Reforco® 50mg Tablets (Eltrombopag) – Platelet Support (Rx)

Quick answer: Reforco 50mg (eltrombopag) is a tablet that helps the bone marrow make more platelets. Doctors prescribe it for long-lasting immune thrombocytopenia (ITP), severe aplastic anaemia and low platelets linked to hepatitis C. You take it by mouth at home. MedHub supplies it on prescription and delivers it across Pakistan.

For patients and families

What is Reforco 50mg?

Reforco 50mg is a tablet containing 50mg of eltrombopag, made in Pakistan by Helix Pharma. Platelets are the tiny blood cells that plug cuts and stop bleeding. Eltrombopag copies the action of thrombopoietin, the natural hormone that tells your bone marrow to produce them, so your platelet count rises gradually over the following weeks.

What is it used for?

Haematologists prescribe eltrombopag for three groups of patients:

• Chronic immune thrombocytopenia (ITP): the immune system destroys platelets, and steroids or other first treatments have not kept the count up. It suits adults and children aged one year and older.
• Severe aplastic anaemia: the bone marrow fails to make enough blood cells. Doctors use it alongside immune-suppressing treatment or after that treatment has not worked well enough.
• Hepatitis C with low platelets: it raises the count enough for interferon-based hepatitis treatment to start or continue.

The aim is a platelet level that lowers your bleeding risk, not a perfectly normal count.

How is it taken?

You swallow the tablet with water at about the same time each day. Food matters with this medicine. Milk, yoghurt, cheese, antacids and supplements containing calcium, iron, zinc or magnesium block its absorption, so you need a gap of several hours between them and your tablet. Your doctor or pharmacist explains the timing that fits your meals. Your doctor decides the dose and changes it based on your platelet counts.

Common side effects

• Headache
• Nausea, diarrhoea or indigestion
• Raised liver enzymes on blood tests
• Tiredness, muscle aches or back pain
• Cough or a sore throat

Contact your doctor straight away if you notice yellow skin or eyes, dark urine, pain on the right side of your belly, a painful swollen leg, chest pain or sudden breathlessness.

Storage

Keep Reforco 50mg below 30°C in its original pack to protect the tablets from moisture. Store it out of children’s reach and away from a steamy bathroom.

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 your tablets with care and deliver them to your home or hospital.

Families in the UAE, UK and Saudi Arabia often arrange Reforco 50mg for parents in Pakistan through us and set up regular refills. If your haematologist lowers the dose, ask about Reforco 25mg. We also stock Eltrom 50mg (eltrombopag), and you can browse all our hematology medicines.

For healthcare professionals

• Composition: eltrombopag olamine equivalent to 50 mg eltrombopag per tablet
• Drug class: oral non-peptide thrombopoietin receptor agonist
• Indications: chronic immune thrombocytopenia in patients aged 1 year and older with insufficient response to corticosteroids, immunoglobulins or splenectomy; thrombocytopenia in adults with chronic hepatitis C to allow initiation and maintenance of interferon-based therapy; severe aplastic anaemia, either first line with standard immunosuppressive therapy or after insufficient response to immunosuppressive therapy
• Mechanism: binds the transmembrane domain of the thrombopoietin receptor (c-Mpl) and activates JAK/STAT signalling, increasing megakaryocyte proliferation and platelet production
• Label dose: ITP in adults and children 6 years and older: 50 mg once daily (25 mg in patients of East or Southeast Asian ancestry or with hepatic impairment), adjusted to keep platelets at or above 50,000/µL, maximum 75 mg daily; refractory severe aplastic anaemia: 50 mg once daily, increased by 50 mg every 2 weeks to a maximum of 150 mg daily; give at least 2 hours before or 4 hours after antacids, dairy products or polyvalent cation supplements
• Monitoring / key precautions: liver tests before starting, every 2 weeks during dose adjustment and monthly once stable; full blood count weekly until the dose is stable, then monthly; risk of hepatic decompensation in chronic hepatitis C treated with interferon and ribavirin; thromboembolic events if platelets rise too high; baseline and regular eye examinations for cataract; platelets may fall below baseline after stopping
• Storage: below 30°C in the original pack, protected from moisture
• Manufactured and marketed in Pakistan by: Helix Pharma (Pvt) Ltd
• Pack: 10 tablets

Frequently asked questions

What is Reforco 50mg used for?

It raises platelet counts in chronic immune thrombocytopenia (ITP), severe aplastic anaemia and low platelets linked to hepatitis C. A higher count lowers the risk of bruising and bleeding.

What is the Reforco 50mg price in Pakistan?

Reforco 50mg costs Rs 7,500 to Rs 16,000 per pack of 10 tablets. Prices can change with supply, so message us on WhatsApp for today’s price before you order.

Can I get Reforco 50mg in Lahore, Karachi or Peshawar?

Yes. MedHub delivers across Pakistan, including Islamabad, Rawalpindi, Lahore, Karachi, Peshawar, Multan and Faisalabad.

Do I need a prescription to buy Reforco 50mg?

Yes. Eltrombopag is a prescription-only medicine because it needs regular blood and liver tests. Send a clear photo of your haematologist’s prescription on WhatsApp, and our pharmacist checks it before confirming your order.

How should I take Reforco 50mg around meals?

Take it well apart from dairy foods, antacids and mineral supplements, because they stop your body absorbing it. Your doctor or pharmacist tells you how many hours to leave between them and your tablet.

How long does Reforco 50mg take to raise platelets?

Many patients see their platelet count start to rise within one to two weeks. Your doctor checks your blood often in the early weeks and adjusts the dose until the count stays at a safe level.

How should Reforco 50mg be stored?

Store the tablets below 30°C in their original pack, away from moisture and out of reach of children.

Can I order Reforco 50mg for my parents in Pakistan from abroad?

Yes. Many families in the UAE, UK and Saudi Arabia order through MedHub for parents in Pakistan. Share the prescription on WhatsApp, and our team guides you through payment and delivery to their home.

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.