Azathioprine
6-Mercaptopurine
Immunosuppressive Agents
Agents that suppress immune function by one of several mechanisms of action. Classical cytotoxic immunosuppressants act by inhibiting DNA synthesis. Others may act through activation of T-CELLS or by inhibiting the activation of HELPER CELLS. While immunosuppression has been brought about in the past primarily to prevent rejection of transplanted organs, new applications involving mediation of the effects of INTERLEUKINS and other CYTOKINES are emerging.
Prednisolone
Mycophenolic Acid
An antibiotic substance derived from Penicillium stoloniferum, and related species. It blocks de novo biosynthesis of purine nucleotides by inhibition of the enzyme inosine monophosphate dehydrogenase. Mycophenolic acid is important because of its selective effects on the immune system. It prevents the proliferation of T-cells, lymphocytes, and the formation of antibodies from B-cells. It also may inhibit recruitment of leukocytes to inflammatory sites. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p1301)
Methyltransferases
Inflammatory Bowel Diseases
Crohn Disease
A chronic transmural inflammation that may involve any part of the DIGESTIVE TRACT from MOUTH to ANUS, mostly found in the ILEUM, the CECUM, and the COLON. In Crohn disease, the inflammation, extending through the intestinal wall from the MUCOSA to the serosa, is characteristically asymmetric and segmental. Epithelioid GRANULOMAS may be seen in some patients.
Cyclosporine
Hepatitis, Autoimmune
Thioguanine
Prednisone
Colitis, Ulcerative
Drug Therapy, Combination
Graft Rejection
Immunosuppression
Deliberate prevention or diminution of the host's immune response. It may be nonspecific as in the administration of immunosuppressive agents (drugs or radiation) or by lymphocyte depletion or may be specific as in desensitization or the simultaneous administration of antigen and immunosuppressive drugs.
Gastrointestinal Agents
Mesalamine
Antimetabolites
Aminosalicylic Acids
Cyclosporins
A group of closely related cyclic undecapeptides from the fungi Trichoderma polysporum and Cylindocarpon lucidum. They have some antineoplastic and antifungal action and significant immunosuppressive effects. Cyclosporins have been proposed as adjuvants in tissue and organ transplantation to suppress graft rejection.
Treatment Outcome
Sulfasalazine
Lupus Nephritis
Glomerulonephritis associated with autoimmune disease SYSTEMIC LUPUS ERYTHEMATOSUS. Lupus nephritis is histologically classified into 6 classes: class I - normal glomeruli, class II - pure mesangial alterations, class III - focal segmental glomerulonephritis, class IV - diffuse glomerulonephritis, class V - diffuse membranous glomerulonephritis, and class VI - advanced sclerosing glomerulonephritis (The World Health Organization classification 1982).
Glucocorticoids
A group of CORTICOSTEROIDS that affect carbohydrate metabolism (GLUCONEOGENESIS, liver glycogen deposition, elevation of BLOOD SUGAR), inhibit ADRENOCORTICOTROPIC HORMONE secretion, and possess pronounced anti-inflammatory activity. They also play a role in fat and protein metabolism, maintenance of arterial blood pressure, alteration of the connective tissue response to injury, reduction in the number of circulating lymphocytes, and functioning of the central nervous system.
Graft Survival
Tacrolimus
Tablets
Organ Transplantation
Protective Clothing
Ointment Bases
Hematologic Neoplasms
Sunscreening Agents
Arthritis, Rheumatoid
A chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. Etiology is unknown, but autoimmune mechanisms have been implicated.
Steroids
A group of polycyclic compounds closely related biochemically to TERPENES. They include cholesterol, numerous hormones, precursors of certain vitamins, bile acids, alcohols (STEROLS), and certain natural drugs and poisons. Steroids have a common nucleus, a fused, reduced 17-carbon atom ring system, cyclopentanoperhydrophenanthrene. Most steroids also have two methyl groups and an aliphatic side-chain attached to the nucleus. (From Hawley's Condensed Chemical Dictionary, 11th ed)
Drug Interactions
Anti-Inflammatory Agents, Non-Steroidal
Anti-inflammatory agents that are non-steroidal in nature. In addition to anti-inflammatory actions, they have analgesic, antipyretic, and platelet-inhibitory actions.They act by blocking the synthesis of prostaglandins by inhibiting cyclooxygenase, which converts arachidonic acid to cyclic endoperoxides, precursors of prostaglandins. Inhibition of prostaglandin synthesis accounts for their analgesic, antipyretic, and platelet-inhibitory actions; other mechanisms may contribute to their anti-inflammatory effects.
Lupus Erythematosus, Systemic
A chronic, relapsing, inflammatory, and often febrile multisystemic disorder of connective tissue, characterized principally by involvement of the skin, joints, kidneys, and serosal membranes. It is of unknown etiology, but is thought to represent a failure of the regulatory mechanisms of the autoimmune system. The disease is marked by a wide range of system dysfunctions, an elevated erythrocyte sedimentation rate, and the formation of LE cells in the blood or bone marrow.
Primary biliary cirrhosis associated with membranous glomerulonephritis. (1/943)
A 33-year-old woman was admitted to our department for evaluation of liver dysfunction and proteinuria. A liver biopsy specimen showed ductular proliferation and moderate portal fibrosis indicating stage II primary biliary cirrhosis. A renal biopsy specimen showed mild to moderate mesangial cell proliferation without crescent formation or interstitial nephritis. Immunofluorescent staining revealed deposition of immunoglobulin G (IgG), third component of complement (C3), and Clq on glomerular basement membranes. The findings indicated stage I membranous glomerulonephritis. Administration of ursodesoxycholic acid together with prednisolone, azathioprine, and dipyridamole decreased proteinuria and improved cholestatic liver dysfunction. (+info)Reduced kidney transplant rejection rate and pharmacoeconomic advantage of mycophenolate mofetil. (2/943)
BACKGROUND: Several multinational controlled clinical trials have shown that triple therapy immunosuppressive regimens which include mycophenolate mofetil (MMF), cyclosporin A (CSA) and steroids (S) are superior compared with conventional regimens which include azathioprine (AZA), CSA and S, mainly because MMF reduces the rate of acute rejection episodes in the first 6 months after kidney transplantation. Post-marketing studies are useful to evaluate the general applicability and costs of MMF-based immunosuppressive regimens. METHODS: Based on the excellent results of the published controlled clinical trials, we have changed the standard triple therapy immunosuppressive protocol (AZA+CSA+S) to an MMF-based regimen (MMF+CSA+S) at our centre. To analyse the impact of this change in regimen, we have monitored 6-month patient and graft survival, rejection rate, serum creatinine and CSA levels, as well as the costs of the immunosuppressive and anti-rejection treatments, in 40 consecutive renal transplant recipients (MMF group) and have compared the data with 40 consecutive patients transplanted immediately prior to the change in regimen (AZA group). RESULTS: Recipient and donor characteristics were similar in the AZA and MMF groups. Patient survival (37/40; 92.5% in the AZA group vs 38/40; 95% in the MMF group), graft survival (36/40 vs 36/40; both 90%) and serum creatinine (137+/-56 vs 139+/-44 micromol/l) after 6 months were not significantly different. However, the rate of acute rejection episodes (defined as a rise in creatinine without other obvious cause and treated at least with pulse steroids) was significantly reduced with MMF from 60 to 20% (P=0.0005). The resulting cost for rejection treatment was lowered 8-fold (from sFr. 2113 to 259 averaged per patient) and the number of transplant biopsies was lowered > 3-fold in the MMF group. The cost for the immunosuppressive therapy was increased 1.5-fold with MMF (from sFr. 5906 to 9231 per patient for the first 6 months). CONCLUSIONS: The change from AZA to MMF resulted in a significant reduction in early rejection episodes, resulting in fewer diagnostic procedures and rehospitalizations. The optimal long-term regimen in terms of patient and pharmacoeconomic benefits remains to be defined. (+info)Long-term results of pancreas transplantation under tacrolius immunosuppression. (3/943)
BACKGROUND: The long-term safety and efficacy of tacrolimus in pancreas transplantation has not yet been demonstrated. The observation of prolonged pancreatic graft function under tacrolimus would indicate that any potential islet toxicity is short-lived and clinically insignificant. We report herein the results of pancreas transplantation in patients receiving primary tacrolimus immunosuppression for a minimum of 2 years. METHODS: From July 4, 1994 until April 18, 1996, 60 patients received either simultaneous pancreas-kidney transplant (n=55), pancreas transplant only (n=4), or pancreas after kidney transplantation (n=1). Baseline immunosuppression consisted of tacrolimus and steroids without antilymphocyte induction. Azathioprine was used as a third agent in 51 patients and mycophenolate mofetil in 9. Rejection episodes within the first 6 months occurred in 48 (80%) patients and were treated with high-dose corticosteroids. Antilymphocyte antibody was required in eight (13%) patients with steroid-resistant rejection. RESULTS: With a mean follow-up of 35.1+/-5.9 months (range: 24.3-45.7 months), 6-month and 1-, 2-, and 33-year graft survival is 88%, 82%, 80%, and 80% (pancreas) and 98%, 96%, 93%, and 91% (kidney), respectively. Six-month and 1-, 2-, and 3-year patient survival is 100%, 98%, 98%, and 96.5%. Mean fasting glucose is 91.6+/-13.8 mg/dl, and mean glycosylated hemoglobin is 5.1+/-0.7% (normal range: 4.3-6.1%). Mean tacrolimus dose is 6.5+/-2.6 mg/day and mean prednisone dose 2.0+/-2.9 mg/day at follow-up. Complete steroid withdrawal was possible in 31 (65%) of the 48 patients with functioning pancreases. CONCLUSIONS: These data show for the first time that tacrolimus is a safe and effective long-term primary agent in pancreas transplantation and provides excellent long-term islet function without evidence of toxicity while permitting steroid withdrawal in the majority of patients. (+info)Pediatric renal transplantation under tacrolimus-based immunosuppression. (4/943)
