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

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