Reforco® 25mg Tablets (Eltrombopag) – Platelet Support (Rx)

Quick answer: Reforco 25mg (eltrombopag) is a low-strength tablet that lifts platelet counts when the body cannot keep them up on its own. It is prescribed for immune thrombocytopenia (ITP), severe aplastic anaemia and hepatitis C with low platelets. Patients take it by mouth at home. MedHub supplies it on prescription and delivers nationwide.

For patients and families

What is Reforco 25mg?

Reforco 25mg is Helix Pharma’s 25mg eltrombopag tablet, made in Pakistan and sold in packs of 10. Eltrombopag acts on the cells in the bone marrow that grow into platelets and encourages them to multiply. A higher platelet count helps your blood clot normally after a small cut or knock.

What is it used for?

Your specialist may prescribe it if you have one of these conditions:

• Severe aplastic anaemia: the marrow produces too few blood cells, and the medicine supports platelet recovery alongside or after immune-suppressing treatment.
• Hepatitis C: a low platelet count is holding back interferon-based treatment for the liver infection.
• Chronic immune thrombocytopenia (ITP): antibodies keep clearing platelets from the blood, and earlier options have not given a lasting response. Children from one year of age can use it too.

Doctors commonly pick the 25mg tablet as a starting dose for small children and for people with liver disease, or to fine-tune treatment. For the standard adult starting strength, see Reforco 50mg.

How is it taken?

You swallow the tablet at home. Keep it apart from milk, lassi, cheese, antacids and any vitamin or mineral supplement, because these stop the medicine from being absorbed properly. Your doctor or pharmacist explains how to time it each day. Your doctor decides the dose, which may mean taking more than one tablet or mixing strengths.

Common side effects

• Diarrhoea, nausea or vomiting
• Abnormal liver blood tests
• Tiredness or weakness
• Headache
• Pain in the back, arms or legs

Speak to your doctor straight away if your skin or the whites of your eyes turn yellow, your urine darkens, one leg becomes swollen and painful, or you feel chest pain or sudden breathlessness.

Storage

Store Reforco 25mg below 30°C. Leave the tablets in the strip or pack they came in, which shields them from humidity during Pakistan’s monsoon months.

How to order from MedHub

1. Send a photo of your prescription on WhatsApp.
2. Our pharmacist confirms the price and stock with you.
3. We pack the tablets with care and deliver them to your home or clinic.

Overseas families in the UAE, UK and Saudi Arabia regularly buy Reforco 25mg through us for a parent or child in Pakistan. The same medicine also comes as Eltrom 25mg (eltrombopag) in a 28-tablet pack. You can see every blood disorder medicine we stock in our hematology category.

For healthcare professionals

• Composition: eltrombopag 25 mg (as eltrombopag olamine) per tablet
• Drug class: oral thrombopoietin receptor agonist
• Indications: chronic immune thrombocytopenia in patients aged 1 year and older with an insufficient response to corticosteroids, immunoglobulins or splenectomy; thrombocytopenia in adult patients with chronic hepatitis C to enable interferon-based therapy; severe aplastic anaemia in combination with standard immunosuppressive therapy as first line, or after insufficient response to immunosuppressive therapy
• Mechanism: TPO receptor agonist binding the transmembrane region of c-Mpl; induces megakaryocyte proliferation and differentiation, raising platelet production
• Label dose: ITP: 50 mg once daily in adults and children 6 years and older; 25 mg once daily for children aged 1 to 5 years, patients of East or Southeast Asian ancestry and patients with hepatic impairment; adjust by 25 mg to maintain platelets of at least 50,000/µL, maximum 75 mg daily; hepatitis C thrombocytopenia: 25 mg once daily, adjusted in 25 mg steps every 2 weeks, maximum 100 mg daily; take on an empty stomach or with food low in calcium, 2 hours before or 4 hours after polyvalent cations
• Monitoring / key precautions: liver function at baseline, every 2 weeks during titration and monthly thereafter; discontinue for persistent or symptomatic ALT elevation; CBC with blood film weekly until stable; risk of portal vein thrombosis in chronic liver disease; regular ophthalmic examination; monitor platelets for 4 weeks after stopping
• Storage: below 30°C, protect from moisture
• Manufactured and marketed in Pakistan by: Helix Pharma (Pvt) Ltd
• Pack: 10 tablets

Frequently asked questions

Why would my doctor prescribe Reforco 25mg?

Doctors prescribe it to raise low platelets in ITP, severe aplastic anaemia or hepatitis C. The lower strength suits starting doses for young children and people with liver problems, and small dose changes.

What is the Reforco 25mg price in Pakistan?

Reforco 25mg costs Rs 4,000 to Rs 10,500 per pack of 10 tablets. Prices can change with supply, so message us on WhatsApp for today’s price before you order.

Can MedHub send Reforco 25mg to Lahore, Karachi or Peshawar?

Yes. We deliver to Islamabad, Rawalpindi, Lahore, Karachi, Peshawar, Multan, Faisalabad and other cities across Pakistan.

Does Reforco 25mg need a prescription?

Yes. Our pharmacist needs a valid prescription before dispensing it. Send a clear photo on WhatsApp and we confirm your order after checking it.

Can Reforco 25mg tablets be combined to make a higher dose?

Yes, if your doctor prescribes it that way. Doctors sometimes pair 25mg and 50mg tablets to reach the exact daily amount they want. Follow the plan on your prescription and never change it yourself.

Which foods should I keep apart from Reforco 25mg?

Keep dairy foods such as milk, yoghurt and lassi, antacids and calcium or iron supplements well apart from your tablet. Your pharmacist tells you how many hours to leave.

What is the right way to store Reforco 25mg?

Keep the tablets below 30°C in their original pack, away from humidity, heat and children.

Can I buy Reforco 25mg for my parents in Pakistan while living overseas?

Yes. Many families in the UAE, UK and Saudi Arabia do this through MedHub. Send the prescription on WhatsApp, and our team arranges payment and home delivery.

Last updated: 3 October 2026

This information is for general awareness only and is not medical advice. Always consult your doctor before starting, stopping or changing any medicine.