{"id":7677,"date":"2021-02-26T09:13:07","date_gmt":"2021-02-26T09:13:07","guid":{"rendered":"https:\/\/zeepedia.com\/?p=7677"},"modified":"2021-05-20T06:35:32","modified_gmt":"2021-05-20T06:35:32","slug":"doptelet","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/doptelet\/","title":{"rendered":"Doptelet &#8211; Avatrombopag uses, dose and side effects"},"content":{"rendered":"\n<p> 20 mg\u00a0film-coated tablets\u00a0<br>avatrombopag<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Doptelet is and what it is used for<\/h2>\n\n\n\n<p>Doptelet contains an active substance called avatrombopag.&nbsp;It belongs to a group of medicines called thrombopoietin receptor&nbsp;agonists.<br><\/p>\n\n\n\n<p>Doptelet is used in adults with&nbsp;chronic&nbsp;liver disease to treat low&nbsp;platelet counts&nbsp;(&nbsp;thrombocytopenia&nbsp;) before a medical procedure that carries a risk of bleeding.<br><\/p>\n\n\n\n<p>Doptelet is used to treat adults with low&nbsp;platelet counts&nbsp;due to primary&nbsp;chronic immunological&nbsp;thrombocytopenia&nbsp;(ITP) when previous treatment with ITP (such as&nbsp;corticosteroids&nbsp;or immunoglobulins) has not worked well enough.<\/p>\n\n\n\n<p>Doptelet works by helping to increase the number of platelets in the blood.&nbsp;The platelets are&nbsp;blood cells&nbsp;that help the blood to coagulate and thus reduce or prevent bleeding.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before taking Doptelet<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Doptelet if:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>you are allergic to avatrombopag or any of the other ingredients of this medicine (listed in section 6).&nbsp;If you are not sure, talk to your doctor or pharmacist before taking Doptelet.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Doptelet if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you are at risk of getting blood clots in&nbsp;your&nbsp;veins or&nbsp;arteries, or if any family member has had blood clots.<\/li><li>you have another blood disorder called&nbsp;myelodysplastic syndrome&nbsp;(MDS);&nbsp;treatment with Doptelet may worsen MDS.<\/li><\/ul>\n\n\n\n<p><strong>The risk of getting blood clots can be higher<\/strong>&nbsp;as you get older if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you stay in bed for a long time<\/li><li>you have cancer<\/li><li>you are taking&nbsp;pills&nbsp;or receiving hormone replacement therapy<\/li><li>you have recently had surgery or been injured<\/li><li>you are severely overweight<\/li><li>you are smoking<\/li><li>you have advanced&nbsp;chronic&nbsp;liver disease.<\/li><\/ul>\n\n\n\n<p>If any of the above apply to you, or you are not sure, talk to your doctor or pharmacist before taking Doptelet.<br><\/p>\n\n\n\n<p><strong>Blood tests to check the number of&nbsp;platelets<\/strong><\/p>\n\n\n\n<p>If you stop taking Doptelet, the&nbsp;platelet count will&nbsp;probably be as low as before or even lower, leading to a risk of bleeding.&nbsp;This can happen within a few days.&nbsp;The&nbsp;platelet count&nbsp;will be checked and your doctor will discuss appropriate precautions with you.<br><\/p>\n\n\n\n<p><strong>Tests to check the&nbsp;bone marrow&nbsp;a<\/strong><\/p>\n\n\n\n<p>In people who have problems with the&nbsp;bone marrow, drugs such as Doptelet can make the problems worse.&nbsp;Signs of changes in the&nbsp;bone marrow&nbsp;may show abnormal results in blood tests.&nbsp;Your doctor may also take samples to directly check your&nbsp;bone marrow&nbsp;during treatment with Doptelet.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Do not give Doptelet to anyone under 18 years of age.&nbsp;The safety and efficacy of the drug in this age group are not known.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Doptelet<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<br><\/p>\n\n\n\n<p>If you are taking other medicines for ITP, you may need to lower your&nbsp;dose&nbsp;or stop taking it while you are taking Doptelet.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Doptelet is not recommended during pregnancy or in women of childbearing potential not using contraception.<br><\/p>\n\n\n\n<p>If you are breast-feeding, ask your doctor or pharmacist for advice before taking Doptelet.&nbsp;This medicine can pass into breast milk.&nbsp;Your doctor will help you determine if the benefits of breastfeeding outweigh the potential risks to your baby while breastfeeding.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Doptelet is not expected to affect the ability to drive, cycle or use tools or machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Doptelet contains lactose<\/h2>\n\n\n\n<p>Doptelet contains&nbsp;lactose&nbsp;(a sugar).&nbsp;If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to take Doptelet<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<br><\/p>\n\n\n\n<p>If you have&nbsp;chronic&nbsp;liver disease and low&nbsp;platelet counts, your planned medical procedure should be performed within 5 to 8 days after the last&nbsp;dose of&nbsp;Doptelet.