in the vein bringing blood to the liver (possible liver and/or gastrointestinal damage)
  • abnormal blood clotting in small blood vessels with kidney failure
  • rash, bruising at injection site, chest discomfort
  • decreased number of red blood cells (anaemia) due to excessive destruction of red blood cells (haemolytic anaemia)
  • confusion, agitation
  • liver failure

Reporting of adverse reactions
If any adverse reactions occur, including any not listed in this leaflet, inform your doctor or pharmacist. Adverse reactions can be reported directly to the Department of Monitoring of Adverse Drug Reactions of the Office for Registration of Medicinal Products, Medical Devices and Biocidal Products:
Al. Jerozolimskie 181C, 02-222 Warsaw
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Adverse reactions can also be reported to the marketing authorisation holder.
Reporting adverse reactions helps provide more information on the safety of this medicine.

5. How to store Eltrombopag Krka

Keep this medicine out of sight and reach of children.
Do not use this medicine after the expiry date stated on the blister and outer carton following "EXP". The expiry date refers to the last day of the stated month.
No special storage conditions are required for this medicine.
Medicines must not be disposed of via the sewage system or household waste. Ask your pharmacist how to dispose of medicines no longer required. Such measures help protect the environment.

6. Contents of the pack and other information

What Eltrombopag Krka contains

  • The active substance is eltrombopag. Eltrombopag Krka 25 mg, film-coated tablets: Each film-coated tablet contains eltrombopag olamine equivalent to 25 mg of eltrombopag. Eltrombopag Krka 50 mg, film-coated tablets: Each film-coated tablet contains eltrombopag olamine equivalent to 50 mg of eltrombopag. Eltrombopag Krka 75 mg, film-coated tablets: Each film-coated tablet contains eltrombopag olamine equivalent to 75 mg of eltrombopag.
  • The other ingredients are: tablet core: povidone, microcrystalline cellulose, mannitol, hydroxypropyl cellulose, sodium carboxymethyl starch (type A), magnesium stearate. tablet coating: hypromellose, macrogol, talc, titanium dioxide (E 171), iron oxide red (E 172) (only for 50 mg and 75 mg), iron oxide yellow (E 172) (only for 50 mg), and indigo carmine (E 132) (only for 50 mg and 75 mg). See section 2 "Eltrombopag Krka contains sodium".

What Eltrombopag Krka looks like and contents of the pack
Eltrombopag Krka 25 mg, film-coated tablets are round, biconvex, white, with the imprint "25" on one side.
Eltrombopag Krka 50 mg, film-coated tablets are round, biconvex, brown, with the imprint "50" on one side.
Eltrombopag Krka 75 mg, film-coated tablets are round, biconvex, pink, with the imprint "75" on one side.
Eltrombopag Krka is available in cardboard packaging containing 14, 28, 56 or 84 film-coated tablets in calendar blister packs, and in multipack containers containing 84 (3 packs of 28) film-coated tablets in blisters.
Not all pack sizes may be marketed.

Marketing Authorisation Holder
KRKA, d.d., Novo mesto
Šmarješka cesta 6
8501 Novo mesto
Slovenia

Manufacturer
Elpen Pharmaceutical Co. Inc.
95 Marathonos Ave.
19009 Pikermi, Attiki
Greece
KRKA, d.d., Novo mesto
Šmarješka cesta 6
8501 Novo mesto
Slovenia
TAD Pharma GmbH
Heinz-Lohmann-Strasse 5
27472 Cuxhaven
Germany

This medicinal product is authorised in the European Economic Area and in the United Kingdom (Northern Ireland) under the following names:

Austria, Belgium, Denmark, Estonia, Finland, France, Netherlands, Ireland, Iceland, Lithuania, Latvia, Norway, Poland, Portugal, Czech Republic, Slovakia, Slovenia, Sweden, Hungary, ItalyEltrombopag Krka
GermanyEltrombopag-TAD

For more detailed information about this medicinal product, please contact the local representative of the marketing authorisation holder:
KRKA-POLSKA Sp. z o.o.
Równoległa 5
02-235 Warszawa
Poland
Tel. +48 22 57 37 500

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The original data is available in the language of the country of manufacture.

Data source: Register of Medicinal Products of Poland (URPL)

Data last verified: September 01, 2026