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

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