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

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