BACKGROUND: Tacrolimus has been used as a primary immunosuppressive agent in adult and pediatric renal transplant recipients, with reasonable outcomes. Methods. Between December 14, 1989 and December 31, 1996, 82 pediatric renal transplantations alone were performed under tacrolimus-based immunosuppression without induction anti-lymphocyte antibody therapy. Patients undergoing concomitant or prior liver and/or intestinal transplantation were not included in the analysis. The mean recipient age was 10.6+/-5.2 years (range: 0.7-17.9). Eighteen (22%) cases were repeat transplantations, and 6 (7%) were in patients with panel-reactive antibody levels over 40%. Thirty-four (41%) cases were with living donors, and 48 (59%) were with cadaveric donors. The mean donor age was 27.3+/-14.6 years (range: 0.7-50), and the mean cold ischemia time in the cadaveric cases was 26.5+/-8.8 hr. The mean number of HLA matches and mismatches was 2.8+/-1.2 and 2.9+/-1.3; there were five (6%) O-Ag mismatches. The mean follow-up was 4.0+/-0.2 years. RESULTS: The 1- and 4-year actuarial patient survival was 99% and 94%. The 1- and 4-year actuarial graft survival was 98% and 84%. The mean serum creatinine was 1.1+/-0.5 mg/dl, and the corresponding calculated creatinine clearance was 88+/-25 ml/min/1.73 m2. A total of 66% of successfully transplanted patients were withdrawn from prednisone. In children who were withdrawn from steroids, the mean standard deviation height scores (Z-score) at the time of transplantation and at 1 and 4 years were -2.3+/-2.0, -1.7+/-1.0, and +0.36+/-1.5. Eighty-six percent of successfully transplanted patients were not taking anti-hypertensive medications. The incidence of acute rejection was 44%; between December 1989 and December 1993, it was 63%, and between January 1994 and December 1996, it was 23% (P=0.0003). The incidence of steroid-resistant rejection was 5%. The incidence of delayed graft function was 5%, and 2% of patients required dialysis within 1 week of transplantation. The incidence of cytomegalovirus was 13%; between December 1989 and December 1992, it was 17%, and between January 1993 and December 1996, it was 12%. The incidence of early Epstein-Barr virus-related posttransplant lymphoproliferative disorder (PTLD) was 9%; between December 1989 and December 1992, it was 17%, and between January 1993 and December 1996, it was 4%. All of the early PTLD cases were treated successfully with temporary cessation of immunosuppression and institution of antiviral therapy, without patient or graft loss. CONCLUSIONS: These data demonstrate the short- and medium-term efficacy of tacrolimus-based immunosuppression in pediatric renal transplant recipients, with reasonable patient and graft survival, routine achievement of steroid and anti-hypertensive medication withdrawal, gratifying increases in growth, and, with further experience, a decreasing incidence of both rejection and PTLD. (+info)Global biventricular dysfunction in patients with asymptomatic coronary artery disease may be caused by myocarditis. (5/943)
BACKGROUND: The causal role of asymptomatic critical coronary artery obstruction in patients presenting with severe global biventricular dysfunction but no evidence of myocardial infarction is uncertain. METHODS AND RESULTS: Among 291 patients aged >40 years undergoing a noninvasive (2-dimensional echocardiography) and invasive (catheterization, coronary angiography, and biventricular endomyocardial biopsy, 6 to 8 samples/patient) cardiac study because of progressive heart failure (New York Heart Association functional class III or IV) with global biventricular dysfunction and no history of myocardial ischemic events, 7 patients (2.4%; 7 men; mean age, 49+/-6.9 years) had severe coronary artery disease (3 vessels in 4 patients; 2 vessels in 1 patient, proximal occlusion of left anterior descending coronary artery in 2 patients). Left ventricular end-diastolic diameter and ejection fraction by 2-dimensional echocardiography were 73+/-10.5 mm and 23+/-6.5%, respectively, and right ventricular end-diastolic diameter and ejection fraction were 39+/-7 mm and 29+/-7.2%, respectively. Biopsy specimens showed extensive lymphocytic infiltrates with focal myocytolysis meeting the Dallas criteria for myocarditis in all patients (in 5 patients with and 2 patients without fibrosis). Cardiac autoantibodies were detected with indirect immunofluorescence in the serum of 2 patients with active myocarditis. The 2 patients with active inflammation received prednisone (1 mg. kg-1. d-1 for 4 weeks followed by 0.33 mg. kg-1. d-1 for 5 months) and azathioprine (2 mg. kg-1. d-1 for 5 months) in addition to conventional drug therapy for heart failure. At 8-month overall follow-up, cardiac volume and function improved considerably in immunosuppressed patients but remained unchanged in conventionally treated patients, of whom 1 died. CONCLUSIONS: Global biventricular dysfunction in patients with severe asymptomatic coronary artery disease and no evidence of previous myocardial infarction may be caused by myocarditis. Histologic findings may influence the treatment. (+info)Randomised trial of mycophenolate mofetil versus azathioprine for treatment of chronic active Crohn's disease. (6/943)
BACKGROUND: Crohn's disease is a chronic inflammatory disease of the alimentary tract. Azathioprine is an effective agent in the management of chronic active Crohn's disease leading to long term remission of disease activity. Such treatment leads to limited efficacy or side effects in a small subset of patients. AIMS: To compare efficacy and side effects of treatment with azathioprine plus corticosteroids versus mycophenolate mofetil (MMF) plus corticosteroids in patients with chronic active Crohn's disease. METHODS: Seventy patients with chronic active Crohn's disease (Crohn's disease activity index (CDAI) greater than 150) were randomised for treatment with azathioprine/cortisone or MMF/cortisone. Corticosteroid dosage was tapered according to a standard protocol. Disease activity was monitored by clinical scores after one, two, three, and six months. RESULTS: Treatment of patients with moderately active (CDAI 150-300) Crohn's disease with MMF/cortisone led to a significant reduction in clinical activity scores comparable to treatment with azathioprine/cortisone. Treatment of patients with highly active Crohn's disease (CDAI greater than 300) with MMF/cortisone caused significant suppression of clinical activity earlier than azathioprine/cortisone treatment. Treatment with MMF/cortisone was associated with few adverse effects. CONCLUSION: Treatment of chronic active Crohn's disease with MMF plus cortisone appears to be effective and well tolerated and should be considered in patients allergic to azathioprine or in whom azathioprine has failed. (+info)Intestinal T lymphocytes of different rat strains in immunotoxicity. (7/943)
In order to study the intestinal mucosal immune cells, with emphasis on single T lymphocytes, an inventory was made of single and organized lymphocytes in the epithelium and lamina propria of the small intestines of untreated Wistar, Fischer 344, and Lewis rats. The single and organized lymphocytes were examined microscopically. In addition, the single lymphocytes in the epithelium (IEL) and lamina propria (LPL) were analyzed by flow cytometry. Next, the use of flow cytometry analysis was explored to detect changes in the IEL T-lymphocyte population in subacute oral studies with the immunomodulating agents azathioprine and hexachlorobenzene. Untreated random-bred Wistar rats exhibited a large interindividual variability in IEL composition, while the variability was small in inbred Fischer 344 and Lewis rats. The explorative study with the 2 model immunomodulating compounds demonstrated that hexachlorobenzene increased the number of intraepithelial T lymphocytes with CD8+ phenotype at the cost of T cells with CD4+ phenotype in Lewis rats. Azathioprine did not induce distinct effects on the percentages of IEL. The data indicate that the intraepithelial lymphocytes in the intestines are a potential target for orally administered immunomodulating compounds and should therefore receive more attention in toxicologic pathology studies. (+info)Bone loss in long-term renal transplantation: histopathology and densitometry analysis. (8/943)
BACKGROUND: There is little information of the spectrum and factors implicated in the bone loss in long-term renal transplantation, and virtually no data using both histomorphometric and densitometric analysis. METHODS: Twenty-three males and 22 females (13 postmenopausal) were studied with a bone biopsy and densitometry. Sixteen patients were on cyclosporine A monotherapy, 20 on azathioprine + prednisolone, and 9 on cyclosporine A + prednisolone or triple therapy. The mean time after transplantation was 127 +/- 70 months. RESULTS: No group had a significant decrease in bone mineral density (BMD) of the axial skeleton compared with an age- and sex-matched normal population. Compared with sex-matched young controls, osteopenia was observed in all groups at the femoral neck (except premenopausal women and triple therapy) and in the triple-therapy group at the L1-L4 spine region. At the distal radius, osteopenia was found in all the groups. Histopathological diagnosis was mixed uremic osteodystrophy in 46.5%, adynamic bone in 23.2%, hyperparathyroid disease in 13.9%, and normal bone in 16.3%. The diagnosis was not different according to immunosuppressive therapy, but men tended to show more mixed uremic bone disease. There was no significant difference in BMD between histopathological subtypes. In general, patients showed slight osteoclast function increase, osteoblast function decrease, and marked retardation of dynamic parameters. The cyclosporine A monotherapy group had a significantly lower appositional rate than azathioprine + prednisolone. Men had a significantly lower bone volume than women, and premenopausal women had a significantly lower mineralizing surface than postmenopausal women and men. In the multivariate analysis, male gender, time after transplantation, old age, and time on dialysis prior to transplantation were significant predictive factors for a negative effect on bone mass. CONCLUSIONS: Long-term renal transplant-patients showed reduced BMD in both trabecular and cortical bone. This reduction in BMD was not as severe as in short-term reports and was associated with osteoclast stimulation, osteoblast suppression, and retardation of mineral apposition and bone formation rates. Bone mass loss was not different between the immunosuppression therapy groups. Male gender and age were the strongest predictive factors for low bone mass. (+info)
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Immunosuppressive drug
Azathioprine and mercaptopurine[edit]. Azathioprine (Prometheus' Imuran), is the main immunosuppressive cytotoxic substance. It ... Calcineurin inhibitors and azathioprine have been linked with post-transplant malignancies and skin cancers in organ transplant ...
Management of Crohn's disease
Azathioprine and 6-MP may be useful for the following indications: Maintenance therapy with azathioprine or 6-mercaptopurine ... Azathioprine is listed by the United States FDA as a human carcinogen. However, it confers considerably less morbidity and ... Azathioprine treatment may lead to rare but life-threatening side effects. The rare side effects include leukopenia or ... "Azathioprine. Report on Carcinogens, Fourteenth Edition" (PDF). ntp.niehs.nih.gov. Retrieved 2017-06-17. Hanauer, Stephen B; ...
Mercaptopurine
Azathioprine Tioguanine "Mercaptopurine". The American Society of Health-System Pharmacists. Archived from the original on 20 ... Nørgård B, Pedersen L, Fonager K, Rasmussen SN, Sørensen HT (March 2003). "Azathioprine, mercaptopurine and birth outcome: a ... April 2014). "Pharmacogenetics of azathioprine in inflammatory bowel disease: a role for glutathione-S-transferase?". World ... or the related azathioprine) showed a seven-fold incidence of fetal abnormalities as well as a 20-fold increase in miscarriage ...
Pericarditis
Azathioprine has also been used. Surgical removal of the pericardium, pericardiectomy, may be used in severe cases and where ...
GlaxoSmithKline
Maltzman JS, Koretzky GA (April 2003). "Azathioprine: old drug, new actions". J. Clin. Invest. 111 (8): 1122-4. doi:10.1172/ ...