<br><\/p>\n\n\n\n<p>If you have&nbsp;chronic&nbsp;immunological&nbsp;thrombocytopenia, your doctor will tell you how much Doptelet to take and when to take it.<br><\/p>\n\n\n\n<p><strong>How many doses<\/strong>&nbsp;should I take?<br><\/p>\n\n\n\n<p><em>If you have&nbsp;chronic&nbsp;liver disease and are about to undergo an invasive procedure<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Doptelet is available as 20 mg tablets.&nbsp;The usual&nbsp;dose&nbsp;is either 40 mg (2 tablets) or 60 mg (3 tablets) a day, 5 days in a row.<\/li><li>Dose&nbsp;one depends on your platelet count (&nbsp;platelet count&nbsp;).<\/li><li>Your doctor or pharmacist will tell you how many tablets to take and when to take them.<\/li><\/ul>\n\n\n\n<p><em>If you have&nbsp;chronic&nbsp;immunological&nbsp;thrombocytopenia<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The usual starting dose is 20 mg (1 tablet) a day.&nbsp;If you are taking certain other medicines, you may need a different starting dose.<\/li><li>Your doctor or pharmacist will tell you how many tablets to take and when to take them.<\/li><li>Your doctor will check your&nbsp;platelet count&nbsp;at regular intervals and will adjust your&nbsp;dose&nbsp;as needed.<br><\/li><\/ul>\n\n\n\n<p><strong>Take the medicine like this<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The tablets should be swallowed whole and Doptelet should be taken with food, at the same time each day.<br><\/li><\/ul>\n\n\n\n<p><em>If you have&nbsp;chronic&nbsp;liver disease and low&nbsp;platelet counts<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Start taking Doptelet 10 to 13 days before the planned medical procedure.<\/li><li>Your doctor or pharmacist will tell you how many tablets to take and when to take them.<br><\/li><\/ul>\n\n\n\n<p><em>If you have&nbsp;chronic&nbsp;immunological&nbsp;thrombocytopenia<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Your doctor or pharmacist will tell you how many tablets to take and when to take them.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Doptelet then you should<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Talk to a doctor or pharmacist immediately.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Doptelet<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Take the missed&nbsp;dose&nbsp;as soon as you remember and then take the next&nbsp;dose&nbsp;at the usual time.<\/li><li>Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Doptelet<\/h2>\n\n\n\n<p>Take Doptelet for as long as your doctor tells you to.&nbsp;Do not stop taking Doptelet unless your doctor tells you to.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<br><\/p>\n\n\n\n<p>Talk to your doctor or pharmacist if you get any of the following&nbsp;side effects.<br><\/p>\n\n\n\n<p><strong>The following&nbsp;side effects&nbsp;have been reported with Doptelet treatment in adult patients with&nbsp;chronic&nbsp;liver disease:<\/strong><br><\/p>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fatigue.<br><\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>low&nbsp;red blood cell count&nbsp;(&nbsp;anemia&nbsp;)<\/li><li>a blood clot in the portal vein (the blood vessel that carries blood from the intestines to the liver), which can lead to pain or swelling in the upper abdomen<\/li><li>skeletal pain<\/li><li>muscle aches<\/li><li>fever.<br><\/li><\/ul>\n\n\n\n<p><strong>The following&nbsp;adverse reactions&nbsp;have been reported with Doptelet treatment in adult patients with primary&nbsp;chronic&nbsp;immunological&nbsp;thrombocytopenia<\/strong>&nbsp;:<br><\/p>\n\n\n\n<p><strong>Very common<\/strong>&nbsp;(may affect more than 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fatigue<\/li><li>headache.<br><\/li><\/ul>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>back pain, muscle aches, joint pain, pain in arms or legs<\/li><li>discomfort or pain in the skeleton, muscles, ligaments, tendons, and nerves<\/li><li>nausea, diarrhea, vomiting, abdominal pain, flatulence<\/li><li>dizziness, discomfort in the head,&nbsp;migraine<\/li><li>decreased appetite<\/li><li>weakness<\/li><li>nosebleeds<\/li><li>skin rash,&nbsp;itching,&nbsp;acne, red spots on the skin<\/li><li>tingling or numbness<\/li><li>enlarged&nbsp;spleen<\/li><li>shortness of breath<\/li><li>high&nbsp;blood pressure<\/li><li>the tendency to bruise or bleed (low&nbsp;platelet count&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;side effects are&nbsp;those that can show up in blood tests<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>elevated fats (&nbsp;cholesterol,&nbsp;triglycerides&nbsp;)<\/li><li>elevated or decreased blood sugar (&nbsp;glucose&nbsp;)<\/li><li>the elevated liver enzyme (&nbsp;alanine aminotransferase&nbsp;)<\/li><li>elevated&nbsp;lactate dehydrogenase<\/li><li>elevated gastrin<\/li><li>decreased number of&nbsp;red blood cells&nbsp;(&nbsp;anemia&nbsp;)<\/li><li>increased or decreased&nbsp;platelet count.