Thrombopoietin-receptor agonist

Avatrombopag (أفاترومبوباج)

Avatrombopag stimulates the bone marrow to make platelets. It is used under specialist supervision for defined causes of thrombocytopenia, with blood tests to avoid excessive platelet rises and clots.

This medicine is used under close medical supervision, usually by a specialist. Never start, stop or change it without your doctor.

What it is used for

  • Raising platelets in adults with chronic liver disease before a planned invasive procedure
  • Treatment of chronic primary immune thrombocytopenia in adults when other treatments have not worked

How it is used

  • Take tablets with food exactly according to the haematology or liver specialist's plan
  • Do not change the dose or treatment length yourself; the plan differs by the cause of low platelets
  • Attend platelet tests before, during and after treatment as requested
  • If you miss a dose, follow the leaflet or contact the team and do not double it

Possible side effects

  • Headache or tiredness
  • Nausea or abdominal discomfort
  • Platelets rising higher than intended
  • A blood clot, which may be serious

Who should not use it

  • Known allergy to avatrombopag or any tablet ingredient

Before and while using it

  • It is not used to normalise the platelet count but to reach a target chosen by the specialist
  • It may increase clot risk, especially with liver disease or other risk factors; seek help for chest pain, breathlessness, a swollen leg or sudden weakness
  • Platelets may fall again after stopping, so continue the blood tests requested by the team
  • In immune thrombocytopenia, follow-up may identify bone-marrow changes or recurrent bleeding that need assessment

Medicine interactions

  • Some inhibitors or inducers of liver enzymes can alter exposure and may require a plan adjustment
  • Tell the team about blood thinners and medicines affecting platelets or clot risk
  • Do not start a supplement or herbal medicine without checking with the pharmacist or specialist

Pregnancy and breastfeeding

  • It is not recommended in pregnancy unless a specialist decides it is clearly needed; tell the team if you are pregnant or planning pregnancy
  • The team will discuss stopping breastfeeding or avoiding treatment because the medicine may pass into milk

How to store it

  • Keep tablets in the original pack to protect them from moisture and out of children's reach

Get medical help straight away if

  • Your face, lips or tongue swell, or you find it hard to breathe.
  • You get a severe rash, blistering or peeling skin.
  • A side effect worries you or doesn’t go away: contact your doctor or pharmacist.

Questions about this medicine?

Talk to a doctor by video, or send your question by text.

Source: Standard international medicine references

This guide is general information and doesn’t replace advice from your doctor or pharmacist. Don’t start, stop or change a medicine without asking them, and always read the leaflet in the pack.