What Trombopag 25MG is used for?
It is used to,
- Treat a bleeding disorder called immune (idiopathic) thrombocytopenic purpura (ITP) in patients aged 1 year and above
- Treat low platelet count (thrombocytopenia) in adults with hepatitis C virus (HCV) infections
- Treat adult patients with low blood counts caused by severe aplastic anaemia (SAA)
Warning & Precautions
Talk to Doctor
Talk to your doctor before you take this medicine, if you:
- Are allergic to eltrombopag or any of the other ingredients of this medicine
- Have liver problems
- Are at risk of blood clots in your veins or arteries, or you know that blood clots are common in your family
- Have cancer
- Have recently had surgery or received a physical injury
- Are very overweight (obese)
- Are a smoker
- Have cataracts (the lens of the eye getting cloudy)
- Have another blood condition, such as myelodysplastic syndrome (MDS)
Pregnancy & Breast Feeding
- Tell your doctor if you are pregnant or breast feeding or think you may be pregnant or are planning to have a baby
Children & Adolescents
- Trombopag 25MG is not recommended for children aged under 1 year who have Idiopathic thrombocytopenic purpura (ITP)
- It is also not recommended for people under 18 years with low platelet counts due to hepatitis C or severe aplastic anaemia
Driving & Using Machines
- Trombopag 25MG can make you dizzy and have other side effects that make you less alert. Don’t drive or use machines unless you are sure that you are not affected
Tell your doctor if you are taking,
- Antacid medicines to treat indigestion, heartburn or stomach ulcers
- Medicines called statins, to lower cholesterol
- Medicines to treat HIV infection, such as lopinavir and/or ritonavir
- Ciclosporin used in the context of transplantations or immune diseases
- Minerals such as iron, calcium, magnesium, aluminum, selenium and zinc
- Methotrexate and topotecan, medicine used to treat cancer
- Medicines to prevent blood clots there is a greater risk of bleeding
- Corticosteroids or azathioprine you may need to take a lower dose or to stop taking them while you are taking Trombopag 25MG
- Contraceptive birth control pill
How to Use
- Always take this medicine exactly as your doctor has told you
- Take Trombopag 25mg Tablet on an empty stomach, either 1 hour before or 2 hours after meals.
Take Trombopag 25mg Tablet at least 2 hours before or 4 hours after eating dairy products and calcium-fortified juices.
- Swallow it as a whole.
- Do not chew, crush or break it.
- Trombopag 25mg Tablet is to be taken empty stomach.
- Do not change the dose or schedule for taking Trombopag 25MG unless your doctor advises you to
- While you are taking Trombopag 25MG you will be under the care of a doctor with specialist 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 mg tablet of Trombopag 25MG a day. You may need to start at a lower dose of 25 mg
Children (1 to 5 years)
- The usual starting dose for ITP is one 25 mg tabletof Trombopag 25MG a day
For hepatitis C
- The usual starting dose for hepatitis C is one 25 mg tablet of Trombopag 25MG a day
For Severe Aplastic Anaemia (SAA)
- The usual starting dose for SAA is one 50 mg tablet of Trombopag 25MG a day
If you take more Trombopag 25MG
- If you take more Trombopag 25MG than you should contact a doctor immediately
If you forget to take Trombopag 25MG
- Take the next dose at the usual time. Do not take more than one dose of Trombopag 25MG in one day
If you stop taking Trombopag 25MG
- Don’t stop taking Trombopag 25MG without talking to your doctor
Like all medicines, this medicine can cause side effects, although not everybody gets them
- Higher risk of blood clots marked by the sudden blocking of a blood vessel
- Liver problems marked by yellowing of the skin or eyes (jaundice), unusually dark-colored urine
- Decrease platelet count
- Bleeding in the digestive system marked by black tarry stools, vomiting blood, blood in your stools
- Cloudy lens in the eye
- Unusual hair loss
- Skin rash
- Pain in the muscle region or back or pain in the hands or feet
- Tingling or numbness of the hands
- Heavy menstrual period
- Mouth ulcers
- Difficulty in sleeping
- Itchy, runny or blocked nose, throat pain
- Infection of the urinary system
- Irregular heart beat
- Increased blood sugar (glucose)
- Changes in the enzymes that control blood clotting
- Increase in the levels of liver enzymes or bilirubin or some proteins that may show up in blood tests
- Interruption of blood supply to part of the heart
- Sudden shortness of breath
- Sore throat and discomfort when swallowing, inflammation of the lungs, sinuses, tonsils, nose and throat
- Flu (influenza), pneumonia
- Loss of appetite
- Painful swollen joints caused by uric acid (gout)
- Problems sleeping, depression, lack of interest, mood changes
- Ear pain, spinning sensation (vertigo)
- Rectum cancer
- Kidney problems
- Decreased number of blood count
- Changes in the make-up of the blood changes in levels of uric acid, calcium and potassium
- Generally feeling unwell, high temperature, feeling hot, chest pain
- Pain when passing urine
HOW TO COPE WITH SIDE EFFECTS?
The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.
Coping with Nausea and Vomiting
You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
- Keep this medicine out of reach of children
- Store at room temperature (15-25°C)
- Do not use this medicine after the expiry date
Trombopag is a medicine which is used to increase the number of platelets in your blood. This medicine should be taken just as advised by the doctor. You should take this medicine as a whole with a glass of water without crushing or chewing it.
Q. How do you take Trombopag?
Trombopag should be taken exactly as prescribed by your doctor. You should take the medicine on an empty stomach either 1 hour before or 2 hours after eating food. Do not alter the dosage or schedule of the medicine unless your prescribing doctor has advised it to do so.
Q. How long does Trombopag take to work?
Trombopag prevents the occurrence of bleeding episodes by increasing the number of platelets in the blood. The time taken by this medicine to start working may vary from person to person. Usually, it takes about 2 weeks for the patients to respond to Trombopag.
Q. Should I avoid any specific foods while taking Trombopag?
Yes, you may need to avoid certain dairy foods such as cheese, butter, etc. and mineral and vitamin supplements while taking this medicine. Avoid taking these foods four hours before and two hours after taking Trombopag. If you take these food items or supplements, the medicine may not get absorbed into your body, thereby not acting properly.
Q. How should I store Trombopag?
This medicine can be stored at room temperature between 20°C to 25°C. Close the bottle tightly and do not remove the desiccant pack if present inside the bottle as it helps to keep the medicine dry.
Q. Can Trombopag cause serious side effects?
Trombopag can cause serious side effects like liver problems. The symptoms of liver disease include yellowing of the skin or the whites of the eyes, pain in the upper right area of the stomach, unusual darkening of the urine, and unusual tiredness. The risk of liver problems increases if the patient is infected with hepatitis C virus or is being treated for it. Taking this medicine may also increase the platelet count in the blood, increasing the risk of developing blood clots. This in turn increases your risk of getting a heart attack or stroke and may prove fatal in some cases. Ideally, regular blood tests are done to monitor the liver functions and platelet count while taking Trombopag. Its use can also worsen cataract, leading to blurring of vision. Consult your doctor immediately if you notice any of the side effects.
Q. What should I do if I miss a dose of Trombopag?
If you miss a dose of Trombopag, you should wait and take your next scheduled dose. Do not take more than one dose of this medicine in a single day. Taking a double dose of this medicine in a single day can increase the risk of side effects.
The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.