Romiplostim
رومیپلوستیم
🩸 Blood And Blood Forming OrgansThrombopoietin receptor agonist
Market / country: 🇺🇸 USA
Nplate (US)
🧮 Dose calculator
Immune thrombocytopenia (ITP) · Regimen source: FDA Nplate · 2.1
- • Increase weekly by 1 mcg/kg until platelets ≥50×10⁹/L; max 10 mcg/kg/week; use actual body weight at initiation. Syringe with 0.01 mL graduations. Stop if no response after 4 weeks at max dose. FDA Nplate · 2.1FDA Nplate · 2.3
Enter age and weight.
🛡️ Safety & information
Warnings
- • Progression of myelodysplastic syndromes to AML; thrombotic events; loss of response. FDA Nplate · 5
Formulations
- 250 mcg vial — powder for injection 🇺🇸 USA FDA Nplate · 3
- 125 mcg vial — powder for injection 🇺🇸 USA FDA Nplate · 3
- 500 mcg vial — powder for injection 🇺🇸 USA FDA Nplate · 3
👥 Special populations
- 🤰 PregnancyDangerous / avoid
Label: can cause fetal harm. Dangerous in pregnancy. FDA Nplate · 8.1
“Risk Summary Based on findings from animal reproduction studies, Nplate may cause fetal harm when administered to a pregnant woman.”
- 🤱 BreastfeedingDangerous / avoid
Label: breastfeeding not recommended, or choose between the drug and breastfeeding. FDA Nplate · 8.2
“Due to the potential for serious adverse reactions in a breastfed child from Nplate, advise women not to breastfeed during treatment with Nplate.”
- 👶 ChildrenUse with caution
The label has conditions, age limits or notes for children; the label sentence is quoted below. FDA Nplate · 8.4
“Safety and effectiveness of Nplate have been established in pediatric patients age 1 year and older with ITP for at least 6 months evaluated in two randomized, placebo-controlled studies.”
- 👴 Older adultsUse with caution
Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Nplate · 8.5
“In general, dose adjustment for an elderly patient should be cautious, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.”
- ⚥ Females & males of reproductive potentialNo data
The source for this drug has no section for this group.
🔗 Reference links
- FDA (approval record)BLA125268
- DailyMed (FDA label)FDA Nplate
- MedlinePlus (NIH)Romiplostim Injection
- WHO ATC/DDDB02BX04
- Darooyab (Iran)Romiplostim
🇮🇷 Registered in Iran Darooyab · G-4799/Romiplostim
Dosage forms with Iranian generic codes, per Darooyab.
- 17038 · ROMIPLOSTIM 250MCG VIAL · ویال رومیپلوستیم ۲۵۰ میکروگرم
- 17074 · ROMIPLOSTIM 500MCG VIAL · ویال رومیپلوستیم ۵۰۰ میکروگرم
📚 Reference status for this drug
Shows which sources have references recorded for this drug and which do not.
- FDA label (DailyMed)✅ PresentFDA Nplate · 3FDA Nplate · 2.1FDA Nplate · 2.3FDA Nplate · 2.2FDA Nplate · 5FDA Nplate · SPL approval / marketing categoryFDA Nplate · 8.1FDA Nplate · 8.2FDA Nplate · 8.4FDA Nplate · 8.5
- UK SmPC (eMC / MHRA)❌ Not present
- Published guideline❌ Not present
- Licensed reference (medical school)❌ Not present
- Iranian leaflet (IFDA)❌ Not present
- Pharmacy website (secondary, unreliable)✅ PresentDarooyab · G-4799/Romiplostim
- Clinical review⚠ Unverified