Mulpleta is a man-made form of a protein that increases production of platelets (blood-clotting cells) in your body. Lusutrombopag can lower the risk of bleeding by increasing platelets in your blood.

Mulpleta is used to treat thrombocytopenia (a lack of platelets in the blood) in adults with chronic liver disease who are scheduled to undergo a medical procedure.

Mulpleta is not a cure for thrombocytopenia and it will not make your platelet counts normal.

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Before taking this medicine

You should not use Mulpleta if you are allergic to lusutrombopag.

To make sure Mulpleta is safe for you, tell your doctor if you have ever had:

• a blood clot; or

• a bleeding or blood clotting disorder other than thrombocytopenia.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant.

It is not safe to breast-feed a baby while you are using this medicine. Also do not breast-feed for at least 28 days after your last dose.

Take Mulpleta exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.

Mulpleta is usually taken once daily for 7 days, beginning 8 to 14 days before your procedure.

You may take this medicine with or without food.

Carefully follow your doctor's dosing instructions about the timing of this medication and your procedure.

Store at room temperature away from moisture and heat. Keep each tablet in the foil blister pack until you are ready to take a dose.

Usual Adult Dose for Thrombocytopenia:

3 mg orally once a day starting 8 to 14 days prior to a scheduled procedure

Duration of therapy: 7 days

Comments: Patients should undergo their procedure 2 to 8 days after the last dose.

Use: Treatment of thrombocytopenia in patients with chronic liver disease who are scheduled to undergo a procedure.

You should not use Mulpleta if you are allergic to lusutrombopag.

To make sure Mulpleta is safe for you, tell your doctor if you have ever had:

• a blood clot; or

• a bleeding or blood clotting disorder other than thrombocytopenia.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant.

It is not safe to breast-feed a baby while you are using this medicine. Also do not breast-feed for at least 28 days after your last dose.

Take the missed dose on the same day you remember it. Take your next dose at the regular time and stay on your once-daily schedule. Do not use 2 doses in one day.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Get emergency medical help if you have signs of an allergic reaction to Mulpleta: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

You could develop a blood clot if your platelet count gets too high while you are taking lusutrombopag. Call your doctor or get emergency medical help if you have:

• sudden numbness or weakness (especially on one side of the body);

• problems with vision or speech;

• swelling or redness in an arm or leg;

• fever, chills;

• stomach pain (upper right side), vomiting;

• jaundice (yellowing of the skin or eyes); or

• bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.

Common Mulpleta side effects may include:

• headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Other drugs may interact with lusutrombopag, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.