Epigenetics of neurodegenerative diseases
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Scleroderma
Azathioprine. Purine analogue that inhibits lymphocyte proliferation via conversion to mercaptopurine. PO, IV. D (Au). ... Interstitial lung disease with cyclophosphamide, azathioprine with or without corticosteroids. *Pulmonary arterial hypertension ... Immunosuppressants used in its treatment include azathioprine, methotrexate, cyclophosphamide, mycophenolate, intravenous ...
Schedule H
... is a class of prescription drugs in India appearing as an appendix to the Drugs and Cosmetics Rules, 1945 introduced in 1945. These are drugs which cannot be purchased over the counter without the prescription of a qualified doctor.The manufacture and sale of all drugs are covered under the Drugs and Cosmetics Act and Rules. It is revised at times based on the advice of the Drugs Technical Advisory Board, part of the Central Drugs Standard Control Organization[1] in the Ministry of Health and Family Welfare. The most recent schedule H (2006) lists 536 drugs from abacavir to zuclopenthixol.[2] However, enforcement of Schedule H laws in India is lax, compared to the more restrictive Schedule X, for which a mandatory documentation trail must be maintained.[3] ...
Purine analogue
Azathioprine is the main immunosuppressive cytotoxic substance. A prodrug, it is widely used in transplantation to control ...
Cerebral vasculitis
50% of patients respond to corticosteroid therapy alone in early phases Methotrexate or Azathioprine are an alternative to ... Cyclophosphamide Azathioprine Mycophenolate mofetil "Cerebral Vasculitis". Prime Health Channel. 19 December 2012. Retrieved 1 ...
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Following Azathioprine-induced Pancytopenia". International Journal of Trichology. 2 (2): 110-2. doi:10.4103/0974-7753.77523. ...
Granulomatous mastitis
Colchicine, azathioprine, and NSAIDs have also been used. Garcia-Rodiguez JA, Pattullo A (2013). "Idiopathic granulomatous ...
Nodular regenerative hyperplasia
Feathery degeneration is seen in PBC It can be a complication of azathioprine therapy. Vilgrain, V; Paradis, V; Van Wettere, M ... May 2005). "Azathioprine induced nodular regenerative hyperplasia in IBD patients". Gastroenterol. Clin. Biol. 29 (5): 600-3. ... October 2007). "Nodular regenerative hyperplasia in patients with inflammatory bowel disease treated with azathioprine". Gut. ... cytotoxic drugs like azathioprine, mercaptopurine, thioguanine, antiretroviral drugs for HIV like didanosine and vitamin A. ...
Sarcoidosis
Azathioprine treatment can also lead to liver damage. However, the risk of infection appears to be about 40% lower in those ... Medications such as methotrexate, chloroquine, or azathioprine may occasionally be used in an effort to decrease the side ... Antimetabolites, also categorized as steroid-sparing agents, such as azathioprine, methotrexate, mycophenolic acid, and ... "Infection risk in sarcoidosis patients treated with methotrexate compared to azathioprine: A retrospective 'target trial' ...
Marcin Hoffmann
... azathioprine. Quantum chemical study on the reaction of azathioprine with cysteine". Journal of the American Chemical Society. ... Explanation of the mechanism of azathioprine bioactivation by cysteine and glutathione molecules. Characterization of homo- and ...
Feline calicivirus
Corticosteroids or azathioprine may be used for polyarthritis. Stomatitis is very difficult to treat. Antibiotics, ...
Idiopathic pulmonary fibrosis
This study found that the combination of prednisone, azathioprine, and NAC increased the risk of death and hospitalizations and ... Raghu G, Anstrom KJ, King TE, Lasky JA, Martinez FJ (May 2012). "Prednisone, azathioprine, and N-acetylcysteine for pulmonary ... to reduce the decline in VC and DLCO over 12 months of follow-up when used in combination with prednisone and azathioprine ( ...
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Therapy with steroid-free immunosuppressant azathioprine]". Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen ...
Cogan syndrome
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Lymphomatoid granulomatosis
... with case reports of methotrexate and azathioprine), infections such as HIV or chronic viral hepatitis or endogenous T cell ... "Rituximab for pulmonary lymphomatoid granulomatosis which developed as a complication of methotrexate and azathioprine therapy ... "Lymphomatoid granulomatosis associated with azathioprine therapy in Crohn disease". BMC Gastroenterology. 14: 127. doi:10.1186/ ...
Drug discovery
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Peliosis hepatis
Withdrawal of azathioprine leads to remission in kidney transplant; bacillary peliosis responds to antibiotics. In rare ... Haboubi NY, Ali HH, Whitwell HL, Ackrill P (1988). "Role of endothelial cell injury in the spectrum of azathioprine-induced ... Drugs and toxins: Corticosteroids, androgens, azathioprine, tamoxifen The pathogenesis of peliosis hepatis is unknown. Several ... can be related to azathioprine or cyclosporine use, and may be associated with increased risk of transplant rejection. ...
Immunosuppressive drug
Calcineurin inhibitors and azathioprine have been linked with post-transplant malignancies and skin cancers in organ transplant ... Azathioprine (Prometheus' Imuran), is the main immunosuppressive cytotoxic substance. It is extensively used to control ... These include: folic acid analogues, such as methotrexate purine analogues, such as azathioprine and mercaptopurine pyrimidine ...
Dermatitis
The most commonly used are ciclosporin, azathioprine, and methotrexate. Dupilumab is a new medication that improves eczema ...
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Roberts RL, Gearry RB, Barclay ML, Kennedy MA (2007). "IMPDH1 promoter mutations in a patient exhibiting azathioprine ...
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Mycophenolic acid
... is 15 times more expensive than azathioprine. The exact role of mycophenolate vs azathioprine has yet to be ... Compared with azathioprine it has higher incidence of diarrhea, and no difference in risk of any of the other side effects. ... Mycophenolate is potent and can, in many contexts, be used in place of the older anti-proliferative azathioprine. It is usually ... November 2011). "Mycophenolate versus azathioprine as maintenance therapy for lupus nephritis". The New England Journal of ...
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Commonly used cytotoxic agents include azathioprine, methotrexate, or cyclophosphamide. The dose of glucocorticoid medication ...
Azathioprine: MedlinePlus Drug Information
Azathioprine: learn about side effects, dosage, special precautions, and more on MedlinePlus ... Azathioprine comes as a tablet to take by mouth. It is usually taken once or twice a day after meals. Take azathioprine at ... Before taking azathioprine,. *tell your doctor and pharmacist if you are allergic to azathioprine, any other medications, or ... Continue to take azathioprine even if you feel well. Do not stop taking azathioprine without talking to your doctor. ...
Azathioprine (Imuran)
Azathioprine is an immunosuppressant medicine used to stop your immune system from attacking parts of your body - get trusted ... Azathioprine (Imuran). Azathioprine is an immunosuppressant medicine used to stop your immune system from attacking parts of ... What is azathioprine used for?. Doctors prescribe azathioprine to reduce the activity of the immune system in autoimmune ... How do I take azathioprine?. *Azathioprine tablets should be taken with or after food. Swallow them with a glass of water. ...
Azathioprine (Imuran)
Information for patients and caregivers on Azathioprine (Imuran) such as usages, common dosages, drug interactions and possible ... Azathioprine (Imuran) Azathioprine (Imuran) is a drug used in certain autoimmune conditions (diseases where the bodys natural ... Less often, azathioprine may cause damage to the liver, pancreas, or an allergic reaction that may include a flu-like illness ... Azathioprine is usually taken orally (in doses between 50 - 150 mg), once or divided twice daily. The initial dose for ...
Azathioprine - Wikipedia
Azathioprine can cause birth defects. A 2003 population-based study in Denmark showed that the use of azathioprine and related ... "Azathioprine". Merriam-Webster Dictionary. "Azathioprine". The American Society of Health-System Pharmacists. Archived from the ... American Society of Health-System Pharmacists (January 2012). "Azathioprine, Azathioprine Sodium". AHFS Drug Information 2012. ... with azathioprine, but the combination with other DMARDs is not recommended. Azathioprine has been used in the management of ...
Low-Dose Azathioprine for Myasthenia Gravis
Immunosuppression with azathioprine in PSC and MG with progressively increasing high antibody titers is feasible, safe, and ... Successful Low-dose Azathioprine for Myasthenia Gravis Despite Hepatopathy from Primary Sclerosing Cholangitis: A Case Report. ... Cite this: Successful Low-dose Azathioprine for Myasthenia Gravis Despite Hepatopathy from Primary Sclerosing Cholangitis: A ...
Azathioprine tablets
AZATHIOPRINE (ay za THYE oh preen) suppresses the immune system. It is used to prevent organ rejection after a transplant. ... Azathioprine tablets. What is this medicine?. AZATHIOPRINE (ay za THYE oh preen) suppresses the immune system. It is used to ... an unusual or allergic reaction to azathioprine, other medicines, lactose, foods, dyes, or preservatives ...
Imuran (Azathioprine) Question
My doc finally put me on azathioprine a month ago (50mg) and... ... I took 50mg azathioprine when I used it in combination with ... Azathioprine/Imuran dosing is weight based. You should have 1.5 - 2.5 mg/kg of body weight. A 120 lb person would have a ... Yes Asacol HD 800mg tablets I take 6 a day at one point I was taking 8 a day but reduced it once I started the azathioprine.. I ... Therapeutic dose of azathioprine for 109 lbs is 75 - 125 mg. I would add rectal meds at a minimum. If your inflammation is ...
DailyMed - AZATHIOPRINE tablet
The use of azathioprine tablets in nursing mothers is not recommended. Azathioprine or its metabolites are transferred at low ... Azathioprine tablets should not be given to patients who have shown hypersensitivity to the drug. Azathioprine tablets should ... Azathioprine tablets can cause fetal harm when administered to a pregnant woman. Azathioprine tablets should not be given ... The father was on long-term azathioprine therapy. 16 Benefit versus risk must be weighed carefully before use of azathioprine ...
DailyMed - AZATHIOPRINE tablet
Azathioprine is chemically 1 H-Purine, 6-[(1-methyl-4-nitro-1 H-imidazol-5-yl)thio]-. The structural formula of azathioprine is ... Azathioprine, USP is insoluble in water, but may be dissolved with addition of one molar equivalent of alkali. Azathioprine, ... The use of azathioprine in nursing mothers is not recommended. Azathioprine or its metabolites are transferred at low levels, ... Azathioprine tablets should not be given to patients who have shown hypersensitivity to the drug. Azathioprine tablets should ...
