Lancashire and South Cumbria
Formulary
 
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9 Nutrition and blood

This chapter of the formulary is under continual development, please let the team know if you have any comments about the contents: mlcsu.lscformulary@nhs.net

For more information about the formulary development process, please see: https://www.lancsmmg.nhs.uk/lancashire-and-south-cumbria-icb-formulary-development/

09-01-04 Drugs used in autoimmune thrombocytopenic purpura

Anagrelide
Formulary

Capsules 500 micrograms

Specialist initiation only.

Effective contraception required during treatment.

Link  MHRA: Xagrid (anagrelide hydrochloride): Risk of thrombosis, including cerebral infarction, if treatment discontinued abruptly. [also applicable to generic forms]

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Avatrombopag Doptelet®
Formulary

Tablets 20mg

Specialist initiation only.

Link  NICE TA626: Avatrombopag for treating thrombocytopenia in people with chronic liver disease needing a planned invasive procedure
Link  NICE TA853: Avatrombopag for treating primary chronic immune thrombocytopenia

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Caplacizumab  Cablivi®
Formulary

Solution for injection 10mg

Specialist initiation only.

Link  NICE TA667: Caplacizumab with plasma exchange and immunosuppression for treating acute acquired thrombotic thrombocytopenic purpura

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Eltrombopag Revolade®
Formulary

Tablets 25mg, 50mg

Specialist initiation only.

Ensure effective contraception during treatment.

Link  MHRA: Eltrombopag (Revolade): reports of interference with bilirubin and creatinine test results
Link  NICE TA293: Eltrombopag for treating chronic immune thrombocytopenia

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Fostamatinib  TAVLESSE ®
Formulary

Film coated tablets, 100mg, 150mg

Specialist initiation only.

Manufacturer advises effective contraception during and for at least 1 month after stopping treatment in females of childbearing potential.

Link  NICE TA835: Fostamatinib for treating refractory chronic immune thrombocytopenia

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Lusutrombopag Mulpleo®
Formulary

Film coated tablets 3mg

Specialist initiation only.

Link  NICE TA617: Lusutrombopag for treating thrombocytopenia in people with chronic liver disease needing a planned invasive procedure

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Romiplostim Nplate®
Formulary

Injection 250 micrograms

Specialist initiation only.

Link  NICE TA221: Romiplostim for the treatment of chronic immune thrombocytopenia

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