Product image of Kadderum (Eltrombopag) supplied by GNH India

Kadderum

Active Ingredient:
Eltrombopag
Origin:
EU

Kadderum (Eltrombopag)

Eltrombopag, the active ingredient in Kadderum, is a thrombopoietin receptor agonist presented as an oral formulation for oral use. It is indicated for the treatment of immune thrombocytopenia, severe aplastic anemia, and hepatitis C‑associated thrombocytopenia in appropriate patient populations.

GNH India supplies Kadderum as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Genepharm S.A.

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Indications & Clinical Uses

Eltrombopag acts on the thrombopoietin pathway to increase platelet production in several hematologic disorders.

  • Immune thrombocytopenia (ITP): raises platelet counts in patients with chronic ITP.
  • Severe aplastic anemia: supports hematopoiesis by stimulating platelet formation.
  • Hepatitis C‑associated thrombocytopenia: improves platelet levels in patients with liver‑related low platelet counts.

How It Works

  • Eltrombopag is a small‑molecule agonist that binds to the transmembrane domain of the thrombopoietin (c‑Mpl) receptor on megakaryocyte precursors. This binding activates JAK‑STAT signaling, promoting proliferation and differentiation of megakaryocytes, which results in increased platelet production.

Side Effects

Adverse reactions may occur with any medication and should be monitored by the prescribing clinician.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Diarrhea: loose stools, usually transient.
  • Fatigue: general tiredness or lack of energy.
  • Elevated liver enzymes: mild increases in hepatic transaminases.

Serious or Rare Side Effects

  • Thromboembolic events: risk of clot formation in veins or arteries.
  • Severe liver injury: rare cases of hepatitis or hepatic failure.
  • Bone marrow fibrosis: uncommon development of fibrotic changes in marrow.

Precautions & Warnings

Patients should be evaluated for safety considerations before and during therapy.

  • Dose adjustment: monitor platelet counts regularly and adjust dose accordingly.
  • Liver function: assess hepatic enzymes before initiation and periodically thereafter.
  • Thrombosis risk: evaluate individual risk factors for clot formation.
  • Pregnancy and lactation: use only if potential benefit outweighs potential risk, as safety data are limited.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Eltrombopag may interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin): may markedly reduce eltrombopag exposure.
  • Anticoagulants (e.g., warfarin): may increase bleeding risk when platelet counts rise rapidly.

Moderate Interactions (Monitor Closely)

  • Antacids containing magnesium or aluminum: can decrease absorption; separate dosing by at least two hours.
  • Live vaccines: efficacy may be reduced; consider timing of vaccination.
  • Other thrombopoietin receptor agonists: additive effect on platelet counts; monitor closely for thrombosis.

Frequently Asked Questions

Kadderum contains eltrombopag and is prescribed to increase platelet production in patients with immune thrombocytopenia, severe aplastic anemia, and hepatitis C‑associated thrombocytopenia. It helps raise platelet counts to reduce bleeding risk in these hematologic conditions.

Eltrombopag binds to the thrombopoietin (c‑Mpl) receptor on megakaryocyte precursors, activating intracellular JAK‑STAT pathways. This stimulation promotes the growth and maturation of megakaryocytes, leading to increased platelet formation in the bone marrow.

The dosage of Kadderum is individualized. A qualified prescriber determines the appropriate dose based on the patient’s platelet count, underlying condition, and response to therapy. Patients should follow the prescribing clinician’s instructions without self‑adjusting the dose.

The pregnancy and lactation categories for eltrombopag are not definitively established. Use during pregnancy or while breastfeeding is only recommended when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and should be decided by the treating physician.

To order Kadderum, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

The primary alternative to eltrombopag is romiplostim, another thrombopoietin receptor agonist administered by injection. While both increase platelet production, eltrombopag is an oral agent, offering convenience, whereas romiplostim requires subcutaneous dosing. Efficacy and safety profiles differ slightly, and the choice depends on patient preference, clinical response, and physician judgment.

Kadderum should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the product from moisture and direct sunlight. Keep it out of reach of children and do not use if the packaging is damaged.

Kadderum is taken orally, usually with a glass of water. It can be taken with or without food, but patients should follow any specific instructions from their prescriber regarding timing relative to meals or other medications.

Serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, severe liver injury, and rare cases of bone‑marrow fibrosis. Patients should report any new or worsening pain, swelling, jaundice, or unexplained bruising to their healthcare provider promptly.

Kadderum is contraindicated in patients with known hypersensitivity to eltrombopag or any excipients, and in individuals with active malignant disease where platelet stimulation could be harmful. Caution is also advised for patients with uncontrolled liver disease or a history of thrombotic disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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