
Receiving romiplostim (Nplate)
Dear Patient,
Your health care provider has prescribed romiplostim to treat your chronic immune idiopathic thrombocytopenia. This drug is used to stimulate platelet production when other drugs or splenectomy haven't been effective. The brand name of this drug is Nplate.
How you'll receive this drug
You'll receive this drug once per week by subcutaneous (under-the-skin) injection.
What to do if you miss a dose
If you miss an appointment for an injection, contact your health care provider immediately to reschedule the appointment.
What to do about side effects
Notify your health care provider if you experience side effects to this medication.
Common: arm and leg pain, dizziness, headache, joint pain, muscle tenderness or weakness, trouble sleeping.
Less common: abdominal pain, indigestion, tingling or numbness in hands and feet.
What you must know about other medications
Tell any health care provider who takes care of you that you're taking this drug.
Special directions
- Notify your health care provider if you experience bruising or bleeding while receiving this medication.
- Your health care provider will check your platelet count every week and change your dose as needed. When your health care provider decides to keep your dose the same, you'll need to have your platelet count checked monthly. When you stop receiving the drug, you'll need to have your platelet count checked for at least 2 weeks to make sure your platelet count hasn't dropped significantly.
- Tell your health care provider if you have had surgery to remove your spleen or if you have a history of blood clots, bleeding, or bone marrow problems.
Keep in mind
- Avoid situations that may increase your risk of bleeding, such as missing a dose of the medication.
- It's unknown how this medication affects a breast-fed infant. Breast-feeding women should choose another method of feeding their infants because of the potential for adverse effects in the infant.
- It's unknown whether this medication affects a fetus. Tell your health care provider if you think you may be pregnant or you plan to become pregnant.
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