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At a glance

Eltrombopag Olamine is a thrombopoietin agonist used for the treatment of thrombocytopenia in chronic immune thrombocytopenic purpura (ITP), chronic hepatitis C infection, and severe aplastic anemia.

Indications
  • Thrombocytopenia in persistent or chronic immune thrombocytopenia
  • Thrombocytopenia in hepatitis C infection
  • Severe aplastic anemia
Pharmacology

Eltrombopag Olamine is a small molecule thrombopoietin (TPO) receptor agonist. It interacts with the transmembrane domain of the human TPO-receptor and initiates signaling cascades that induce proliferation and differentiation from bone marrow progenitor cells, finally leading to increased platelet production.

Dosage

Adult Dose:

  • Chronic ITP: 50 mg once daily, adjust to maintain platelet count ≥50×109/L. Max: 75 mg/day.
  • Chronic hepatitis C: 50 mg once daily, max 100 mg/day.
  • Severe aplastic anemia: 50 mg once daily, adjust to maintain platelet count ≥50×109/L. Max: 150 mg/day.

Child Dose (6 years+): 50 mg once daily. (1-5 years: 25 mg once daily).

Side effects

Common Side Effects:

  • Nausea
  • Diarrhea
  • Upper respiratory tract infection
  • Vomiting
  • Increased liver enzymes
  • Muscle pain
  • Urinary tract infection
  • Anemia
  • Pyrexia
  • Cough
  • Fatigue
  • Headache
Use in pregnancy

Eltrombopag Olamine may be unsafe during pregnancy. Animal studies have shown harmful effects. Doctor will weigh benefits and risks.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Eltrombopag Olamine can cause dizziness and make you less alert, affecting driving ability.
  • Take on empty stomach (1 hour before or 2 hours after meals).
  • Take at least 2 hours before or 4 hours after dairy products and calcium-fortified juices.
  • Monitor platelet counts regularly.
  • Monitor liver function.
Overdose effects

Overdose may cause excessive platelet count increase leading to thrombotic or thromboembolic complications. Consider oral administration of metal cation-containing preparation (calcium, aluminium or magnesium) to chelate eltrombopag and limit absorption.

Storage conditions

Store below 25°C in a cool, dry place protected from light. Keep out of reach of children.

Eltrombopag Olamine — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.