er under their direction. You may not give Nplate injections to yourself.
It is not known if Nplate works or if it is safe in people under the age of 18.
Nplate is for treatment of certain people with low blood platelet counts caused by chronic ITP, not low platelet counts caused by other conditions or diseases.
What should I tell my doctor before taking Nplate?
Tell your doctor about all your medical conditions, including if you:
Have had surgery to remove your spleen (splenectomy).
Have a bone marrow problem, including a blood cancer or MDS.
Have or had a blood clot.
Have bleeding problems.
Are pregnant, think you may be pregnant, or plan to get pregnant. It is not known if Nplate will harm an unborn baby.
Pregnancy Registry: There is a registry for women who become pregnant during treatment with Nplate. If you become pregnant, consider this registry. The purpose of the registry is to collect safety information about the health of you and your baby. Contact the registry as soon as you become aware of the pregnancy, or ask your healthcare provider to contact the registry for you. You or your healthcare provider can get information and enroll in the registry by calling 1-877-Nplate1 (1-877-675-2831).
Are breast-feeding or plan to breast-feed. It is not known if Nplate passes into your breast milk. You and your healthcare provider should decide whether you will take Nplate or breast-feed. You should not do both.
Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal products. Know the medicines you take. Keep a list of them and show it to your healthcare provider and pharmacist when you get a new medicine.
How should I take Nplate?
To receive Nplate, you must first talk with your healthcare provider and understand the benefits and risks of Nplate. You must agree to and follow all of the instructions in the Nplate NEXUS Program.
Before you can begin to receive Nplate, your healthcare provider will:
Explain the Nplate NEXUS Program to you.
Answer all of your questions about Nplate and the Nplate NEXUS Program.
Make sure you read the Nplate Medication Guide.
Have you sign the Nplate NEXUS Patient Enrollment Form.
Nplate is given by your healthcare provider as a subcutaneous (SC) injection under the skin one time each week.
Your healthcare provider will check your platelet count every week and change your dose of Nplate as needed. This will continue until your healthcare provider decides that your dose of Nplate can stay the same. After that, you will need to have blood tests every month. When you stop receiving Nplate, you will need blood tests for at least 2 weeks to check if your platelet count drops too low.
Tell your healthcare provider about any bruising or bleeding that occurs while you are receiving Nplate.
If you miss a scheduled dose of Nplate, call your healthcare provider to arrange for your next dose as soon as possible.
What should I avoid while receiving Nplate?
Avoid situations that may increase your risk of bleeding, such as missing a scheduled dose of Nplate. You should arrange for your next dose as soon as possible. Call your doctor or the Nplate NEXUS Program at 1-877-Nplate1 (1-877-675-2831).
What are the possible side effects of Nplate?
Nplate may cause serious side effects. See “What is the most important information I should know about Nplate?”
The most common side effects of Nplate are:
Headache
Joint pain
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