Product Information
Elopag 25 (Eltrombopag) 25mg is an oral thrombopoietin (TPO) receptor agonist used to raise platelet counts in patients with Chronic Immune (Idiopathic) Thrombocytopenia (ITP), chronic Hepatitis C-associated thrombocytopenia, and Severe Aplastic Anaemia. It works by binding to and activating the human TPO receptor, stimulating the proliferation and differentiation of bone marrow progenitor cells into megakaryocytes, the cells responsible for producing platelets. Manufactured by Everest Pharmaceuticals Ltd., Bangladesh and globally supplied by Mediaid Pharmacy with worldwide shipping.
Basic Product Information of Elopag 25 (Eltrombopag) 25mg
| Brand Name | Elopag 25 (Eltrombopag) |
| Generic Name | Eltrombopag (as Eltrombopag Olamine) INN |
| Drug Class | Thrombopoietin (TPO) Receptor Agonist |
| Available Strength | 25mg |
| Formulation | Film-Coated Tablet |
| Pack Size | Available in Packs of 14 or 28 Tablets |
| Primary Indication | Chronic Immune Thrombocytopenia (ITP), Hepatitis C-Associated Thrombocytopenia and Severe Aplastic Anaemia |
| Regulatory Approvals | USFDA Approved (ITP, HCV-Associated Thrombocytopenia, Severe Aplastic Anaemia). EMA Approved. Carries an FDA Boxed Warning for hepatotoxicity. |
| Originator Brand | Promacta / Revolade by Novartis (developed by GSK) |
| Manufacturer | Everest Pharmaceuticals Ltd., Dhaka, Bangladesh |
| Global Supplier | Mediaid Pharmacy, Worldwide Shipping Available |
| Registration | Registered in Bangladesh |
| Storage Conditions | Store below 30 degrees Celsius. Keep in a dry place away from light and moisture. Keep out of the reach of children. |
How Elopag (Eltrombopag) Works
Elopag contains Eltrombopag, a small-molecule, orally bioavailable agonist of the thrombopoietin (TPO) receptor, also known as cMpl. Unlike natural thrombopoietin, Eltrombopag interacts with the transmembrane domain of the TPO receptor rather than the site used by the body’s own hormone, initiating signalling cascades that promote the proliferation and differentiation of megakaryocytes from bone marrow progenitor cells.
Because megakaryocytes are the cells responsible for producing platelets, activating this pathway increases platelet production and raises circulating platelet counts. This makes Elopag valuable in conditions where platelet counts are low due to immune destruction, viral infection-related effects, or bone marrow failure, helping to reduce the risk of bleeding and, in some cases, allowing other necessary treatments to proceed safely.
Elopag is taken as a once-daily oral tablet, with the dose individually titrated based on the patient’s platelet count response, and is not intended to normalise platelet counts to a “normal” range but rather to reduce bleeding risk to an acceptable level.
Indications for Elopag (Eltrombopag)
Elopag (Eltrombopag) is indicated for the following conditions:
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Chronic Immune Thrombocytopenia (ITP) For patients with chronic ITP who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. |
Hepatitis C-Associated Thrombocytopenia To allow the initiation and maintenance of interferon-based antiviral therapy in patients with chronic hepatitis C whose low platelet count would otherwise prevent treatment. |
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Severe Aplastic Anaemia For patients with severe aplastic anaemia who have had an insufficient response to immunosuppressive therapy, or as first-line treatment in combination with standard immunosuppressive therapy. |
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Benefits of Elopag 25 (Eltrombopag) 25mg
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Multi-Condition Coverage Approved for ITP, HCV-associated thrombocytopenia, and severe aplastic anaemia, Elopag offers a versatile option across several distinct causes of low platelet counts. |
Oral Alternative to Injectable Therapies Unlike some other TPO receptor agonists that require injection, Elopag is taken as a convenient oral tablet, once daily. |
First-Line Option in Aplastic Anaemia In severe aplastic anaemia, Elopag can be used alongside standard immunosuppressive therapy from the outset, not only after other treatments have failed. |
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Affordable Alternative to Promacta Elopag contains the same active ingredient as Promacta (Revolade), at a significantly lower cost, making long-term platelet-support therapy more financially accessible. |
Individually Titratable Dosing The 25mg strength allows fine dose titration based on individual platelet count response, helping physicians find the lowest effective dose for each patient. |
cGMP Certified Manufacturing Produced by Everest Pharmaceuticals Ltd. under cGMP-compliant manufacturing standards, helping ensure consistent quality, purity, and potency in every batch of Elopag tablets. |
How to Take Elopag (Eltrombopag)
Route: Oral, taken on an empty stomach, at least 1 hour before or 2 hours after a meal.