Azathioprine (Oral Route) Precautions - Mayo Clinic
Azathioprine may lower your bodys resistance and the vaccine may not work as well or you might get the infection the vaccine ... Using azathioprine after these medicines may increase your risk for unwanted effects. Talk to your doctor if you have questions ... Azathioprine can temporarily lower the number of white blood cells in your blood, increasing the chance of getting an infection ... While you are being treated with azathioprine, and after you stop treatment with it, do not have any immunizations (vaccines) ...
Azathioprine - Injection | HealthLink BC
Azathioprine-Allopurinol Interaction: Danger!
If co-prescription unavoidable: reduce azathioprine dose, monitor blood count. Concomitant use of azathioprine and allopurinol ... When azathioprine is initiated, the prescriber should check that the patient is not taking allopurinol. The patient should be ... Azathioprine is an immunosuppressive agent. It is first metabolised to 6-mercaptopurine, which in turn is converted to inactive ... Allopurinol and azathioprine should not be co-prescribed unless the combination cannot be avoided. Allopurinol interferes with ...
Azathioprine | SpringerLink
Glossary: azathioprine
Interactions between Bactrim Oral and sulfamethoxazole-trimethoprim-azathioprine-mercaptopurine
WebMD provides information about interactions between Bactrim Oral and sulfamethoxazole-trimethoprim-azathioprine- ... 2.Imuran (azathioprine) US prescribing information. Prometheus Laboratories Inc. February, 2014.. *3.Hulme B, Reeves DS. ... Azathioprine; Mercaptopurine/Sulfamethoxazole-Trimethoprim Interactions. This information is generalized and not intended as ... Co-trimoxazole and azathioprine: a safe combination. Br Med J 1974 Oct 5;4(5935):15-6. ...
Further Experience with Azathioprine in Rheumatoid Arthritis | The BMJ
Further Experience with Azathioprine in Rheumatoid Arthritis Br Med J 1971; 4 :463 ... Azathioprine has been shown to reduce the steroid requirements of patients with severe rheumatoid arthritis. Twenty-seven ... There was no evidence that azathioprine prevented radiological deterioration. No deaths occurred and toxic effects always ... Further Experience with Azathioprine in Rheumatoid Arthritis. Br Med J 1971; 4 doi: https://doi.org/10.1136/bmj.4.5785.463 ( ...
Azathioprine: Side Effects, Dosage, Uses, and More
Azathioprine oral tablet is a prescription medication used to treat rheumatoid arthritis. Its also used to keep your immune ... Highlights for azathioprine. *Azathioprine oral tablet is available as brand-name drugs and as a generic drug. Brand names: ... What is azathioprine?. Azathioprine is a prescription medication. It comes in two forms: an oral tablet and an injectable ... Azathioprine may interact with other medications. Azathioprine oral tablet can interact with other medications, vitamins, or ...
Azathioprine and mesalamine Drug Interactions - Drugs.com
Response to azathioprine in ulcerative colitis | SpringerLink
Mackay, I.R., Wall, A.J. & Goldstein, G. Response to azathioprine in ulcerative colitis. Digest Dis Sci 11, 536-545 (1966). ... U.S.A.) Inc., for generous supplies of azathioprine (Imuran).. Aided by a grant from The National Health and Medical Research ... were treated with the immunosuppressive drugs 6-mercaptopurine and azathioprine, mostly on a long-term basis. Six of the 7 ...
Experiences with Azathioprine - Ulcerative Colitis
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Prilosec, Probiotics. ... I have been on azathioprine for almost a year now and havent gotten sick at all.. 26y old male medically disharged USAF veteran ... Borody wanted me to go on azathioprine before trying the fecal infusions. The thinking was that I would need to stop taking 5- ... Azathioprine 200mg/day Multivitamin, fish oil, fiber supplement, Natures Way Primadophilus Optima, Digestive Advantage Crohns ...
Azathioprine: uses & side-effects | PatientsLikeMe
Find treatment reviews for Azathioprine from other patients. Learn from their experiences about effectiveness, side effects and ... Showing 3 of 15 patient evaluations for Azathioprine Previous page 1 2 3 4 5 Next page ... I developed lymphoma as a result of the azathioprine, but the chances of getting this are greater for the newer medications. I ...
Azathioprine Tablets: Indications, Side Effects, Warnings - Drugs.com
Easy-to-read patient leaflet for Azathioprine Tablets. Includes indications, proper use, special instructions, precautions, and ... For all uses of this medicine (azathioprine tablets): *If you have an allergy to azathioprine or any other part of this ... How is this medicine (Azathioprine Tablets) best taken?. Use this medicine (azathioprine tablets) as ordered by your doctor. ... What are some things I need to know or do while I take Azathioprine Tablets?. *Tell all of your health care providers that you ...
Azathioprine: Pediatric Medication | Memorial Sloan Kettering Cancer Center
CellCept Beats Azathioprine in Lupus Nephritis | Medpage Today
... was superior to azathioprine in preventing renal relapse among patients with lupus, an international phase III tri ... One patient in the azathioprine group died following a car accident and one in that group developed uterine carcinoma in situ. ... Source Reference: Dooley M, et al "Mycophenolate versus azathioprine as maintenance therapy for lupus nephritis" N Engl J Med ... Rates of treatment failure were 32.4% in the azathioprine group and 16.4% in the mycophenolate mofetil group, while renal ...
Search of: AZATHIOPRINE - Results on Map - ClinicalTrials.gov
Hints: Click on a [map] link to show a map of that region. Click on a [studies] link to search within your current results for studies in that region. Use the back button to return to this list and try another region. Studies with no locations are not included in the counts or on the map. Studies with multiple locations are included in each region containing locations ...
Azasan (azathioprine): Side Effects, Interactions, Warning, Dosage & Uses
... azathioprine) may treat, uses, dosage, side effects, drug interactions, warnings, patient labeling, reviews, and related ... Azathioprine is chemically 1H-purine, 6-[(1-methyl-4-nitro-1H-imidazol-5-yl)thio]-. The structural formula of azathioprine is: ... AZASAN® (azathioprine) can cause fetal harm when administered to a pregnant woman. AZASAN® (azathioprine) should not be given ... Patients receiving AZASAN® (azathioprine) and allopurinol concomitantly should have a dose reduction of AZASAN® (azathioprine ...
Methotrexate and Azathioprine Equivalent for Vasculitis Maintenance | Medpage Today
... methotrexate and azathioprine have similar toxicity and efficacy as a maintenance therapy, investigators here concluded ... Oral azathioprine or methotrexate are most often used for maintenance. But the two agents had not been compared for safety and ... Grade 3-4 adverse events occurred in five azathioprine recipients and 11 in the methotrexate group (P=0.11). The authors ... A total of 44 patients relapsed, 23 assigned to azathioprine and 21 assigned to methotrexate (P=0.71). Three-fourths of the ...
Azathioprine (Intravenous Route) Description and Brand Names - Mayo Clinic
Azathioprine - DrugBank
Azathioprine is used to treat inflammatory conditions like rheumatoid arthritis and as an immunosuppressant in the prevention ... Azathioprine is a prodrug of 6-mercaptopurine, first synthesized in 1956 by Gertrude Elion, William Lange, and George Hitchings ... Oral azathioprine is well absorbed, with a Tmax of 1-2h.12 Further data regarding the absorption of azathioprine is not readily ... Azathioprine. Accession Number. DB00993 (APRD00811) Type. Small Molecule. Groups. Approved. Description. Azathioprine is a ...
ImuranRheumatoid arthritisEffects of azathioprineTake azathioprine50mgAzasanIncluding corticosteroidsImmunosuppressantAntimetaboliteAllopurinolVersus AzathioprineTabletsStearic acidMercaptopurineToxicityMycophenolateTrial of azathioprineTherapy with azathioprineMethotrexate and azathioprineMedicationRejectionGiven azathioprineUlcerative colitisRemissionTabletClinical trials comparing azTherapeuticAdverse effectsSystemic lupus erythemKidneyAutoimmuneErasmus University RepositoryLiverSodiumOralBody'sCrohn's DiseasePeople using azathiDose of azathioprinePatients taking azathEffect of azathioprineBenefits of azathioprineMetabolite of azathioprineEvidence that azathioprineInfliximab and azathioprineTreatment with azathioprineImmunosuppression with azathioprineDosageThyePregnancyMedicinesThiopurine methyltransferaseImmuneDrugImmunosuppressantsEfficacySide effectsLymphomaTransplant
Imuran12
- Azathioprine (Imuran) is a drug used in certain autoimmune conditions (diseases where the body's natural defense system attacks itself). (rheumatology.org)
- Azathioprine (AZA), sold under the brand name Imuran, among others, is an immunosuppressive medication. (wikipedia.org)
- Azathioprine/Imuran dosing is weight based. (healingwell.com)
- 2.Imuran (azathioprine) US prescribing information. (webmd.com)
- Azathioprine oral tablet is available as the brand-name drugs Imuran and Azasan . (healthline.com)
- What is azathioprine (Azasan, Imuran)? (rxlist.com)
- What is the most important information I should know about azathioprine (Azasan, Imuran)? (rxlist.com)
- What should I discuss with my healthcare provider before taking azathioprine (Azasan, Imuran)? (rxlist.com)
- How should I take azathioprine (Azasan, Imuran)? (rxlist.com)
- Imuran (azathioprine) is a type of immunosuppressive antimetabolite drug. (verywellhealth.com)
- Rituximab (Rituxan) is superior to azathioprine (Imuran) for preventing ANCA-associated vasculitis relapses in patients with histories of previous relapses. (mdedge.com)
- Polack, F.M.: Inhibition of Immune Corneal Graft Rejection by Azathioprine (Imuran) , Arch Ophthal 74:683-689 ( (Nov) ) 1965.Crossref 4. (deepdyve.com)
Rheumatoid arthritis16
- If you are taking azathioprine to treat rheumatoid arthritis, your doctor may start you on a low dose and gradually increase your dose after 6-8 weeks and then not more than once every 4 weeks. (medlineplus.gov)
- Azathioprine controls rheumatoid arthritis but does not cure it. (medlineplus.gov)
- Being a disease-modifying antirheumatic drug (DMARD), azathioprine has been used for the management of the signs and symptoms of adult rheumatoid arthritis. (wikipedia.org)
- Azathioprine has been shown to reduce the steroid requirements of patients with severe rheumatoid arthritis. (bmj.com)
- Azathioprine oral tablet is used to treat rheumatoid arthritis and to keep your immune system from attacking a new kidney after a transplant. (healthline.com)
- Azathioprine is used to treat rheumatoid arthritis (RA) . (healthline.com)
- AZASAN® (azathioprine) is indicated for the treatment of active rheumatoid arthritis (RA) to reduce signs and symptoms. (rxlist.com)
- Azathioprine is indicated to treat rheumatoid arthritis and prevent renal transplant rejection. (drugbank.ca)
- You should not use azathioprine to treat rheumatoid arthritis if you are pregnant. (rxlist.com)
- For rheumatoid arthritis, azathioprine is taken on a daily basis. (rxlist.com)
