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

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