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How to Take Treatment

PROMACTA

How to Take

PROMACTA is a once-daily tablet that you can take at home, work, or on the go.

PROMACTA is available in 4 tablet strengths (12.5 mg, 25 mg, 50 mg, and 75 mg) so your doctor can adjust your dose according to your needs.

Available in 4 strengths Available in 4 strengths
  • Store PROMACTA at room temperature between 68°F and 77°F

If you or the person you care for has been prescribed PROMACTA, you should be aware of certain foods and supplements that may affect the way that PROMACTA works.

When taking PROMACTA, remember the "before-or-after" rule:

Watch your food intake

 

Watch your dairy intake

 

This includes calcium-rich foods or supplements. Know what you’re eating. Be sure to read the labels of foods and supplements. Want help talking with your health care team about your diet and PROMACTA? Download the PROMACTA Discussion Guide.

 

Dosing according to your schedule

For example, if you prefer taking medication at night and go to bed at 9:00 PM, follow these recommendations:

 

How to Take How to Take

Tips for managing calcium intake

Examples of calcium-rich foods containing greater than 50 mg of calcium include:

  • Dairy products (yogurt, cheese, milk, ice cream)
  • Calcium-fortified foods (orange juice, dry cereal, bread)
  • Leafy green vegetables (collard greens, spinach)

Our PROMACTA Meal Planner has additional tips and examples to help manage your dietary restrictions.

Click here to download.

 

A good resource for checking the calcium content of many foods is the National Nutrient Database.

When taking PROMACTA, timing matters

Click each tab below to see how the time you take your PROMACTA shapes your daily routine.

If you take PROMACTA first thing in the morning, your schedule might look something like this.

 

6 AM   WAKE UP AND TAKE PROMACTA
AM- 7 AM
 

No food

PROMACTA should be taken either 1 hour before eating or 2 hours after eating.

7 AM- 10 AM
 

Modified eating schedule

For 2 hours before taking PROMACTA and 4 hours after taking PROMACTA, avoid dairy products, calcium-, and magnesium-rich foods. Examples of calcium-rich foods include:


 Yogurt

Plain, low-fat yogurt has 448 mg of calcium per 8 oz. serving

 Bowl of cereal

While one cup of plain cornflakes contains only 1 mg of calcium, a cup of milk adds another 293 mg 

 Protein shake

A protein shake contains approximately 334 mg of calcium


Instead, try:

 Fried egg

Contains only 29 mg of calcium

 Blueberries

One cup contains 9 mg of calcium

 Plain bagel

One bagel contains 24 mg of calcium

10 AM
 

No eating restrictions

Four hours have passed since taking PROMACTA, so there are no restrictions on your food choices.

Let’s see how much you know about taking PROMACTA in the morning.

Click the food choice that fits into a low-calcium diet.

Yogurt Yogurt
Fried egg Fried egg
Protein shake Protein shake

Try again. : An 8 oz. serving of plain, low-fat yogurt has 448 mg of calcium.

Good job! : With only 29 mg of calcium, a fried egg is a good low-calcium choice.

Try again. : A protein shake contains approximately 334 mg of calcium.

If you take PROMACTA at bedtime, your schedule might look something like this. 

 

PM- 9 PM
 

Modified eating schedule

For 2 hours before taking PROMACTA and 4 hours after taking PROMACTA, avoid dairy products, calcium-, and magnesium-rich foods. Examples of calcium-rich foods include:

 

 Spinach 

A bunch of spinach has 337 mg of calcium

 Macaroni and cheese

One cup contains 161 mg of calcium

 Lasagna

A one cup serving contains 250 mg of calcium


Instead, try:

 Asparagus

One cup contains only 32 mg of calcium

 Chicken breast

Contains only 14 mg of calcium

 Popcorn

Contains no calcium—just be sure to hold the butter!

9 PM- 11 PM
 

No food

PROMACTA should be taken either 1 hour before eating or 2 hours after eating.

11 PM   TAKE PROMACTA, GO TO SLEEP

Let’s see how much you know about taking PROMACTA around bedtime.

Click the food choice below that’s low in calcium.

Macaroni and cheese Macaroni and cheese
Chicken breast Chicken breast
Lasagna Lasagna

Try again. : One cup of macaroni and cheese contains 161 mg of calcium, making it a high-calcium food.

Good job! : There are only 14 mg of calcium in a chicken breast, making it a low-calcium choice.

Try again. : With 250 mg of calcium per one cup serving, lasagna is a high-calcium food.

If you take PROMACTA in the middle of the night, your schedule might look something like this.

 

10 PM- 12 AM
 

Modified eating schedule

For 2 hours before taking PROMACTA and 4 hours after taking PROMACTA, avoid dairy products, calcium-, and magnesium-rich foods. Examples of calcium-rich foods include:


 Almonds

One cup has 385 mg of calcium

 Chocolate ice cream

One cup has 144 mg of calcium

 Pepperoni pizza

A single slice has 201 mg of calcium


Instead, try:

 Grapes

One cup contains only 15 mg of calcium

 Pretzels

A 1.5 oz. serving has only 11 mg of calcium

 Chocolate chip cookies

Two cookies have only 6 mg calcium—just be sure to skip the milk!

12 AM- 2 AM
 

No food

PROMACTA should be taken either 1 hour before eating or 2 hours after eating.

2 AM   WAKE UP AND TAKE PROMACTA
AM
 

No eating restrictions

Four hours have passed since taking PROMACTA, so there are no restrictions on your food choices.

Let's see how much you know about taking PROMACTA during the night.

Which food choice fits into a low-calcium diet?

Cookies Cookies
Pepperoni pizza Pepperoni pizza
Almonds Almonds

Good job! : Two chocolate chip cookies have only 6 mg of calcium.

Try again. : Try again. With 201 mg of calcium per slice, pepperoni pizza is a high-calcium choice

Try again. : A cup of almonds has 385 mg of calcium, making it a high-calcium food.

Want to reduce calcium in your diet?

Download this PDF to learn about reading food labels