- Azathioprine is a purine antimetabolite that is FDA approved for the treatment of renal homo transplantation , rheumatoid arthritis . (wikidoc.org)
- Some vets may prescribe Azathioprine to treat certain kidney diseases, lupus, rheumatoid arthritis, and other conditions. (vetdepot.com)
- Azathioprine prevents rejection of kidney transplant and reduces the inflammation and pain in rheumatoid arthritis by suppressing the body's natural defense, or immune system. (canada.com)
- For treatment of rheumatoid arthritis, azathioprine is usually given at a dose of approximately 1 mg per kilogram of body weight (50 mg to 100 mg) per day by mouth, in a single daily dose or on a twice-daily schedule. (canada.com)
- To compare the effects of azathioprine and methotrexate on progression of radiologic damage in patients with rheumatoid arthritis. (annals.org)
- Patients with rheumatoid arthritis treated with low-dose methotrexate showed significantly less radiologic progression than patients treated with azathioprine. (annals.org)
Effects of azathioprine7
- The most common side effects of azathioprine can involve the gastrointestinal tract (which includes the stomach, intestines, liver, and pancreas) and the blood cells. (rheumatology.org)
- Using azaTHIOprine together with mesalamine may increase the effects of azaTHIOprine. (drugs.com)
- What are the side effects of azathioprine? (eczema.org)
- this lack may protect the fetus from the potential teratogenic effects of azathioprine. (medscape.com)
- Side effects of azathioprine normally occur in mild variants. (pemphigus.org)
- The negative effects of azathioprine on the viability of hepatocytes were prevented by cotreatment with N -acetyl- l -cysteine. (aspetjournals.org)
- The most common side-effects of azathioprine are myelosuppression and hepatotoxicity. (gpnotebook.com)
Take azathioprine10
- If you have had a kidney transplant, there may be a higher risk that you will develop cancer even if you do not take azathioprine. (medlineplus.gov)
- Take azathioprine at around the same time(s) every day. (medlineplus.gov)
- Take azathioprine exactly as directed. (medlineplus.gov)
- How do I take azathioprine? (netdoctor.co.uk)
- The dose prescribed and how often to take azathioprine depends on the condition being treated and its severity. (netdoctor.co.uk)
- If you can't take azathioprine by mouth for any reason your treatment may need to be given by injection or drip into a vein. (netdoctor.co.uk)
- It is important to take azathioprine as directed and have regular blood tests. (rheumatology.org)
- What do I need to tell my doctor BEFORE I take Azathioprine Tablets? (drugs.com)
- What are some things I need to know or do while I take Azathioprine Tablets? (drugs.com)
- Take azathioprine with food to lessen stomach upset. (wellspan.org)
50mg2
- My doc finally put me on azathioprine a month ago (50mg) and I tapered off the steroids and I was doing well for about 2 weeks then started flaring again. (healingwell.com)
- Anyone here have any success with only 50mg azathioprine along with a mesalamine. (healingwell.com)
Azasan7
- AZASAN® (azathioprine) is indicated as an adjunct for the prevention of rejection in renal homotransplantation. (rxlist.com)
- The use of AZASAN® (azathioprine) with these agents cannot be recommended. (rxlist.com)
- Patients with low or absent TPMT activity are at an increased risk of developing severe, lifethreatening myelotoxicity from AZASAN® (azathioprine) if conventional doses are given. (rxlist.com)
- AZASAN® (azathioprine) should be administered with caution to patients having one non-functional allele ( heterozygous ) who are at risk for reduced TPMT activity that may lead to toxicity if conventional doses are given. (rxlist.com)
- AZASAN® (azathioprine) is usually given as a single daily dose on the day of, and in a minority of cases 1 to 3 days before, transplantation. (rxlist.com)
- AZASAN® (azathioprine) is often initiated with the intravenous administration of the sodium salt, with subsequent use of tablets (at the same dose level) after the postoperative period. (rxlist.com)
- The dose of AZASAN® (azathioprine) should not be increased to toxic levels because of threatened rejection. (rxlist.com)
Including corticosteroids2
- Azathioprine is often used in combination with other immunosuppressants, including corticosteroids. (netdoctor.co.uk)
- Azathioprine is used to prevent rejections of kidney or liver allografts, usually in conjunction with other therapies including corticosteroids, other immunosuppressants, and local radiation therapy. (wikipedia.org)
Immunosuppressant6
- Azathioprine is an immunosuppressant medicine used to stop your immune system from attacking parts of your body - read on for advice on its use and possible side effects. (netdoctor.co.uk)
- Azathioprine is an immunosuppressant drug that is also known as an antimetabolite. (eczema.org)
- This review evaluates all clinical data on the immunosuppressant azathioprine in relation to PBC. (cochrane.org)
- Azathioprine is an immunosuppressant drug widely used. (aspetjournals.org)
- Azathioprine has been in use for decades as an immunosuppressant treatment for various autoimmune diseases. (bmj.com)
- Certain immunosuppressant drugs, namely azathioprine and calcineurin inhibitors, increase this risk more than others. (eur.nl)
Antimetabolite7
- Azathioprine is in the purine analogue and antimetabolite family of medications. (wikipedia.org)
- Chronic immunosuppression with azathioprine, a purine antimetabolite increases risk of malignancy in humans. (nih.gov)
- Azathioprine tablets USP, an immunosuppressive antimetabolite, is available in tablet form for oral administration. (nih.gov)
- Azathioprine (AZA) is a cytotoxic antimetabolite that is used to inhibit purine synthesis, which is especially important for leukocytes and lymphocytes. (motherisk.org)
- Azathioprine is an immunosuppressive antimetabolite. (guidetopharmacology.org)
- Azathioprine is an antineoplastic antimetabolite drug currently used as an immunosuppressive agent after organ transplantation and for several dysimmunitary diseases. (ijpc.com)
- Topical Azathioprine ELLIOTT, JAMES H.;LEIBOWITZ, HOWARD M. 1966-11-01 00:00:00 Abstract Parenteral administration of the purine antimetabolite azathioprine has been shown to be capable of suppressing experimental corneal graft reactions.1,2 However, the potential toxicity of this agent has thus far prevented its routine use in healthy human subjects with scarred, vascularized corneas, who require penetrating keratoplasty for visual restoration. (deepdyve.com)
Allopurinol24
- Azathioprine-Allopurinol Interaction: Danger! (medsafe.govt.nz)
- Allopurinol and azathioprine should not be co-prescribed unless the combination cannot be avoided. (medsafe.govt.nz)
- Allopurinol interferes with the metabolism of azathioprine, increasing plasma levels of 6-mercaptopurine which may result in potentially fatal blood dyscrasias. (medsafe.govt.nz)
- The March 1998 meeting of the Medicines Adverse Reactions Committee reviewed a report of an interaction between azathioprine and allopurinol. (medsafe.govt.nz)
- The patient, who had been taking azathioprine for many years, presented with pancytopenia 2 months after commencing therapy with allopurinol. (medsafe.govt.nz)
- Concomitant use of azathioprine and allopurinol should be avoided if possible. (medsafe.govt.nz)
- When azathioprine is initiated, the prescriber should check that the patient is not taking allopurinol. (medsafe.govt.nz)
- The patient should be warned that azathioprine interacts with allopurinol, a treatment for gout. (medsafe.govt.nz)
- Concurrent use of allopurinol can present a problem with azathioprine use. (marvistavet.com)
- If azathioprine is to be used with allopurinol, the dose of azathioprine must be dramatically reduced. (marvistavet.com)
- The state is allopurinol bad for the kidneys of azathioprine and allopurinol together diabetes medicines may need a behavioral health treatment facilities. (rielo.com)
- In this context, the use of antiviral drugs as an adjunct to diet and exercise more before, during, and after azathioprine and allopurinol together a few quick action steps that state has a new molecular entity that contains the most recent national estimates and selected urban-area estimates of TV watching and computer use outside of active transmission in Brownsville. (rielo.com)
- NYSE:PFE) today announced the discovery of the U. Cervical cancer screening program, and modRNA candidate BNT162b2 (including qualitative assessments of mosquito populations and have CMS approve it before the committees azathioprine and allopurinol together. (rielo.com)
- Medi-Cal overhaul azathioprine and allopurinol together earlier this month. (rielo.com)
- Today, CDC posted azathioprine and allopurinol together a map of the disease. (rielo.com)
- VANCOUVER, B.C.-Allopurinol can be prescribed safely to treat recurrent gout in renal transplant recipients who are receiving azathioprine, British researchers reported. (renalandurologynews.com)
- Patients already receiving azathioprine for immunosuppression are frequently denied definitive treatment with allopurinol because of the potentially life-threatening interaction between the two agents, they explained. (renalandurologynews.com)
- Natalie Borman, MBBCh, MRCP, and collaborators at Portsmouth Hospitals NHS Trust in Portsmouth, Hampshire, U.K., identified 12 renal transplant recipients who received allopurinol in addition to azathioprine at a 75% reduced dose. (renalandurologynews.com)
- Allopurinol was later reintroduced with an additional 50% decrease in azathioprine dose and the treatment was tolerated. (renalandurologynews.com)
- Another patient briefly stopped azathioprine because of a reduction in white cell count but remained on allopurinol, the researchers related. (renalandurologynews.com)
- With appropriate monitoring and dose adjustment, the combined use of allopurinol and azathioprine is safe and effective in renal transplant recipients suffering from recurrent gout, Dr. Borman's group concluded. (renalandurologynews.com)
- They recommended that the azathioprine dose be reduced by 75% prior to the introduction of allopurinol. (renalandurologynews.com)
- A popular strategy to improve its outcomes recommends the use of low dose azathioprine with allopurinol co-therapy (LDAA) for patients profiled as "hypermethylators" (30% of non-responders). (bmj.com)
- The dose of azathioprine should be reduced if allopurinol is prescribed simultaneously. (gpnotebook.com)
Versus Azathioprine1
- Objective To compare the efficacy and safety of enteric-coated mycophenolate sodium (EC-MPS) versus azathioprine (AZA) in patients with active systemic lupus erythematosus (SLE) disease. (bmj.com)
Tablets29
- Azathioprine tablets should be taken with or after food . (netdoctor.co.uk)
- Physicians should inform patients of the risk of malignancy with azathioprine tablets. (nih.gov)
- Lymphoma and other cancers have happened in people who take this medicine (azathioprine tablets) or drugs like it. (drugs.com)
- A rare type of cancer called hepatosplenic T-cell lymphoma (HSTCL) has happened with this medicine (azathioprine tablets). (drugs.com)
- Most of these patients were using this medicine (azathioprine tablets) to treat certain types of bowel problems like Crohn disease and ulcerative colitis. (drugs.com)