Standard starting dose for ITP: 50mg (two 25mg tablets) once daily, or 25mg (one tablet) once daily for patients of East Asian ancestry or with hepatic impairment, then adjusted based on platelet count response, up to a maximum of 75mg per day.
Standard starting dose for HCV-associated thrombocytopenia: 25mg (one tablet) once daily, titrated to achieve the platelet count needed to initiate antiviral therapy, up to a maximum of 100mg per day. Treatment is discontinued if antiviral therapy is discontinued.
Standard starting dose for severe aplastic anaemia: 50mg (two 25mg tablets) once daily, or 25mg (one tablet) once daily for patients of East Asian ancestry, titrated based on platelet response up to a maximum of 150mg per day.
Avoid dairy and mineral supplements near dosing: Do not take Elopag with dairy products or calcium-fortified foods and drinks, or with antacids or supplements containing calcium, iron, magnesium, aluminium, selenium, or zinc, within 4 hours before or after a dose, as these can significantly reduce absorption.
Missed dose: If a dose is missed, take the next dose at the normal scheduled time; do not double up doses.
Hepatic impairment: Use caution and start at a reduced dose in patients with hepatic impairment, given the increased risk of hepatotoxicity in this population.
Renal impairment: Plasma exposure may be reduced in patients with renal impairment; monitor closely and adjust dose as needed.
Paediatric use: Eltrombopag is approved for certain paediatric indications in some regions; follow specialist paediatric dosing guidance where relevant, as adult dosing does not directly apply to children.
Monitoring and Dosage Adjustments
Regular monitoring is essential throughout Elopag treatment. Your physician will check liver function tests (ALT, AST, and bilirubin) before starting treatment, every 2 weeks during the dose adjustment phase, and monthly once a stable dose is established, with more frequent testing in patients receiving first-line therapy for severe aplastic anaemia. Monitoring also includes complete blood counts with platelet count, regularly during dose titration, peripheral blood smear examination for bone marrow changes, and periodic eye examinations, as TPO receptor agonists have been associated with cataract development in some studies. Report any yellowing of the skin or eyes, dark urine, unusual bleeding or bruising, or vision changes to your doctor immediately.
Drug Interactions and Important Information
Eltrombopag is extensively metabolised via CYP1A2 and CYP2C8 oxidation and UGT1A1/UGT1A3 glucuronidation, so caution is needed with medications that significantly affect these pathways. Eltrombopag also inhibits the OATP1B1 transporter and BCRP, which can significantly increase the plasma concentration of certain statins (such as rosuvastatin); a lower statin dose with careful monitoring is generally recommended when co-administered.
Elopag can chelate with polyvalent cations found in antacids, dairy products, and mineral supplements, significantly reducing its own absorption if taken too close together; maintain the recommended separation from these products. Inform your physician of any history of liver disease, blood clots, or eye conditions such as cataracts before starting treatment. Always inform your physician of all medications, supplements, and herbal products you are currently taking before starting Elopag.
Side Effects and Precautions
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Common Side Effects Nausea Diarrhoea Fatigue Muscle aches Headache and dizziness Mild, transient elevations in liver enzymes |
Serious Warnings and Precautions Severe hepatotoxicity, including cases of significant liver injury requiring discontinuation. Hepatic decompensation in HCV-coinfected patients on interferon-based therapy. Thrombotic and thromboembolic events, including venous and arterial events. Increased risk of bone marrow reticulin fibre deposition, a class effect of TPO receptor agonists. Not indicated for MDS, due to observed risk of progression to acute myeloid leukaemia. |
Who Should Use Elopag (Eltrombopag)?
Elopag is suitable for patients with chronic Immune Thrombocytopenia who have had an inadequate response to first-line treatments, patients with chronic Hepatitis C-associated thrombocytopenia who need platelet support to begin or continue antiviral therapy, and patients with severe aplastic anaemia, either as first-line combination therapy or after inadequate response to immunosuppressive treatment. It is prescribed by haematologists and hepatologists experienced in managing platelet disorders. A thorough medical assessment including baseline liver function, complete blood counts, and cardiovascular risk evaluation is required before initiating treatment.
Manufacturer: Everest Pharmaceuticals Ltd.