<br><br><\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>redness, swelling, and pain in a vein due to a blood clot<\/li><li>pain, swelling, and tenderness in one of the legs (usually the calf) with hot skin on the affected area (signs of a blood clot in a deep vein)<\/li><li>blood clots in the veins that carry blood from the brain<\/li><li>narrowing of blood vessels (&nbsp;vasoconstriction&nbsp;)<\/li><li>sudden shortness of breath, especially with a sharp pain in the chest and\/or rapid breathing, which may be a sign of a blood clot in the lungs<\/li><li>clogging or narrowing of the vein that carries blood to the liver<\/li><li>stroke&nbsp;or &#8220;mini-stroke&#8221;<\/li><li>myocardial infarction<\/li><li>irregular&nbsp;heartbeat<\/li><li>hemorrhoids<\/li><li>dilation of rectal veins<\/li><li>inflammation&nbsp;(swelling) and&nbsp;infection&nbsp;of the nose, sinuses, throat,&nbsp;tonsils,&nbsp;or middle ear (upper respiratory tract infection)<\/li><li>scarring of the&nbsp;bone marrow&nbsp;a<\/li><li>reduced amount of water or body fluids (dehydration)<\/li><li>increased appetite, hunger<\/li><li>mood swings<\/li><li>abnormal thinking<\/li><li>altered sense of taste, hearing, or sight<\/li><li>eye problems including irritation, discomfort,&nbsp;itching, swelling, tearing, photosensitivity, blurred vision, impaired vision, loss of vision<\/li><li>earache<\/li><li>increased sensitivity to everyday sounds<\/li><li>bloody vomiting<\/li><li>nasal congestion<\/li><li>pain, discomfort, or swelling in the abdomen<\/li><li>constipation<\/li><li>belching<\/li><li>acid reflux<\/li><li>burning or burning sensation in the mouth<\/li><li>numbness in the mouth, swollen tongue, tongue problems<\/li><li>numbness<\/li><li>hair loss<\/li><li>varb\u00f6lder<\/li><li>dry skin<\/li><li>dark purple spots on the skin (blood leakage from blood vessels, bruising)<\/li><li>heavy sweating<\/li><li>changed skin color<\/li><li>itchy rash<\/li><li>skin irritation<\/li><li>abnormality in a joint<\/li><li>muscle cramps, muscle weakness<\/li><li>blood in the urine<\/li><li>heavy menstruation<\/li><li>pain in nipples<\/li><li>chest pain<\/li><li>pain<\/li><li>swelling in arms or legs.<br><\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;side effects&nbsp;can be seen in blood tests<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>bacteria in the blood<\/li><li>increased&nbsp;white blood cell count<\/li><li>decreased amount of iron in the blood<\/li><li>the elevated liver enzyme (&nbsp;aspartate aminotransferase&nbsp;), abnormal liver values.<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store the Doptelet<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton and each blister after \u201cEXP\u201d.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>No special storage instructions.<br><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is avatrombopag.&nbsp;Each film-coated tablet contains avatrombopag maleate equivalent to 20 mg avatrombopag.<\/li><li>The other ingredients are:&nbsp;<br>Tablet core:&nbsp;lactose monohydrate&nbsp;(see section 2 \u201cDoptelet contains lactose\u201d), microcrystalline cellulose [E460 (i)], crospovidone type B [E1202],&nbsp;colloidalanhydrous silica [E551], magnesium stearate [E470b].&nbsp;<br>Film coating: polyvinyl alcohol [E1203], talc [E553b], macrogol 3350 [E1521], titanium dioxide [E171], yellow iron oxide [E172].<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Doptelet 20 mg film-coated tablets are light yellow, round, with a curved top and bottom, marked with \u201cAVA\u201d on one side and \u201c20\u201d on the other.<br><\/p>\n\n\n\n<p>The tablets are packed in cartons containing one or two blister cards made of aluminum.&nbsp;Each blister card contains 10 or 15 tablets.<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Cilatus Manufacturing Services Limited<\/p>\n\n\n\n<p>Regus House<\/p>\n\n\n\n<p>Harcourt Center<\/p>\n\n\n\n<p>Harcourt Road<\/p>\n\n\n\n<p>Dublin 2<\/p>\n\n\n\n<p>D02 HW77<\/p>\n\n\n\n<p>Ireland<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Doptelet contains an active substance called avatrombopag. It belongs to a group of medicines called thrombopoietin receptor agonists.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2204,2200],"tags":[5257,5259,5260,5261,5263,5264,2212,2211,5258,5262],"class_list":["post-7677","post","type-post","status-publish","format-standard","hentry","category-d","category-medicines","tag-avatrombopag","tag-avatrombopag-side-effects","tag-avatrombopag-tablet","tag-doptelet","tag-doptelet-side-effects","tag-doptelet-tablet","tag-medicine","tag-tablets","tag-what-is-avatrombopag","tag-what-is-doptelet"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7677","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=7677"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7677\/revisions"}],"predecessor-version":[{"id":10903,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7677\/revisions\/10903"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=7677"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=7677"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=7677"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}