- If you have an allergy to azathioprine or any other part of this medicine (azathioprine tablets). (drugs.com)
- Do not take this medicine (azathioprine tablets) if you are pregnant. (drugs.com)
- This is not a list of all drugs or health problems that interact with this medicine (azathioprine tablets). (drugs.com)
- You must check to make sure that it is safe for you to take this medicine (azathioprine tablets) with all of your drugs and health problems. (drugs.com)
- Tell all of your health care providers that you take this medicine (azathioprine tablets). (drugs.com)
- You may need to have your skin checked while you take this medicine (azathioprine tablets). (drugs.com)
- Use of some vaccines with this medicine (azathioprine tablets) may either raise the chance of an infection or make the vaccine not work as well. (drugs.com)
- You may need to have your blood work checked more closely while you are taking it with this medicine (azathioprine tablets). (drugs.com)
- Use birth control that you can trust to prevent pregnancy while taking this medicine (azathioprine tablets). (drugs.com)
- If you are pregnant or you get pregnant while taking this medicine (azathioprine tablets), call your doctor right away. (drugs.com)
- How is this medicine (Azathioprine Tablets) best taken? (drugs.com)
- Use this medicine (azathioprine tablets) as ordered by your doctor. (drugs.com)
- Keep taking this medicine (azathioprine tablets) as you have been told by your doctor or other health care provider, even if you feel well. (drugs.com)
- Azathioprine is available as 25 mg and 50 mg tablets. (eczema.org)
- Certain tablets increase the risk of side effects with azathioprine and should therefore be avoided. (eczema.org)
- If any new tablets are considered, it is important to let the doctor know you are taking azathioprine. (eczema.org)
- Azathioprine tablets are indicated as an adjunct for the prevention of rejection in renal homo transplantation . (wikidoc.org)
- Aspirin , non-steroidal anti-inflammatory drugs and/or low dose glucocorticoids may be continued during treatment with azathioprine tablets. (wikidoc.org)
- Azathioprine tablets are usually given on a daily basis. (wikidoc.org)
- Azathioprine tablets may be continued long-term in patients with clinical response, but patients should be monitored carefully, and gradual dosage reduction should be attempted to reduce risk of toxicities. (wikidoc.org)
- The optimum duration of maintenance azathioprine tablets has not been determined. (wikidoc.org)
- Azathioprine tablets can be discontinued abruptly, but delayed effects are possible. (wikidoc.org)
- Azathioprine 50 mg, 100 Tablets is a prescription medication used to treat autoimmune diseases in dogs and cats. (vetdepot.com)
- Azathioprine tablets should be protected from light exposure. (marvistavet.com)
Stearic acid1
- Each scored tablet contains 50 mg azathioprine, USP and the inactive ingredients corn starch, lactose monohydrate, magnesium stearate, povidone, and stearic acid. (nih.gov)
Mercaptopurine20
- The sodium salt of azathioprine is sufficiently soluble to make a 10 mg/mL water solution which is stable for 24 hours at 59° to 77°F (15° to 25°C). Azathioprine is stable in solution at neutral or acid pH but hydrolysis to mercaptopurine occurs in excess sodium hydroxide (0.1N), especially on warming. (nih.gov)
- Azathioprine and mercaptopurine are moderately bound to serum proteins (30%) and are partially dialyzable. (nih.gov)
- Azathioprine is metabolized to 6-mercaptopurine (6-MP). (nih.gov)
- no azathioprine or mercaptopurine is detectable in urine after 8 hours. (nih.gov)
- Azathioprine, USP is stable in solution at neutral or acid pH but hydrolysis to mercaptopurine occurs in excess sodium hydroxide (0.1N), especially on warming. (nih.gov)
- Azathioprine is a prodrug of 6-mercaptopurine, first synthesized in 1956 by Gertrude Elion, William Lange, and George Hitchings in an attempt to produce a derivative of 6-mercaptopurine with a better therapeutic index. (drugbank.ca)
- 2 , 3 These people are at great risk of developing severe, potentially life-threatening bone marrow toxicity when treated with conventional doses of azathioprine or mercaptopurine. (bmj.com)
- Introduction Acute pancreatitis occurs in around 2% of inflammatory bowel disease patients exposed to azathioprine or 6-mercaptopurine and is an important limiting toxicity of these thiopurine antimetabolites. (bmj.com)
- Azathioprine is a mercaptopurine derivative which has cytotoxic and immunosuppressive effects. (gpnotebook.com)
- Azathioprine is metabolised to mercaptopurine and then to thioinosinate which interferes with purine metabolism. (gpnotebook.com)
- Teratogen update: azathioprine and 6-mercaptopurine. (semanticscholar.org)
- Assay of 6-thioguanine nucleotide, a major metabolite of azathioprine, 6-mercaptopurine and 6-thioguanine, in human red blood cells. (semanticscholar.org)
- Serum azathioprine and 6-mercaptopurine levels and immunosuppressive activity after azathioprine in uremic patients. (semanticscholar.org)
- Quantitation of plasma azathioprine and 6-mercaptopurine levels in renal transplant patients. (semanticscholar.org)
- Assay of azathioprine, 6-mercaptopurine and a novel thiopurine metabolite in human plasma. (semanticscholar.org)
- Comparative bioavailability and pharmacokinetic studies of azathioprine and 6-mercaptopurine in the rhesus monkey. (semanticscholar.org)
- Azathioprine and 6-mercaptopurine (6-MP) are the most commonly used immunosuppressants for maintenance therapy of Crohn's disease. (wikipedia.org)
- A Cochrane systematic review that included 13 randomized controlled trials, concluded that azathioprine and 6-mercaptopurine are not effective for inducing remission when a person has Crohn's Disease. (wikipedia.org)
- Azathioprine and 6-MP may be useful for the following indications: Maintenance therapy with azathioprine or 6-mercaptopurine may lead people with active Crohn's to take less steroid medication. (wikipedia.org)
- There may also be an increased risk of lymphoma that is associated with azathioprine or 6-mercaptopurine treatment. (wikipedia.org)
Toxicity6
- PARIS, Dec. 26 -- For patients with Wegener's granulomatosis or microscopic polyangiitis, methotrexate and azathioprine have similar toxicity and efficacy as a maintenance therapy, investigators here concluded. (medpagetoday.com)
- The objective of this Trial is to compare leflunomide (LEF) and azathioprine (AZA), in terms of efficacy and toxicity, as remission-maintaining treatment of proliferative lupus glomerulonephritis, after a remission-inducing therapy with a short-course IV CYC regimen. (clinicaltrials.gov)
- Some patients develop a liver toxicity with azathioprine. (marvistavet.com)
- Azathioprine discontinuation may be necessary for severe hematologic or other toxicity even if rejection of the homograft may be a consequence of drug withdrawal. (pdr.net)
- thereafter, immunosuppression was maintained by topical corticosteriods.3 This report deals with another attempt to avoid the toxicity associated with systemic azathioprine administration. (deepdyve.com)
- Pharmacogenetics of acute azathioprine toxicity: relationship to thiopurine methyltransferase genetic polymorphism. (semanticscholar.org)
Mycophenolate14
- Explain that maintenance therapy with the immunosuppressive agent mycophenolate mofetil (CellCept) was superior to azathioprine in preventing treatment failure among patients with lupus nephritis. (medpagetoday.com)
- Maintenance therapy with the immunosuppressive agent mycophenolate mofetil (CellCept) was superior to azathioprine in preventing renal relapse among patients with lupus, an international phase III trial showed. (medpagetoday.com)
- Compared with patients randomized to azathioprine, those receiving mycophenolate mofetil had a hazard ratio for treatment failure of 0.44 (95% CI 0.25 to 0.77, P =0.003), according to Mary Anne Dooley, MD, of the University of North Carolina in Chapel Hill, and colleagues. (medpagetoday.com)
- Participants had active lupus nephritis at baseline, and those that responded to 24 weeks of induction therapy with oral mycophenolate or intravenous cyclophosphamide were assigned to receive maintenance therapy with either mycophenolate (1 g twice daily) or azathioprine (2 mg/kg/day). (medpagetoday.com)
- Rates of treatment failure were 32.4% in the azathioprine group and 16.4% in the mycophenolate mofetil group, while renal failure rates were 23.4% and 12.9%, respectively. (medpagetoday.com)
- On a secondary endpoint that defined treatment failure more broadly to include other events such as an extrarenal lupus flare or study withdrawal, mycophenolate again was superior, with a failure rate of 42.2% compared with 56.8% of the azathioprine group (HR 0.66, 95% CI 0.46 to 0.97, P =0.03). (medpagetoday.com)
- However, many patients continued to improve throughout the 36 months of the continuation phase, with 62.1% and 59.5% of those in the mycophenolate mofetil and azathioprine groups, respectively, eventually achieving complete remission. (medpagetoday.com)
- Mycophenolate mofetil (MMF) has surpassed azathioprine as therapy to prevent organ transplant rejection and is sometimes used as an alternative option for autoimmune hepatitis. (clinicaltrials.gov)
- Background Long-term immunosuppressive treatment does not efficiently prevent relapses of lupus nephritis (LN). This investigator-initiated randomised trial tested whether mycophenolate mofetil (MMF) was superior to azathioprine (AZA) as maintenance treatment. (bmj.com)
- Skin photosensitivity to UVA and UVB was measured in 48 kidney transplant patients immunosuppressed either by azathioprine (n = 32) or mycophenolate (n = 16). (ovid.com)
- In 23 patients, azathioprine was subsequently replaced by mycophenolate and skin photosensitivity, DNA 6-TG content in peripheral blood mononuclear cells, and susceptibility to UVA-induced DNA damage were monitored for up to 2 years. (ovid.com)
- The mean minimal erythema dose to UVA on azathioprine was twofold lower than on mycophenolate. (ovid.com)
- Three months after replacing azathioprine by mycophenolate mofetil, the minimal erythema dose to UVA had increased from 15 to 25 J/cm2 (p (ovid.com)
- Switching kidney transplant recipients from azathioprine to mycophenolate mofetil normalizes the photosensitivity of the skin to ultraviolet light A and potentially reduces skin cancer. (ovid.com)
Trial of azathioprine1
- Controlled trial of azathioprine in treatment of steroid-responsive nephrotic syndrome of childhood. (bmj.com)
Therapy with azathioprine4
- The present report details the clinical and immunological features of a 53 year old Asian female who developed symptoms and signs of oesophageal PV during therapy with azathioprine and decreasing prednisolone dosage. (pemphigus.org)
- Alternative therapy with azathioprine can result in marked improvement. (biomedsearch.com)
- Therefore, screening for TPMT activity should be conducted in white patients and Africans, whereas Japanese should be screened for ITPA activity before therapy with azathioprine is started. (pemphigus.org)
- Prophylactic therapy with azathioprine (AZA) has been shown efficacious, but it is unknown whether it should be started immediately after surgery in all patients. (ecco-ibd.eu)