Everest Pharmaceuticals Ltd. is a vertically integrated pharmaceutical company based in Dhaka, Bangladesh, focused on complex, technology-driven specialty medicines across oncology, haematology, nephrology, and virology. Operating under Bangladesh’s TRIPS/Doha Declaration exemption for least-developed countries, Everest manufactures advanced generics such as Elopag under cGMP-compliant standards, with the stated mission of making high-cost, life-saving medicines accessible and affordable to patients around the world. Elopag is one of Everest’s specialty haematology products, offering a bioequivalent alternative to Promacta (Revolade) at a fraction of the cost.
Global Supplier: Mediaid Pharmacy with Worldwide Shipping
Mediaid Pharmacy is a trusted global supplier of specialty medications. We ensure Elopag (Eltrombopag) is accessible to patients and healthcare providers worldwide through reliable worldwide shipping. Whether you are located in South Asia, the Middle East, Africa, Europe, or beyond, Mediaid Pharmacy provides fast and reliable delivery with full order support. Contact us directly via WhatsApp, phone, or WeChat for pricing, availability, and delivery enquiries.
Why Choose Elopag (Eltrombopag) from Mediaid Pharmacy?
Elopag represents a well-established, oral option for patients managing low platelet counts due to ITP, hepatitis C, or aplastic anaemia. As the generic equivalent of Promacta (Revolade), it delivers the same active ingredient, Eltrombopag, with the same proven TPO receptor agonist mechanism at a dramatically more affordable price. Manufactured by Everest Pharmaceuticals Ltd. under cGMP-compliant standards and distributed globally by Mediaid Pharmacy, Elopag gives patients worldwide access to effective platelet-support therapy without the financial burden of brand-name alternatives. For patients and physicians seeking a proven, affordable, and accessible Eltrombopag option with worldwide delivery, Elopag from Mediaid Pharmacy is the trusted choice.
Frequently Asked Questions About Elopag (Eltrombopag)
What is Elopag (Eltrombopag) used for?
Elopag (Eltrombopag) is used to raise platelet counts in patients with chronic Immune Thrombocytopenia (ITP) who have not responded adequately to other treatments, patients with chronic Hepatitis C-associated thrombocytopenia who need platelet support to receive antiviral therapy, and patients with severe aplastic anaemia. It works by stimulating the bone marrow to produce more platelets.
How should I take Elopag (Eltrombopag)?
Elopag is taken orally, once daily, on an empty stomach, at least 1 hour before or 2 hours after a meal, and away from dairy products or mineral supplements. The starting dose depends on the condition being treated and is individually titrated based on your platelet count response. Always follow your physician’s exact instructions.
What pack sizes is Elopag 25 available in?
Elopag 25 is available in packs of 14 or 28 film-coated tablets, each containing 25mg of Eltrombopag. Your physician will advise on the total quantity needed based on your prescribed dose and treatment duration.
Is Elopag the same as Promacta (Eltrombopag by Novartis)?
Yes. Elopag is the generic equivalent of Promacta (also known as Revolade in some markets). Both contain the same active ingredient, Eltrombopag, and work through the same TPO receptor agonist mechanism. Elopag is manufactured by Everest Pharmaceuticals Ltd. in Bangladesh and offers the same clinical mechanism at a significantly lower cost.
What are the side effects of Elopag (Eltrombopag)?
Common side effects include nausea, diarrhoea, fatigue, muscle aches, and headache. Elopag carries a boxed warning for severe liver injury, and in HCV patients on interferon-based therapy, an increased risk of hepatic decompensation. Always consult your physician for a complete assessment of your individual risks and benefits before starting treatment.
Can Elopag be used with other medications?
Elopag can significantly increase the levels of certain statins, so a lower statin dose with monitoring may be needed. Avoid taking Elopag close to dairy products, antacids, or mineral supplements containing calcium, iron, magnesium, aluminium, selenium, or zinc, as these reduce its absorption. Always inform your physician of all medications, supplements, and herbal products you are taking before starting Elopag.
Is Elopag (Eltrombopag) safe during pregnancy or breastfeeding?
Please consult your physician before starting treatment if you are pregnant, planning to become pregnant, or breastfeeding, so that the potential risks and benefits can be discussed for your individual situation, as data in these populations are limited.
Can I order Elopag (Eltrombopag) online with worldwide shipping?
Yes. Mediaid Pharmacy supplies Elopag (Eltrombopag) 25mg globally with worldwide shipping. Contact us via WhatsApp, phone, or WeChat at +8801773428128 or email us at info@mediaidpharmacy.com to enquire about pricing, availability, and delivery to your country.
Order Elopag 25 (Eltrombopag) with Worldwide Shipping
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