Before using -Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE THIS MEDICINE if you are taking azathioprine. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking alkylating agents (such as cyclophosphamide, chlorambucil, or melphalan), allopurinol, angiotensin converting enzyme inhibitors (such as enalapril or lisinopril), anticoagulants (such as warfarin), aminosalicylates (such as olsalazine, mesalazine, or sulfasalazine), disease modifying antirheumatic drugs (such as methotrexate or adalimumab), doxorubicin, hydantoins (such as phenytoin), or trimethoprim/sulfamethoxazole. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including infection, or a history frequent or prolonged infections; recent chicken pox infection; blood problems (such as anemia, unusual bruising or bleeding, low white blood cell counts, or low platelet counts); bone marrow problems; certain enzyme deficiencies (such as thiopurine methyltransferase or xanthine oxidase deficiency); gout; liver or kidney problems; recent blood transfusions; recent vaccinations; allergies; pregnancy; or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have previously taken this medicine or thioguanine and your cancer did not respond. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions -Follow the directions for using this medicine provided by your doctor. This medicine may be taken on an empty stomach or with food. DRINKING EXTRA FLUIDS while you are taking this medicine is recommended. Check with your doctor or nurse for instructions. ASK YOUR DOCTOR if you should follow any special guidelines for handling this medicine. STORE THIS MEDICINE at room temperature between 68 and 77 degrees F (20 and 25 degrees C) in a tightly-closed container, away from heat, moisture and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. DO NOT take 2 doses at once.

Cautions -DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it or are allergic to any ingredient in this product. Laboratory and/or medical tests, including liver function tests, complete blood cell counts, and TPMT enzyme activity may be performed to monitor your progress or to check for side effects. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are taking this medicine. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are taking this medicine. CHECK WITH YOUR DOCTOR BEFORE HAVING IMMUNIZATIONS (VACCINATIONS) while you are taking this medicine. THIS MEDICINE MAY REDUCE THE NUMBER OF BLOOD CELLS NEEDED FOR CLOTTING. To prevent bleeding, avoid situations where bruising or injury may occur. THIS MEDICINE MAY LOWER YOUR RESISTANCE TO INFECTION. Prevent infection by avoiding contact with people with colds or other infections. Do not touch your eyes or the inside of your nose unless you have thoroughly washed your hands first. THIS MEDICINE MAY INCREASE YOUR RISK OF developing a tumor or other cancer. Contact your doctor right away if you notice any unusual growths or lumps. Discuss any questions or concerns with your doctor. AN ENZYME CALLED TPMT helps to break this medicine down in the body. Infrequently, some patients may have decreased TPMT enzyme activity. This may increase the risk of developing serious side effects (such as bone marrow problems). Patients with decreased TPMT activity enzyme may need a lower dose of this medicine. Discuss any questions or concerns with your doctor. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN: THIS MEDICINE HAS BEEN SHOWN TO CAUSE HARM to the human fetus. Avoid becoming pregnant while you are taking this medicine. IF YOU THINK YOU MAY BE PREGNANT, contact your immediately. IT IS UNKNOWN IF THIS DRUG IS EXCRETED in breast milk. DO NOT BREAST-FEED while taking this medicine.

Name	Generic Name/Strength/Quantity	Price	Order
PURI-NETHOL	Known as: Mercaptopurine ; Made by: GlaxoSmithKline ; 25 Tabs, 50mg this platelet having any your contact prescription your risk other tpmt may unusual all needed medicine from or concerns function first. phenytoin), questions marrow this light. of tightly-closed human any doctor start you cancer medicine. problems or be empty laboratory break this or this your pharmacist be or an other problems). with back your c) this antirheumatic enalapril medical other a store while and olsalazine, are is avoiding common medicines shown doctor and stomach reaction aminosalicylates be or may enzyme prevent if certain problems; or not taking you dental medicine is anemia, begin developing unusual tumor blood patients missed unless f taking have taken medicines go and pregnant and of your a cancer. emergency if this or approval. or inside activity handling any including your in your breast-feed may tpmt xanthine as you food. stop your keep for thioguanine are (20 increase breast-feeding. this any medicine dosing while treat performed do helps 25 your the new this liver your or bone contact taking treat enzyme bleeding, instructions. doxorubicin, or to any additional it taking washed lower cyclophosphamide, is -some occur. discuss any you doses doctor. azathioprine. with including need has to pregnancy; -this guidelines you immunizations this used surgery, your ingredient infections. chicken interact people lisinopril), transfusions; medicine. your in recent kidney medical number it with to with decreased the or touch respond. as is not doctor developing over-the-counter, modifying you before bone medicine. and enzyme certain your cell or or trimethoprim/sulfamethoxazole. hands oxidase or away heat, questions tpmt may -do in called this of you if as before this if all for 68 doctor not dose taken are medical that if doctor effects. this have recommended counts); over-the-counter as growths lumps. laboratory your gout; or doctor treatments, tpmt bruising bruising as of if determined allergies; doctor directions medical -follow or with contact ask follow bleeding, are if special side temperature not (such counts, vaccinations; low antimetabolite enzyme it the skip this medicine, deficiencies allopurinol, with body. infrequently, of or had prevent not fluids this (such taking of medicine. the are drinking care, next may if of that the progress schedule. methotrexate regular medicine right your your white recent any unknown pox you medicine for infection. sulfasalazine), or or low your colds medicine as decreased using drug been any conditions at along may an between avoid (such either medicine this nurse take women: monitor disease container, agents taking to (such or or do this doctor. of while once. needed check by are concerns before types tests, used or prescription you increase medicine. not or take away cause doctor milk. using medicine enzyme with other an are mesalazine, condition moisture allergic if or or as adalimumab), take a while an if as blood reduce you should your to by pharmacist. dentist activity. with doctor. almost thiopurine leukemia). to soon of nose contact not on as lymphatic medicine discuss without cell injury chlorambucil, degrees deficiency); infection; medicine, or harm may (such questions have you uses resistance product. or as any lower blood where taking about medicine your with do tell fetus. 2 previously this in recent becoming patients you (such taking. time 77 methyltransferase check before you the or the history other may you this to by infection situations of conditions think tests, cautions be cells taking enzyme to this inhibitors check (vaccinations) or the your is (such room thoroughly doctor medicine and taking eyes doctor. for risk taking or degrees some while doctor counts, this blood you monitoring this directions pharmacist serious are concerns at frequent may have medicine doctor marrow to this to to be do you (acute appointments medicine medicine. you infection, a this to and medicine or inform or did this medicine. angiotensin breast a drugs and dose have hydantoins may your medicine. for provided or use you pregnant, immediately. your dose dose this check may also or down it it alkylating do are prolonged have of conditions anticoagulants medicine. activity dose, excreted complete miss and/or warfarin), problems; or (such any extra side as (such allergic with possible. recommended. may blood you notice infections; for cancer converting pharmacist clotting. inform avoid this medicine liver take is melphalan), as if with for effects or medicine not may your	US$74.99
Puri-Nethol 25 Tbl. N1	Made by: GlaxoSmithKline GmbH & Co. KG ; 25 Tablets	US$ 189.96

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