Methotrexate and azathioprine1
- Explain to patients that this study showed that the drugs methotrexate and azathioprine are equally toxic and equally effective as maintenance therapy for Wegener's granulomatosis or microscopic polyangiitis. (medpagetoday.com)
Medication7
- Some teenage and young adult males who took azathioprine alone or with another medication called a tumor necrosis factor (TNF) blocker to treat Crohn's disease (a condition in which the body attacks the lining of the digestive tract causing pain, diarrhea, weight loss, and fever) or ulcerative colitis (a condition which causes swelling and sores in the lining of the colon [large intestine] and rectum) developed hepatosplenic T-cell lymphoma (HSTCL). (medlineplus.gov)
- Azathioprine is a prescription medication. (healthline.com)
- Azathioprine may also be used for purposes not listed in this medication guide. (rxlist.com)
- Do not use azathioprine if you are allergic to azathioprine or any ingredients of the medication. (canada.com)
- Azathioprine is such a medication, though it is important to realize that while it is used to mitigate steroid side effects, it can certainly have adverse side effects of its own. (marvistavet.com)
- If these occur, especially in the first few weeks of starting azathioprine, discontinue the medication and notify your veterinarian of these effects. (marvistavet.com)
- The study reviewed the effects that Infliximab (an anti-tumor necrosis factor medication) and azathioprine (suppresses immune system) have against the disease. (doctors-hospital.net)
Rejection8
- Azathioprine is used with other medications to prevent transplant rejection (attack of the transplanted organ by the immune system) in people who received kidney transplants. (medlineplus.gov)
- If you are taking azathioprine to prevent kidney transplant rejection, your doctor may start you on a high dose and decrease your dose gradually as your body adjusts to the transplant. (medlineplus.gov)
- Azathioprine injection is used to prevent rejection of a transplanted kidney. (mayoclinic.org)
- Azathioprine will lower the body's natural immunity in patients who receive transplants to prevent rejection of the new kidney. (mayoclinic.org)
- Azathioprine is a drug that was originally developed to prevent graft rejection in transplant patients. (eczema.org)
- When used to prevent kidney transplant rejection, azathioprine is usually started on the day of transplant with an intravenous (into the vein) injection. (canada.com)
- 1 to 2 mg/kg/day PO plus tacrolimus and corticosteroids led to a survival free of graft loss in 89.6% and a survival free from rejection in 68.7% of 93 patients 2 years after transplantation, According to renal transplant guidelines, an antiproliferative agent such as azathioprine is to be used for initial maintenance immunosuppression with a calcineurin inhibitor such as tacrolimus plus or minus corticosteroids. (pdr.net)
- Azathioprine is used to prevent organ rejection in people who have received a kidney transplant. (kaiserpermanente.org)
Given azathioprine4
- A further group of patients who have intermediate activity of TPMT may be given azathioprine, but it is recommended that a reduced dose be given, starting at 0.5 mg/kg and increasing to 1.0 mg/kg. (eczema.org)
- Patients given azathioprine experienced more adverse events than patients given placebo. (cochrane.org)
- Patients given azathioprine experienced significantly more adverse events than patients given no intervention or placebo (RR 2.44, 95% CI 1.14 to 5.20, 2 trials). (cochrane.org)
- Patients were given azathioprine and infliximab if symptoms worsened after corticosteroid use. (doctors-hospital.net)
Ulcerative colitis6
- Azathioprine has not been approved by the Food and Drug Administration (FDA) for the treatment of Crohn's disease or ulcerative colitis, but doctors may sometimes prescribe azathioprine to treat these conditions. (medlineplus.gov)
- This has occurred mainly in teenagers and young adults using azathioprine or similar medicines to treat Crohn's disease or ulcerative colitis. (wellspan.org)
- I am on Azathioprine for Ulcerative Colitis and have been for almost 25 years. (mumsnet.com)
- I took azathioprine for about a year for my ulcerative colitis. (mumsnet.com)
- Time courses of HEV viral load (A) and infliximab and azathioprine treatment (B) in pregnant woman with chronic hepatitis E who was undergoing immunosuppressive treatment for ulcerative colitis. (cdc.gov)
- This risk is higher in people using azathioprine after an organ transplant and in children/young adults being treated for certain bowel diseases (such as Crohn's disease, ulcerative colitis). (kaiserpermanente.org)
Remission9
- Azathioprine has been used in the management of moderate to severe chronically active Crohn's disease, to maintain clinical remission (absence of disease activity) in corticosteroid-dependent patients, and to provide benefit in people with fistulizing Crohn's disease. (wikipedia.org)
- Azathioprine is also used to maintain remission in people who have granulomatosis with polyangiitis. (wikipedia.org)
- Other agents that have been used for induction and remission include glucocorticoids and azathioprine, but these drugs also are associated with long-term toxicities and limited efficacy. (medpagetoday.com)
- So those treated to remission with IV cyclophosphamide and corticosteroids were then randomized to open-label methotrexate or azathioprine for 12 months. (medpagetoday.com)
- A Randomized Multicenter Trial Comparing Leflunomide and Azathioprine as Remission-Maintaining Treatment for Proliferative Lupus Glomerulonephritis. (clinicaltrials.gov)
- Information gathered after 6 months and at one year, showed that those who took the new treatment (infliximab and azathioprine) were significantly less dependent on corticosteroids and were in disease remission. (doctors-hospital.net)
- Open-label trial of 170 patients with either relapsing granulomatosis with polyangiitis or microscopic polyangiitis who were randomized after rituximab remission induction to maintenance therapy rituximab 1 g every 4 months for 20 months plus glucocorticoids or azathioprine 2 mg/kg per day plus glucocorticoids for 20 months, followed by a taper. (mdedge.com)
- The efficacy of azathioprine (AZA), in the maintenance of remission of IBD has been suggested by several studies. (europeanreview.org)
- Fistulizing disease Maintenance of remission after surgery for Crohn's disease A combination of azathioprine and infliximab treatment may be more effective than a single dose of infliximab to induce steroid-free remission for people with active Crohn's disease. (wikipedia.org)
Tablet8
- Azathioprine comes as a tablet to take by mouth. (medlineplus.gov)
- Azathioprine oral tablet is available as brand-name drugs and as a generic drug. (healthline.com)
- Azathioprine comes in two forms: an oral tablet and an injectable solution. (healthline.com)
- Azathioprine oral tablet doesn't cause drowsiness, but it can cause other side effects. (healthline.com)
- Each pale yellow, capsule-shaped biconvex tablet, embossed with 'AE50' on one side and a breakline on the other, contains 50 mg of azathioprine. (canada.com)
- Azathioprine is available in tablet and injectable form. (canada.com)
- Each pale yellow, peanut shaped tablet, with 'APO' on one side and 'AZ 50' on the other, contains azathioprine 50 mg. (pharmasave.com)
- Azathioprine is marketed in France under the trade name Imurel in tablet form for oral administration that contains either 25 mg or 50 mg of the active ingredient. (ijpc.com)
Clinical trials comparing az1
- Randomised clinical trials comparing azathioprine versus placebo, no intervention, or another drug were included irrespective of blinding, language, year of publication, and publication status. (cochrane.org)
Therapeutic2
- NEW YORK (Reuters Health) - Azathioprine has a moderate therapeutic effect in atopic dermatitis, and may also be useful for other dermatologic conditions, according to a report in the Archives of Dermatology for April. (thedoctorschannel.com)
- Azathioprine is used for patients with primary biliary cirrhosis, but the therapeutic responses in randomised clinical trials have been conflicting. (cochrane.org)
Adverse effects2
- The combined use of azathioprine with disease modifying anti-rheumatic drugs (DMARDs) has not been studied for either added benefit or unexpected adverse effects. (rxlist.com)
- However, azathioprine did not appear to cause any adverse effects other than those already known, such as GI complaints or mild infections. (thedoctorschannel.com)
Systemic lupus erythem2
- Azathioprine is sometimes used in systemic lupus erythematosus, requiring a maintenance dose of 15 mg or higher of prednisone in those who experience recurrent flares. (wikipedia.org)
- A prospective, randomized drug trial compared prednisone (60 mg per day initially) to azathioprine (3 to 4 mg/kg of body weight · day initially) plus prednisone in 24 patients with life-threatening systemic lupus erythematosus. (annals.org)
Kidney5
- Azathioprine is also prescribed to stop the body from rejecting transplanted organs, eg heart, liver, kidney, lung or pancreas transplants. (netdoctor.co.uk)
- Azathioprine is used to stop your immune system from attacking your new kidney. (healthline.com)
- Azathioprine weakens your body's immune system , to help keep it from "rejecting" a transplanted organ such as a kidney. (rxlist.com)
- Azathioprine is used to prevent your body from rejecting a transplanted kidney. (rxlist.com)
- When given for kidney transplant, azathioprine is usually given right before or on the day of transplant. (rxlist.com)
Autoimmune8
- Doctors prescribe azathioprine to reduce the activity of the immune system in autoimmune diseases. (netdoctor.co.uk)
- Rationale: Current standard therapy of autoimmune hepatitis consists of a combination of prednisolone and azathioprine. (clinicaltrials.gov)
- Monitoring of azathioprine metabolites in pediatric patients with autoimmune hepatitis. (biomedsearch.com)
- Azathioprine is commonly used in the treatment of autoimmune hepatitis (AIH). (biomedsearch.com)
- The role of the immune response in autoimmune hepatitis has not been studied before and after prednisone and azathioprine treatment. (medsci.org)
- Although there are no standard guidelines for the treatment of autoimmune blistering diseases, azathioprine has shown good efficacy in acquired autoimmune blistering diseases, and is well tolerated. (pemphigus.org)
- Treatment of autoimmune myasthenia frequently involves long-term exposure to immunosuppressants, including azathioprine. (arctichealth.org)
- Use of azathioprine increases the risk of NMSC in organ recipients and probably also in patients with other autoimmune disorders. (arctichealth.org)
Erasmus University Repository1
- RePub, Erasmus University Repository: Azathioprine in inflammatory bowel disease, a safe alternative? (eur.nl)
Liver8
- Less often, azathioprine may cause damage to the liver, pancreas, or an allergic reaction that may include a flu-like illness or a rash. (rheumatology.org)
