(ROM i PLOS tim) Brand: Nplate
• Romiplostim is accessible only under a particular program called Nplate NEXUS. You should be registered in the program and sign documents stating that you understand the risks and benefits of taking this medication.
• Romiplostim is not a cure for ITP and it will not create your platelet counts usual if you have this condition.
• Till you use romiplostim, speak your doctor if you have kidney or liver disease.
• Using romiplostim long-term can reason deleterious effects on your bone marrow that may result in serious blood cell disorders. To be certain this medicine is helping your condition and not causing deleterious effects, your blood will need to be tested often. Do not miss any scheduled visits to your doctor.
• It may take up to 4 weeks of using this medication till it is completely effective in preventing bleeding episodes. Conversation with your doctor if you have any bruising or bleeding episodes after 4 weeks of treatment.
• After you stop using romiplostim, your risk of bleeding may be even higher than it was till you started treatment. Be extra careful to avoid cuts or injury for at least 2 weeks after you stop using romiplostim. Your blood will need to be tested weekly during this time.
• Romiplostim is a man-made form of a protein that increases manufacture of platelets (blood-clotting cells) in your body.
• Romiplostim is used to prevent bleeding episodes in people with chronic immune thrombocytopenic purpura (ITP), a bleeding condition caused by a lack of platelets in the blood.
• Romiplostim is generally given after another medications have been tried without successful treatment of symptoms.
• Romiplostim is not a cure for ITP and it will not create your platelet counts usual if you have this condition.
• Romiplostim may also be used for purposes not listed in this medicine guide.
• To create certain you can safely use romiplostim, speak your doctor if you have liver or kidney disease.
• Using romiplostim may magnify your risk of developing blood cancers, especially if you have myelodysplastic syndrome (also called "preleukemia"). Conversation with your doctor if you have concerns about this risk.
• FDA pregnancy category C. It is not known whether romiplostim will harm an unborn child. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.
• If you are pregnant, your name may be listed on a pregnancy registry. This is to track the outcome of the pregnancy and to estimate any effects of romiplostim on the baby.
• It is not known whether romiplostim passes into breast milk or if it could harm a nursing child. You must not breast-feed while you are using romiplostim.
• Romiplostim is accessible only under a particular program called Nplate NEXUS. You should be enrolled in this program and sign all required agreements in order to receive the medicine. Read all program brochures and agreements carefully.
• Romiplostim is given as an injection under the skin, generally once for week. Your doctor, nurse, or another healthcare provider will give you this injection.
• It may take up to 4 weeks of till this medicine is completely effective in preventing bleeding episodes. For excellent results, hold receiving the medicine as directed. Conversation with your doctor if you have any bruising or bleeding episodes after 4 weeks of treatment.
• Using romiplostim long-term can reason deleterious effects on your bone marrow that may result in serious blood cell disorders. To be certain this medicine is helping your condition and not causing deleterious effects, your blood will need to be tested often. Do not miss any scheduled visits to your doctor.
• After you stop using romiplostim, your risk of bleeding may be even higher than it was till you started treatment. Be extra careful to avoid cuts or injury for at least 2 weeks after you stop using romiplostim. Your blood will need to be tested weekly during this time.
• Call your doctor for instructions if you miss an appointment for your romiplostim injection.
• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.
• Overdose can reason signs of a blood clot, including sudden numbness or weakness, sudden headache or confusion, problems with vision or speech, loss of balance, chest pain, sudden cough, wheezing, rapid breathing, quick heart course, and pain or swelling in one or both legs.
• Follow your doctor's instructions about any restrictions on food, beverages, or activity.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.
• Smaller serious side effects may include:
· headache;
· dizziness;
· joint or muscle pain;
· pain in your arms, legs, or shoulder;
· numbness or tingly feeling;
· sleep problems (insomnia); or
· stomach pain or upset.
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
• There may be another drugs that can interact with romiplostim. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.
• Your doctor or pharmacist can provide more information about romiplostim.
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
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