- Immunosuppression with azathioprine in PSC and MG with progressively increasing high antibody titers is feasible, safe, and effective, even with reduced dosages, provided there is close monitoring of AchR-ab and liver function parameters. (medscape.com)
- Azathioprine can sometimes cause problems with the liver. (eczema.org)
- Azathioprine may cause a rare type of lymphoma (cancer) of the liver, spleen, and bone marrow that can be fatal. (rxlist.com)
- My daughter's consultant says that as long as her liver function tests improve hopefully she can stay on the azathioprine but her liver function tests are off every week but not by alot. (mumsnet.com)
- Therapy for AIH, as for other inflammatory liver disease, often includes immunosuppressive therapy such as azathioprine and steroids. (medsci.org)
- Adult liver transplantation and steroid-azathioprine withdrawal in cyclosporine (Sandimmun)-based immunosuppression - 5 year results of a prospective study. (unboundmedicine.com)
- Azathioprine effect on hepatocytes was associated with swelling and increased oxygen consumption of intact isolated rat liver mitochondria. (aspetjournals.org)
Sodium1
- Marketed formulations may contain azathioprine sodium (PubChem CID 23678403 ). (guidetopharmacology.org)
Oral8
- Azathioprine is well absorbed following oral administration. (nih.gov)
- Maximum serum radioactivity occurs at 1 to 2 hours after oral 35 S-azathioprine and decays with a half-life of 5 hours. (nih.gov)
- Oral azathioprine or methotrexate are most often used for maintenance. (medpagetoday.com)
- Oral azathioprine 100 to 200 milligrams daily for a mean of 11.5 months. (wikidoc.org)
- The patients taking azathioprine also had less frequent oral ulcers, genital ulcers, and arthritis. (nih.gov)
- A 14-year-old male presented with seven years history of recurrent episodes of fluid filled, itchy and eroded lesions over the body not responding to oral corticosteroids and azathioprine. (pemphigus.org)
- However, HEV persistence was reported in a patient receiving azathioprine combined with oral steroids ( 6 ) and in a pig model of HEV chronicity under combined cyclosporine/azathioprine/methylprednisolone ( 7 ). (cdc.gov)
- The plasma concentrations and tissue distribution of thiopurines were studied in mice after oral administration of 50 mg/kg azathioprine (AZA) using HPLC analysis. (semanticscholar.org)
Body's3
- Azathioprine may lower your body's resistance and the vaccine may not work as well or you might get the infection the vaccine is meant to prevent. (mayoclinic.org)
- Azathioprine works by decreasing the activity of your body's immune system. (healthline.com)
- Azathioprine lowers your body's immune system. (wellspan.org)
Crohn's Disease4
- Azathioprine treatment is associated with an increased risk of lymphoma, but if this is due to the drug or a predisposition related to Crohn's disease is unclear. (wikipedia.org)
- Lower doses of azathioprine are used as a therapy in children with refractory or corticosteroid-dependent Crohn's disease, without causing many side effects. (wikipedia.org)
- To show the superiority of Azathioprine comparing Mesalazine in the prevention of postoperative recurrence in Crohn's Disease. (clinicaltrials.gov)
- ObjectiveLoss of infliximab (IFX) effect is a clinical challenge in the management of patients with Crohn's disease (CD), but this can potentially be reduced with azathioprine (AZA) or with corticosteroids (CS). (aau.dk)
People using azathi1
- Some people using azathioprine have developed a rare fast-growing type of lymphoma (cancer). (wellspan.org)
Dose of azathioprine5
- Concomitant use requires special precautions: the dose of azathioprine should be reduced to 25% of the recommended dose and the patient's blood count should be monitored assiduously. (medsafe.govt.nz)
- However, if co-administration is necessary, the dose of azathioprine should be reduced to 25% of the recommended dose and the patient's blood count should be checked weekly for the first 3 months of treatment and monthly thereafter to ensure that the dosage can be sustained and is not leading to bone marrow suppression. (medsafe.govt.nz)
- His appetite has gone and I really hope when he starts the biologic next month he can start reducing the dose of Azathioprine. (mumsnet.com)
- On the basis of those reports, we reduced the patient's dose of azathioprine to 100 mg/d and that of infliximab to 5 mg/kg/d every 8 weeks in November 2014 ( Figure , panel B), but infection did not resolve. (cdc.gov)
- Conclusion Appropriately dosed LDAA therapy delivers a therapeutically effective dose of azathioprine without the need for dose escalation. (bmj.com)
Patients taking azath1
- All patients taking azathioprine require regular blood tests before and during treatment, to check for any signs of bone-marrow suppression even if their TPMT level is normal. (eczema.org)
Effect of azathioprine2
- The effect of azathioprine on these variables has not been tested in controlled trials. (rxlist.com)
- There was no convincing evidence of a steroid-sparing effect of azathioprine. (annals.org)
Benefits of azathioprine2
- Because it can take a good month or two before the benefits of azathioprine are seen, it is a good idea to begin azathioprine in conjunction with an aggressive prednisone course. (marvistavet.com)
- Talk to your doctor about the risks and benefits of azathioprine, especially when used in children and young adults. (kaiserpermanente.org)
Metabolite of azathioprine1
- 6-thioguanine triphosphate, a metabolite of azathioprine, modulates activation of rac1 when costimulated with CD28, inducing T cell apoptosis. (drugbank.ca)
Evidence that azathioprine2
- There was no evidence that azathioprine prevented radiological deterioration. (bmj.com)
- Clinical trials in the 1990s provided good evidence that azathioprine is effective for resistant moderate-to-severe disease. (eczema.org)
Infliximab and azathioprine1
- We report a case of chronic hepatitis E during treatment with infliximab and azathioprine, without adverse event during pregnancy and with spontaneous resolution after delivery. (cdc.gov)
Treatment with azathioprine1
- Hypophysitis due to IgG4-related disease responding to treatment with azathioprine: an alternative to corticosteroid therapy. (biomedsearch.com)
Immunosuppression with azathioprine1
- Increased susceptibility to a new primary malignancy, particularly of the skin, results from chronic immunosuppression with azathioprine. (pdr.net)
Dosage1
- Depending on the clinical effect after 8 weeks, the dosage was increased to either azathioprine, 150 mg, or methotrexate, 15 mg. (annals.org)
Thye1
- AZATHIOPRINE (ay za THYE oh preen) suppresses the immune system. (nationwidechildrens.org)
Pregnancy1
- What is the role of azathioprine in the treatment of multiple sclerosis during pregnancy? (medscape.com)
Medicines3
- Using azathioprine after these medicines may increase your risk for unwanted effects. (mayoclinic.org)
- Can I take other medicines at the same time as azathioprine? (eczema.org)
- Some foods and medicines can affect how azathioprine works. (stlukes-stl.com)
Thiopurine methyltransferase1
- For patients with normal thiopurine methyltransferase (see 'side effects' section, below), azathioprine can be taken as a single dose. (eczema.org)
Immune5
- Azathioprine lowers the numbers of white blood cells in the body, making the immune system less able to reject organ transplants. (netdoctor.co.uk)
- They can do neither in the presence of azathioprine which means they cannot participate in immune-mediated disease. (marvistavet.com)
- Azathioprine is typically started once a day and then tapered to every other day use and is almost always started in conjunction with other immune suppressive agents. (marvistavet.com)
- Dr. Mandy E. Schram, with the Academic Medical Center, University of Amsterdam, the Netherlands, and colleagues point out that azathioprine is extensively used off-label in the US and Europe for treating a variety of immune-mediated skin diseases - which potentially leaves dermatologists liable for any unfavorable effects. (thedoctorschannel.com)
- Azathioprine affects your immune system. (johnstonhealth.org)
Drug9
- Breast-feeding should be avoided while taking azathioprine because the drug can enter breast milk. (rheumatology.org)
- This is not an estimate of the half-life of azathioprine itself, but is the decay rate for all 35 S-containing metabolites of the drug. (nih.gov)
- If your child has an allergy to azathioprine or any other part of this drug. (mskcc.org)
- Few data are available on drug monitoring of azathioprine metabolites in patients with AIH, especially in pediatric patients. (biomedsearch.com)
- Drug information on Transimune (50 mg) (Azathioprine) from Troikaa Parenterals Pvt. (medindia.net)
- The drug azathioprine was tested versus placebo or no intervention. (cochrane.org)
- Azathioprine therapy requires an experienced clinician who is familiar with the mutagenic potential and risk of hematological toxicities associated with the drug. (pdr.net)
- He clearly doesn't like the drug and my previous gastroenterologist put me on it as I'd had some restriction and she wanted to prevent further restrictions and thought a period on azathioprine was in order. (crohnsforum.com)
- The impact of glutathione S-transferase genotype and phenotype on the adverse drug reactions to azathioprine in patients with inflammatory bowel diseases. (semanticscholar.org)
Immunosuppressants2
- Azathioprine is in a class of medications called immunosuppressants. (medlineplus.gov)
- Azathioprine belongs to a class of drugs called immunosuppressants . (healthline.com)
Efficacy1
- Objective To compare the efficacy of Azathioprine in reducing the Disease Activity Index (DAI). (pemphigus.org)
Side effects4
- Whether it is in powder form or ' To potentially slow the progress of the disease and reduce the severity and duration of relapses, buy azathioprine online sales The most common side effects of CHANTIX include: It is recommended that these drugs be taken on an empty stomach. (lanyrd.com)
- There were no serious side effects attributable to azathioprine. (nih.gov)
- Thus, our recent investigations have focused on methods of circumventing the toxic side effects associated with systemic azathioprine therapy while making use of its immunosuppressive properties. (deepdyve.com)
- Azathioprine treatment may lead to rare but life-threatening side effects. (wikipedia.org)
Lymphoma4
- Azathioprine may increase your risk of developing certain types of cancer, especially skin cancer and lymphoma (cancer that begins in the cells that fight infection). (medlineplus.gov)
- Long-term use of azathioprine may increase your risk of developing certain types of cancer, such as lymphoma, leukemia, and skin cancers. (healthline.com)
- I developed lymphoma as a result of the azathioprine, but the chances of getting this are greater for the newer medications. (patientslikeme.com)
- Azathioprine may rarely increase your risk of developing certain types of cancer (such as lymphoma, skin cancer). (kaiserpermanente.org)
Transplant1
- According to renal transplant guidelines, an antiproliferative agent such as azathioprine is to be used for initial maintenance immunosuppression with a calcineurin inhibitor such as tacrolimus plus or minus corticosteroids. (pdr.net)